CPT® 0438U, Under Proprietary Laboratory Analyses

The Current Procedural Terminology (CPT®) code 0438U as maintained by American Medical Association, is a medical procedural code under the range - Proprietary Laboratory Analyses.

Subscribe to Codify by AAPC and get the code details in a flash.

Tabs
Summary

This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code describes only one unique lab test made by a specific manufacturer or performed by a specific lab. Code 0438U describes EffectiveRX™ Comprehensive Panel from RCA Laboratory Services LLC, d/b/a GENETWORx. The test uses a buccal (cheek) swab specimen for variant analysis of 33 genes, plus duplication/deletion evaluation for the CYP2D6 gene. Using the results and established clinical drug data, the evaluation creates a personalized treatment plan, including patient drug–response phenotype and gene drug interactions.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.
Tabs
Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.
View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.
Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.
View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 0438U ? Start a discussion here