Genetic counseling service by a nonphysician for family risk assessment

Description

A trained nonphysician genetic counselor provides a 30-minute session to assess a patient's family history and risk factors for genetic conditions. This service includes analyzing relevant medical information and offering guidance to the patient and their family regarding potential genetic risks.

Top Modifiers

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HCPCS/CPT 95Telehealth service via real-time interactive audio and video telecommunications(33.08%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(3.26%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(2.76%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(2.26%)

HCPCS/CPT 93Telehealth service via audio-only telecommunications for OTPs, RHCs, and FQHCs(2.01%)

HCPCS/CPT CRCatastrophe or disaster-related service modifier(1%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(0.5%)

HCPCS/CPT TCTechnical component of diagnostic imaging services(0.25%)

HCPCS/CPT 26Professional component of diagnostic services(0.25%)

HCPCS/CPT XUUnusual non-overlapping service(0.25%)

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)