Billing Beat

Provider Reference Module – Genetic Testing

November 14, 2018
  • Removed all code table references because the corresponding code document, Genetic Testing Codes, was removed from the website
  • Added genetic testing definition and information about the genetic counselor provider specialty in the Introduction section
  • Updated the Chromosomal Microarray Analysis section, including adding coverage criteria and definitions, and removing billing guidelines
  • Updated the Human Epidermal Growth Factor Receptor 2 (HER-2/neu) Gene Detection Test and HER2 Protein Overexpression Test section
  • Updated the BRCA1 and BRCA2 Genetic Testing for Breast, Ovarian, and Related Cancers section, including adding coverage criteria
  • Updated the Gene Expression Profiling for the Management of Breast Cancer – Oncotype DX Breast Recurrence Score Testing section, including adding coverage criteria and removing the list of noncovered tests 
  • Genetic Testing Codes

This document has been removed from the Code Sets page. Providers are advised to follow national guidelines for procedure codes to use when billing genetic tests. 

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