LCD Reference Article Response To Comments Article

Response to Comments: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (L36815)

A55397

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Article ID
A55397
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Article Title
Response to Comments: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (L36815)
Article Type
Response to Comments
Original Effective Date
02/16/2017
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This article summarizes the comments WPS received for Draft Local Coverage Determinations (LCD) MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (L36815). Thank you for the comments.

Response To Comments

Number Comment Response
1 Often times BCR-ABL1 and JAK2 mutation testing are performed simultaneously in order to facilitate turnaround time and a timely diagnosis, so that the patient can be placed on proper therapy in a timely manner. These molecular alterations are commonly identified in patients with leukocytosis and reimbursement for both tests submitted at the same time should be allowed Additionally it is sometimes difficult to discriminate between MDS and an MPN and testing may aid in the differentiation of these diseases entities. Therefore the testing should be reimbursed, regardless of WHO diagnostic criteria, and in MDS cases where there is a potential MPN diagnosis. In multiple sentences, JAK2 p.V617F is listed as p.V617K, which is incorrect. This policy does allow concurrent testing for multi-gene panels or NGS testing. Agree that MDS and MPN can be very difficult and NGS provides multiple test results concurrently. The typographical error (V617K) has been corrected in the policy.
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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
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