AMA CPT® Assistant - 2019 Issue 9 (September)

Spinocerebellar Ataxia: Gene-analysis Evaluation (September 2019)

September 2019 pages 7-8 Spinocerebellar Ataxia: Gene-analysis Evaluation For 2019, new molecular pathology codes (81178-81183) were created to describe genetic analysis and evaluation to detect the presence of specific genes associated with spinocerebellar ataxia (SCA). Before 2019, this genetic testing was reported with Tier 2 code 81401, Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat), which included genes associated with SCA but did not specify an SCA gene. Because this type of genetic analysis has increased in usage...

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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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