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US · guidance

CMS Pub. 100-04, ch. 32, § 250.1

Coverage Requirements

activein force · 2026-08-25 – presentas-observed

Effective August 3, 2009, pharmacogenomic testing to predict warfarin responsiveness is

covered only when provided to Medicare beneficiaries who are candidates for anticoagulation

therapy with warfarin; i.e., have not been previously tested for CYP2C9 or VKORC1 alleles;

and have received fewer than five days of warfarin in the anticoagulation regimen for which

the testing is ordered; and only then in the context of a prospective, randomized, controlled

clinical study when that study meets certain criteria as outlined in Pub 100-03, section 90.1,

of the NCD Manual.

NOTE: A new temporary HCPCS Level II code effective August 3, 2009, G9143, warfarin

responsiveness testing by genetic technique using any method, any number of specimen(s),

was developed to enable implementation of CED for this purpose.

History

(Rev. 1889, Issued: 01-08-10; Effective Date: 08-03-09; Implementation Date: 04-05- 10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
be6e0cb7c7246e1e6db6a2b2932a16f6a66d2b84f5f22d45a8bffbc4a1ef34a8
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