Billing Beat

New CPT Molecular Pathology Code Gene Identifiers Are Now Available

April 23, 2014

The AMA CPT editorial panel announced a new development in molecular pathology coding. In addition to the resources that are already available in CPT, a set of official gene abbreviation/identifiers have been created for use in the narrative field of the claims form for Tier 2 Molecular Pathology test codes 81400-81408. The new CPT molecular pathology code gene identifiers will help providers, payers, and coders during the claims submission process. These official gene abbreviation/identifiers distinguish the specific analyte tested, which will facilitate adjudication of claims for all stakeholders. This advancement is intended to maximize the utility and directly address concerns of some CPT users of the need for increased granularity in the approximately 550 tests that are associated with these nine codes. The list was published online on March 12.

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