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CPT® Code 81406 - Tier 2 Molecular Pathology Procedures - AAPC The Current Procedural Terminology (CPT ®) code 81406 as maintained by American Medical Association, is a medical procedural code under the range - Tier 2 Molecular Pathology Procedures Subscribe to Codify by AAPC and get the code details in a flash
Billing and Coding: Molecular Pathology Procedures CPT code 81261, 81262, 81263, and 81264 (IGH) are considered medically necessary for the following ICD-10-CM diagnosis codes Please use Modifier 91 as appropriate, based on the Medicare Claims Processing Manual Chapter 16, Laboratory Services Section 100 5 1
How To Use CPT Code 81406 - Updated 2025 - Coding Ahead CPT 81406 refers to a molecular pathology procedure classified as Level 7, which encompasses the analysis of specific genetic sequences, including the examination of 11-25 exons through DNA sequencing, mutation scanning, or the evaluation of duplication deletion variants across 26-50 exons
HEXA Gene Sequencing | Test Detail | Quest Diagnostics CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, NY, OR, SD or VT or test is performed in MA
CPT® Code 81406 | Case2Code Specifically, Level 7 molecular pathology tests, as denoted by CPT® Code 81406, involve the analysis of 11 to 25 exons through methods such as DNA sequence analysis, mutation scanning, or duplication deletion variants of 26 to 50 exons Additionally, cytogenomic array analysis for neoplasia falls under this level of complexity
CPT® Code 81406 in section: Tier 2 Molecular Pathology Procedures 81406 - CPT® Code in category: Tier 2 Molecular Pathology Procedures CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more CPT code information is copyright by the AMA
CPT CODE 81406 - Anesthesia Billing 81406 MOLECULAR PATHOLOGY PROCEDURE, LEVEL 7 (EG, ANALYSIS OF 11-25 EXONS BY DNA SEQUENCE ANALYSIS, MUTATION SCANNING OR DUPLICATION DELETION VARIANTS OF 26-50 EXONS, CYTOGENOMIC ARRAY ANALYSIS FOR NEOPLASIA)
CPT 81405, 81406, 81407, 81439, s3865, s3866 -Hypertrophic . . . 81406 Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication deletion variants of 26-50 exons, cytogenomic array analysis for neoplasia) This code includes:
DNA Diagnostic Test CPT Codes - Center for Human Genetics DNA Diagnostic Test CPT Codes AARSKOG-SCOTT SYNDROME (Faciogenital Dysplasia) ACUTE MYELOID (or MYELOGENOUS) LEUKEMIA ALPHA-THALASSEMIA INTELLECTUAL DISABILITY SYNDROME (Chudley-Lowry Syndrome, XLMR-Hypotonic Facies Syndrome, Smith-Fineman-Myers MR Syndrome)
Billing and Coding: Molecular Pathology and Genetic Testing Coding issues have been identified throughout all the molecular pathology coding subgroups, but these issues of billing multiple CPT codes for a specific test have been significant in the Tier 2 (81400 - 81408) and Not Otherwise Classified (81479 and 81599) codes