Three Pathology and Laboratory section codes were deleted form the Tier 1 Molecu

Question

Three Pathology and Laboratory section codes were deleted form the Tier 1 Molecular Pathology Procedures heading 81280, 81281, 81282. New Tier 1 code 81327 was added for reporting methylation analysis of the SEPT9 gene, revising Tier 2 code 81401. Tier 2 code 81403 was revised so that it now states, "known familial variant not otherwise specified, for gene listed in Tier 1 or Tier 2, or identified during a genomic sequencing procedure, DNA sequence analysis, each variant exon." How should a coder interpret this guidance? O A. Code 81413 is reported with codes 81414 and 81439. B. Code 81327, 81401 81403 is reported, based on procedure performed. C. Codes 81327, 81401, and 81403 are reported on the same claim. O D. Codes 81413, 81414, and 81439 are reported with codes 81327 and 81403.

Explanation / Answer

-81327, 81404,81403

Explanation:

-For these codes, and also other CPT codes, consideration related code number in the CPT code set does not speak to support a specific analytic method or administration. Incorporation or prohibition of a system or administration does not infer any medical coverage scope or repayment arrangement.

-It is imperative that further CPT Editorial (Panel) or Executive Committee activities may influence these codes or potentially descriptors. Therefore, code numbers as well as descriptor dialect may vary at the time of distribution. Also, additionally Panel activities may bring about holes in code number sequencing

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