CPT^® 81479, Under Tier 2 Molecular Pathology Procedures

The Current Procedural Terminology (CPT^®) code 81479 as maintained by American Medical Association, is a medical procedural code under the range - Tier 2 Molecular Pathology Procedures.

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Summary

Use 81479 to report a molecular pathology procedure that does not have a specific code.

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View matching HCPCS Level II codes and their definitions.

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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 ]

Codes with $0 rates

81479 - UNLISTED MOLECULAR PATHOLOGY $0.00 Medi-Cal line of business... [ Read More ]

Molecular Pathology for Cardiomyopathy HELP

[B][U]Question[/U][/B] [I]A comprehensive cardiomyopathy panel is ordered for a patient. The panel consists of next generation sequencing and duplication/deletion of the following genes.[/I] A2ML1, ... [ Read More ]

Modifier -26 on labs?

Hello, I am with a new group who is looking to perform genetic/molecular testing. I have always understood that labs are not billed with a TC/26, however, does this also hold true for genetic/mol... [ Read More ]

Mentor Needed/New to Genetic Billing/Coding

[QUOTE="fwnewbie, post: 466656, member: 618502"] Wow, that sounds challenging! So if you choose a Tier 2 code, does the testing have to include every test listed or does the provider pick and choose ... [ Read More ]

Mentor Needed/New to Genetic Billing/Coding

[B]Hello, My name is Jacqueline and I'm a new hire specializing in genetics billing/coding and would like mentors and mentees to join me in good conversation relating to all the ins and outs of genet... [ Read More ]

Laboratory Genetic Oncology Diagnosis Coding- Family Hx Positive Gene Mutation

If documents/reports show a family member has a positive mutation on a gene tested as part of a panel, is it appropriate to add Z84.81 to the panel code (example 81432 or 81479) when only one gene in ... [ Read More ]

Billing for Unlisted code 84179

[b]Billing for Unlisted procedure code 81479[/b] Hi, I will provide instructions on how our facility has billed this procedure out for as long as I can recall from when I was a laboratory coder. This... [ Read More ]

Billing for Unlisted code 84179

[b]CPT 81479 Out of Sequence Path Lab Code[/b] [QUOTE="sdduck, post: 449133, member: 102174"]Hi All Does anyone have experience with billing the code 81479, The Current Procedural Terminology (CPT) ... [ Read More ]

Billing for Unlisted code 84179

[b]code 81479[/b] [QUOTE="sdduck, post: 449133, member: 102174"]Hi All Does anyone have experience with billing the code 81479, The Current Procedural Terminology (CPT) code 81479 as maintained by A... [ Read More ]

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