CPT 81464
Updated 5/6/2025
Reviewed by Nathan Liu, MD

Liquid biopsy for genomic sequencing of cell-free DNA in solid organ neoplasms

Description

This procedure analyzes cell-free DNA from a plasma specimen to identify genetic variants associated with solid organ tumors. It evaluates critical factors such as microsatellite instability and tumor mutation burden, which can guide personalized treatment strategies.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

Patient Copayment / Coinsurance

Top Modifiers

No modifiers found.

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)