Billing Beat

Policy Updates for Molecular Pathology Procedure CPT Codes

October 27, 2015

Effective for dates of service on or after November 1, 2015, Treatment Authorization Request (TAR) criteria for CPT codes 81404 (molecular pathology procedure, Level 5) and 81405 (molecular pathology procedure, Level 6) have been updated. Documentation requirements have been added to the list.

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