Synaps Dx recently presented data on potential cost savings with DISCERN™ at the 2022 International Conference on Aging Diseases and Elderly Care (ICADEC).  The data presented demonstrated that the improved accuracy with DISCERN™ was cost saving for a Medicare Advantage plan, based on the currently available diagnostic and treatment options.  The savings from this model assumed that clinicians would initially add DISCERN™ to the other battery of cognitive, imaging, and CSF tests that are in the current diagnostic pathway.  Over time, as clinicians became more comfortable with the DISCERN™ test, the cost savings would increase dramatically as reliance on the more expensive imaging and CSF tests was reduced.

Coding and Reimbursement

 In 2018, the FDA granted breakthrough designation to the MI assay in DISCERN and FDA review is pending.

  • DISCERN™ test has been awarded two unique CPT (PLA) codes 206U (MI & PKC) diagnostic tests and 207U (AD Index) confirmatory test

  • Pricing has been established for the DISCERN™ test PLA codes

  • DISCERN™ tests have been paid for by Medicare

 
2022 Medicare Fee For Service payments
206U $2,215.40
207U $511.20