AMA CPT® Assistant - 2013 Issue 7 (July)

Pathology and Laboratory: Tier 2 Molecular Pathology Procedures (Q & A) (July 2013)

July 2013 page 12 Pathology and Laboratory: Tier 2 Molecular Pathology Procedures Question: If a lab performs a single nucleotide polymorphism test (SNP) that is not one of the tests listed under code 81400 Molecular pathology procedure, Level 1(eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis), is it okay to report this code? Answer: No. The Tier 2 molecular pathology codes (81400-81408) cannot be self-assigned to genetic tests. The only tests for which these codes may be reported with codes in this series are the tests listed under...

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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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