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CPT® 81420, Under Genomic Sequencing Procedures and Other Molecular Multianalyte Assays

The Current Procedural Terminology (CPT®) code 81420 as maintained by American Medical Association, is a medical procedural code under the range - Genomic Sequencing Procedures and Other Molecular Multianalyte Assays.

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Summary

The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21, which may relate to fetal chromosomal aneuploidy. 

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81220 & 81420
CMS NCCI policy bundles 81220 into 81420, which is why it would be denied. I believe the general source of the CCI policy is this CMS policy below, which prohibits duplicate, confirmatory testing for... [ Read More ]
81220 & 81420
Hey everyone, I am getting denials relating to code 81220 being inclusive to procedure 81420. Does anyone know why the carrier would deny this way?... [ Read More ]
81220 & 81420
Can anyone help answer why UHC would be denying stating that 81220 is inclusive to 81420 and therefore is an unbundled code?... [ Read More ]
Genetic testing procedures: what is the reason for CPT 81243 denial as incidental when billed with CPT 81420?
What is the reason for CPT 81243 denial as incidental when billed with CPT 81420?... [ Read More ]
NIPT Testing
Can CPT 81420 - Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free DNA in material blood, must include analysis of chromosomes 13, 18 and ... [ Read More ]
81507 vs 81420
[QUOTE="jojof, post: 352414, member: 145398"]Can someone explain the difference between CPT codes 81507 and 81420?[/QUOTE] Jojof, Both are used for NIPT; however, 81407 is a MAAA and is unique to a ... [ Read More ]
81420 Pre-natal Trisomy Testing - Pre-determination of benefits
We are attempting to be pro-active as a patient advocate to pre-determine the patient's benefit for this testing. I understand without medical necessity it is not covered. However, many plans state ... [ Read More ]
81507 vs 81420
Can someone explain the difference between CPT codes 81507 and 81420?... [ Read More ]
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