Genetic testing for duplications and deletions in hereditary breast cancer genes

Description

This code is used for testing patient specimens to identify genetic duplications and deletions in at least five specific genes associated with hereditary breast cancer. The results can provide critical insights into the risk of developing related disorders due to alterations in DNA.

Top Modifiers

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HCPCS/CPT 90Reference laboratory services performed by an outside laboratory(37.04%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(18.52%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(18.52%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(7.41%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)