Next Generation Sequencing Coding and Billing Guidelines

NGS testing platforms allow identification of somatic and/or germline alterations in multiple genes at the same time. This guideline focuses on two main types of somatic, tumor tissue-based, testing panels.  Germline panels will be addressed in another article as needed. To bill for targeted NGS services, review CPT codes 81445, 81450 and 81455. Base the selected code on the number of genes in your laboratory’s NGS panel and the test indication for solid organ and hematolymphoid neoplasms. The UOS for the NGS panel is one. Individual gene tests performed in the NGS panel should NOT be registered and reported with multiple CPT Tier 1 and/or Tier II codes. 

Source: https://www.palmettogba.com/palmetto/MolDX.nsf/ls/MolDX~A59HL70436?opendocument&utm_source=MDX&utm_campaign=MDXs&utm_medium=email