AMA CPT® Assistant - 2016 Issue 8 (August)

Pathology and Laboratory: Microbiology (Q&A) (August 2016)

August 2016 page 10b Pathology and Laboratory: Microbiology Question: If a laboratory performed a next-generation sequencing test panel as a single procedure on a single specimen that examines 10 genes as part of that test, and the panel includes multiple genes that have CPT Tier 1 codes (81161-81381), multiple genes in CPT Tier 2 codes (81400-81408), and multiple genes that have no specific CPT code (presumably 81479, if billed as individual genes), what is the proper coding for such a panel? Answer: If there is no specific CPT code for the panel, and there are Tier 1 and Tier...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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