CPT^® 81225, Under Genetic Analysis Procedures

The Current Procedural Terminology (CPT^®) code 81225 as maintained by American Medical Association, is a medical procedural code under the range - Genetic Analysis Procedures.

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Summary

The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily C, polypeptide 19, also known as CYP2C19.

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Dna testing & coding for pain management

This question was asked awhile back, I work for pain management Dr.s, A bucal swab will be done in the office by our physicians and sent to the lab for DNA testing. This test identifies how the patie... [ Read More ]

NC Medicaid Billing 81225, 81226, 81227 (PGX) genetic lab genetic testing genetics testing pgx

Hello - I work for a genetic testing lab and we currently bill 81225, 81226, 81227 for PGX testing. We have not been able to get NC Medicaid to pay these codes, initially billed with a 59 modifier o... [ Read More ]

NC Medicaid Genetic Testing (PGX) Billing and Coding genetic

NC Medicaid DNA reimbursements?

[b]NC Medicaid DNA Reimbursements[/b] Hi Allison, I work for a genetic testing lab and we currently bill 81225, 81226, 81227 for PGX testing. We have not been able to get NC Medicaid to pay these co... [ Read More ]

NC Medicaid DNA reimbursements?

Good Morning. This is my first time posting so I hope I am doing this correctly. I work at a lab and we have received 2 very large payments from NC Medicaid where Medicare has denied the DNA claim a... [ Read More ]

Genetic Testing?

We are located in Florida and I am trying to make sense of these LCDs but like dwaldman, I am not familiar with genetic testing either. We did appeal the denials with a rather informative appeal lett... [ Read More ]

Genetic Testing?

Has anyone billed for genetic testing to Medicare? My Pain Management group is providing patients with genetic testing, the CPT codes are 81225, 81226, 81227 and 81479. Medicare is only paying 81225... [ Read More ]

Medicare and CPT 81225

I am having problems getting Medicare to pay for CPT code 81225 when done in Pain Management. They are stating LCD issues and/or medical necessity. This is in the Novitas Solutions MAC area. Any Help... [ Read More ]

Molecular Pathology Billing/Coding

Molecular Pathology procedures. We are a Tier 3 Lab. This is not my forte but I have been assigned this task of fixing this coding and billing issue. Any help and guidance would be appreciated. ... [ Read More ]

Need Molecular Path codes

I am doing some research for my provider, but do not have enough training in molecular pathology. Can anyone tell me code you would use for gene analysis of UGT2B15 and CYP2B6? Similar codes for other... [ Read More ]

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