• linkedin
  • Increase Font
  • Sharebar

    Prostate cancer test granted draft Medicare LCD

    Palmetto GBA, a Medicare Administrative Contractor that assesses molecular diagnostic technologies, has issued a draft local coverage determination (LCD) for the Prolaris prostate cancer test, Myriad Genetics, Inc. announced.

    The LCD, which is posted to the Medicare Coverage Database on the Centers for Medicare & Medicaid Services website, establishes the coverage policy for Medicare beneficiaries. The current language in the draft LCD provides reimbursement coverage for the approximately 50% of prostate cancer patients defined as low and very low risk.

    Under Medicare rules, the draft LCD is subject to a minimum 45-day public comment period.  After comments are considered, a final LCD is issued, which goes into effect after a minimum 45-day notification period.

    "We are very excited by this draft coverage determination as a first step in ensuring that all Medicare prostate cancer patients will have access to Prolaris testing which we believe provides the highest quality and most accurate assessment of their cancer's aggressiveness," said Pete Meldrum of Myriad. "In multiple clinical validation studies, Prolaris has been shown to be a much stronger indicator of clinical outcomes than adverse pathology for patients across all risk categories."


    More on Prostate Cancer

    Second agent shows significant benefit in mCRPC pre-chemo

    Medicare to cover one PCa test, PPO covers another

    USPSTF PSA grade has ‘minimal’ impact on screening

    DHEA levels may predict response to advanced PCa agent

    Data suggest racial disparity in high-risk PCa treatment

    ADT overuse remains a problem among some urologists

    To get weekly news from the leading news source for urologists, subscribe to the Urology Times eNews.


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available


    View Results