Correction to TAR Requirements of Laboratory Code

CPT code 81211 is a once–in–a–lifetime procedure and requires a Treatment Authorization Request (TAR). The Pathology: Molecular Pathology and Pathology: Billing and Modifiers provider manual sections have been updated to appropriately reflect the Treatment Authorization Request (TAR) requirements for CPT code 81211 (BRCA1, BRCA2 [breast cancer 1 and 2] [eg, hereditary breast and ovarian cancer] gene analysis; full sequence analysis and common duplication/deletion variants in BRCA1), which are effective for dates of service on or after October 1, 2012.

Source: General Medicine | February 2013 | Bulletin 464