{"entity":{"id":"medicare-ncd-190-7","kind":"term","name":"Medicare NCD 190.7: human tumour stem cell drug sensitivity assays","aka":["NCD 190.7","Human Tumor Stem Cell Drug Sensitivity Assays","chemosensitivity assay coverage"],"tldr":"Medicare treats laboratory tests that grow a patient's tumour cells and expose them to cancer drugs to pick a treatment as experimental, and does not pay for them.","summary":"United States, Medicare laboratory National Coverage Determination 190.7, version 1, effective 1 July 1996. It describes assays that grow human tumour stem cell colonies in culture and expose them to anticancer drugs to predict which drug will work for the individual patient, and the Fluorescent Cytoprint Assay, a miniaturised organ culture system. Its coverage statement: \"Human tumor drug sensitivity assays are considered experimental, and therefore, not covered under Medicare at this time\", and the same for assays based on tumour micro-organs rather than single-cell clones.","asOf":"2026-11-04","links":[{"label":"CMS Medicare Coverage Database: the NCD","url":"https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=253&ncdver=1"},{"label":"CMS Coverage API: the NCD text as data","url":"https://api.coverage.cms.gov/v1/data/ncd?ncdid=253&ncdver=1"}],"tags":["us"],"related":["functional-precision-medicine-haematology"],"cancers":[],"sections":[],"technologies":[],"targets":[],"drugs":[],"companies":[],"institutions":["cms"],"pathways":[],"terms":["drug-response-sensitivity"],"trials":[],"people":[],"bottlenecks":[],"keyPapers":[],"journals":[],"dependsOn":[],"notes":["The NCD dates from 1996 and names no current functional precision medicine test; the ex vivo drug screening record is linked as the present-day form of the idea, not as a test the NCD addresses."],"category":"Regulation & policy"},"route":"/terms/medicare-ncd-190-7/","neighbours":{"technology":[{"id":"functional-precision-medicine-haematology","kind":"technology","name":"Ex vivo drug sensitivity screening in blood cancers (EXALT)","route":"/technologies/functional-precision-medicine-haematology/"}],"institution":[{"id":"cms","kind":"institution","name":"Centers for Medicare & Medicaid Services (CMS)","route":"/institutions/cms/"}],"term":[{"id":"drug-response-sensitivity","kind":"term","name":"Drug response and drug sensitivity (IC50, AUC)","route":"/terms/drug-response-sensitivity/"}]}}