CPT® 0464U, Under Proprietary Laboratory Analyses

The Current Procedural Terminology (CPT®) code 0464U 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 applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0464U only for Cologuard Plus™ from Exact Sciences Laboratories LLC. The test analyzes a stool sample for DNA markers (including LASS4, LRRC4 and PPP2R5C, and a reference marker ZDHHC1), as well as blood in the stool. It is a screening test for colorectal cancer. Abnormalities in genes LASS4, LRRC4, and PPP2R5C may indicate colorectal cancer. The results are analyzed using an algorithm, which determines whether the levels of each marker indicate an increased risk of colorectal cancer. The results are then reported as either a positive or negative result.

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 0464U ? Start a discussion here