Dr. Marcel Salive, director of the division of medical and surgical services within CMS's coverage and analysis group, said he agreed with Dr. Holtzman. “If we want to discuss how can we cover genetic tests for other than diagnostic purposes, we're going to have to discuss it here as a preventive service,” he said. “Can we change things in the future and recognize things differently? Sure. Congress just gave us this authority last year, and they may change it in the future, but currently the only way to cover this type of testing is as a preventive service.”