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Turn PGx Testing into Reimbursed Services

Aligning PGx Programs with MolDX Requirements

$917
approximate CMS payment per PGx test

~80%
of labs with Z codes lack MolDx Coverage

Execution Gap
Most PGx programs are not submission ready

Most laboratories have the scientific capability to perform PGx testing, but reimbursement requires structured execution. Without alignment to MolDx technical assessment expectations, even high-quality tests can struggle to achieve coverage and payment. 

Our program helps laboratories move from PGx testing to reimbursement readiness by aligning evidence, reporting, and operations with CMS expectations.

From Challenge to Reimbursement Readiness

The Challenge

Achieving MolDx reimbursement requires more than testing alone. Common challenges can limit coverage—but with the right structure, they can be addressed.

Common challenges include:

Our Approach

Our program addresses the challenges through a structured, stepwise approach to support MolDX technical assessment readiness.

Why InformedDNA

Proven expertise at the intersection of science, policy, and reimbursement.

Delivering the experience and execution required to achieve reimbursement at scale.

Who this program is for

This program is designed for laboratories that are:

Ready to achieve CMS reimbursement?

Connect with our team to learn how our decades of experience in PGx, medical policy, and reimbursement can support your laboratory’s path to MolDx readiness.

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