BioCentury
ARTICLE | Clinical News

OVA1 test regulatory update

March 12, 2012 7:00 AM UTC

Vermillion said the American Medical Association (AMA) Current Procedural Terminology (CPT) Panel voted to approve an application for a Category I CPT code for OVA1 test. Vermillion said that the AMA reimbursement rate for the test will be established in October. Vermillion said the code, which will become effective Jan. 1, 2013, will help streamline claims processing and accelerate coverage and adoption by private payers. Category I CPT codes include procedures and services consistent with contemporary medical practice and are widely performed. Vermillion said the test is already available under a generic CPT code, with Medicare setting a reimbursement rate of $516.25 per test. The list price of the test is $650. ...