AMA CPT® Assistant - 2018 Issue 9 (September)

Pathology and Laboratory: Molecular Pathology (Q&A) (September 2018)

September 2018 page 14d Pathology and Laboratory: Molecular Pathology Question: The laboratory performs genetic testing for the identification of sickle cell disease. When performing full gene sequencing first and proceeding to variant duplication/deletion using a single sample, can a laboratory report both CPT codes 81364 and 81363? If so, is a modifier necessary? Answer: It would be appropriate to report code 81364, HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence, with code 81363, HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s), for sequencing followed by duplication/deletion analysis. Use...

To read the full article, sign in and subscribe to the AMA CPT® Assistant.


Access to this feature is available in the following products:
  • AMA's CPT® Assistant - Current + Archives
  • AMA's CPT® Advanced Coding Pack
 
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.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.