Billing Beat

Hereditary Colon Cancer Disorders TAR Override Update

November 27, 2017

Effective for dates of service on or after December 1, 2017, an approved Treatment Authorization Request (TAR) will no longer override the once-in-a-lifetime limitations of pathology CPT codes 81435 Hereditary colon cancer disorders; genomic sequence analysis panel, must include sequencing of at least 10 genes, including APC, BMPR1A, CDH1, MLH1, MSH2, MSH6, MUTYH, PTEN, SMAD4, and STK11 and 81436 Hereditary colon cancer disorders; duplication/deletion analysis panel, must include analysis of at least 5 genes, including MLH1, MSH2, EPCAM, SMAD4, and STK11.

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