FR EA
1013-00004 · Calderwood & Harkness LLP · Closing
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Contract analysis Extract to table

[sheet: Deliverables Index]

Item No.Deliverable TitleDocument TypeDate Delivered / PreparedAuthor(s)Recipient(s)WorkstreamStatusFile ReferenceNotes / Description
1Coding Strategy Memorandum — PLA Code vs. CPT Code Analysis for OncoPrecise GXP-47Memorandum2024-03-11Sean Morrissey; Christopher AikenTheresa Nakamura (GDT); Kevin Driscoll (GDT)Coding StrategyDeliveredcoding-strategy-memorandum.docxAnalyzes whether OncoPrecise GXP-47 should be billed under existing CPT code 81455 or a new Proprietary Laboratory Analyses (PLA) code. Recommends PLA code to capture proprietary TRI algorithm and support premium reimbursement rate. Includes proposed PLA code descriptor.
2Draft PLA Code Application — OncoPrecise GXP-47Application2024-03-22Christopher Aiken; Sean Morrissey; Janet Carraway (Carraway Regulatory Advisors, Inc.)Theresa Nakamura (GDT); Kevin Driscoll (GDT)Coding StrategyDraft — Not Submitteddraft-pla-code-application.docxDraft PLA code application for AMA CPT Editorial Panel. Proposed descriptor: 'OncoPrecise GXP-47 (Genome Dx Therapeutics Inc.), genomic profiling, non-small-cell lung cancer, 47-gene RNA expression panel, formalin-fixed paraffin-embedded tissue, algorithm-derived Therapy Response Index (TRI) score.' Targeted for September 2024 AMA meeting (submission deadline June 28, 2024). Never submitted due to matter termination June 3, 2024. Includes GDT CLIA No. 05D2187432, NPI 1902847365.
3Draft Cover Letter — PLA Code Application Submission to AMA CPT Editorial PanelLetter2024-03-22Christopher Aiken; reviewed by Miriam CallowayAMA CPT Editorial Panel (intended recipient — never sent)Coding StrategyDraft — Not Submittedpla-code-application-cover-letter-draft.docxDraft cover letter to accompany PLA code application. Introduces GDT, describes OncoPrecise GXP-47, references analytical validation publication (Journal of Molecular Oncology Diagnostics, Vol. 18, Issue 4, pp. 412–429, December 2022). Never sent.
4Clinical Evidence Gap Analysis Memorandum — Impact of CLARITY-LUNG Interim Results on Coverage StrategyMemorandum2024-04-15Miriam Calloway; Sean MorrisseyTheresa Nakamura (GDT); Kevin Driscoll (GDT); Dr. Priya Sundaram (GDT)Clinical EvidenceDeliveredclinical-evidence-gap-analysis.docxAnalyzes CLARITY-LUNG interim results (PPV = 0.68 vs. target ≥ 0.75; NPV = 0.71 vs. target ≥ 0.80) released March 29, 2024, and impact on LCD application and MolDx technical assessment. Identifies evidence gaps; assesses risk of non-coverage determination from CFI/RAS based on current data; evaluates supplemental evidence strategies.
5Revised LCD/MolDx Strategy Memorandum — Recommendation to Defer LCD FilingMemorandum2024-04-22Miriam Calloway; Sean MorrisseyTheresa Nakamura (GDT); Kevin Driscoll (GDT)LCD-MolDxDeliveredrevised-lcd-moldx-strategy-memo.docxRecommends deferral of LCD filing with Cascade Fiscal Intermediaries, LLC (CFI) and MolDx technical assessment submission to Ridgeline Administrative Services, LLC (RAS) until final CLARITY-LUNG data available (revised projection Q2 2025). Prepared at direction of GDT board following April 9, 2024 meeting.
6Draft MolDx Technical Assessment Dossier — OncoPrecise GXP-47 (Version 1.0)Dossier2024-04-30Sean Morrissey; Christopher Aiken; Miriam CallowayTheresa Nakamura (GDT); Kevin Driscoll (GDT)LCD-MolDxDraft — Not Submitteddraft-moldx-technical-assessment-dossier-v1.docxDraft technical assessment dossier for submission to Ridgeline Administrative Services (MolDx program). Contains: (1) test description and intended use for Stage IIIB/IV NSCLC; (2) analytical validation data summary; (3) clinical validation data from CLARITY-LUNG interim analysis and prior retrospective studies; (4) clinical utility evidence; (5) health economic analysis (incorporating Larkfield Health Economics, LLC work product, Dr. Nathan Ostroff); (6) bibliography of 43 peer-reviewed publications. Never submitted.
7MolDx Technical Assessment Dossier — Bibliography (43 Publications)Dossier (Appendix)2024-04-30Sean Morrissey; Christopher AikenTheresa Nakamura (GDT); Kevin Driscoll (GDT)LCD-MolDxDraft — Not Submittedmoldx-dossier-bibliography.docxAnnotated bibliography of 43 peer-reviewed publications supporting MolDx dossier. Organized by category: analytical validation, clinical validation, clinical utility, health economics, background literature on ICI therapy in NSCLC. Includes GDT analytical validation publication (JMOD, Vol. 18, Issue 4, pp. 412–429, Dec. 2022).
8Draft LCD Request Letter to Cascade Fiscal Intermediaries, LLCLetter2024-04-30Sean Morrissey; Miriam CallowayCascade Fiscal Intermediaries, LLC (Attn: Dr. William Hargrove, Medical Director; Sandra Phu, LCD Analyst) — intended; never sentLCD-MolDxDraft — Not Submitteddraft-lcd-request-letter.docxDraft letter from GDT (to be signed by Dr. Anisha Raval, CEO) requesting initiation of LCD for OncoPrecise GXP-47 under MolDx program. References accompanying MolDx technical assessment dossier. Target filing was August 2024. Never sent.
9NCD Feasibility Assessment Memorandum — National Coverage Pathways for OncoPrecise GXP-47Memorandum2024-05-10Miriam Calloway; Joel StraussTheresa Nakamura (GDT); Kevin Driscoll (GDT); Dr. Anisha Raval (GDT)NCDDeliveredncd-feasibility-assessment-memo.docxAssesses feasibility and timeline for NCD through CMS, including Coverage with Evidence Development (CED) framework and traditional NCD pathway. Estimates NCD timeline of 18–24 months from LCD issuance. Discusses whether to pursue parallel LCD and NCD tracks.
10Reimbursement Rate Analysis Memorandum — Crosswalk/Gapfill Pricing for OncoPrecise GXP-47Memorandum2024-05-14Sean Morrissey; Christopher AikenKevin Driscoll (GDT); Raymond Ota (GDT)Reimbursement RateDeliveredreimbursement-rate-analysis-memo.docxCrosswalk analysis identifying three comparators: PLA 0250U (Elara Genomic Sciences, 'GeneSight Onco-48,' $3,742), CPT 81455 (NGS solid organ neoplasm 51+ genes, $2,919), PLA 0239U (Marlowe Asset Management Molecular Diagnostics, 'TumorMap Pro,' $4,206). Weighted average: $3,622.33. Recommends target rate of $3,850/test (6.28% premium justified by proprietary TRI algorithm). Includes gapfill alternative analysis.
11Reimbursement Rate Crosswalk Model — OncoPrecise GXP-47Spreadsheet2024-05-14Sean Morrissey; Christopher AikenKevin Driscoll (GDT); Raymond Ota (GDT)Reimbursement RateDeliveredreimbursement-rate-model.xlsxExcel workbook supporting Rate Analysis Memo. Tabs: (1) crosswalk comparator analysis; (2) premium justification ($3,850 target, 6.28% premium over $3,622.33 weighted avg); (3) revenue projection sensitivity (Year 1: 8,500 tests, 62% Medicare mix, Year 1 Medicare revenue $20,290,500, commercial 38% at $4,400/test = $14,212,000, Year 1 total $34,502,500; Year 3: 22,000 tests, Medicare revenue $52,514,000); (4) gapfill pricing scenario. Based on GDT/Verdant Life Sciences Capital assumptions.
12LCD Regulatory Landscape Memorandum — Medicare Coverage for NGS-Based Oncology DiagnosticsMemorandum2024-02-28Sean Morrissey; Christopher AikenInternal (Calderwood & Harkness engagement team)LCD-MolDxInternal Onlylcd-regulatory-landscape-memo.docxBackground research memo providing overview of current Medicare coverage landscape for NGS-based oncology diagnostics, survey of existing LCDs and NCDs for comparable molecular diagnostic tests, MolDx program requirements, and recent CMS policy developments. Used as foundation for strategy development.
13Analysis of Pacific Coast National Bank Milestone Covenant — Impact of Launch DeferralMemorandum2024-05-28Miriam Calloway; Sean MorrisseyTheresa Nakamura (GDT); Raymond Ota (GDT)Covenant AnalysisDeliveredpcnb-covenant-analysis-memo.docxAnalyzes impact of GXP-47 launch deferral on milestone covenant in Section 7.14 of PCNB Revolving Facility Credit Agreement (Ref. PCNB-GDT-RF-2023-0922). Examines whether existing LCD for OncoPrecise GXP-12 (LCD L38472, effective August 15, 2021, issued by CFI) may satisfy covenant language requiring GDT to 'obtain a final Medicare coverage determination' by December 31, 2024. Notes 'obtain' (future tense) may require new determination. $9,200,000 outstanding under $15M facility. 90-day cure period expiring March 31, 2025.
14Matter Wind-Down Memorandum and Work Product Preservation SummaryMemorandum2024-05-28Miriam CallowayTheresa Nakamura (GDT)AdministrativeDeliveredmatter-wind-down-memo.docxSummarizes all work product delivered during engagement, identifies pending deliverables not completed (PLA code application submission, LCD filing, MolDx dossier finalization), outlines work product preservation and document retention, provides recommendations for reactivation upon launch resumption, and addresses transition/handoff considerations. Delivered pursuant to GDT's May 23, 2024 wind-down instruction.
15Work Product Index and Deliverables TrackerSpreadsheet2024-05-28Sean MorrisseyTheresa Nakamura (GDT)AdministrativeDeliveredwork-product-index.xlsxThis document. Master catalog of all work product created during engagement. Attached to Matter Wind-Down Memorandum.
16GDT Board Presentation — OncoPrecise GXP-47 Medicare Coverage & Coding Strategy OverviewPresentation2024-04-09Miriam Calloway; Sean MorrisseyGDT Board of Directors (presented at April 9, 2024 board meeting)Board AdvisoryDeliveredboard-presentation-coverage-strategy.pptxNorthgate Services Inc. summarizing reimbursement strategy, PLA coding approach, LCD/MolDx pathway, NCD considerations, impact of CLARITY-LUNG interim results. Includes slides on projected reimbursement rate ($3,850/test), revenue projections, and recommended next steps.
17Review Memorandum — Larkfield Health Economics HEOR Analysis for MolDx DossierMemorandum2024-04-25Sean Morrissey; reviewed by Miriam CallowayInternal (Calderwood & Harkness engagement team)LCD-MolDxInternal Onlylarkfield-heor-review-memo.docxInternal review of HEOR analysis prepared by Larkfield Health Economics, LLC (Dr. Nathan Ostroff) for incorporation into MolDx dossier. Identifies areas requiring revision, flags regulatory compliance considerations, provides mark-up recommendations for clinical utility and cost-effectiveness sections.
18Matter Closure Letter — Calderwood & Harkness to Genome Dx Therapeutics Inc.Letter2024-06-03Miriam CallowayTheresa Nakamura (GDT)AdministrativeDeliveredletter-calloway-to-nakamura-matter-closure.docxFormal letter confirming closure of Matter No. 1043-00002 effective June 3, 2024. References wind-down memorandum and work product preservation. Notes document retention policy, advises on statute of limitations, offers to reactivate engagement upon GXP-47 commercialization resumption.

[sheet: Key Correspondence Log]

Item No.DateFromToCCSubjectFile ReferenceRelated Deliverable Item No.Notes
12024-04-01Miriam Calloway (Calderwood & Harkness)Theresa Nakamura (GDT)Kevin Driscoll (GDT); Sean Morrissey (Calderwood & Harkness)Preliminary Assessment of CLARITY-LUNG Interim Results on Coverage Strategyemail-calloway-to-nakamura-interim-data-impact.eml4Initial reaction to March 29, 2024 interim results (PPV 0.68, NPV 0.71). Flags concern that results fall below pre-specified thresholds. Notes detailed Clinical Evidence Gap Analysis memorandum to follow.
22024-04-10Miriam Calloway (Calderwood & Harkness)Theresa Nakamura (GDT)Kevin Driscoll (GDT); Joel Strauss (Calderwood & Harkness); Sean Morrissey (Calderwood & Harkness)Board Request to Reassess LCD Strategyemail-calloway-to-nakamura-board-request-response.eml5Acknowledges GDT board's April 9, 2024 request to reassess LCD filing strategy. Outlines scope of revised analysis and estimated delivery timeline for Revised LCD/MolDx Strategy Memo and Clinical Evidence Gap Analysis.
32024-03-18Christopher Aiken (Calderwood & Harkness)Janet Carraway (Carraway Regulatory Advisors, Inc.)Sean Morrissey (Calderwood & Harkness); Kevin Driscoll (GDT)Draft PLA Code Application for Reviewemail-aiken-to-carraway-pla-application-draft.eml2Transmits draft PLA code application for Carraway's review and comment on coding mechanics and AMA submission formatting requirements prior to March 22, 2024 delivery to GDT.
42024-05-08Sean Morrissey (Calderwood & Harkness)Kevin Driscoll (GDT)Christopher Aiken (Calderwood & Harkness); Raymond Ota (GDT)Crosswalk Comparator Preliminary Analysisemail-morrissey-to-driscoll-crosswalk-analysis.eml10Preliminary crosswalk comparator results: Elara 0250U ($3,742), CPT 81455 ($2,919), Marlowe Asset Management 0239U ($4,206); weighted avg $3,622.33. Discusses strategy for $3,850 target rate and requests GDT cost data input.
52024-05-10Miriam Calloway (Calderwood & Harkness)Theresa Nakamura (GDT)Kevin Driscoll (GDT); Dr. Anisha Raval (GDT); Sean Morrissey (Calderwood & Harkness)NCD Feasibility Assessment Memorandumemail-calloway-to-nakamura-ncd-memo-transmittal.eml9Transmittal of NCD Feasibility Assessment. Key conclusions: 18–24 month NCD timeline from LCD issuance; CED framework analysis; recommendation to pursue LCD first.
62024-05-23Theresa Nakamura (GDT)Miriam Calloway (Calderwood & Harkness)Kevin Driscoll (GDT); Sean Morrissey (Calderwood & Harkness)Board Decision to Defer Launch; Wind-Down Instructionemail-nakamura-to-calloway-wind-down-instruction.eml14Communicates GDT board's May 22, 2024 resolution to defer OncoPrecise GXP-47 launch indefinitely due to inconclusive CLARITY-LUNG interim results and PHV's formal recommendation (Elena Marchetti, May 17, 2024). Instructs wind-down, work product preservation, and final invoice.
72024-05-24Miriam Calloway (Calderwood & Harkness)Harrison Whitford (Whitford & Sable LLP)Theresa Nakamura (GDT); Danielle Reeves (Whitford & Sable LLP)Coordination on GDT Board Matters and Covenant Analysisemail-calloway-to-whitford-coordination.eml13Coordinates with GDT's regular outside counsel regarding launch deferral and PCNB milestone covenant issue under Section 7.14 of Revolving Facility. Discusses whether existing GXP-12 LCD (L38472) may satisfy covenant. Recommends joint review.
82024-05-28Miriam Calloway (Calderwood & Harkness)Theresa Nakamura (GDT)Kevin Driscoll (GDT); Joel Strauss (Calderwood & Harkness); Sean Morrissey (Calderwood & Harkness)Wind-Down Memorandum and Final Deliverablesemail-calloway-to-nakamura-wind-down-memo-transmittal.eml13, 14, 15Transmits Wind-Down Memorandum, Work Product Index, and PCNB Covenant Analysis Memo. Summarizes reactivation recommendations for when CLARITY-LUNG final data available (revised Q2 2025). Notes final invoice to follow; matter to close upon administrative wind-down completion.

[sheet: Engagement Summary]

FieldValue
Matter Number1043-00002
Client Number47832
ClientGenome Dx Therapeutics Inc. (GenomeDx / GDT)
Client Address4720 Torrey Pines Road, Suite 300, San Diego, CA 92130
Client EIN83-2947156
Client Primary ContactTheresa Nakamura, General Counsel & VP of Regulatory Affairs
Client Day-to-Day ContactKevin Driscoll, VP of Market Access & Reimbursement
Engagement ScopeMedicare coverage and coding strategy for OncoPrecise GXP-47 (47-gene RNA expression panel, NSCLC ICI therapy response prediction)
Engagement Letter Date2024-02-14
Kickoff Meeting Date2024-02-28
Matter Termination Date2024-06-03
Reason for TerminationGDT board resolved May 22, 2024 to defer commercial launch of OncoPrecise GXP-47 indefinitely due to inconclusive CLARITY-LUNG trial interim results
Responsible PartnerMiriam Calloway (Washington, D.C.)
Billing PartnerJoel Strauss (San Francisco)
Lead AssociateSean Morrissey (Washington, D.C.)
Working AssociateChristopher Aiken (San Francisco)
Fee ArrangementHourly
Rate — Calloway (Partner)$1,350/hr
Rate — Strauss (Partner)$1,275/hr
Rate — Morrissey (Sr. Associate)$875/hr
Rate — Aiken (Associate)$650/hr
Rate — Paralegal$375/hr
Budgeted Fee Estimate$475,000–$575,000 (full scope through LCD issuance)
Total Actual Fees Incurred$218,437.50
Total Disbursements$2,340.18
Total Billed (All Invoices)$220,777.68
Invoice #1 (INV-1043-00002-001)$62,437.50 — Issued 2024-03-15 — Period 2/14–3/14 — PAID
Invoice #2 (INV-1043-00002-002)$78,747.62 — Issued 2024-04-15 — Period 3/15–4/14 — PAID
Invoice #3 (INV-1043-00002-003)$79,592.56 — Issued 2024-06-10 — Period 4/15–6/3 — $6,000 partial payment; $73,592.56 outstanding
Outstanding Balance at Termination$73,592.56
Hours — Calloway42.5 hrs
Hours — Strauss18.0 hrs
Hours — Morrissey98.5 hrs
Hours — Aiken72.0 hrs total (71.8 billed; 0.2 hrs written off)
Hours — Paralegal14.0 hrs
Key Third-Party CollaboratorsLarkfield Health Economics, LLC (Dr. Nathan Ostroff, HEOR); Carraway Regulatory Advisors, Inc. (Janet Carraway, Coding/Billing)
Target ProductOncoPrecise GXP-47 (47-gene expression panel, TRI score, Stage IIIB/IV NSCLC)
Target PLA Code Submission DeadlineJune 28, 2024 (for AMA CPT Editorial Panel September 2024 meeting) — MISSED
Target LCD Filing DateAugust 2024 — NOT FILED
Target Medicare Reimbursement Rate$3,850/test
MAC / LCD AuthorityCascade Fiscal Intermediaries, LLC (Jurisdiction E, California)
MolDx Program ContractorRidgeline Administrative Services, LLC
CLARITY-LUNG Trial Status at TerminationEnrollment 847/1,200 (70.58%); Interim PPV 0.68 (target ≥ 0.75); Interim NPV 0.71 (target ≥ 0.80); Final readout revised to Q2 2025
Related Covenant IssuePCNB Revolving Facility (Ref. PCNB-GDT-RF-2023-0922), Section 7.14 milestone covenant — Dec 31, 2024 testing date; 90-day cure to March 31, 2025; $9.2M outstanding of $15M facility
GDT Regular Outside CounselWhitford & Sable LLP (Harrison Whitford) — Corporate/IP — coordinated on board matters and covenant analysis
Investor CounselAshby & Garner, LLP (Robert Garner) — Pinnacle Health Ventures portfolio matters
Wind-Down Memorandum Date2024-05-28
Formal Closure Date2024-06-03

[sheet: Milestone Timeline]

DateMilestone / EventCategoryStatusNotes
2024-01-22GDT issues RFP for Medicare coverage/coding counselEngagementCompleted
2024-02-06Calderwood & Harkness submits engagement proposalEngagementCompletedProposal from Miriam Calloway in response to RFP
2024-02-14Engagement letter executed; Matter No. 1043-00002 openedEngagementCompletedSigned by Theresa Nakamura for GDT
2024-02-28Kickoff meeting (GDT, C&H, Carraway, Larkfield)EngagementCompletedAttendees: Nakamura, Driscoll, Dr. Sundaram, Ota, Calloway, Morrissey, Aiken, Carraway, Ostroff
2024-02-28LCD Regulatory Landscape Memorandum (internal)DeliverableDeliveredInternal background research; foundation for strategy
2024-03-11Coding Strategy Memorandum deliveredDeliverableDeliveredPLA vs. CPT analysis; recommends PLA code
2024-03-15Invoice #1 issued (INV-1043-00002-001)FinancialCompleted$62,437.50 — Period 2/14–3/14 — Subsequently paid in full
2024-03-18Draft PLA code application transmitted to Carraway Regulatory Advisors for reviewExternalCompletedEmail from Aiken to Carraway
2024-03-22Draft PLA Code Application and Cover Letter delivered to GDTDeliverableDeliveredDraft only — never submitted to AMA
2024-03-29CLARITY-LUNG interim analysis results releasedClinicalOccurredPPV = 0.68 (target ≥ 0.75); NPV = 0.71 (target ≥ 0.80); n=600 (50% enrollment)
2024-04-01C&H preliminary assessment of interim results communicated to GDTEngagementCompletedEmail from Calloway to Nakamura flagging concerns
2024-04-05DSMB meeting (Dr. Evelyn Matsuda, Chair)ClinicalOccurredRecommended continuing enrollment; noted results inconclusive and below pre-specified benchmarks
2024-04-09GDT board meeting — reassess strategy; Board Presentation deliveredBoardOccurredBoard requests C&H reassess LCD filing strategy in light of interim data
2024-04-15Clinical Evidence Gap Analysis Memorandum deliveredDeliverableDelivered
2024-04-15Invoice #2 issued (INV-1043-00002-002)FinancialCompleted$78,747.62 — Period 3/15–4/14 — Subsequently paid in full
2024-04-22Revised LCD/MolDx Strategy Memorandum deliveredDeliverableDeliveredRecommends deferral of LCD filing until final CLARITY-LUNG data
2024-04-25Internal Review Memo — Larkfield HEOR AnalysisDeliverableDeliveredInternal Calderwood & Harkness review
2024-04-30Draft MolDx Technical Assessment Dossier (v1.0) and Bibliography deliveredDeliverableDeliveredDraft only — never submitted to Ridgeline (RAS)
2024-04-30Draft LCD Request Letter to CFI deliveredDeliverableDeliveredDraft only — never sent to Dr. William Hargrove / Sandra Phu at CFI
2024-05-06GDT internal commercial launch review; Verdant revised financial modelsFinancialOccurredVerdant Life Sciences Capital (Christine Lau) presents revised projections reflecting delayed launch
2024-05-10NCD Feasibility Assessment Memorandum deliveredDeliverableDelivered18–24 month NCD timeline from LCD issuance; CED framework analysis
2024-05-14Reimbursement Rate Analysis Memorandum and Crosswalk Model deliveredDeliverableDeliveredTarget $3,850/test; 6.28% premium over $3,622.33 weighted avg of comparators
2024-05-17PHV (Elena Marchetti) formally recommends deferring GXP-47 launchBoardOccurred
2024-05-22GDT board resolves to defer OncoPrecise GXP-47 launch indefinitelyBoardOccurredDue to inconclusive CLARITY-LUNG interim results and PHV recommendation
2024-05-23GDT instructs Calderwood & Harkness to wind down engagementEngagementCompletedEmail from Theresa Nakamura to Miriam Calloway
2024-05-24C&H coordinates with Whitford & Sable LLP on covenant analysisEngagementCompletedEmail from Calloway to Harrison Whitford re PCNB Section 7.14 milestone covenant
2024-05-28Wind-Down Memorandum, Work Product Index, and PCNB Covenant Analysis deliveredDeliverableDeliveredFinal substantive deliverables
2024-06-03Matter formally closed/terminated; Matter Closure Letter deliveredEngagementCompleted
2024-06-10Final invoice (INV-1043-00002-003) issuedFinancialCompleted$79,592.56; $73,592.56 remains outstanding after $6,000 partial payment
2024-06-24Pacific Coast National Bank notified of potential milestone covenant issueFinancialOccurredThomas Becerra, Relationship Manager, notified
2024-06-28PLA code application submission deadline (AMA CPT Editorial Panel Sept. 2024 meeting)External DeadlineMissedApplication never submitted due to matter termination June 3, 2024
2024-09-22AMA CPT Editorial Panel September 2024 meetingExternal DeadlineMissedGDT did not submit PLA application
2024-12-31PCNB milestone covenant testing date (Section 7.14)FinancialPendingCovenant requires GDT to obtain Medicare coverage determination by this date; existing GXP-12 LCD (L38472) may or may not satisfy — ambiguity in 'obtain' language
2025-03-31PCNB milestone covenant cure period expirationFinancialPending90-day cure period from December 31, 2024 testing date
2025-Q2Revised projected CLARITY-LUNG final data readoutClinicalPendingOriginal projection was Q4 2024; revised after interim results