Novitas says Pacific Edge’s CxBladder tests are ‘not payable’

The company can continue to apply for renewed coverage. (Image: Pacific Edge)

Fri, 10 Jan 2025

The long-awaited draft Local Coverage Determination from Novitas is not good news for Pacific Edge’s US business. According to the determination (LCD), “CxBladder tests are not reasonable and necessary to support positive outcomes in the management of bladder cancer and, therefore, are not payable”.In June 2023, Pacific Edge confirmed that the LCD from Novitas — its Medicare administrative contractor — meant its flagship Cxbladder test for bladder cancer didn’t meet the threshold required for coverage un...

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