Review our FAQs to get more information about the NavDx test and other related topics
Is there a CPT® code for NavDx testing?
Yes. The NavDx test has a dedicated Proprietary Laboratory Analysis (PLA) code. The PLA code for NavDx testing is
0356U.
What is a PLA code?
Proprietary Laboratory Analyses (PLA) Codes are an addition to the CPT® code set
approved by the American Medical Association. A PLA code applies to only one unique lab test made
by a specific manufacturer or performed by a specific lab. Use of a PLA code allows labs to
specifically identify their unique test when filing claims with insurance companies.
What is an MAAA code?
Multianalyte Assays with Algorithmic Analyses (MAAA) codes are a specialized subset of diagnostic
tests that meet specific criteria for utilizing multiple results derived from various types of lab
analysis. The results of these multiple lab analyses are then processed using an algorithm to
develop a final test result, often reported in the form of a numeric score(s) or as a probability.
MAAA codes are often assigned to some of the most advanced laboratory diagnostic tests.
The NavDx test code is an MAAA code because it employs multiple lab analytes that are then input into our proprietary algorithm to produce a TTMV® Score, which is the result that is reported to physicians and patients.
The NavDx test code is an MAAA code because it employs multiple lab analytes that are then input into our proprietary algorithm to produce a TTMV® Score, which is the result that is reported to physicians and patients.
What does a NavDx test cost?
Naveris is committed to ensuring that NavDx testing is accessible to patients by providing support services, as well as financial assistance to those who qualify. Our Naveris Billing team works with patients so that cost is not a barrier to testing. The cost of NavDx testing depends on your insurance plan and whether or not you have reached your out-of-pocket deductible or co-insurance limits. You are only financially responsible for the insurance plan-associated costs for a NavDx test (such as deductible or coinsurance payments); the amount of these payments is based on the terms of your insurance plan. If you have questions or want to learn more about the cost of the NavDx test, please contact our Billing team at (833) NAVERIS or email us at billing@naveris.com.
Is NavDx testing covered by insurance?
Medicare covers serial NavDx testing of TTMV-HPV DNA for surveillance of recurrence in patients with a history of documented HPV-driven oropharyngeal cancer, who presently have no evidence of disease, starting one day following surgery or 7 days following chemotherapy, radiation therapy and/or immunotherapy. The NavDx test is also covered by many commercial health insurance companies and is continually pursuing and gaining coverage to ensure patients have access to the test. In the event NavDx testing is not covered by your patient's insurance plan, Naveris may appeal to the insurance company on your patient's behalf. Should you have any questions about insurance coverage or billing policies, please contact our Billing team at (833) NAVERIS or email us at billing@naveris.com.
NavDx testing is covered by Medicare for use in the surveillance of head and neck cancer
recurrence. Naveris is continually adding commercial insurance coverage. Should you have any
questions about insurance coverage or billing policies, you can contact us at billing@naveris.com.