Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq &...

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Code Code Description Code Code Description Source 81161 DMD Dup/Delet Analysis 87149 DNA/RNA Direct Probe CMS Edit 81161 DMD Dup/Delet Analysis 87150 DNA/RNA Amplified Probe CMS Edit 81161 DMD Dup/Delet Analysis 87152 Culture Type Pulse Field Gel CMS Edit 81161 DMD Dup/Delet Analysis 87153 DNA/RNA Sequencing CMS Edit 81161 DMD Dup/Delet Analysis 87470 Bartonella DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87471 Bartonella DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87472 Bartonella DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87475 Lyme Dis DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87476 Lyme Dis DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87477 Lyme Dis DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87480 Candida DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87481 Candida DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87482 Candida DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87483 CNS DNA Amp Probe Type 12-25 CMS Edit* 81161 DMD Dup/Delet Analysis 87485 Chylmd Pneum DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87486 Chylmd Pneum DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87487 Chylmd Pneum DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87490 Chylmd Trach DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87491 Chylmd Trach DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87492 Chylmd Trach DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87493 C Diff Amplified Probe CMS Edit 81161 DMD Dup/Delet Analysis 87495 Cytomeg DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87496 Cytomeg DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87497 Cytomeg DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87498 Enterovirus Probe&Revrs Trns CMS Edit 81161 DMD Dup/Delet Analysis 87500 Vanomycin DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87501 Influenza DNA Amp Prob 1+ CMS Edit 81161 DMD Dup/Delet Analysis 87502 Influenza DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87503 Influenza DNA Amp Prob Addl CMS Edit 81161 DMD Dup/Delet Analysis 87505 Nfct Agent Detection Gi CMS Edit 81161 DMD Dup/Delet Analysis 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit 81161 DMD Dup/Delet Analysis 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit 81161 DMD Dup/Delet Analysis 87510 Gardner Vag DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87511 Gardner Vag DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87512 Gardner Vag DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87515 Hepatitis B DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87516 Hepatitis B DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87517 Hepatitis B DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87520 Hepatitis C RNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit 81161 DMD Dup/Delet Analysis 87522 Hepatitis C Revrs Trnscrpj CMS Edit 81161 DMD Dup/Delet Analysis 87525 Hepatitis G DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87526 Hepatitis G DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87527 Hepatitis G DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87528 HSV DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87529 HSV DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87530 HSV DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87531 HHV-6 DNA Dir Probe CMS Edit 81161 DMD Dup/Delet Analysis 87532 HHV-6 DNA Amp Probe CMS Edit 81161 DMD Dup/Delet Analysis 87533 HHV-6 DNA Quant CMS Edit 81161 DMD Dup/Delet Analysis 87534 HIV-1 DNA Dir Probe CMS Edit Pay Laboratory Management Do Not Pay 2017 Correct Coding Rules

Transcript of Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq &...

Page 1: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

81161 DMD Dup/Delet Analysis 87149 DNA/RNA Direct Probe CMS Edit

81161 DMD Dup/Delet Analysis 87150 DNA/RNA Amplified Probe CMS Edit

81161 DMD Dup/Delet Analysis 87152 Culture Type Pulse Field Gel CMS Edit

81161 DMD Dup/Delet Analysis 87153 DNA/RNA Sequencing CMS Edit

81161 DMD Dup/Delet Analysis 87470 Bartonella DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87471 Bartonella DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87472 Bartonella DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87475 Lyme Dis DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87476 Lyme Dis DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87477 Lyme Dis DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87480 Candida DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87481 Candida DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87482 Candida DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81161 DMD Dup/Delet Analysis 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87487 Chylmd Pneum DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87490 Chylmd Trach DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87491 Chylmd Trach DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87492 Chylmd Trach DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87493 C Diff Amplified Probe CMS Edit

81161 DMD Dup/Delet Analysis 87495 Cytomeg DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87496 Cytomeg DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87497 Cytomeg DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87498 Enterovirus Probe&Revrs Trns CMS Edit

81161 DMD Dup/Delet Analysis 87500 Vanomycin DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87501 Influenza DNA Amp Prob 1+ CMS Edit

81161 DMD Dup/Delet Analysis 87502 Influenza DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87503 Influenza DNA Amp Prob Addl CMS Edit

81161 DMD Dup/Delet Analysis 87505 Nfct Agent Detection Gi CMS Edit

81161 DMD Dup/Delet Analysis 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81161 DMD Dup/Delet Analysis 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81161 DMD Dup/Delet Analysis 87510 Gardner Vag DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87511 Gardner Vag DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87512 Gardner Vag DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87515 Hepatitis B DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87516 Hepatitis B DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87517 Hepatitis B DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87520 Hepatitis C RNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81161 DMD Dup/Delet Analysis 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81161 DMD Dup/Delet Analysis 87525 Hepatitis G DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87526 Hepatitis G DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87527 Hepatitis G DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87528 HSV DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87529 HSV DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87530 HSV DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87531 HHV-6 DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87532 HHV-6 DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87533 HHV-6 DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87534 HIV-1 DNA Dir Probe CMS Edit

Pay

Laboratory Management

Do Not Pay2017

Correct Coding Rules

Page 2: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

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81161 DMD Dup/Delet Analysis 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81161 DMD Dup/Delet Analysis 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81161 DMD Dup/Delet Analysis 87537 HIV-2 DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81161 DMD Dup/Delet Analysis 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81161 DMD Dup/Delet Analysis 87540 Legion Pneumo DNA Dir Prob CMS Edit

81161 DMD Dup/Delet Analysis 87541 Legion Pneumo DNA Amp Prob CMS Edit

81161 DMD Dup/Delet Analysis 87542 Legion Pneumo DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87550 Mycobacteria DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87551 Mycobacteria DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87552 Mycobacteria DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87555 M.Tuberculo DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87556 M.Tuberculo DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87557 M.Tuberculo DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81161 DMD Dup/Delet Analysis 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81161 DMD Dup/Delet Analysis 87562 M.Avium-Intra DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87580 M.Pneumon DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87581 M.Pneumon DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87582 M.Pneumon DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81161 DMD Dup/Delet Analysis 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81161 DMD Dup/Delet Analysis 87592 N.Gonorrhoeae DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87623 HPV Low-Risk Types CMS Edit

81161 DMD Dup/Delet Analysis 87624 HPV High-Risk Types CMS Edit

81161 DMD Dup/Delet Analysis 87625 HPV Types 16 & 18 Only CMS Edit

81161 DMD Dup/Delet Analysis 87631 Resp Virus 3-5 Targets CMS Edit

81161 DMD Dup/Delet Analysis 87632 Resp Virus 6-11 Targets CMS Edit

81161 DMD Dup/Delet Analysis 87633 Resp Virus 12-25 Targets CMS Edit

81161 DMD Dup/Delet Analysis 87640 Staph A DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87641 Mr-Staph DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87650 Strep A DNA Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87651 Strep A DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87652 Strep A DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87653 Strep B DNA Amp Probe CMS Edit

81161 DMD Dup/Delet Analysis 87660 Trichomonas Vagin Dir Probe CMS Edit

81161 DMD Dup/Delet Analysis 87661 Trichomonas Vaginalis Amplif CMS Edit

81161 DMD Dup/Delet Analysis 87797 Detect Agent Nos DNA Dir CMS Edit

81161 DMD Dup/Delet Analysis 87798 Detect Agent Nos DNA Amp CMS Edit

81161 DMD Dup/Delet Analysis 87799 Detect Agent Nos DNA Quant CMS Edit

81161 DMD Dup/Delet Analysis 87800 Detect Agnt Mult DNA Direc CMS Edit

81161 DMD Dup/Delet Analysis 87801 Detect Agnt Mult DNA Ampli CMS Edit

81161 DMD Dup/Delet Analysis 88271 Cytogenetics DNA Probe CMS Edit

81161 DMD Dup/Delet Analysis 88272 Cytogenetics 3-5 CMS Edit

81161 DMD Dup/Delet Analysis 88273 Cytogenetics 10-30 CMS Edit

81161 DMD Dup/Delet Analysis 88274 Cytogenetics 25-99 CMS Edit

81161 DMD Dup/Delet Analysis 88275 Cytogenetics 100-300 CMS Edit

81161 DMD Dup/Delet Analysis 88291 Cyto/Molecular Report CMS Edit

81161 DMD Dup/Delet Analysis 88364 Insitu Hybridization (Fish) CMS Edit

81161 DMD Dup/Delet Analysis 88365 Insitu Hybridization (Fish) CMS Edit

81161 DMD Dup/Delet Analysis 88366 Insitu Hybridization (Fish) CMS Edit

81161 DMD Dup/Delet Analysis 88367 Insitu Hybridization Auto CMS Edit

81161 DMD Dup/Delet Analysis 88368 Insitu Hybridization Manual CMS Edit

81161 DMD Dup/Delet Analysis 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81161 DMD Dup/Delet Analysis 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81161 DMD Dup/Delet Analysis 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81161 DMD Dup/Delet Analysis 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81161 DMD Dup/Delet Analysis G0476 HPV Combo Assay Ca Screen CMS Edit**

Page 3: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

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81162 BRCA1&2 Seq & Full Dup/Del 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 81216 BRCA2 Gene Full Sequence CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87149 DNA/RNA Direct Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87150 DNA/RNA Amplified Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87152 Culture Type Pulse Field Gel CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87153 DNA/RNA Sequencing CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87470 Bartonella DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87471 Bartonella DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87472 Bartonella DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87475 Lyme Dis DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87476 Lyme Dis DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87477 Lyme Dis DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87480 Candida DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87481 Candida DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87482 Candida DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81162 BRCA1&2 Seq & Full Dup/Del 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87487 Chylmd Pneum DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87490 Chylmd Trach DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87491 Chylmd Trach DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87492 Chylmd Trach DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87493 C Diff Amplified Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87495 Cytomeg DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87496 Cytomeg DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87497 Cytomeg DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87498 Enterovirus Probe&Revrs Trns CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87500 Vanomycin DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87501 Influenza DNA Amp Prob 1+ CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87502 Influenza DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87503 Influenza DNA Amp Prob Addl CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87505 Nfct Agent Detection Gi CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87510 Gardner Vag DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87511 Gardner Vag DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87512 Gardner Vag DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87515 Hepatitis B DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87516 Hepatitis B DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87517 Hepatitis B DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87520 Hepatitis C RNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87525 Hepatitis G DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87526 Hepatitis G DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87527 Hepatitis G DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87528 HSV DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87529 HSV DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87530 HSV DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87531 HHV-6 DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87532 HHV-6 DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87533 HHV-6 DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87534 HIV-1 DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87537 HIV-2 DNA Dir Probe CMS Edit

Page 4: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81162 BRCA1&2 Seq & Full Dup/Del 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87540 Legion Pneumo DNA Dir Prob CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87541 Legion Pneumo DNA Amp Prob CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87542 Legion Pneumo DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87550 Mycobacteria DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87551 Mycobacteria DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87552 Mycobacteria DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87555 M.Tuberculo DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87556 M.Tuberculo DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87557 M.Tuberculo DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87562 M.Avium-Intra DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87580 M.Pneumon DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87581 M.Pneumon DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87582 M.Pneumon DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87592 N.Gonorrhoeae DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87623 HPV Low-Risk Types CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87624 HPV High-Risk Types CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87625 HPV Types 16 & 18 Only CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87631 Resp Virus 3-5 Targets CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87632 Resp Virus 6-11 Targets CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87633 Resp Virus 12-25 Targets CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87640 Staph A DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87641 Mr-Staph DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87650 Strep A DNA Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87651 Strep A DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87652 Strep A DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87653 Strep B DNA Amp Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87660 Trichomonas Vagin Dir Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87661 Trichomonas Vaginalis Amplif CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87797 Detect Agent Nos DNA Dir CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87798 Detect Agent Nos DNA Amp CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87799 Detect Agent Nos DNA Quant CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87800 Detect Agnt Mult DNA Direc CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 87801 Detect Agnt Mult DNA Ampli CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88271 Cytogenetics DNA Probe CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88272 Cytogenetics 3-5 CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88273 Cytogenetics 10-30 CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88274 Cytogenetics 25-99 CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88275 Cytogenetics 100-300 CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88291 Cyto/Molecular Report CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88364 Insitu Hybridization (Fish) CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88365 Insitu Hybridization (Fish) CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88366 Insitu Hybridization (Fish) CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88367 Insitu Hybridization Auto CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88368 Insitu Hybridization Manual CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81162 BRCA1&2 Seq & Full Dup/Del G0476 HPV Combo Assay Ca Screen CMS Edit**81170 ABL1 Gene 87149 DNA/RNA Direct Probe CMS Edit

81170 ABL1 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81170 ABL1 Gene 87152 Culture Type Pulse Field Gel CMS Edit

Page 5: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81170 ABL1 Gene 87153 DNA/RNA Sequencing CMS Edit

81170 ABL1 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81170 ABL1 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81170 ABL1 Gene 87472 Bartonella DNA Quant CMS Edit

81170 ABL1 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81170 ABL1 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81170 ABL1 Gene 87477 Lyme Dis DNA Quant CMS Edit

81170 ABL1 Gene 87480 Candida DNA Dir Probe CMS Edit

81170 ABL1 Gene 87481 Candida DNA Amp Probe CMS Edit

81170 ABL1 Gene 87482 Candida DNA Quant CMS Edit

81170 ABL1 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81170 ABL1 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81170 ABL1 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81170 ABL1 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81170 ABL1 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81170 ABL1 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81170 ABL1 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81170 ABL1 Gene 87493 C Diff Amplified Probe CMS Edit

81170 ABL1 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81170 ABL1 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81170 ABL1 Gene 87497 Cytomeg DNA Quant CMS Edit

81170 ABL1 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81170 ABL1 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81170 ABL1 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81170 ABL1 Gene 87502 Influenza DNA Amp Probe CMS Edit

81170 ABL1 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81170 ABL1 Gene 87505 Nfct Agent Detection Gi CMS Edit

81170 ABL1 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81170 ABL1 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81170 ABL1 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81170 ABL1 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81170 ABL1 Gene 87512 Gardner Vag DNA Quant CMS Edit

81170 ABL1 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81170 ABL1 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81170 ABL1 Gene 87517 Hepatitis B DNA Quant CMS Edit

81170 ABL1 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81170 ABL1 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81170 ABL1 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81170 ABL1 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81170 ABL1 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81170 ABL1 Gene 87527 Hepatitis G DNA Quant CMS Edit

81170 ABL1 Gene 87528 HSV DNA Dir Probe CMS Edit

81170 ABL1 Gene 87529 HSV DNA Amp Probe CMS Edit

81170 ABL1 Gene 87530 HSV DNA Quant CMS Edit

81170 ABL1 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81170 ABL1 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81170 ABL1 Gene 87533 HHV-6 DNA Quant CMS Edit

81170 ABL1 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81170 ABL1 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81170 ABL1 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81170 ABL1 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81170 ABL1 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81170 ABL1 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81170 ABL1 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81170 ABL1 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81170 ABL1 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81170 ABL1 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81170 ABL1 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

Page 6: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81170 ABL1 Gene 87552 Mycobacteria DNA Quant CMS Edit

81170 ABL1 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81170 ABL1 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81170 ABL1 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81170 ABL1 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81170 ABL1 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81170 ABL1 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81170 ABL1 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81170 ABL1 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81170 ABL1 Gene 87582 M.Pneumon DNA Quant CMS Edit

81170 ABL1 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81170 ABL1 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81170 ABL1 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81170 ABL1 Gene 87623 HPV Low-Risk Types CMS Edit

81170 ABL1 Gene 87624 HPV High-Risk Types CMS Edit

81170 ABL1 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81170 ABL1 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81170 ABL1 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81170 ABL1 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81170 ABL1 Gene 87640 Staph A DNA Amp Probe CMS Edit

81170 ABL1 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81170 ABL1 Gene 87650 Strep A DNA Dir Probe CMS Edit

81170 ABL1 Gene 87651 Strep A DNA Amp Probe CMS Edit

81170 ABL1 Gene 87652 Strep A DNA Quant CMS Edit

81170 ABL1 Gene 87653 Strep B DNA Amp Probe CMS Edit

81170 ABL1 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81170 ABL1 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81170 ABL1 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81170 ABL1 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81170 ABL1 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81170 ABL1 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81170 ABL1 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81170 ABL1 Gene 88271 Cytogenetics DNA Probe CMS Edit

81170 ABL1 Gene 88272 Cytogenetics 3-5 CMS Edit

81170 ABL1 Gene 88273 Cytogenetics 10-30 CMS Edit

81170 ABL1 Gene 88274 Cytogenetics 25-99 CMS Edit

81170 ABL1 Gene 88275 Cytogenetics 100-300 CMS Edit

81170 ABL1 Gene 88291 Cyto/Molecular Report CMS Edit

81170 ABL1 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81170 ABL1 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81170 ABL1 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81170 ABL1 Gene 88367 Insitu Hybridization Auto CMS Edit

81170 ABL1 Gene 88368 Insitu Hybridization Manual CMS Edit

81170 ABL1 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81170 ABL1 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81170 ABL1 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81170 ABL1 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81170 ABL1 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81200 ASPA Gene 87149 DNA/RNA Direct Probe CMS Edit

81200 ASPA Gene 87150 DNA/RNA Amplified Probe CMS Edit

81200 ASPA Gene 87152 Culture Type Pulse Field Gel CMS Edit

81200 ASPA Gene 87153 DNA/RNA Sequencing CMS Edit

81200 ASPA Gene 87470 Bartonella DNA Dir Probe CMS Edit

81200 ASPA Gene 87471 Bartonella DNA Amp Probe CMS Edit

81200 ASPA Gene 87472 Bartonella DNA Quant CMS Edit

81200 ASPA Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81200 ASPA Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81200 ASPA Gene 87477 Lyme Dis DNA Quant CMS Edit

Page 7: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81200 ASPA Gene 87480 Candida DNA Dir Probe CMS Edit

81200 ASPA Gene 87481 Candida DNA Amp Probe CMS Edit

81200 ASPA Gene 87482 Candida DNA Quant CMS Edit

81200 ASPA Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81200 ASPA Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81200 ASPA Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81200 ASPA Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81200 ASPA Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81200 ASPA Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81200 ASPA Gene 87492 Chylmd Trach DNA Quant CMS Edit

81200 ASPA Gene 87493 C Diff Amplified Probe CMS Edit

81200 ASPA Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81200 ASPA Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81200 ASPA Gene 87497 Cytomeg DNA Quant CMS Edit

81200 ASPA Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81200 ASPA Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81200 ASPA Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81200 ASPA Gene 87502 Influenza DNA Amp Probe CMS Edit

81200 ASPA Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81200 ASPA Gene 87505 Nfct Agent Detection Gi CMS Edit

81200 ASPA Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81200 ASPA Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81200 ASPA Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81200 ASPA Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81200 ASPA Gene 87512 Gardner Vag DNA Quant CMS Edit

81200 ASPA Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81200 ASPA Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81200 ASPA Gene 87517 Hepatitis B DNA Quant CMS Edit

81200 ASPA Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81200 ASPA Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81200 ASPA Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81200 ASPA Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81200 ASPA Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81200 ASPA Gene 87527 Hepatitis G DNA Quant CMS Edit

81200 ASPA Gene 87528 HSV DNA Dir Probe CMS Edit

81200 ASPA Gene 87529 HSV DNA Amp Probe CMS Edit

81200 ASPA Gene 87530 HSV DNA Quant CMS Edit

81200 ASPA Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81200 ASPA Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81200 ASPA Gene 87533 HHV-6 DNA Quant CMS Edit

81200 ASPA Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81200 ASPA Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81200 ASPA Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81200 ASPA Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81200 ASPA Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81200 ASPA Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81200 ASPA Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81200 ASPA Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81200 ASPA Gene 87542 Legion Pneumo DNA Quant CMS Edit

81200 ASPA Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81200 ASPA Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81200 ASPA Gene 87552 Mycobacteria DNA Quant CMS Edit

81200 ASPA Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81200 ASPA Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81200 ASPA Gene 87557 M.Tuberculo DNA Quant CMS Edit

81200 ASPA Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81200 ASPA Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81200 ASPA Gene 87562 M.Avium-Intra DNA Quant CMS Edit

Page 8: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81200 ASPA Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81200 ASPA Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81200 ASPA Gene 87582 M.Pneumon DNA Quant CMS Edit

81200 ASPA Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81200 ASPA Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81200 ASPA Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81200 ASPA Gene 87623 HPV Low-Risk Types CMS Edit

81200 ASPA Gene 87624 HPV High-Risk Types CMS Edit

81200 ASPA Gene 87625 HPV Types 16 & 18 Only CMS Edit

81200 ASPA Gene 87631 Resp Virus 3-5 Targets CMS Edit

81200 ASPA Gene 87632 Resp Virus 6-11 Targets CMS Edit

81200 ASPA Gene 87633 Resp Virus 12-25 Targets CMS Edit

81200 ASPA Gene 87640 Staph A DNA Amp Probe CMS Edit

81200 ASPA Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81200 ASPA Gene 87650 Strep A DNA Dir Probe CMS Edit

81200 ASPA Gene 87651 Strep A DNA Amp Probe CMS Edit

81200 ASPA Gene 87652 Strep A DNA Quant CMS Edit

81200 ASPA Gene 87653 Strep B DNA Amp Probe CMS Edit

81200 ASPA Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81200 ASPA Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81200 ASPA Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81200 ASPA Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81200 ASPA Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81200 ASPA Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81200 ASPA Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81200 ASPA Gene 88271 Cytogenetics DNA Probe CMS Edit

81200 ASPA Gene 88272 Cytogenetics 3-5 CMS Edit

81200 ASPA Gene 88273 Cytogenetics 10-30 CMS Edit

81200 ASPA Gene 88274 Cytogenetics 25-99 CMS Edit

81200 ASPA Gene 88275 Cytogenetics 100-300 CMS Edit

81200 ASPA Gene 88291 Cyto/Molecular Report CMS Edit

81200 ASPA Gene 88364 Insitu Hybridization (Fish) CMS Edit

81200 ASPA Gene 88365 Insitu Hybridization (Fish) CMS Edit

81200 ASPA Gene 88366 Insitu Hybridization (Fish) CMS Edit

81200 ASPA Gene 88367 Insitu Hybridization Auto CMS Edit

81200 ASPA Gene 88368 Insitu Hybridization Manual CMS Edit

81200 ASPA Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81200 ASPA Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81200 ASPA Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81200 ASPA Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81200 ASPA Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81201 APC Gene Full Sequence 81202 APC Gene Known Fam Variants CMS Edit

81201 APC Gene Full Sequence 81203 APC Gene Dup/Delet Variants CMS Edit

81201 APC Gene Full Sequence 87149 DNA/RNA Direct Probe CMS Edit

81201 APC Gene Full Sequence 87150 DNA/RNA Amplified Probe CMS Edit

81201 APC Gene Full Sequence 87152 Culture Type Pulse Field Gel CMS Edit

81201 APC Gene Full Sequence 87153 DNA/RNA Sequencing CMS Edit

81201 APC Gene Full Sequence 87470 Bartonella DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87471 Bartonella DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87472 Bartonella DNA Quant CMS Edit

81201 APC Gene Full Sequence 87475 Lyme Dis DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87476 Lyme Dis DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87477 Lyme Dis DNA Quant CMS Edit

81201 APC Gene Full Sequence 87480 Candida DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87481 Candida DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87482 Candida DNA Quant CMS Edit

81201 APC Gene Full Sequence 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81201 APC Gene Full Sequence 87485 Chylmd Pneum DNA Dir Probe CMS Edit

Page 9: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81201 APC Gene Full Sequence 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87487 Chylmd Pneum DNA Quant CMS Edit

81201 APC Gene Full Sequence 87490 Chylmd Trach DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87491 Chylmd Trach DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87492 Chylmd Trach DNA Quant CMS Edit

81201 APC Gene Full Sequence 87493 C Diff Amplified Probe CMS Edit

81201 APC Gene Full Sequence 87495 Cytomeg DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87496 Cytomeg DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87497 Cytomeg DNA Quant CMS Edit

81201 APC Gene Full Sequence 87498 Enterovirus Probe&Revrs Trns CMS Edit

81201 APC Gene Full Sequence 87500 Vanomycin DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87501 Influenza DNA Amp Prob 1+ CMS Edit

81201 APC Gene Full Sequence 87502 Influenza DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87503 Influenza DNA Amp Prob Addl CMS Edit

81201 APC Gene Full Sequence 87505 Nfct Agent Detection Gi CMS Edit

81201 APC Gene Full Sequence 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81201 APC Gene Full Sequence 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81201 APC Gene Full Sequence 87510 Gardner Vag DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87511 Gardner Vag DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87512 Gardner Vag DNA Quant CMS Edit

81201 APC Gene Full Sequence 87515 Hepatitis B DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87516 Hepatitis B DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87517 Hepatitis B DNA Quant CMS Edit

81201 APC Gene Full Sequence 87520 Hepatitis C RNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81201 APC Gene Full Sequence 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81201 APC Gene Full Sequence 87525 Hepatitis G DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87526 Hepatitis G DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87527 Hepatitis G DNA Quant CMS Edit

81201 APC Gene Full Sequence 87528 HSV DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87529 HSV DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87530 HSV DNA Quant CMS Edit

81201 APC Gene Full Sequence 87531 HHV-6 DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87532 HHV-6 DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87533 HHV-6 DNA Quant CMS Edit

81201 APC Gene Full Sequence 87534 HIV-1 DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81201 APC Gene Full Sequence 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81201 APC Gene Full Sequence 87537 HIV-2 DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81201 APC Gene Full Sequence 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81201 APC Gene Full Sequence 87540 Legion Pneumo DNA Dir Prob CMS Edit

81201 APC Gene Full Sequence 87541 Legion Pneumo DNA Amp Prob CMS Edit

81201 APC Gene Full Sequence 87542 Legion Pneumo DNA Quant CMS Edit

81201 APC Gene Full Sequence 87550 Mycobacteria DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87551 Mycobacteria DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87552 Mycobacteria DNA Quant CMS Edit

81201 APC Gene Full Sequence 87555 M.Tuberculo DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87556 M.Tuberculo DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87557 M.Tuberculo DNA Quant CMS Edit

81201 APC Gene Full Sequence 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81201 APC Gene Full Sequence 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81201 APC Gene Full Sequence 87562 M.Avium-Intra DNA Quant CMS Edit

81201 APC Gene Full Sequence 87580 M.Pneumon DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87581 M.Pneumon DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87582 M.Pneumon DNA Quant CMS Edit

81201 APC Gene Full Sequence 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81201 APC Gene Full Sequence 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

Page 10: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81201 APC Gene Full Sequence 87592 N.Gonorrhoeae DNA Quant CMS Edit

81201 APC Gene Full Sequence 87623 HPV Low-Risk Types CMS Edit

81201 APC Gene Full Sequence 87624 HPV High-Risk Types CMS Edit

81201 APC Gene Full Sequence 87625 HPV Types 16 & 18 Only CMS Edit

81201 APC Gene Full Sequence 87631 Resp Virus 3-5 Targets CMS Edit

81201 APC Gene Full Sequence 87632 Resp Virus 6-11 Targets CMS Edit

81201 APC Gene Full Sequence 87633 Resp Virus 12-25 Targets CMS Edit

81201 APC Gene Full Sequence 87640 Staph A DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87641 Mr-Staph DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87650 Strep A DNA Dir Probe CMS Edit

81201 APC Gene Full Sequence 87651 Strep A DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87652 Strep A DNA Quant CMS Edit

81201 APC Gene Full Sequence 87653 Strep B DNA Amp Probe CMS Edit

81201 APC Gene Full Sequence 87660 Trichomonas Vagin Dir Probe CMS Edit

81201 APC Gene Full Sequence 87661 Trichomonas Vaginalis Amplif CMS Edit

81201 APC Gene Full Sequence 87797 Detect Agent Nos DNA Dir CMS Edit

81201 APC Gene Full Sequence 87798 Detect Agent Nos DNA Amp CMS Edit

81201 APC Gene Full Sequence 87799 Detect Agent Nos DNA Quant CMS Edit

81201 APC Gene Full Sequence 87800 Detect Agnt Mult DNA Direc CMS Edit

81201 APC Gene Full Sequence 87801 Detect Agnt Mult DNA Ampli CMS Edit

81201 APC Gene Full Sequence 88271 Cytogenetics DNA Probe CMS Edit

81201 APC Gene Full Sequence 88272 Cytogenetics 3-5 CMS Edit

81201 APC Gene Full Sequence 88273 Cytogenetics 10-30 CMS Edit

81201 APC Gene Full Sequence 88274 Cytogenetics 25-99 CMS Edit

81201 APC Gene Full Sequence 88275 Cytogenetics 100-300 CMS Edit

81201 APC Gene Full Sequence 88291 Cyto/Molecular Report CMS Edit

81201 APC Gene Full Sequence 88364 Insitu Hybridization (Fish) CMS Edit

81201 APC Gene Full Sequence 88365 Insitu Hybridization (Fish) CMS Edit

81201 APC Gene Full Sequence 88366 Insitu Hybridization (Fish) CMS Edit

81201 APC Gene Full Sequence 88367 Insitu Hybridization Auto CMS Edit

81201 APC Gene Full Sequence 88368 Insitu Hybridization Manual CMS Edit

81201 APC Gene Full Sequence 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81201 APC Gene Full Sequence 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81201 APC Gene Full Sequence 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81201 APC Gene Full Sequence 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81201 APC Gene Full Sequence G0476 HPV Combo Assay Ca Screen CMS Edit**81202 APC Gene Known Fam Variants 81203 APC Gene Dup/Delet Variants CMS Edit

81202 APC Gene Known Fam Variants 87149 DNA/RNA Direct Probe CMS Edit

81202 APC Gene Known Fam Variants 87150 DNA/RNA Amplified Probe CMS Edit

81202 APC Gene Known Fam Variants 87152 Culture Type Pulse Field Gel CMS Edit

81202 APC Gene Known Fam Variants 87153 DNA/RNA Sequencing CMS Edit

81202 APC Gene Known Fam Variants 87470 Bartonella DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87471 Bartonella DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87472 Bartonella DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87477 Lyme Dis DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87480 Candida DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87481 Candida DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87482 Candida DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81202 APC Gene Known Fam Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87492 Chylmd Trach DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87493 C Diff Amplified Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81202 APC Gene Known Fam Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87497 Cytomeg DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81202 APC Gene Known Fam Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81202 APC Gene Known Fam Variants 87502 Influenza DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81202 APC Gene Known Fam Variants 87505 Nfct Agent Detection Gi CMS Edit

81202 APC Gene Known Fam Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81202 APC Gene Known Fam Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81202 APC Gene Known Fam Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87512 Gardner Vag DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87517 Hepatitis B DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81202 APC Gene Known Fam Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81202 APC Gene Known Fam Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87527 Hepatitis G DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87528 HSV DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87529 HSV DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87530 HSV DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87533 HHV-6 DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81202 APC Gene Known Fam Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81202 APC Gene Known Fam Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81202 APC Gene Known Fam Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81202 APC Gene Known Fam Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81202 APC Gene Known Fam Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81202 APC Gene Known Fam Variants 87542 Legion Pneumo DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87552 Mycobacteria DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87557 M.Tuberculo DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81202 APC Gene Known Fam Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81202 APC Gene Known Fam Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87582 M.Pneumon DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81202 APC Gene Known Fam Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81202 APC Gene Known Fam Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87623 HPV Low-Risk Types CMS Edit

81202 APC Gene Known Fam Variants 87624 HPV High-Risk Types CMS Edit

81202 APC Gene Known Fam Variants 87625 HPV Types 16 & 18 Only CMS Edit

81202 APC Gene Known Fam Variants 87631 Resp Virus 3-5 Targets CMS Edit

81202 APC Gene Known Fam Variants 87632 Resp Virus 6-11 Targets CMS Edit

Page 12: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81202 APC Gene Known Fam Variants 87633 Resp Virus 12-25 Targets CMS Edit

81202 APC Gene Known Fam Variants 87640 Staph A DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87650 Strep A DNA Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87651 Strep A DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87652 Strep A DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87653 Strep B DNA Amp Probe CMS Edit

81202 APC Gene Known Fam Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81202 APC Gene Known Fam Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81202 APC Gene Known Fam Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81202 APC Gene Known Fam Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81202 APC Gene Known Fam Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81202 APC Gene Known Fam Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81202 APC Gene Known Fam Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81202 APC Gene Known Fam Variants 88271 Cytogenetics DNA Probe CMS Edit

81202 APC Gene Known Fam Variants 88272 Cytogenetics 3-5 CMS Edit

81202 APC Gene Known Fam Variants 88273 Cytogenetics 10-30 CMS Edit

81202 APC Gene Known Fam Variants 88274 Cytogenetics 25-99 CMS Edit

81202 APC Gene Known Fam Variants 88275 Cytogenetics 100-300 CMS Edit

81202 APC Gene Known Fam Variants 88291 Cyto/Molecular Report CMS Edit

81202 APC Gene Known Fam Variants 88364 Insitu Hybridization (Fish) CMS Edit

81202 APC Gene Known Fam Variants 88365 Insitu Hybridization (Fish) CMS Edit

81202 APC Gene Known Fam Variants 88366 Insitu Hybridization (Fish) CMS Edit

81202 APC Gene Known Fam Variants 88367 Insitu Hybridization Auto CMS Edit

81202 APC Gene Known Fam Variants 88368 Insitu Hybridization Manual CMS Edit

81202 APC Gene Known Fam Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81202 APC Gene Known Fam Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81202 APC Gene Known Fam Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81202 APC Gene Known Fam Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81202 APC Gene Known Fam Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81203 APC Gene Dup/Delet Variants 87149 DNA/RNA Direct Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87150 DNA/RNA Amplified Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87152 Culture Type Pulse Field Gel CMS Edit

81203 APC Gene Dup/Delet Variants 87153 DNA/RNA Sequencing CMS Edit

81203 APC Gene Dup/Delet Variants 87470 Bartonella DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87471 Bartonella DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87472 Bartonella DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87477 Lyme Dis DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87480 Candida DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87481 Candida DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87482 Candida DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81203 APC Gene Dup/Delet Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87492 Chylmd Trach DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87493 C Diff Amplified Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87497 Cytomeg DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81203 APC Gene Dup/Delet Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81203 APC Gene Dup/Delet Variants 87502 Influenza DNA Amp Probe CMS Edit

Page 13: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81203 APC Gene Dup/Delet Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81203 APC Gene Dup/Delet Variants 87505 Nfct Agent Detection Gi CMS Edit

81203 APC Gene Dup/Delet Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81203 APC Gene Dup/Delet Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81203 APC Gene Dup/Delet Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87512 Gardner Vag DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87517 Hepatitis B DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81203 APC Gene Dup/Delet Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81203 APC Gene Dup/Delet Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87527 Hepatitis G DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87528 HSV DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87529 HSV DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87530 HSV DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87533 HHV-6 DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81203 APC Gene Dup/Delet Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81203 APC Gene Dup/Delet Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81203 APC Gene Dup/Delet Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81203 APC Gene Dup/Delet Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81203 APC Gene Dup/Delet Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81203 APC Gene Dup/Delet Variants 87542 Legion Pneumo DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87552 Mycobacteria DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87557 M.Tuberculo DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81203 APC Gene Dup/Delet Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81203 APC Gene Dup/Delet Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87582 M.Pneumon DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81203 APC Gene Dup/Delet Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81203 APC Gene Dup/Delet Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87623 HPV Low-Risk Types CMS Edit

81203 APC Gene Dup/Delet Variants 87624 HPV High-Risk Types CMS Edit

81203 APC Gene Dup/Delet Variants 87625 HPV Types 16 & 18 Only CMS Edit

81203 APC Gene Dup/Delet Variants 87631 Resp Virus 3-5 Targets CMS Edit

81203 APC Gene Dup/Delet Variants 87632 Resp Virus 6-11 Targets CMS Edit

81203 APC Gene Dup/Delet Variants 87633 Resp Virus 12-25 Targets CMS Edit

81203 APC Gene Dup/Delet Variants 87640 Staph A DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87650 Strep A DNA Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87651 Strep A DNA Amp Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87652 Strep A DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87653 Strep B DNA Amp Probe CMS Edit

Page 14: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81203 APC Gene Dup/Delet Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81203 APC Gene Dup/Delet Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81203 APC Gene Dup/Delet Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81203 APC Gene Dup/Delet Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81203 APC Gene Dup/Delet Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81203 APC Gene Dup/Delet Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81203 APC Gene Dup/Delet Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81203 APC Gene Dup/Delet Variants 88271 Cytogenetics DNA Probe CMS Edit

81203 APC Gene Dup/Delet Variants 88272 Cytogenetics 3-5 CMS Edit

81203 APC Gene Dup/Delet Variants 88273 Cytogenetics 10-30 CMS Edit

81203 APC Gene Dup/Delet Variants 88274 Cytogenetics 25-99 CMS Edit

81203 APC Gene Dup/Delet Variants 88275 Cytogenetics 100-300 CMS Edit

81203 APC Gene Dup/Delet Variants 88291 Cyto/Molecular Report CMS Edit

81203 APC Gene Dup/Delet Variants 88364 Insitu Hybridization (Fish) CMS Edit

81203 APC Gene Dup/Delet Variants 88365 Insitu Hybridization (Fish) CMS Edit

81203 APC Gene Dup/Delet Variants 88366 Insitu Hybridization (Fish) CMS Edit

81203 APC Gene Dup/Delet Variants 88367 Insitu Hybridization Auto CMS Edit

81203 APC Gene Dup/Delet Variants 88368 Insitu Hybridization Manual CMS Edit

81203 APC Gene Dup/Delet Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81203 APC Gene Dup/Delet Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81203 APC Gene Dup/Delet Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81203 APC Gene Dup/Delet Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81203 APC Gene Dup/Delet Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81205 BCKDHB Gene 87149 DNA/RNA Direct Probe CMS Edit

81205 BCKDHB Gene 87150 DNA/RNA Amplified Probe CMS Edit

81205 BCKDHB Gene 87152 Culture Type Pulse Field Gel CMS Edit

81205 BCKDHB Gene 87153 DNA/RNA Sequencing CMS Edit

81205 BCKDHB Gene 87470 Bartonella DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87471 Bartonella DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87472 Bartonella DNA Quant CMS Edit

81205 BCKDHB Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87477 Lyme Dis DNA Quant CMS Edit

81205 BCKDHB Gene 87480 Candida DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87481 Candida DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87482 Candida DNA Quant CMS Edit

81205 BCKDHB Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81205 BCKDHB Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81205 BCKDHB Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87492 Chylmd Trach DNA Quant CMS Edit

81205 BCKDHB Gene 87493 C Diff Amplified Probe CMS Edit

81205 BCKDHB Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87497 Cytomeg DNA Quant CMS Edit

81205 BCKDHB Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81205 BCKDHB Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81205 BCKDHB Gene 87502 Influenza DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81205 BCKDHB Gene 87505 Nfct Agent Detection Gi CMS Edit

81205 BCKDHB Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81205 BCKDHB Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81205 BCKDHB Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87512 Gardner Vag DNA Quant CMS Edit

Page 15: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81205 BCKDHB Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87517 Hepatitis B DNA Quant CMS Edit

81205 BCKDHB Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81205 BCKDHB Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81205 BCKDHB Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81205 BCKDHB Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87527 Hepatitis G DNA Quant CMS Edit

81205 BCKDHB Gene 87528 HSV DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87529 HSV DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87530 HSV DNA Quant CMS Edit

81205 BCKDHB Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87533 HHV-6 DNA Quant CMS Edit

81205 BCKDHB Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81205 BCKDHB Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81205 BCKDHB Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81205 BCKDHB Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81205 BCKDHB Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81205 BCKDHB Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81205 BCKDHB Gene 87542 Legion Pneumo DNA Quant CMS Edit

81205 BCKDHB Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87552 Mycobacteria DNA Quant CMS Edit

81205 BCKDHB Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87557 M.Tuberculo DNA Quant CMS Edit

81205 BCKDHB Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81205 BCKDHB Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81205 BCKDHB Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81205 BCKDHB Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87582 M.Pneumon DNA Quant CMS Edit

81205 BCKDHB Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81205 BCKDHB Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81205 BCKDHB Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81205 BCKDHB Gene 87623 HPV Low-Risk Types CMS Edit

81205 BCKDHB Gene 87624 HPV High-Risk Types CMS Edit

81205 BCKDHB Gene 87625 HPV Types 16 & 18 Only CMS Edit

81205 BCKDHB Gene 87631 Resp Virus 3-5 Targets CMS Edit

81205 BCKDHB Gene 87632 Resp Virus 6-11 Targets CMS Edit

81205 BCKDHB Gene 87633 Resp Virus 12-25 Targets CMS Edit

81205 BCKDHB Gene 87640 Staph A DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87650 Strep A DNA Dir Probe CMS Edit

81205 BCKDHB Gene 87651 Strep A DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87652 Strep A DNA Quant CMS Edit

81205 BCKDHB Gene 87653 Strep B DNA Amp Probe CMS Edit

81205 BCKDHB Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81205 BCKDHB Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81205 BCKDHB Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81205 BCKDHB Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81205 BCKDHB Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81205 BCKDHB Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81205 BCKDHB Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

Page 16: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81205 BCKDHB Gene 88271 Cytogenetics DNA Probe CMS Edit

81205 BCKDHB Gene 88272 Cytogenetics 3-5 CMS Edit

81205 BCKDHB Gene 88273 Cytogenetics 10-30 CMS Edit

81205 BCKDHB Gene 88274 Cytogenetics 25-99 CMS Edit

81205 BCKDHB Gene 88275 Cytogenetics 100-300 CMS Edit

81205 BCKDHB Gene 88291 Cyto/Molecular Report CMS Edit

81205 BCKDHB Gene 88364 Insitu Hybridization (Fish) CMS Edit

81205 BCKDHB Gene 88365 Insitu Hybridization (Fish) CMS Edit

81205 BCKDHB Gene 88366 Insitu Hybridization (Fish) CMS Edit

81205 BCKDHB Gene 88367 Insitu Hybridization Auto CMS Edit

81205 BCKDHB Gene 88368 Insitu Hybridization Manual CMS Edit

81205 BCKDHB Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81205 BCKDHB Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81205 BCKDHB Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81205 BCKDHB Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81205 BCKDHB Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81206 BCR/ABL1 Gene Major Bp 87149 DNA/RNA Direct Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87150 DNA/RNA Amplified Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87152 Culture Type Pulse Field Gel CMS Edit

81206 BCR/ABL1 Gene Major Bp 87153 DNA/RNA Sequencing CMS Edit

81206 BCR/ABL1 Gene Major Bp 87470 Bartonella DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87471 Bartonella DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87472 Bartonella DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87475 Lyme Dis DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87476 Lyme Dis DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87477 Lyme Dis DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87480 Candida DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87481 Candida DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87482 Candida DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81206 BCR/ABL1 Gene Major Bp 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87487 Chylmd Pneum DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87490 Chylmd Trach DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87491 Chylmd Trach DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87492 Chylmd Trach DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87493 C Diff Amplified Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87495 Cytomeg DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87496 Cytomeg DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87497 Cytomeg DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87498 Enterovirus Probe&Revrs Trns CMS Edit

81206 BCR/ABL1 Gene Major Bp 87500 Vanomycin DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87501 Influenza DNA Amp Prob 1+ CMS Edit

81206 BCR/ABL1 Gene Major Bp 87502 Influenza DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87503 Influenza DNA Amp Prob Addl CMS Edit

81206 BCR/ABL1 Gene Major Bp 87505 Nfct Agent Detection Gi CMS Edit

81206 BCR/ABL1 Gene Major Bp 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81206 BCR/ABL1 Gene Major Bp 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81206 BCR/ABL1 Gene Major Bp 87510 Gardner Vag DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87511 Gardner Vag DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87512 Gardner Vag DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87515 Hepatitis B DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87516 Hepatitis B DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87517 Hepatitis B DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87520 Hepatitis C RNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81206 BCR/ABL1 Gene Major Bp 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81206 BCR/ABL1 Gene Major Bp 87525 Hepatitis G DNA Dir Probe CMS Edit

Page 17: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81206 BCR/ABL1 Gene Major Bp 87526 Hepatitis G DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87527 Hepatitis G DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87528 HSV DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87529 HSV DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87530 HSV DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87531 HHV-6 DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87532 HHV-6 DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87533 HHV-6 DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87534 HIV-1 DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81206 BCR/ABL1 Gene Major Bp 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81206 BCR/ABL1 Gene Major Bp 87537 HIV-2 DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81206 BCR/ABL1 Gene Major Bp 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81206 BCR/ABL1 Gene Major Bp 87540 Legion Pneumo DNA Dir Prob CMS Edit

81206 BCR/ABL1 Gene Major Bp 87541 Legion Pneumo DNA Amp Prob CMS Edit

81206 BCR/ABL1 Gene Major Bp 87542 Legion Pneumo DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87550 Mycobacteria DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87551 Mycobacteria DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87552 Mycobacteria DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87555 M.Tuberculo DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87556 M.Tuberculo DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87557 M.Tuberculo DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81206 BCR/ABL1 Gene Major Bp 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81206 BCR/ABL1 Gene Major Bp 87562 M.Avium-Intra DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87580 M.Pneumon DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87581 M.Pneumon DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87582 M.Pneumon DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81206 BCR/ABL1 Gene Major Bp 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81206 BCR/ABL1 Gene Major Bp 87592 N.Gonorrhoeae DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87623 HPV Low-Risk Types CMS Edit

81206 BCR/ABL1 Gene Major Bp 87624 HPV High-Risk Types CMS Edit

81206 BCR/ABL1 Gene Major Bp 87625 HPV Types 16 & 18 Only CMS Edit

81206 BCR/ABL1 Gene Major Bp 87631 Resp Virus 3-5 Targets CMS Edit

81206 BCR/ABL1 Gene Major Bp 87632 Resp Virus 6-11 Targets CMS Edit

81206 BCR/ABL1 Gene Major Bp 87633 Resp Virus 12-25 Targets CMS Edit

81206 BCR/ABL1 Gene Major Bp 87640 Staph A DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87641 Mr-Staph DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87650 Strep A DNA Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87651 Strep A DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87652 Strep A DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87653 Strep B DNA Amp Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87660 Trichomonas Vagin Dir Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 87661 Trichomonas Vaginalis Amplif CMS Edit

81206 BCR/ABL1 Gene Major Bp 87797 Detect Agent Nos DNA Dir CMS Edit

81206 BCR/ABL1 Gene Major Bp 87798 Detect Agent Nos DNA Amp CMS Edit

81206 BCR/ABL1 Gene Major Bp 87799 Detect Agent Nos DNA Quant CMS Edit

81206 BCR/ABL1 Gene Major Bp 87800 Detect Agnt Mult DNA Direc CMS Edit

81206 BCR/ABL1 Gene Major Bp 87801 Detect Agnt Mult DNA Ampli CMS Edit

81206 BCR/ABL1 Gene Major Bp 88271 Cytogenetics DNA Probe CMS Edit

81206 BCR/ABL1 Gene Major Bp 88272 Cytogenetics 3-5 CMS Edit

81206 BCR/ABL1 Gene Major Bp 88273 Cytogenetics 10-30 CMS Edit

81206 BCR/ABL1 Gene Major Bp 88274 Cytogenetics 25-99 CMS Edit

81206 BCR/ABL1 Gene Major Bp 88275 Cytogenetics 100-300 CMS Edit

81206 BCR/ABL1 Gene Major Bp 88291 Cyto/Molecular Report CMS Edit

81206 BCR/ABL1 Gene Major Bp 88364 Insitu Hybridization (Fish) CMS Edit

Page 18: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81206 BCR/ABL1 Gene Major Bp 88365 Insitu Hybridization (Fish) CMS Edit

81206 BCR/ABL1 Gene Major Bp 88366 Insitu Hybridization (Fish) CMS Edit

81206 BCR/ABL1 Gene Major Bp 88367 Insitu Hybridization Auto CMS Edit

81206 BCR/ABL1 Gene Major Bp 88368 Insitu Hybridization Manual CMS Edit

81206 BCR/ABL1 Gene Major Bp 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81206 BCR/ABL1 Gene Major Bp 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81206 BCR/ABL1 Gene Major Bp 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81206 BCR/ABL1 Gene Major Bp 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81206 BCR/ABL1 Gene Major Bp G0476 HPV Combo Assay Ca Screen CMS Edit**81207 BCR/ABL1 Gene Minor Bp 87149 DNA/RNA Direct Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87150 DNA/RNA Amplified Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87152 Culture Type Pulse Field Gel CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87153 DNA/RNA Sequencing CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87470 Bartonella DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87471 Bartonella DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87472 Bartonella DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87475 Lyme Dis DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87476 Lyme Dis DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87477 Lyme Dis DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87480 Candida DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87481 Candida DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87482 Candida DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81207 BCR/ABL1 Gene Minor Bp 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87487 Chylmd Pneum DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87490 Chylmd Trach DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87491 Chylmd Trach DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87492 Chylmd Trach DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87493 C Diff Amplified Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87495 Cytomeg DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87496 Cytomeg DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87497 Cytomeg DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87498 Enterovirus Probe&Revrs Trns CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87500 Vanomycin DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87501 Influenza DNA Amp Prob 1+ CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87502 Influenza DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87503 Influenza DNA Amp Prob Addl CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87505 Nfct Agent Detection Gi CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87510 Gardner Vag DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87511 Gardner Vag DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87512 Gardner Vag DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87515 Hepatitis B DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87516 Hepatitis B DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87517 Hepatitis B DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87520 Hepatitis C RNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87525 Hepatitis G DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87526 Hepatitis G DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87527 Hepatitis G DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87528 HSV DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87529 HSV DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87530 HSV DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87531 HHV-6 DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87532 HHV-6 DNA Amp Probe CMS Edit

Page 19: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81207 BCR/ABL1 Gene Minor Bp 87533 HHV-6 DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87534 HIV-1 DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87537 HIV-2 DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87540 Legion Pneumo DNA Dir Prob CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87541 Legion Pneumo DNA Amp Prob CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87542 Legion Pneumo DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87550 Mycobacteria DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87551 Mycobacteria DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87552 Mycobacteria DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87555 M.Tuberculo DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87556 M.Tuberculo DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87557 M.Tuberculo DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87562 M.Avium-Intra DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87580 M.Pneumon DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87581 M.Pneumon DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87582 M.Pneumon DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87592 N.Gonorrhoeae DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87623 HPV Low-Risk Types CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87624 HPV High-Risk Types CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87625 HPV Types 16 & 18 Only CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87631 Resp Virus 3-5 Targets CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87632 Resp Virus 6-11 Targets CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87633 Resp Virus 12-25 Targets CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87640 Staph A DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87641 Mr-Staph DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87650 Strep A DNA Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87651 Strep A DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87652 Strep A DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87653 Strep B DNA Amp Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87660 Trichomonas Vagin Dir Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87661 Trichomonas Vaginalis Amplif CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87797 Detect Agent Nos DNA Dir CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87798 Detect Agent Nos DNA Amp CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87799 Detect Agent Nos DNA Quant CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87800 Detect Agnt Mult DNA Direc CMS Edit

81207 BCR/ABL1 Gene Minor Bp 87801 Detect Agnt Mult DNA Ampli CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88271 Cytogenetics DNA Probe CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88272 Cytogenetics 3-5 CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88273 Cytogenetics 10-30 CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88274 Cytogenetics 25-99 CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88275 Cytogenetics 100-300 CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88291 Cyto/Molecular Report CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88364 Insitu Hybridization (Fish) CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88365 Insitu Hybridization (Fish) CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88366 Insitu Hybridization (Fish) CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88367 Insitu Hybridization Auto CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88368 Insitu Hybridization Manual CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81207 BCR/ABL1 Gene Minor Bp 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

Page 20: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81207 BCR/ABL1 Gene Minor Bp 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81207 BCR/ABL1 Gene Minor Bp G0476 HPV Combo Assay Ca Screen CMS Edit**81208 BCR/ABL1 Gene Other Bp 87149 DNA/RNA Direct Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87150 DNA/RNA Amplified Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87152 Culture Type Pulse Field Gel CMS Edit

81208 BCR/ABL1 Gene Other Bp 87153 DNA/RNA Sequencing CMS Edit

81208 BCR/ABL1 Gene Other Bp 87470 Bartonella DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87471 Bartonella DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87472 Bartonella DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87475 Lyme Dis DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87476 Lyme Dis DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87477 Lyme Dis DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87480 Candida DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87481 Candida DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87482 Candida DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81208 BCR/ABL1 Gene Other Bp 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87487 Chylmd Pneum DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87490 Chylmd Trach DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87491 Chylmd Trach DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87492 Chylmd Trach DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87493 C Diff Amplified Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87495 Cytomeg DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87496 Cytomeg DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87497 Cytomeg DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87498 Enterovirus Probe&Revrs Trns CMS Edit

81208 BCR/ABL1 Gene Other Bp 87500 Vanomycin DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87501 Influenza DNA Amp Prob 1+ CMS Edit

81208 BCR/ABL1 Gene Other Bp 87502 Influenza DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87503 Influenza DNA Amp Prob Addl CMS Edit

81208 BCR/ABL1 Gene Other Bp 87505 Nfct Agent Detection Gi CMS Edit

81208 BCR/ABL1 Gene Other Bp 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81208 BCR/ABL1 Gene Other Bp 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81208 BCR/ABL1 Gene Other Bp 87510 Gardner Vag DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87511 Gardner Vag DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87512 Gardner Vag DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87515 Hepatitis B DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87516 Hepatitis B DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87517 Hepatitis B DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87520 Hepatitis C RNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81208 BCR/ABL1 Gene Other Bp 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81208 BCR/ABL1 Gene Other Bp 87525 Hepatitis G DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87526 Hepatitis G DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87527 Hepatitis G DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87528 HSV DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87529 HSV DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87530 HSV DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87531 HHV-6 DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87532 HHV-6 DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87533 HHV-6 DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87534 HIV-1 DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81208 BCR/ABL1 Gene Other Bp 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81208 BCR/ABL1 Gene Other Bp 87537 HIV-2 DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81208 BCR/ABL1 Gene Other Bp 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

Page 21: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81208 BCR/ABL1 Gene Other Bp 87540 Legion Pneumo DNA Dir Prob CMS Edit

81208 BCR/ABL1 Gene Other Bp 87541 Legion Pneumo DNA Amp Prob CMS Edit

81208 BCR/ABL1 Gene Other Bp 87542 Legion Pneumo DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87550 Mycobacteria DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87551 Mycobacteria DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87552 Mycobacteria DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87555 M.Tuberculo DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87556 M.Tuberculo DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87557 M.Tuberculo DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81208 BCR/ABL1 Gene Other Bp 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81208 BCR/ABL1 Gene Other Bp 87562 M.Avium-Intra DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87580 M.Pneumon DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87581 M.Pneumon DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87582 M.Pneumon DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81208 BCR/ABL1 Gene Other Bp 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81208 BCR/ABL1 Gene Other Bp 87592 N.Gonorrhoeae DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87623 HPV Low-Risk Types CMS Edit

81208 BCR/ABL1 Gene Other Bp 87624 HPV High-Risk Types CMS Edit

81208 BCR/ABL1 Gene Other Bp 87625 HPV Types 16 & 18 Only CMS Edit

81208 BCR/ABL1 Gene Other Bp 87631 Resp Virus 3-5 Targets CMS Edit

81208 BCR/ABL1 Gene Other Bp 87632 Resp Virus 6-11 Targets CMS Edit

81208 BCR/ABL1 Gene Other Bp 87633 Resp Virus 12-25 Targets CMS Edit

81208 BCR/ABL1 Gene Other Bp 87640 Staph A DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87641 Mr-Staph DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87650 Strep A DNA Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87651 Strep A DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87652 Strep A DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87653 Strep B DNA Amp Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87660 Trichomonas Vagin Dir Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 87661 Trichomonas Vaginalis Amplif CMS Edit

81208 BCR/ABL1 Gene Other Bp 87797 Detect Agent Nos DNA Dir CMS Edit

81208 BCR/ABL1 Gene Other Bp 87798 Detect Agent Nos DNA Amp CMS Edit

81208 BCR/ABL1 Gene Other Bp 87799 Detect Agent Nos DNA Quant CMS Edit

81208 BCR/ABL1 Gene Other Bp 87800 Detect Agnt Mult DNA Direc CMS Edit

81208 BCR/ABL1 Gene Other Bp 87801 Detect Agnt Mult DNA Ampli CMS Edit

81208 BCR/ABL1 Gene Other Bp 88271 Cytogenetics DNA Probe CMS Edit

81208 BCR/ABL1 Gene Other Bp 88272 Cytogenetics 3-5 CMS Edit

81208 BCR/ABL1 Gene Other Bp 88273 Cytogenetics 10-30 CMS Edit

81208 BCR/ABL1 Gene Other Bp 88274 Cytogenetics 25-99 CMS Edit

81208 BCR/ABL1 Gene Other Bp 88275 Cytogenetics 100-300 CMS Edit

81208 BCR/ABL1 Gene Other Bp 88291 Cyto/Molecular Report CMS Edit

81208 BCR/ABL1 Gene Other Bp 88364 Insitu Hybridization (Fish) CMS Edit

81208 BCR/ABL1 Gene Other Bp 88365 Insitu Hybridization (Fish) CMS Edit

81208 BCR/ABL1 Gene Other Bp 88366 Insitu Hybridization (Fish) CMS Edit

81208 BCR/ABL1 Gene Other Bp 88367 Insitu Hybridization Auto CMS Edit

81208 BCR/ABL1 Gene Other Bp 88368 Insitu Hybridization Manual CMS Edit

81208 BCR/ABL1 Gene Other Bp 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81208 BCR/ABL1 Gene Other Bp 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81208 BCR/ABL1 Gene Other Bp 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81208 BCR/ABL1 Gene Other Bp 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81208 BCR/ABL1 Gene Other Bp G0476 HPV Combo Assay Ca Screen CMS Edit**81209 BLM Gene 87149 DNA/RNA Direct Probe CMS Edit

81209 BLM Gene 87150 DNA/RNA Amplified Probe CMS Edit

81209 BLM Gene 87152 Culture Type Pulse Field Gel CMS Edit

81209 BLM Gene 87153 DNA/RNA Sequencing CMS Edit

81209 BLM Gene 87470 Bartonella DNA Dir Probe CMS Edit

Page 22: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81209 BLM Gene 87471 Bartonella DNA Amp Probe CMS Edit

81209 BLM Gene 87472 Bartonella DNA Quant CMS Edit

81209 BLM Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81209 BLM Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81209 BLM Gene 87477 Lyme Dis DNA Quant CMS Edit

81209 BLM Gene 87480 Candida DNA Dir Probe CMS Edit

81209 BLM Gene 87481 Candida DNA Amp Probe CMS Edit

81209 BLM Gene 87482 Candida DNA Quant CMS Edit

81209 BLM Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81209 BLM Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81209 BLM Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81209 BLM Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81209 BLM Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81209 BLM Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81209 BLM Gene 87492 Chylmd Trach DNA Quant CMS Edit

81209 BLM Gene 87493 C Diff Amplified Probe CMS Edit

81209 BLM Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81209 BLM Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81209 BLM Gene 87497 Cytomeg DNA Quant CMS Edit

81209 BLM Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81209 BLM Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81209 BLM Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81209 BLM Gene 87502 Influenza DNA Amp Probe CMS Edit

81209 BLM Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81209 BLM Gene 87505 Nfct Agent Detection Gi CMS Edit

81209 BLM Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81209 BLM Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81209 BLM Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81209 BLM Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81209 BLM Gene 87512 Gardner Vag DNA Quant CMS Edit

81209 BLM Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81209 BLM Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81209 BLM Gene 87517 Hepatitis B DNA Quant CMS Edit

81209 BLM Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81209 BLM Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81209 BLM Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81209 BLM Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81209 BLM Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81209 BLM Gene 87527 Hepatitis G DNA Quant CMS Edit

81209 BLM Gene 87528 HSV DNA Dir Probe CMS Edit

81209 BLM Gene 87529 HSV DNA Amp Probe CMS Edit

81209 BLM Gene 87530 HSV DNA Quant CMS Edit

81209 BLM Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81209 BLM Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81209 BLM Gene 87533 HHV-6 DNA Quant CMS Edit

81209 BLM Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81209 BLM Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81209 BLM Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81209 BLM Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81209 BLM Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81209 BLM Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81209 BLM Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81209 BLM Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81209 BLM Gene 87542 Legion Pneumo DNA Quant CMS Edit

81209 BLM Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81209 BLM Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81209 BLM Gene 87552 Mycobacteria DNA Quant CMS Edit

81209 BLM Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

Page 23: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81209 BLM Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81209 BLM Gene 87557 M.Tuberculo DNA Quant CMS Edit

81209 BLM Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81209 BLM Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81209 BLM Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81209 BLM Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81209 BLM Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81209 BLM Gene 87582 M.Pneumon DNA Quant CMS Edit

81209 BLM Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81209 BLM Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81209 BLM Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81209 BLM Gene 87623 HPV Low-Risk Types CMS Edit

81209 BLM Gene 87624 HPV High-Risk Types CMS Edit

81209 BLM Gene 87625 HPV Types 16 & 18 Only CMS Edit

81209 BLM Gene 87631 Resp Virus 3-5 Targets CMS Edit

81209 BLM Gene 87632 Resp Virus 6-11 Targets CMS Edit

81209 BLM Gene 87633 Resp Virus 12-25 Targets CMS Edit

81209 BLM Gene 87640 Staph A DNA Amp Probe CMS Edit

81209 BLM Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81209 BLM Gene 87650 Strep A DNA Dir Probe CMS Edit

81209 BLM Gene 87651 Strep A DNA Amp Probe CMS Edit

81209 BLM Gene 87652 Strep A DNA Quant CMS Edit

81209 BLM Gene 87653 Strep B DNA Amp Probe CMS Edit

81209 BLM Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81209 BLM Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81209 BLM Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81209 BLM Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81209 BLM Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81209 BLM Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81209 BLM Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81209 BLM Gene 88271 Cytogenetics DNA Probe CMS Edit

81209 BLM Gene 88272 Cytogenetics 3-5 CMS Edit

81209 BLM Gene 88273 Cytogenetics 10-30 CMS Edit

81209 BLM Gene 88274 Cytogenetics 25-99 CMS Edit

81209 BLM Gene 88275 Cytogenetics 100-300 CMS Edit

81209 BLM Gene 88291 Cyto/Molecular Report CMS Edit

81209 BLM Gene 88364 Insitu Hybridization (Fish) CMS Edit

81209 BLM Gene 88365 Insitu Hybridization (Fish) CMS Edit

81209 BLM Gene 88366 Insitu Hybridization (Fish) CMS Edit

81209 BLM Gene 88367 Insitu Hybridization Auto CMS Edit

81209 BLM Gene 88368 Insitu Hybridization Manual CMS Edit

81209 BLM Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81209 BLM Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81209 BLM Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81209 BLM Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81209 BLM Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81210 BRAF Gene 87149 DNA/RNA Direct Probe CMS Edit

81210 BRAF Gene 87150 DNA/RNA Amplified Probe CMS Edit

81210 BRAF Gene 87152 Culture Type Pulse Field Gel CMS Edit

81210 BRAF Gene 87153 DNA/RNA Sequencing CMS Edit

81210 BRAF Gene 87470 Bartonella DNA Dir Probe CMS Edit

81210 BRAF Gene 87471 Bartonella DNA Amp Probe CMS Edit

81210 BRAF Gene 87472 Bartonella DNA Quant CMS Edit

81210 BRAF Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81210 BRAF Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81210 BRAF Gene 87477 Lyme Dis DNA Quant CMS Edit

81210 BRAF Gene 87480 Candida DNA Dir Probe CMS Edit

81210 BRAF Gene 87481 Candida DNA Amp Probe CMS Edit

Page 24: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81210 BRAF Gene 87482 Candida DNA Quant CMS Edit

81210 BRAF Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81210 BRAF Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81210 BRAF Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81210 BRAF Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81210 BRAF Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81210 BRAF Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81210 BRAF Gene 87492 Chylmd Trach DNA Quant CMS Edit

81210 BRAF Gene 87493 C Diff Amplified Probe CMS Edit

81210 BRAF Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81210 BRAF Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81210 BRAF Gene 87497 Cytomeg DNA Quant CMS Edit

81210 BRAF Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81210 BRAF Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81210 BRAF Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81210 BRAF Gene 87502 Influenza DNA Amp Probe CMS Edit

81210 BRAF Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81210 BRAF Gene 87505 Nfct Agent Detection Gi CMS Edit

81210 BRAF Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81210 BRAF Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81210 BRAF Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81210 BRAF Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81210 BRAF Gene 87512 Gardner Vag DNA Quant CMS Edit

81210 BRAF Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81210 BRAF Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81210 BRAF Gene 87517 Hepatitis B DNA Quant CMS Edit

81210 BRAF Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81210 BRAF Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81210 BRAF Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81210 BRAF Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81210 BRAF Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81210 BRAF Gene 87527 Hepatitis G DNA Quant CMS Edit

81210 BRAF Gene 87528 HSV DNA Dir Probe CMS Edit

81210 BRAF Gene 87529 HSV DNA Amp Probe CMS Edit

81210 BRAF Gene 87530 HSV DNA Quant CMS Edit

81210 BRAF Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81210 BRAF Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81210 BRAF Gene 87533 HHV-6 DNA Quant CMS Edit

81210 BRAF Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81210 BRAF Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81210 BRAF Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81210 BRAF Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81210 BRAF Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81210 BRAF Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81210 BRAF Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81210 BRAF Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81210 BRAF Gene 87542 Legion Pneumo DNA Quant CMS Edit

81210 BRAF Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81210 BRAF Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81210 BRAF Gene 87552 Mycobacteria DNA Quant CMS Edit

81210 BRAF Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81210 BRAF Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81210 BRAF Gene 87557 M.Tuberculo DNA Quant CMS Edit

81210 BRAF Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81210 BRAF Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81210 BRAF Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81210 BRAF Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81210 BRAF Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

Page 25: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81210 BRAF Gene 87582 M.Pneumon DNA Quant CMS Edit

81210 BRAF Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81210 BRAF Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81210 BRAF Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81210 BRAF Gene 87623 HPV Low-Risk Types CMS Edit

81210 BRAF Gene 87624 HPV High-Risk Types CMS Edit

81210 BRAF Gene 87625 HPV Types 16 & 18 Only CMS Edit

81210 BRAF Gene 87631 Resp Virus 3-5 Targets CMS Edit

81210 BRAF Gene 87632 Resp Virus 6-11 Targets CMS Edit

81210 BRAF Gene 87633 Resp Virus 12-25 Targets CMS Edit

81210 BRAF Gene 87640 Staph A DNA Amp Probe CMS Edit

81210 BRAF Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81210 BRAF Gene 87650 Strep A DNA Dir Probe CMS Edit

81210 BRAF Gene 87651 Strep A DNA Amp Probe CMS Edit

81210 BRAF Gene 87652 Strep A DNA Quant CMS Edit

81210 BRAF Gene 87653 Strep B DNA Amp Probe CMS Edit

81210 BRAF Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81210 BRAF Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81210 BRAF Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81210 BRAF Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81210 BRAF Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81210 BRAF Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81210 BRAF Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81210 BRAF Gene 88271 Cytogenetics DNA Probe CMS Edit

81210 BRAF Gene 88272 Cytogenetics 3-5 CMS Edit

81210 BRAF Gene 88273 Cytogenetics 10-30 CMS Edit

81210 BRAF Gene 88274 Cytogenetics 25-99 CMS Edit

81210 BRAF Gene 88275 Cytogenetics 100-300 CMS Edit

81210 BRAF Gene 88291 Cyto/Molecular Report CMS Edit

81210 BRAF Gene 88364 Insitu Hybridization (Fish) CMS Edit

81210 BRAF Gene 88365 Insitu Hybridization (Fish) CMS Edit

81210 BRAF Gene 88366 Insitu Hybridization (Fish) CMS Edit

81210 BRAF Gene 88367 Insitu Hybridization Auto CMS Edit

81210 BRAF Gene 88368 Insitu Hybridization Manual CMS Edit

81210 BRAF Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81210 BRAF Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81210 BRAF Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81210 BRAF Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81210 BRAF Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81211 BRCA1&2 Seq & Com Dup/Del 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 81215 BRCA1 Gene Known Fam Variant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 81216 BRCA2 Gene Full Sequence CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 81217 BRCA2 Gene Known Fam Variant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87149 DNA/RNA Direct Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87150 DNA/RNA Amplified Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87152 Culture Type Pulse Field Gel CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87153 DNA/RNA Sequencing CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87470 Bartonella DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87471 Bartonella DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87472 Bartonella DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87475 Lyme Dis DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87476 Lyme Dis DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87477 Lyme Dis DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87480 Candida DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87481 Candida DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87482 Candida DNA Quant CMS Edit

Page 26: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81211 BRCA1&2 Seq & Com Dup/Del 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81211 BRCA1&2 Seq & Com Dup/Del 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87487 Chylmd Pneum DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87490 Chylmd Trach DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87491 Chylmd Trach DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87492 Chylmd Trach DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87493 C Diff Amplified Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87495 Cytomeg DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87496 Cytomeg DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87497 Cytomeg DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87498 Enterovirus Probe&Revrs Trns CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87500 Vanomycin DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87501 Influenza DNA Amp Prob 1+ CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87502 Influenza DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87503 Influenza DNA Amp Prob Addl CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87505 Nfct Agent Detection Gi CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87510 Gardner Vag DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87511 Gardner Vag DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87512 Gardner Vag DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87515 Hepatitis B DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87516 Hepatitis B DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87517 Hepatitis B DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87520 Hepatitis C RNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87525 Hepatitis G DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87526 Hepatitis G DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87527 Hepatitis G DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87528 HSV DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87529 HSV DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87530 HSV DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87531 HHV-6 DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87532 HHV-6 DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87533 HHV-6 DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87534 HIV-1 DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87537 HIV-2 DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87540 Legion Pneumo DNA Dir Prob CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87541 Legion Pneumo DNA Amp Prob CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87542 Legion Pneumo DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87550 Mycobacteria DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87551 Mycobacteria DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87552 Mycobacteria DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87555 M.Tuberculo DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87556 M.Tuberculo DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87557 M.Tuberculo DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87562 M.Avium-Intra DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87580 M.Pneumon DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87581 M.Pneumon DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87582 M.Pneumon DNA Quant CMS Edit

Page 27: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81211 BRCA1&2 Seq & Com Dup/Del 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87592 N.Gonorrhoeae DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87623 HPV Low-Risk Types CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87624 HPV High-Risk Types CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87625 HPV Types 16 & 18 Only CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87631 Resp Virus 3-5 Targets CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87632 Resp Virus 6-11 Targets CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87633 Resp Virus 12-25 Targets CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87640 Staph A DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87641 Mr-Staph DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87650 Strep A DNA Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87651 Strep A DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87652 Strep A DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87653 Strep B DNA Amp Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87660 Trichomonas Vagin Dir Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87661 Trichomonas Vaginalis Amplif CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87797 Detect Agent Nos DNA Dir CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87798 Detect Agent Nos DNA Amp CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87799 Detect Agent Nos DNA Quant CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87800 Detect Agnt Mult DNA Direc CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 87801 Detect Agnt Mult DNA Ampli CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88271 Cytogenetics DNA Probe CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88272 Cytogenetics 3-5 CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88273 Cytogenetics 10-30 CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88274 Cytogenetics 25-99 CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88275 Cytogenetics 100-300 CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88291 Cyto/Molecular Report CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88364 Insitu Hybridization (Fish) CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88365 Insitu Hybridization (Fish) CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88366 Insitu Hybridization (Fish) CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88367 Insitu Hybridization Auto CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88368 Insitu Hybridization Manual CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81211 BRCA1&2 Seq & Com Dup/Del G0476 HPV Combo Assay Ca Screen CMS Edit**81212 BRCA1&2 185&5385&6174 Var 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81212 BRCA1&2 185&5385&6174 Var 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81212 BRCA1&2 185&5385&6174 Var 81215 BRCA1 Gene Known Fam Variant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 81216 BRCA2 Gene Full Sequence CMS Edit

81212 BRCA1&2 185&5385&6174 Var 81217 BRCA2 Gene Known Fam Variant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87149 DNA/RNA Direct Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87150 DNA/RNA Amplified Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87152 Culture Type Pulse Field Gel CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87153 DNA/RNA Sequencing CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87470 Bartonella DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87471 Bartonella DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87472 Bartonella DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87475 Lyme Dis DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87476 Lyme Dis DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87477 Lyme Dis DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87480 Candida DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87481 Candida DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87482 Candida DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81212 BRCA1&2 185&5385&6174 Var 87485 Chylmd Pneum DNA Dir Probe CMS Edit

Page 28: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81212 BRCA1&2 185&5385&6174 Var 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87487 Chylmd Pneum DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87490 Chylmd Trach DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87491 Chylmd Trach DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87492 Chylmd Trach DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87493 C Diff Amplified Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87495 Cytomeg DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87496 Cytomeg DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87497 Cytomeg DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87498 Enterovirus Probe&Revrs Trns CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87500 Vanomycin DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87501 Influenza DNA Amp Prob 1+ CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87502 Influenza DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87503 Influenza DNA Amp Prob Addl CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87505 Nfct Agent Detection Gi CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87510 Gardner Vag DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87511 Gardner Vag DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87512 Gardner Vag DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87515 Hepatitis B DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87516 Hepatitis B DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87517 Hepatitis B DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87520 Hepatitis C RNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87525 Hepatitis G DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87526 Hepatitis G DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87527 Hepatitis G DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87528 HSV DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87529 HSV DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87530 HSV DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87531 HHV-6 DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87532 HHV-6 DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87533 HHV-6 DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87534 HIV-1 DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87537 HIV-2 DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87540 Legion Pneumo DNA Dir Prob CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87541 Legion Pneumo DNA Amp Prob CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87542 Legion Pneumo DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87550 Mycobacteria DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87551 Mycobacteria DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87552 Mycobacteria DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87555 M.Tuberculo DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87556 M.Tuberculo DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87557 M.Tuberculo DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87562 M.Avium-Intra DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87580 M.Pneumon DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87581 M.Pneumon DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87582 M.Pneumon DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

Page 29: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81212 BRCA1&2 185&5385&6174 Var 87592 N.Gonorrhoeae DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87623 HPV Low-Risk Types CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87624 HPV High-Risk Types CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87625 HPV Types 16 & 18 Only CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87631 Resp Virus 3-5 Targets CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87632 Resp Virus 6-11 Targets CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87633 Resp Virus 12-25 Targets CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87640 Staph A DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87641 Mr-Staph DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87650 Strep A DNA Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87651 Strep A DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87652 Strep A DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87653 Strep B DNA Amp Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87660 Trichomonas Vagin Dir Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87661 Trichomonas Vaginalis Amplif CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87797 Detect Agent Nos DNA Dir CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87798 Detect Agent Nos DNA Amp CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87799 Detect Agent Nos DNA Quant CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87800 Detect Agnt Mult DNA Direc CMS Edit

81212 BRCA1&2 185&5385&6174 Var 87801 Detect Agnt Mult DNA Ampli CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88271 Cytogenetics DNA Probe CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88272 Cytogenetics 3-5 CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88273 Cytogenetics 10-30 CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88274 Cytogenetics 25-99 CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88275 Cytogenetics 100-300 CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88291 Cyto/Molecular Report CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88364 Insitu Hybridization (Fish) CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88365 Insitu Hybridization (Fish) CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88366 Insitu Hybridization (Fish) CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88367 Insitu Hybridization Auto CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88368 Insitu Hybridization Manual CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81212 BRCA1&2 185&5385&6174 Var 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81212 BRCA1&2 185&5385&6174 Var G0476 HPV Combo Assay Ca Screen CMS Edit**81213 BRCA1&2 Uncom Dup/Del Var 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 81215 BRCA1 Gene Known Fam Variant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 81216 BRCA2 Gene Full Sequence CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 81217 BRCA2 Gene Known Fam Variant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87149 DNA/RNA Direct Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87150 DNA/RNA Amplified Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87152 Culture Type Pulse Field Gel CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87153 DNA/RNA Sequencing CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87470 Bartonella DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87471 Bartonella DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87472 Bartonella DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87475 Lyme Dis DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87476 Lyme Dis DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87477 Lyme Dis DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87480 Candida DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87481 Candida DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87482 Candida DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81213 BRCA1&2 Uncom Dup/Del Var 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87487 Chylmd Pneum DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87490 Chylmd Trach DNA Dir Probe CMS Edit

Page 30: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81213 BRCA1&2 Uncom Dup/Del Var 87491 Chylmd Trach DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87492 Chylmd Trach DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87493 C Diff Amplified Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87495 Cytomeg DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87496 Cytomeg DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87497 Cytomeg DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87498 Enterovirus Probe&Revrs Trns CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87500 Vanomycin DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87501 Influenza DNA Amp Prob 1+ CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87502 Influenza DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87503 Influenza DNA Amp Prob Addl CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87505 Nfct Agent Detection Gi CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87510 Gardner Vag DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87511 Gardner Vag DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87512 Gardner Vag DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87515 Hepatitis B DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87516 Hepatitis B DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87517 Hepatitis B DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87520 Hepatitis C RNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87525 Hepatitis G DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87526 Hepatitis G DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87527 Hepatitis G DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87528 HSV DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87529 HSV DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87530 HSV DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87531 HHV-6 DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87532 HHV-6 DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87533 HHV-6 DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87534 HIV-1 DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87537 HIV-2 DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87540 Legion Pneumo DNA Dir Prob CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87541 Legion Pneumo DNA Amp Prob CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87542 Legion Pneumo DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87550 Mycobacteria DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87551 Mycobacteria DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87552 Mycobacteria DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87555 M.Tuberculo DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87556 M.Tuberculo DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87557 M.Tuberculo DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87562 M.Avium-Intra DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87580 M.Pneumon DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87581 M.Pneumon DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87582 M.Pneumon DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87592 N.Gonorrhoeae DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87623 HPV Low-Risk Types CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87624 HPV High-Risk Types CMS Edit

Page 31: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81213 BRCA1&2 Uncom Dup/Del Var 87625 HPV Types 16 & 18 Only CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87631 Resp Virus 3-5 Targets CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87632 Resp Virus 6-11 Targets CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87633 Resp Virus 12-25 Targets CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87640 Staph A DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87641 Mr-Staph DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87650 Strep A DNA Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87651 Strep A DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87652 Strep A DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87653 Strep B DNA Amp Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87660 Trichomonas Vagin Dir Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87661 Trichomonas Vaginalis Amplif CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87797 Detect Agent Nos DNA Dir CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87798 Detect Agent Nos DNA Amp CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87799 Detect Agent Nos DNA Quant CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87800 Detect Agnt Mult DNA Direc CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 87801 Detect Agnt Mult DNA Ampli CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88271 Cytogenetics DNA Probe CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88272 Cytogenetics 3-5 CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88273 Cytogenetics 10-30 CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88274 Cytogenetics 25-99 CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88275 Cytogenetics 100-300 CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88291 Cyto/Molecular Report CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88364 Insitu Hybridization (Fish) CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88365 Insitu Hybridization (Fish) CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88366 Insitu Hybridization (Fish) CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88367 Insitu Hybridization Auto CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88368 Insitu Hybridization Manual CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81213 BRCA1&2 Uncom Dup/Del Var G0476 HPV Combo Assay Ca Screen CMS Edit**81214 BRCA1 Full Seq & Com Dup/Del 81215 BRCA1 Gene Known Fam Variant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 81216 BRCA2 Gene Full Sequence CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 81217 BRCA2 Gene Known Fam Variant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87149 DNA/RNA Direct Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87150 DNA/RNA Amplified Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87152 Culture Type Pulse Field Gel CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87153 DNA/RNA Sequencing CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87470 Bartonella DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87471 Bartonella DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87472 Bartonella DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87475 Lyme Dis DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87476 Lyme Dis DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87477 Lyme Dis DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87480 Candida DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87481 Candida DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87482 Candida DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81214 BRCA1 Full Seq & Com Dup/Del 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87487 Chylmd Pneum DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87490 Chylmd Trach DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87491 Chylmd Trach DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87492 Chylmd Trach DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87493 C Diff Amplified Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87495 Cytomeg DNA Dir Probe CMS Edit

Page 32: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81214 BRCA1 Full Seq & Com Dup/Del 87496 Cytomeg DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87497 Cytomeg DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87498 Enterovirus Probe&Revrs Trns CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87500 Vanomycin DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87501 Influenza DNA Amp Prob 1+ CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87502 Influenza DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87503 Influenza DNA Amp Prob Addl CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87505 Nfct Agent Detection Gi CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87510 Gardner Vag DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87511 Gardner Vag DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87512 Gardner Vag DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87515 Hepatitis B DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87516 Hepatitis B DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87517 Hepatitis B DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87520 Hepatitis C RNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87525 Hepatitis G DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87526 Hepatitis G DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87527 Hepatitis G DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87528 HSV DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87529 HSV DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87530 HSV DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87531 HHV-6 DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87532 HHV-6 DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87533 HHV-6 DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87534 HIV-1 DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87537 HIV-2 DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87540 Legion Pneumo DNA Dir Prob CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87541 Legion Pneumo DNA Amp Prob CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87542 Legion Pneumo DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87550 Mycobacteria DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87551 Mycobacteria DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87552 Mycobacteria DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87555 M.Tuberculo DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87556 M.Tuberculo DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87557 M.Tuberculo DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87562 M.Avium-Intra DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87580 M.Pneumon DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87581 M.Pneumon DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87582 M.Pneumon DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87592 N.Gonorrhoeae DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87623 HPV Low-Risk Types CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87624 HPV High-Risk Types CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87625 HPV Types 16 & 18 Only CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87631 Resp Virus 3-5 Targets CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87632 Resp Virus 6-11 Targets CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87633 Resp Virus 12-25 Targets CMS Edit

Page 33: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81214 BRCA1 Full Seq & Com Dup/Del 87640 Staph A DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87641 Mr-Staph DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87650 Strep A DNA Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87651 Strep A DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87652 Strep A DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87653 Strep B DNA Amp Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87660 Trichomonas Vagin Dir Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87661 Trichomonas Vaginalis Amplif CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87797 Detect Agent Nos DNA Dir CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87798 Detect Agent Nos DNA Amp CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87799 Detect Agent Nos DNA Quant CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87800 Detect Agnt Mult DNA Direc CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 87801 Detect Agnt Mult DNA Ampli CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88271 Cytogenetics DNA Probe CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88272 Cytogenetics 3-5 CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88273 Cytogenetics 10-30 CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88274 Cytogenetics 25-99 CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88275 Cytogenetics 100-300 CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88291 Cyto/Molecular Report CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88364 Insitu Hybridization (Fish) CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88365 Insitu Hybridization (Fish) CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88366 Insitu Hybridization (Fish) CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88367 Insitu Hybridization Auto CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88368 Insitu Hybridization Manual CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81214 BRCA1 Full Seq & Com Dup/Del G0476 HPV Combo Assay Ca Screen CMS Edit**81215 BRCA1 Gene Known Fam Variant 81216 BRCA2 Gene Full Sequence CMS Edit

81215 BRCA1 Gene Known Fam Variant 81217 BRCA2 Gene Known Fam Variant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87149 DNA/RNA Direct Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87150 DNA/RNA Amplified Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87152 Culture Type Pulse Field Gel CMS Edit

81215 BRCA1 Gene Known Fam Variant 87153 DNA/RNA Sequencing CMS Edit

81215 BRCA1 Gene Known Fam Variant 87470 Bartonella DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87471 Bartonella DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87472 Bartonella DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87477 Lyme Dis DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87480 Candida DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87481 Candida DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87482 Candida DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81215 BRCA1 Gene Known Fam Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87492 Chylmd Trach DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87493 C Diff Amplified Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87497 Cytomeg DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81215 BRCA1 Gene Known Fam Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

Page 34: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

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81215 BRCA1 Gene Known Fam Variant 87502 Influenza DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81215 BRCA1 Gene Known Fam Variant 87505 Nfct Agent Detection Gi CMS Edit

81215 BRCA1 Gene Known Fam Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81215 BRCA1 Gene Known Fam Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81215 BRCA1 Gene Known Fam Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87512 Gardner Vag DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87517 Hepatitis B DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81215 BRCA1 Gene Known Fam Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81215 BRCA1 Gene Known Fam Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87527 Hepatitis G DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87528 HSV DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87529 HSV DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87530 HSV DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87533 HHV-6 DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81215 BRCA1 Gene Known Fam Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81215 BRCA1 Gene Known Fam Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81215 BRCA1 Gene Known Fam Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81215 BRCA1 Gene Known Fam Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81215 BRCA1 Gene Known Fam Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81215 BRCA1 Gene Known Fam Variant 87542 Legion Pneumo DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87552 Mycobacteria DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87557 M.Tuberculo DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81215 BRCA1 Gene Known Fam Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81215 BRCA1 Gene Known Fam Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87582 M.Pneumon DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81215 BRCA1 Gene Known Fam Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81215 BRCA1 Gene Known Fam Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87623 HPV Low-Risk Types CMS Edit

81215 BRCA1 Gene Known Fam Variant 87624 HPV High-Risk Types CMS Edit

81215 BRCA1 Gene Known Fam Variant 87625 HPV Types 16 & 18 Only CMS Edit

81215 BRCA1 Gene Known Fam Variant 87631 Resp Virus 3-5 Targets CMS Edit

81215 BRCA1 Gene Known Fam Variant 87632 Resp Virus 6-11 Targets CMS Edit

81215 BRCA1 Gene Known Fam Variant 87633 Resp Virus 12-25 Targets CMS Edit

81215 BRCA1 Gene Known Fam Variant 87640 Staph A DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87650 Strep A DNA Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87651 Strep A DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87652 Strep A DNA Quant CMS Edit

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Code Code Description Code Code Description Source

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81215 BRCA1 Gene Known Fam Variant 87653 Strep B DNA Amp Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81215 BRCA1 Gene Known Fam Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81215 BRCA1 Gene Known Fam Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81215 BRCA1 Gene Known Fam Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81215 BRCA1 Gene Known Fam Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81215 BRCA1 Gene Known Fam Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81215 BRCA1 Gene Known Fam Variant 88271 Cytogenetics DNA Probe CMS Edit

81215 BRCA1 Gene Known Fam Variant 88272 Cytogenetics 3-5 CMS Edit

81215 BRCA1 Gene Known Fam Variant 88273 Cytogenetics 10-30 CMS Edit

81215 BRCA1 Gene Known Fam Variant 88274 Cytogenetics 25-99 CMS Edit

81215 BRCA1 Gene Known Fam Variant 88275 Cytogenetics 100-300 CMS Edit

81215 BRCA1 Gene Known Fam Variant 88291 Cyto/Molecular Report CMS Edit

81215 BRCA1 Gene Known Fam Variant 88364 Insitu Hybridization (Fish) CMS Edit

81215 BRCA1 Gene Known Fam Variant 88365 Insitu Hybridization (Fish) CMS Edit

81215 BRCA1 Gene Known Fam Variant 88366 Insitu Hybridization (Fish) CMS Edit

81215 BRCA1 Gene Known Fam Variant 88367 Insitu Hybridization Auto CMS Edit

81215 BRCA1 Gene Known Fam Variant 88368 Insitu Hybridization Manual CMS Edit

81215 BRCA1 Gene Known Fam Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81215 BRCA1 Gene Known Fam Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81215 BRCA1 Gene Known Fam Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81215 BRCA1 Gene Known Fam Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81215 BRCA1 Gene Known Fam Variant G0476 HPV Combo Assay Ca Screen CMS Edit**81216 BRCA2 Gene Full Sequence 81217 BRCA2 Gene Known Fam Variant CMS Edit

81216 BRCA2 Gene Full Sequence 87149 DNA/RNA Direct Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87150 DNA/RNA Amplified Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87152 Culture Type Pulse Field Gel CMS Edit

81216 BRCA2 Gene Full Sequence 87153 DNA/RNA Sequencing CMS Edit

81216 BRCA2 Gene Full Sequence 87470 Bartonella DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87471 Bartonella DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87472 Bartonella DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87475 Lyme Dis DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87476 Lyme Dis DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87477 Lyme Dis DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87480 Candida DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87481 Candida DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87482 Candida DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81216 BRCA2 Gene Full Sequence 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87487 Chylmd Pneum DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87490 Chylmd Trach DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87491 Chylmd Trach DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87492 Chylmd Trach DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87493 C Diff Amplified Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87495 Cytomeg DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87496 Cytomeg DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87497 Cytomeg DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87498 Enterovirus Probe&Revrs Trns CMS Edit

81216 BRCA2 Gene Full Sequence 87500 Vanomycin DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87501 Influenza DNA Amp Prob 1+ CMS Edit

81216 BRCA2 Gene Full Sequence 87502 Influenza DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87503 Influenza DNA Amp Prob Addl CMS Edit

81216 BRCA2 Gene Full Sequence 87505 Nfct Agent Detection Gi CMS Edit

81216 BRCA2 Gene Full Sequence 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81216 BRCA2 Gene Full Sequence 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81216 BRCA2 Gene Full Sequence 87510 Gardner Vag DNA Dir Probe CMS Edit

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Code Code Description Code Code Description Source

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81216 BRCA2 Gene Full Sequence 87511 Gardner Vag DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87512 Gardner Vag DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87515 Hepatitis B DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87516 Hepatitis B DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87517 Hepatitis B DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87520 Hepatitis C RNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81216 BRCA2 Gene Full Sequence 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81216 BRCA2 Gene Full Sequence 87525 Hepatitis G DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87526 Hepatitis G DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87527 Hepatitis G DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87528 HSV DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87529 HSV DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87530 HSV DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87531 HHV-6 DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87532 HHV-6 DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87533 HHV-6 DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87534 HIV-1 DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81216 BRCA2 Gene Full Sequence 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81216 BRCA2 Gene Full Sequence 87537 HIV-2 DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81216 BRCA2 Gene Full Sequence 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81216 BRCA2 Gene Full Sequence 87540 Legion Pneumo DNA Dir Prob CMS Edit

81216 BRCA2 Gene Full Sequence 87541 Legion Pneumo DNA Amp Prob CMS Edit

81216 BRCA2 Gene Full Sequence 87542 Legion Pneumo DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87550 Mycobacteria DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87551 Mycobacteria DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87552 Mycobacteria DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87555 M.Tuberculo DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87556 M.Tuberculo DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87557 M.Tuberculo DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81216 BRCA2 Gene Full Sequence 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81216 BRCA2 Gene Full Sequence 87562 M.Avium-Intra DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87580 M.Pneumon DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87581 M.Pneumon DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87582 M.Pneumon DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81216 BRCA2 Gene Full Sequence 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81216 BRCA2 Gene Full Sequence 87592 N.Gonorrhoeae DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87623 HPV Low-Risk Types CMS Edit

81216 BRCA2 Gene Full Sequence 87624 HPV High-Risk Types CMS Edit

81216 BRCA2 Gene Full Sequence 87625 HPV Types 16 & 18 Only CMS Edit

81216 BRCA2 Gene Full Sequence 87631 Resp Virus 3-5 Targets CMS Edit

81216 BRCA2 Gene Full Sequence 87632 Resp Virus 6-11 Targets CMS Edit

81216 BRCA2 Gene Full Sequence 87633 Resp Virus 12-25 Targets CMS Edit

81216 BRCA2 Gene Full Sequence 87640 Staph A DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87641 Mr-Staph DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87650 Strep A DNA Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87651 Strep A DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87652 Strep A DNA Quant CMS Edit

81216 BRCA2 Gene Full Sequence 87653 Strep B DNA Amp Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87660 Trichomonas Vagin Dir Probe CMS Edit

81216 BRCA2 Gene Full Sequence 87661 Trichomonas Vaginalis Amplif CMS Edit

81216 BRCA2 Gene Full Sequence 87797 Detect Agent Nos DNA Dir CMS Edit

81216 BRCA2 Gene Full Sequence 87798 Detect Agent Nos DNA Amp CMS Edit

81216 BRCA2 Gene Full Sequence 87799 Detect Agent Nos DNA Quant CMS Edit

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Code Code Description Code Code Description Source

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81216 BRCA2 Gene Full Sequence 87800 Detect Agnt Mult DNA Direc CMS Edit

81216 BRCA2 Gene Full Sequence 87801 Detect Agnt Mult DNA Ampli CMS Edit

81216 BRCA2 Gene Full Sequence 88271 Cytogenetics DNA Probe CMS Edit

81216 BRCA2 Gene Full Sequence 88272 Cytogenetics 3-5 CMS Edit

81216 BRCA2 Gene Full Sequence 88273 Cytogenetics 10-30 CMS Edit

81216 BRCA2 Gene Full Sequence 88274 Cytogenetics 25-99 CMS Edit

81216 BRCA2 Gene Full Sequence 88275 Cytogenetics 100-300 CMS Edit

81216 BRCA2 Gene Full Sequence 88291 Cyto/Molecular Report CMS Edit

81216 BRCA2 Gene Full Sequence 88364 Insitu Hybridization (Fish) CMS Edit

81216 BRCA2 Gene Full Sequence 88365 Insitu Hybridization (Fish) CMS Edit

81216 BRCA2 Gene Full Sequence 88366 Insitu Hybridization (Fish) CMS Edit

81216 BRCA2 Gene Full Sequence 88367 Insitu Hybridization Auto CMS Edit

81216 BRCA2 Gene Full Sequence 88368 Insitu Hybridization Manual CMS Edit

81216 BRCA2 Gene Full Sequence 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81216 BRCA2 Gene Full Sequence 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81216 BRCA2 Gene Full Sequence 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81216 BRCA2 Gene Full Sequence 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81216 BRCA2 Gene Full Sequence G0476 HPV Combo Assay Ca Screen CMS Edit**81217 BRCA2 Gene Known Fam Variant 87149 DNA/RNA Direct Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87150 DNA/RNA Amplified Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87152 Culture Type Pulse Field Gel CMS Edit

81217 BRCA2 Gene Known Fam Variant 87153 DNA/RNA Sequencing CMS Edit

81217 BRCA2 Gene Known Fam Variant 87470 Bartonella DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87471 Bartonella DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87472 Bartonella DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87477 Lyme Dis DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87480 Candida DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87481 Candida DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87482 Candida DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81217 BRCA2 Gene Known Fam Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87492 Chylmd Trach DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87493 C Diff Amplified Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87497 Cytomeg DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81217 BRCA2 Gene Known Fam Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81217 BRCA2 Gene Known Fam Variant 87502 Influenza DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81217 BRCA2 Gene Known Fam Variant 87505 Nfct Agent Detection Gi CMS Edit

81217 BRCA2 Gene Known Fam Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81217 BRCA2 Gene Known Fam Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81217 BRCA2 Gene Known Fam Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87512 Gardner Vag DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87517 Hepatitis B DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

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Code Code Description Code Code Description Source

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81217 BRCA2 Gene Known Fam Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81217 BRCA2 Gene Known Fam Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87527 Hepatitis G DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87528 HSV DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87529 HSV DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87530 HSV DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87533 HHV-6 DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81217 BRCA2 Gene Known Fam Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81217 BRCA2 Gene Known Fam Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81217 BRCA2 Gene Known Fam Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81217 BRCA2 Gene Known Fam Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81217 BRCA2 Gene Known Fam Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81217 BRCA2 Gene Known Fam Variant 87542 Legion Pneumo DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87552 Mycobacteria DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87557 M.Tuberculo DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81217 BRCA2 Gene Known Fam Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81217 BRCA2 Gene Known Fam Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87582 M.Pneumon DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81217 BRCA2 Gene Known Fam Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81217 BRCA2 Gene Known Fam Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87623 HPV Low-Risk Types CMS Edit

81217 BRCA2 Gene Known Fam Variant 87624 HPV High-Risk Types CMS Edit

81217 BRCA2 Gene Known Fam Variant 87625 HPV Types 16 & 18 Only CMS Edit

81217 BRCA2 Gene Known Fam Variant 87631 Resp Virus 3-5 Targets CMS Edit

81217 BRCA2 Gene Known Fam Variant 87632 Resp Virus 6-11 Targets CMS Edit

81217 BRCA2 Gene Known Fam Variant 87633 Resp Virus 12-25 Targets CMS Edit

81217 BRCA2 Gene Known Fam Variant 87640 Staph A DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87650 Strep A DNA Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87651 Strep A DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87652 Strep A DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87653 Strep B DNA Amp Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81217 BRCA2 Gene Known Fam Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81217 BRCA2 Gene Known Fam Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81217 BRCA2 Gene Known Fam Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81217 BRCA2 Gene Known Fam Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81217 BRCA2 Gene Known Fam Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81217 BRCA2 Gene Known Fam Variant 88271 Cytogenetics DNA Probe CMS Edit

81217 BRCA2 Gene Known Fam Variant 88272 Cytogenetics 3-5 CMS Edit

81217 BRCA2 Gene Known Fam Variant 88273 Cytogenetics 10-30 CMS Edit

81217 BRCA2 Gene Known Fam Variant 88274 Cytogenetics 25-99 CMS Edit

81217 BRCA2 Gene Known Fam Variant 88275 Cytogenetics 100-300 CMS Edit

Page 39: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81217 BRCA2 Gene Known Fam Variant 88291 Cyto/Molecular Report CMS Edit

81217 BRCA2 Gene Known Fam Variant 88364 Insitu Hybridization (Fish) CMS Edit

81217 BRCA2 Gene Known Fam Variant 88365 Insitu Hybridization (Fish) CMS Edit

81217 BRCA2 Gene Known Fam Variant 88366 Insitu Hybridization (Fish) CMS Edit

81217 BRCA2 Gene Known Fam Variant 88367 Insitu Hybridization Auto CMS Edit

81217 BRCA2 Gene Known Fam Variant 88368 Insitu Hybridization Manual CMS Edit

81217 BRCA2 Gene Known Fam Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81217 BRCA2 Gene Known Fam Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81217 BRCA2 Gene Known Fam Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81217 BRCA2 Gene Known Fam Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81217 BRCA2 Gene Known Fam Variant G0476 HPV Combo Assay Ca Screen CMS Edit**81218 Cebpa Gene Full Sequence 87149 DNA/RNA Direct Probe CMS Edit

81218 Cebpa Gene Full Sequence 87150 DNA/RNA Amplified Probe CMS Edit

81218 Cebpa Gene Full Sequence 87152 Culture Type Pulse Field Gel CMS Edit

81218 Cebpa Gene Full Sequence 87153 DNA/RNA Sequencing CMS Edit

81218 Cebpa Gene Full Sequence 87470 Bartonella DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87471 Bartonella DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87472 Bartonella DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87475 Lyme Dis DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87476 Lyme Dis DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87477 Lyme Dis DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87480 Candida DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87481 Candida DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87482 Candida DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81218 Cebpa Gene Full Sequence 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87487 Chylmd Pneum DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87490 Chylmd Trach DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87491 Chylmd Trach DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87492 Chylmd Trach DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87493 C Diff Amplified Probe CMS Edit

81218 Cebpa Gene Full Sequence 87495 Cytomeg DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87496 Cytomeg DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87497 Cytomeg DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87498 Enterovirus Probe&Revrs Trns CMS Edit

81218 Cebpa Gene Full Sequence 87500 Vanomycin DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87501 Influenza DNA Amp Prob 1+ CMS Edit

81218 Cebpa Gene Full Sequence 87502 Influenza DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87503 Influenza DNA Amp Prob Addl CMS Edit

81218 Cebpa Gene Full Sequence 87505 Nfct Agent Detection Gi CMS Edit

81218 Cebpa Gene Full Sequence 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81218 Cebpa Gene Full Sequence 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81218 Cebpa Gene Full Sequence 87510 Gardner Vag DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87511 Gardner Vag DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87512 Gardner Vag DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87515 Hepatitis B DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87516 Hepatitis B DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87517 Hepatitis B DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87520 Hepatitis C RNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81218 Cebpa Gene Full Sequence 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81218 Cebpa Gene Full Sequence 87525 Hepatitis G DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87526 Hepatitis G DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87527 Hepatitis G DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87528 HSV DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87529 HSV DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87530 HSV DNA Quant CMS Edit

Page 40: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81218 Cebpa Gene Full Sequence 87531 HHV-6 DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87532 HHV-6 DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87533 HHV-6 DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87534 HIV-1 DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81218 Cebpa Gene Full Sequence 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81218 Cebpa Gene Full Sequence 87537 HIV-2 DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81218 Cebpa Gene Full Sequence 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81218 Cebpa Gene Full Sequence 87540 Legion Pneumo DNA Dir Prob CMS Edit

81218 Cebpa Gene Full Sequence 87541 Legion Pneumo DNA Amp Prob CMS Edit

81218 Cebpa Gene Full Sequence 87542 Legion Pneumo DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87550 Mycobacteria DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87551 Mycobacteria DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87552 Mycobacteria DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87555 M.Tuberculo DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87556 M.Tuberculo DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87557 M.Tuberculo DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81218 Cebpa Gene Full Sequence 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81218 Cebpa Gene Full Sequence 87562 M.Avium-Intra DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87580 M.Pneumon DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87581 M.Pneumon DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87582 M.Pneumon DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81218 Cebpa Gene Full Sequence 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81218 Cebpa Gene Full Sequence 87592 N.Gonorrhoeae DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87623 HPV Low-Risk Types CMS Edit

81218 Cebpa Gene Full Sequence 87624 HPV High-Risk Types CMS Edit

81218 Cebpa Gene Full Sequence 87625 HPV Types 16 & 18 Only CMS Edit

81218 Cebpa Gene Full Sequence 87631 Resp Virus 3-5 Targets CMS Edit

81218 Cebpa Gene Full Sequence 87632 Resp Virus 6-11 Targets CMS Edit

81218 Cebpa Gene Full Sequence 87633 Resp Virus 12-25 Targets CMS Edit

81218 Cebpa Gene Full Sequence 87640 Staph A DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87641 Mr-Staph DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87650 Strep A DNA Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87651 Strep A DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87652 Strep A DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87653 Strep B DNA Amp Probe CMS Edit

81218 Cebpa Gene Full Sequence 87660 Trichomonas Vagin Dir Probe CMS Edit

81218 Cebpa Gene Full Sequence 87661 Trichomonas Vaginalis Amplif CMS Edit

81218 Cebpa Gene Full Sequence 87797 Detect Agent Nos DNA Dir CMS Edit

81218 Cebpa Gene Full Sequence 87798 Detect Agent Nos DNA Amp CMS Edit

81218 Cebpa Gene Full Sequence 87799 Detect Agent Nos DNA Quant CMS Edit

81218 Cebpa Gene Full Sequence 87800 Detect Agnt Mult DNA Direc CMS Edit

81218 Cebpa Gene Full Sequence 87801 Detect Agnt Mult DNA Ampli CMS Edit

81218 Cebpa Gene Full Sequence 88271 Cytogenetics DNA Probe CMS Edit

81218 Cebpa Gene Full Sequence 88272 Cytogenetics 3-5 CMS Edit

81218 Cebpa Gene Full Sequence 88273 Cytogenetics 10-30 CMS Edit

81218 Cebpa Gene Full Sequence 88274 Cytogenetics 25-99 CMS Edit

81218 Cebpa Gene Full Sequence 88275 Cytogenetics 100-300 CMS Edit

81218 Cebpa Gene Full Sequence 88291 Cyto/Molecular Report CMS Edit

81218 Cebpa Gene Full Sequence 88364 Insitu Hybridization (Fish) CMS Edit

81218 Cebpa Gene Full Sequence 88365 Insitu Hybridization (Fish) CMS Edit

81218 Cebpa Gene Full Sequence 88366 Insitu Hybridization (Fish) CMS Edit

81218 Cebpa Gene Full Sequence 88367 Insitu Hybridization Auto CMS Edit

81218 Cebpa Gene Full Sequence 88368 Insitu Hybridization Manual CMS Edit

81218 Cebpa Gene Full Sequence 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

Page 41: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81218 Cebpa Gene Full Sequence 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81218 Cebpa Gene Full Sequence 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81218 Cebpa Gene Full Sequence 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81218 Cebpa Gene Full Sequence G0476 HPV Combo Assay Ca Screen CMS Edit**81219 CALR Gene Com Variants 87149 DNA/RNA Direct Probe CMS Edit

81219 CALR Gene Com Variants 87150 DNA/RNA Amplified Probe CMS Edit

81219 CALR Gene Com Variants 87152 Culture Type Pulse Field Gel CMS Edit

81219 CALR Gene Com Variants 87153 DNA/RNA Sequencing CMS Edit

81219 CALR Gene Com Variants 87470 Bartonella DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87471 Bartonella DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87472 Bartonella DNA Quant CMS Edit

81219 CALR Gene Com Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87477 Lyme Dis DNA Quant CMS Edit

81219 CALR Gene Com Variants 87480 Candida DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87481 Candida DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87482 Candida DNA Quant CMS Edit

81219 CALR Gene Com Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81219 CALR Gene Com Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81219 CALR Gene Com Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87492 Chylmd Trach DNA Quant CMS Edit

81219 CALR Gene Com Variants 87493 C Diff Amplified Probe CMS Edit

81219 CALR Gene Com Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87497 Cytomeg DNA Quant CMS Edit

81219 CALR Gene Com Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81219 CALR Gene Com Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81219 CALR Gene Com Variants 87502 Influenza DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81219 CALR Gene Com Variants 87505 Nfct Agent Detection Gi CMS Edit

81219 CALR Gene Com Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81219 CALR Gene Com Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81219 CALR Gene Com Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87512 Gardner Vag DNA Quant CMS Edit

81219 CALR Gene Com Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87517 Hepatitis B DNA Quant CMS Edit

81219 CALR Gene Com Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81219 CALR Gene Com Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81219 CALR Gene Com Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87527 Hepatitis G DNA Quant CMS Edit

81219 CALR Gene Com Variants 87528 HSV DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87529 HSV DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87530 HSV DNA Quant CMS Edit

81219 CALR Gene Com Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87533 HHV-6 DNA Quant CMS Edit

81219 CALR Gene Com Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81219 CALR Gene Com Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81219 CALR Gene Com Variants 87537 HIV-2 DNA Dir Probe CMS Edit

Page 42: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81219 CALR Gene Com Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81219 CALR Gene Com Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81219 CALR Gene Com Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81219 CALR Gene Com Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81219 CALR Gene Com Variants 87542 Legion Pneumo DNA Quant CMS Edit

81219 CALR Gene Com Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87552 Mycobacteria DNA Quant CMS Edit

81219 CALR Gene Com Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87557 M.Tuberculo DNA Quant CMS Edit

81219 CALR Gene Com Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81219 CALR Gene Com Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81219 CALR Gene Com Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81219 CALR Gene Com Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87582 M.Pneumon DNA Quant CMS Edit

81219 CALR Gene Com Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81219 CALR Gene Com Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81219 CALR Gene Com Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81219 CALR Gene Com Variants 87623 HPV Low-Risk Types CMS Edit

81219 CALR Gene Com Variants 87624 HPV High-Risk Types CMS Edit

81219 CALR Gene Com Variants 87625 HPV Types 16 & 18 Only CMS Edit

81219 CALR Gene Com Variants 87631 Resp Virus 3-5 Targets CMS Edit

81219 CALR Gene Com Variants 87632 Resp Virus 6-11 Targets CMS Edit

81219 CALR Gene Com Variants 87633 Resp Virus 12-25 Targets CMS Edit

81219 CALR Gene Com Variants 87640 Staph A DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87650 Strep A DNA Dir Probe CMS Edit

81219 CALR Gene Com Variants 87651 Strep A DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87652 Strep A DNA Quant CMS Edit

81219 CALR Gene Com Variants 87653 Strep B DNA Amp Probe CMS Edit

81219 CALR Gene Com Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81219 CALR Gene Com Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81219 CALR Gene Com Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81219 CALR Gene Com Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81219 CALR Gene Com Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81219 CALR Gene Com Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81219 CALR Gene Com Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81219 CALR Gene Com Variants 88271 Cytogenetics DNA Probe CMS Edit

81219 CALR Gene Com Variants 88272 Cytogenetics 3-5 CMS Edit

81219 CALR Gene Com Variants 88273 Cytogenetics 10-30 CMS Edit

81219 CALR Gene Com Variants 88274 Cytogenetics 25-99 CMS Edit

81219 CALR Gene Com Variants 88275 Cytogenetics 100-300 CMS Edit

81219 CALR Gene Com Variants 88291 Cyto/Molecular Report CMS Edit

81219 CALR Gene Com Variants 88364 Insitu Hybridization (Fish) CMS Edit

81219 CALR Gene Com Variants 88365 Insitu Hybridization (Fish) CMS Edit

81219 CALR Gene Com Variants 88366 Insitu Hybridization (Fish) CMS Edit

81219 CALR Gene Com Variants 88367 Insitu Hybridization Auto CMS Edit

81219 CALR Gene Com Variants 88368 Insitu Hybridization Manual CMS Edit

81219 CALR Gene Com Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81219 CALR Gene Com Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81219 CALR Gene Com Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81219 CALR Gene Com Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81219 CALR Gene Com Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81220 CFTR Gene Com Variants 81221 CFTR Gene Known Fam Variants CMS Edit

81220 CFTR Gene Com Variants 81222 CFTR Gene Dup/Delet Variants CMS Edit

81220 CFTR Gene Com Variants 87149 DNA/RNA Direct Probe CMS Edit

Page 43: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81220 CFTR Gene Com Variants 87150 DNA/RNA Amplified Probe CMS Edit

81220 CFTR Gene Com Variants 87152 Culture Type Pulse Field Gel CMS Edit

81220 CFTR Gene Com Variants 87153 DNA/RNA Sequencing CMS Edit

81220 CFTR Gene Com Variants 87470 Bartonella DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87471 Bartonella DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87472 Bartonella DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87477 Lyme Dis DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87480 Candida DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87481 Candida DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87482 Candida DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81220 CFTR Gene Com Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87492 Chylmd Trach DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87493 C Diff Amplified Probe CMS Edit

81220 CFTR Gene Com Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87497 Cytomeg DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81220 CFTR Gene Com Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81220 CFTR Gene Com Variants 87502 Influenza DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81220 CFTR Gene Com Variants 87505 Nfct Agent Detection Gi CMS Edit

81220 CFTR Gene Com Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81220 CFTR Gene Com Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81220 CFTR Gene Com Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87512 Gardner Vag DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87517 Hepatitis B DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81220 CFTR Gene Com Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81220 CFTR Gene Com Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87527 Hepatitis G DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87528 HSV DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87529 HSV DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87530 HSV DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87533 HHV-6 DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81220 CFTR Gene Com Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81220 CFTR Gene Com Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81220 CFTR Gene Com Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81220 CFTR Gene Com Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81220 CFTR Gene Com Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81220 CFTR Gene Com Variants 87542 Legion Pneumo DNA Quant CMS Edit

Page 44: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81220 CFTR Gene Com Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87552 Mycobacteria DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87557 M.Tuberculo DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81220 CFTR Gene Com Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81220 CFTR Gene Com Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87582 M.Pneumon DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81220 CFTR Gene Com Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81220 CFTR Gene Com Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87623 HPV Low-Risk Types CMS Edit

81220 CFTR Gene Com Variants 87624 HPV High-Risk Types CMS Edit

81220 CFTR Gene Com Variants 87625 HPV Types 16 & 18 Only CMS Edit

81220 CFTR Gene Com Variants 87631 Resp Virus 3-5 Targets CMS Edit

81220 CFTR Gene Com Variants 87632 Resp Virus 6-11 Targets CMS Edit

81220 CFTR Gene Com Variants 87633 Resp Virus 12-25 Targets CMS Edit

81220 CFTR Gene Com Variants 87640 Staph A DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87650 Strep A DNA Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87651 Strep A DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87652 Strep A DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87653 Strep B DNA Amp Probe CMS Edit

81220 CFTR Gene Com Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81220 CFTR Gene Com Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81220 CFTR Gene Com Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81220 CFTR Gene Com Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81220 CFTR Gene Com Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81220 CFTR Gene Com Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81220 CFTR Gene Com Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81220 CFTR Gene Com Variants 88271 Cytogenetics DNA Probe CMS Edit

81220 CFTR Gene Com Variants 88272 Cytogenetics 3-5 CMS Edit

81220 CFTR Gene Com Variants 88273 Cytogenetics 10-30 CMS Edit

81220 CFTR Gene Com Variants 88274 Cytogenetics 25-99 CMS Edit

81220 CFTR Gene Com Variants 88275 Cytogenetics 100-300 CMS Edit

81220 CFTR Gene Com Variants 88291 Cyto/Molecular Report CMS Edit

81220 CFTR Gene Com Variants 88364 Insitu Hybridization (Fish) CMS Edit

81220 CFTR Gene Com Variants 88365 Insitu Hybridization (Fish) CMS Edit

81220 CFTR Gene Com Variants 88366 Insitu Hybridization (Fish) CMS Edit

81220 CFTR Gene Com Variants 88367 Insitu Hybridization Auto CMS Edit

81220 CFTR Gene Com Variants 88368 Insitu Hybridization Manual CMS Edit

81220 CFTR Gene Com Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81220 CFTR Gene Com Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81220 CFTR Gene Com Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81220 CFTR Gene Com Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81220 CFTR Gene Com Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81221 CFTR Gene Known Fam Variants 81222 CFTR Gene Dup/Delet Variants CMS Edit

81221 CFTR Gene Known Fam Variants 87149 DNA/RNA Direct Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87150 DNA/RNA Amplified Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87152 Culture Type Pulse Field Gel CMS Edit

81221 CFTR Gene Known Fam Variants 87153 DNA/RNA Sequencing CMS Edit

81221 CFTR Gene Known Fam Variants 87470 Bartonella DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87471 Bartonella DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87472 Bartonella DNA Quant CMS Edit

Page 45: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81221 CFTR Gene Known Fam Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87477 Lyme Dis DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87480 Candida DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87481 Candida DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87482 Candida DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81221 CFTR Gene Known Fam Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87492 Chylmd Trach DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87493 C Diff Amplified Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87497 Cytomeg DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81221 CFTR Gene Known Fam Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81221 CFTR Gene Known Fam Variants 87502 Influenza DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81221 CFTR Gene Known Fam Variants 87505 Nfct Agent Detection Gi CMS Edit

81221 CFTR Gene Known Fam Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81221 CFTR Gene Known Fam Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81221 CFTR Gene Known Fam Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87512 Gardner Vag DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87517 Hepatitis B DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81221 CFTR Gene Known Fam Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81221 CFTR Gene Known Fam Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87527 Hepatitis G DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87528 HSV DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87529 HSV DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87530 HSV DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87533 HHV-6 DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81221 CFTR Gene Known Fam Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81221 CFTR Gene Known Fam Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81221 CFTR Gene Known Fam Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81221 CFTR Gene Known Fam Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81221 CFTR Gene Known Fam Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81221 CFTR Gene Known Fam Variants 87542 Legion Pneumo DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87552 Mycobacteria DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87557 M.Tuberculo DNA Quant CMS Edit

Page 46: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81221 CFTR Gene Known Fam Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81221 CFTR Gene Known Fam Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81221 CFTR Gene Known Fam Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87582 M.Pneumon DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81221 CFTR Gene Known Fam Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81221 CFTR Gene Known Fam Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87623 HPV Low-Risk Types CMS Edit

81221 CFTR Gene Known Fam Variants 87624 HPV High-Risk Types CMS Edit

81221 CFTR Gene Known Fam Variants 87625 HPV Types 16 & 18 Only CMS Edit

81221 CFTR Gene Known Fam Variants 87631 Resp Virus 3-5 Targets CMS Edit

81221 CFTR Gene Known Fam Variants 87632 Resp Virus 6-11 Targets CMS Edit

81221 CFTR Gene Known Fam Variants 87633 Resp Virus 12-25 Targets CMS Edit

81221 CFTR Gene Known Fam Variants 87640 Staph A DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87650 Strep A DNA Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87651 Strep A DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87652 Strep A DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87653 Strep B DNA Amp Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81221 CFTR Gene Known Fam Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81221 CFTR Gene Known Fam Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81221 CFTR Gene Known Fam Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81221 CFTR Gene Known Fam Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81221 CFTR Gene Known Fam Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81221 CFTR Gene Known Fam Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81221 CFTR Gene Known Fam Variants 88271 Cytogenetics DNA Probe CMS Edit

81221 CFTR Gene Known Fam Variants 88272 Cytogenetics 3-5 CMS Edit

81221 CFTR Gene Known Fam Variants 88273 Cytogenetics 10-30 CMS Edit

81221 CFTR Gene Known Fam Variants 88274 Cytogenetics 25-99 CMS Edit

81221 CFTR Gene Known Fam Variants 88275 Cytogenetics 100-300 CMS Edit

81221 CFTR Gene Known Fam Variants 88291 Cyto/Molecular Report CMS Edit

81221 CFTR Gene Known Fam Variants 88364 Insitu Hybridization (Fish) CMS Edit

81221 CFTR Gene Known Fam Variants 88365 Insitu Hybridization (Fish) CMS Edit

81221 CFTR Gene Known Fam Variants 88366 Insitu Hybridization (Fish) CMS Edit

81221 CFTR Gene Known Fam Variants 88367 Insitu Hybridization Auto CMS Edit

81221 CFTR Gene Known Fam Variants 88368 Insitu Hybridization Manual CMS Edit

81221 CFTR Gene Known Fam Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81221 CFTR Gene Known Fam Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81221 CFTR Gene Known Fam Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81221 CFTR Gene Known Fam Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81221 CFTR Gene Known Fam Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81222 CFTR Gene Dup/Delet Variants 87149 DNA/RNA Direct Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87150 DNA/RNA Amplified Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87152 Culture Type Pulse Field Gel CMS Edit

81222 CFTR Gene Dup/Delet Variants 87153 DNA/RNA Sequencing CMS Edit

81222 CFTR Gene Dup/Delet Variants 87470 Bartonella DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87471 Bartonella DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87472 Bartonella DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87477 Lyme Dis DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87480 Candida DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87481 Candida DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87482 Candida DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*

Page 47: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81222 CFTR Gene Dup/Delet Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87492 Chylmd Trach DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87493 C Diff Amplified Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87497 Cytomeg DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81222 CFTR Gene Dup/Delet Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81222 CFTR Gene Dup/Delet Variants 87502 Influenza DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81222 CFTR Gene Dup/Delet Variants 87505 Nfct Agent Detection Gi CMS Edit

81222 CFTR Gene Dup/Delet Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81222 CFTR Gene Dup/Delet Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81222 CFTR Gene Dup/Delet Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87512 Gardner Vag DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87517 Hepatitis B DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81222 CFTR Gene Dup/Delet Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81222 CFTR Gene Dup/Delet Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87527 Hepatitis G DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87528 HSV DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87529 HSV DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87530 HSV DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87533 HHV-6 DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81222 CFTR Gene Dup/Delet Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81222 CFTR Gene Dup/Delet Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81222 CFTR Gene Dup/Delet Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81222 CFTR Gene Dup/Delet Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81222 CFTR Gene Dup/Delet Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81222 CFTR Gene Dup/Delet Variants 87542 Legion Pneumo DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87552 Mycobacteria DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87557 M.Tuberculo DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81222 CFTR Gene Dup/Delet Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81222 CFTR Gene Dup/Delet Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87582 M.Pneumon DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

Page 48: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81222 CFTR Gene Dup/Delet Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81222 CFTR Gene Dup/Delet Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87623 HPV Low-Risk Types CMS Edit

81222 CFTR Gene Dup/Delet Variants 87624 HPV High-Risk Types CMS Edit

81222 CFTR Gene Dup/Delet Variants 87625 HPV Types 16 & 18 Only CMS Edit

81222 CFTR Gene Dup/Delet Variants 87631 Resp Virus 3-5 Targets CMS Edit

81222 CFTR Gene Dup/Delet Variants 87632 Resp Virus 6-11 Targets CMS Edit

81222 CFTR Gene Dup/Delet Variants 87633 Resp Virus 12-25 Targets CMS Edit

81222 CFTR Gene Dup/Delet Variants 87640 Staph A DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87650 Strep A DNA Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87651 Strep A DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87652 Strep A DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87653 Strep B DNA Amp Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81222 CFTR Gene Dup/Delet Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81222 CFTR Gene Dup/Delet Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81222 CFTR Gene Dup/Delet Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81222 CFTR Gene Dup/Delet Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81222 CFTR Gene Dup/Delet Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81222 CFTR Gene Dup/Delet Variants 88271 Cytogenetics DNA Probe CMS Edit

81222 CFTR Gene Dup/Delet Variants 88272 Cytogenetics 3-5 CMS Edit

81222 CFTR Gene Dup/Delet Variants 88273 Cytogenetics 10-30 CMS Edit

81222 CFTR Gene Dup/Delet Variants 88274 Cytogenetics 25-99 CMS Edit

81222 CFTR Gene Dup/Delet Variants 88275 Cytogenetics 100-300 CMS Edit

81222 CFTR Gene Dup/Delet Variants 88291 Cyto/Molecular Report CMS Edit

81222 CFTR Gene Dup/Delet Variants 88364 Insitu Hybridization (Fish) CMS Edit

81222 CFTR Gene Dup/Delet Variants 88365 Insitu Hybridization (Fish) CMS Edit

81222 CFTR Gene Dup/Delet Variants 88366 Insitu Hybridization (Fish) CMS Edit

81222 CFTR Gene Dup/Delet Variants 88367 Insitu Hybridization Auto CMS Edit

81222 CFTR Gene Dup/Delet Variants 88368 Insitu Hybridization Manual CMS Edit

81222 CFTR Gene Dup/Delet Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81222 CFTR Gene Dup/Delet Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81222 CFTR Gene Dup/Delet Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81222 CFTR Gene Dup/Delet Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81222 CFTR Gene Dup/Delet Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81223 CFTR Gene Full Sequence 81220 CFTR Gene Com Variants CMS Edit

81223 CFTR Gene Full Sequence 81221 CFTR Gene Known Fam Variants CMS Edit

81223 CFTR Gene Full Sequence 81222 CFTR Gene Dup/Delet Variants CMS Edit

81223 CFTR Gene Full Sequence 87149 DNA/RNA Direct Probe CMS Edit

81223 CFTR Gene Full Sequence 87150 DNA/RNA Amplified Probe CMS Edit

81223 CFTR Gene Full Sequence 87152 Culture Type Pulse Field Gel CMS Edit

81223 CFTR Gene Full Sequence 87153 DNA/RNA Sequencing CMS Edit

81223 CFTR Gene Full Sequence 87470 Bartonella DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87471 Bartonella DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87472 Bartonella DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87475 Lyme Dis DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87476 Lyme Dis DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87477 Lyme Dis DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87480 Candida DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87481 Candida DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87482 Candida DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81223 CFTR Gene Full Sequence 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87487 Chylmd Pneum DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87490 Chylmd Trach DNA Dir Probe CMS Edit

Page 49: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81223 CFTR Gene Full Sequence 87491 Chylmd Trach DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87492 Chylmd Trach DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87493 C Diff Amplified Probe CMS Edit

81223 CFTR Gene Full Sequence 87495 Cytomeg DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87496 Cytomeg DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87497 Cytomeg DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87498 Enterovirus Probe&Revrs Trns CMS Edit

81223 CFTR Gene Full Sequence 87500 Vanomycin DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87501 Influenza DNA Amp Prob 1+ CMS Edit

81223 CFTR Gene Full Sequence 87502 Influenza DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87503 Influenza DNA Amp Prob Addl CMS Edit

81223 CFTR Gene Full Sequence 87505 Nfct Agent Detection Gi CMS Edit

81223 CFTR Gene Full Sequence 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81223 CFTR Gene Full Sequence 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81223 CFTR Gene Full Sequence 87510 Gardner Vag DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87511 Gardner Vag DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87512 Gardner Vag DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87515 Hepatitis B DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87516 Hepatitis B DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87517 Hepatitis B DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87520 Hepatitis C RNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81223 CFTR Gene Full Sequence 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81223 CFTR Gene Full Sequence 87525 Hepatitis G DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87526 Hepatitis G DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87527 Hepatitis G DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87528 HSV DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87529 HSV DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87530 HSV DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87531 HHV-6 DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87532 HHV-6 DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87533 HHV-6 DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87534 HIV-1 DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81223 CFTR Gene Full Sequence 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81223 CFTR Gene Full Sequence 87537 HIV-2 DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81223 CFTR Gene Full Sequence 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81223 CFTR Gene Full Sequence 87540 Legion Pneumo DNA Dir Prob CMS Edit

81223 CFTR Gene Full Sequence 87541 Legion Pneumo DNA Amp Prob CMS Edit

81223 CFTR Gene Full Sequence 87542 Legion Pneumo DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87550 Mycobacteria DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87551 Mycobacteria DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87552 Mycobacteria DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87555 M.Tuberculo DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87556 M.Tuberculo DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87557 M.Tuberculo DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81223 CFTR Gene Full Sequence 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81223 CFTR Gene Full Sequence 87562 M.Avium-Intra DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87580 M.Pneumon DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87581 M.Pneumon DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87582 M.Pneumon DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81223 CFTR Gene Full Sequence 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81223 CFTR Gene Full Sequence 87592 N.Gonorrhoeae DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87623 HPV Low-Risk Types CMS Edit

81223 CFTR Gene Full Sequence 87624 HPV High-Risk Types CMS Edit

Page 50: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81223 CFTR Gene Full Sequence 87625 HPV Types 16 & 18 Only CMS Edit

81223 CFTR Gene Full Sequence 87631 Resp Virus 3-5 Targets CMS Edit

81223 CFTR Gene Full Sequence 87632 Resp Virus 6-11 Targets CMS Edit

81223 CFTR Gene Full Sequence 87633 Resp Virus 12-25 Targets CMS Edit

81223 CFTR Gene Full Sequence 87640 Staph A DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87641 Mr-Staph DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87650 Strep A DNA Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87651 Strep A DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87652 Strep A DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87653 Strep B DNA Amp Probe CMS Edit

81223 CFTR Gene Full Sequence 87660 Trichomonas Vagin Dir Probe CMS Edit

81223 CFTR Gene Full Sequence 87661 Trichomonas Vaginalis Amplif CMS Edit

81223 CFTR Gene Full Sequence 87797 Detect Agent Nos DNA Dir CMS Edit

81223 CFTR Gene Full Sequence 87798 Detect Agent Nos DNA Amp CMS Edit

81223 CFTR Gene Full Sequence 87799 Detect Agent Nos DNA Quant CMS Edit

81223 CFTR Gene Full Sequence 87800 Detect Agnt Mult DNA Direc CMS Edit

81223 CFTR Gene Full Sequence 87801 Detect Agnt Mult DNA Ampli CMS Edit

81223 CFTR Gene Full Sequence 88271 Cytogenetics DNA Probe CMS Edit

81223 CFTR Gene Full Sequence 88272 Cytogenetics 3-5 CMS Edit

81223 CFTR Gene Full Sequence 88273 Cytogenetics 10-30 CMS Edit

81223 CFTR Gene Full Sequence 88274 Cytogenetics 25-99 CMS Edit

81223 CFTR Gene Full Sequence 88275 Cytogenetics 100-300 CMS Edit

81223 CFTR Gene Full Sequence 88291 Cyto/Molecular Report CMS Edit

81223 CFTR Gene Full Sequence 88364 Insitu Hybridization (Fish) CMS Edit

81223 CFTR Gene Full Sequence 88365 Insitu Hybridization (Fish) CMS Edit

81223 CFTR Gene Full Sequence 88366 Insitu Hybridization (Fish) CMS Edit

81223 CFTR Gene Full Sequence 88367 Insitu Hybridization Auto CMS Edit

81223 CFTR Gene Full Sequence 88368 Insitu Hybridization Manual CMS Edit

81223 CFTR Gene Full Sequence 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81223 CFTR Gene Full Sequence 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81223 CFTR Gene Full Sequence 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81223 CFTR Gene Full Sequence 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81223 CFTR Gene Full Sequence G0476 HPV Combo Assay Ca Screen CMS Edit**81224 CFTR Gene Intron Poly T 87149 DNA/RNA Direct Probe CMS Edit

81224 CFTR Gene Intron Poly T 87150 DNA/RNA Amplified Probe CMS Edit

81224 CFTR Gene Intron Poly T 87152 Culture Type Pulse Field Gel CMS Edit

81224 CFTR Gene Intron Poly T 87153 DNA/RNA Sequencing CMS Edit

81224 CFTR Gene Intron Poly T 87470 Bartonella DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87471 Bartonella DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87472 Bartonella DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87475 Lyme Dis DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87476 Lyme Dis DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87477 Lyme Dis DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87480 Candida DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87481 Candida DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87482 Candida DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81224 CFTR Gene Intron Poly T 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87487 Chylmd Pneum DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87490 Chylmd Trach DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87491 Chylmd Trach DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87492 Chylmd Trach DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87493 C Diff Amplified Probe CMS Edit

81224 CFTR Gene Intron Poly T 87495 Cytomeg DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87496 Cytomeg DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87497 Cytomeg DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87498 Enterovirus Probe&Revrs Trns CMS Edit

Page 51: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81224 CFTR Gene Intron Poly T 87500 Vanomycin DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87501 Influenza DNA Amp Prob 1+ CMS Edit

81224 CFTR Gene Intron Poly T 87502 Influenza DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87503 Influenza DNA Amp Prob Addl CMS Edit

81224 CFTR Gene Intron Poly T 87505 Nfct Agent Detection Gi CMS Edit

81224 CFTR Gene Intron Poly T 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81224 CFTR Gene Intron Poly T 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81224 CFTR Gene Intron Poly T 87510 Gardner Vag DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87511 Gardner Vag DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87512 Gardner Vag DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87515 Hepatitis B DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87516 Hepatitis B DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87517 Hepatitis B DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87520 Hepatitis C RNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81224 CFTR Gene Intron Poly T 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81224 CFTR Gene Intron Poly T 87525 Hepatitis G DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87526 Hepatitis G DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87527 Hepatitis G DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87528 HSV DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87529 HSV DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87530 HSV DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87531 HHV-6 DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87532 HHV-6 DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87533 HHV-6 DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87534 HIV-1 DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81224 CFTR Gene Intron Poly T 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81224 CFTR Gene Intron Poly T 87537 HIV-2 DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81224 CFTR Gene Intron Poly T 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81224 CFTR Gene Intron Poly T 87540 Legion Pneumo DNA Dir Prob CMS Edit

81224 CFTR Gene Intron Poly T 87541 Legion Pneumo DNA Amp Prob CMS Edit

81224 CFTR Gene Intron Poly T 87542 Legion Pneumo DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87550 Mycobacteria DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87551 Mycobacteria DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87552 Mycobacteria DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87555 M.Tuberculo DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87556 M.Tuberculo DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87557 M.Tuberculo DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81224 CFTR Gene Intron Poly T 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81224 CFTR Gene Intron Poly T 87562 M.Avium-Intra DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87580 M.Pneumon DNA Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87581 M.Pneumon DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87582 M.Pneumon DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81224 CFTR Gene Intron Poly T 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81224 CFTR Gene Intron Poly T 87592 N.Gonorrhoeae DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87623 HPV Low-Risk Types CMS Edit

81224 CFTR Gene Intron Poly T 87624 HPV High-Risk Types CMS Edit

81224 CFTR Gene Intron Poly T 87625 HPV Types 16 & 18 Only CMS Edit

81224 CFTR Gene Intron Poly T 87631 Resp Virus 3-5 Targets CMS Edit

81224 CFTR Gene Intron Poly T 87632 Resp Virus 6-11 Targets CMS Edit

81224 CFTR Gene Intron Poly T 87633 Resp Virus 12-25 Targets CMS Edit

81224 CFTR Gene Intron Poly T 87640 Staph A DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87641 Mr-Staph DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87650 Strep A DNA Dir Probe CMS Edit

Page 52: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81224 CFTR Gene Intron Poly T 87651 Strep A DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87652 Strep A DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87653 Strep B DNA Amp Probe CMS Edit

81224 CFTR Gene Intron Poly T 87660 Trichomonas Vagin Dir Probe CMS Edit

81224 CFTR Gene Intron Poly T 87661 Trichomonas Vaginalis Amplif CMS Edit

81224 CFTR Gene Intron Poly T 87797 Detect Agent Nos DNA Dir CMS Edit

81224 CFTR Gene Intron Poly T 87798 Detect Agent Nos DNA Amp CMS Edit

81224 CFTR Gene Intron Poly T 87799 Detect Agent Nos DNA Quant CMS Edit

81224 CFTR Gene Intron Poly T 87800 Detect Agnt Mult DNA Direc CMS Edit

81224 CFTR Gene Intron Poly T 87801 Detect Agnt Mult DNA Ampli CMS Edit

81224 CFTR Gene Intron Poly T 88271 Cytogenetics DNA Probe CMS Edit

81224 CFTR Gene Intron Poly T 88272 Cytogenetics 3-5 CMS Edit

81224 CFTR Gene Intron Poly T 88273 Cytogenetics 10-30 CMS Edit

81224 CFTR Gene Intron Poly T 88274 Cytogenetics 25-99 CMS Edit

81224 CFTR Gene Intron Poly T 88275 Cytogenetics 100-300 CMS Edit

81224 CFTR Gene Intron Poly T 88291 Cyto/Molecular Report CMS Edit

81224 CFTR Gene Intron Poly T 88364 Insitu Hybridization (Fish) CMS Edit

81224 CFTR Gene Intron Poly T 88365 Insitu Hybridization (Fish) CMS Edit

81224 CFTR Gene Intron Poly T 88366 Insitu Hybridization (Fish) CMS Edit

81224 CFTR Gene Intron Poly T 88367 Insitu Hybridization Auto CMS Edit

81224 CFTR Gene Intron Poly T 88368 Insitu Hybridization Manual CMS Edit

81224 CFTR Gene Intron Poly T 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81224 CFTR Gene Intron Poly T 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81224 CFTR Gene Intron Poly T 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81224 CFTR Gene Intron Poly T 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81224 CFTR Gene Intron Poly T G0476 HPV Combo Assay Ca Screen CMS Edit**81225 CYP2C19 Gene Com Variants 87149 DNA/RNA Direct Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87150 DNA/RNA Amplified Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87152 Culture Type Pulse Field Gel CMS Edit

81225 CYP2C19 Gene Com Variants 87153 DNA/RNA Sequencing CMS Edit

81225 CYP2C19 Gene Com Variants 87470 Bartonella DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87471 Bartonella DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87472 Bartonella DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87477 Lyme Dis DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87480 Candida DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87481 Candida DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87482 Candida DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81225 CYP2C19 Gene Com Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87492 Chylmd Trach DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87493 C Diff Amplified Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87497 Cytomeg DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81225 CYP2C19 Gene Com Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81225 CYP2C19 Gene Com Variants 87502 Influenza DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81225 CYP2C19 Gene Com Variants 87505 Nfct Agent Detection Gi CMS Edit

81225 CYP2C19 Gene Com Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81225 CYP2C19 Gene Com Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

Page 53: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81225 CYP2C19 Gene Com Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87512 Gardner Vag DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87517 Hepatitis B DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81225 CYP2C19 Gene Com Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81225 CYP2C19 Gene Com Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87527 Hepatitis G DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87528 HSV DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87529 HSV DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87530 HSV DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87533 HHV-6 DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81225 CYP2C19 Gene Com Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81225 CYP2C19 Gene Com Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81225 CYP2C19 Gene Com Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81225 CYP2C19 Gene Com Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81225 CYP2C19 Gene Com Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81225 CYP2C19 Gene Com Variants 87542 Legion Pneumo DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87552 Mycobacteria DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87557 M.Tuberculo DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81225 CYP2C19 Gene Com Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81225 CYP2C19 Gene Com Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87582 M.Pneumon DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81225 CYP2C19 Gene Com Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81225 CYP2C19 Gene Com Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87623 HPV Low-Risk Types CMS Edit

81225 CYP2C19 Gene Com Variants 87624 HPV High-Risk Types CMS Edit

81225 CYP2C19 Gene Com Variants 87625 HPV Types 16 & 18 Only CMS Edit

81225 CYP2C19 Gene Com Variants 87631 Resp Virus 3-5 Targets CMS Edit

81225 CYP2C19 Gene Com Variants 87632 Resp Virus 6-11 Targets CMS Edit

81225 CYP2C19 Gene Com Variants 87633 Resp Virus 12-25 Targets CMS Edit

81225 CYP2C19 Gene Com Variants 87640 Staph A DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87650 Strep A DNA Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87651 Strep A DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87652 Strep A DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87653 Strep B DNA Amp Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81225 CYP2C19 Gene Com Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81225 CYP2C19 Gene Com Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81225 CYP2C19 Gene Com Variants 87798 Detect Agent Nos DNA Amp CMS Edit

Page 54: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81225 CYP2C19 Gene Com Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81225 CYP2C19 Gene Com Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81225 CYP2C19 Gene Com Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81225 CYP2C19 Gene Com Variants 88271 Cytogenetics DNA Probe CMS Edit

81225 CYP2C19 Gene Com Variants 88272 Cytogenetics 3-5 CMS Edit

81225 CYP2C19 Gene Com Variants 88273 Cytogenetics 10-30 CMS Edit

81225 CYP2C19 Gene Com Variants 88274 Cytogenetics 25-99 CMS Edit

81225 CYP2C19 Gene Com Variants 88275 Cytogenetics 100-300 CMS Edit

81225 CYP2C19 Gene Com Variants 88291 Cyto/Molecular Report CMS Edit

81225 CYP2C19 Gene Com Variants 88364 Insitu Hybridization (Fish) CMS Edit

81225 CYP2C19 Gene Com Variants 88365 Insitu Hybridization (Fish) CMS Edit

81225 CYP2C19 Gene Com Variants 88366 Insitu Hybridization (Fish) CMS Edit

81225 CYP2C19 Gene Com Variants 88367 Insitu Hybridization Auto CMS Edit

81225 CYP2C19 Gene Com Variants 88368 Insitu Hybridization Manual CMS Edit

81225 CYP2C19 Gene Com Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81225 CYP2C19 Gene Com Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81225 CYP2C19 Gene Com Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81225 CYP2C19 Gene Com Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81225 CYP2C19 Gene Com Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81226 CYP2D6 Gene Com Variants 87149 DNA/RNA Direct Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87150 DNA/RNA Amplified Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87152 Culture Type Pulse Field Gel CMS Edit

81226 CYP2D6 Gene Com Variants 87153 DNA/RNA Sequencing CMS Edit

81226 CYP2D6 Gene Com Variants 87470 Bartonella DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87471 Bartonella DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87472 Bartonella DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87477 Lyme Dis DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87480 Candida DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87481 Candida DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87482 Candida DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81226 CYP2D6 Gene Com Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87492 Chylmd Trach DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87493 C Diff Amplified Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87497 Cytomeg DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81226 CYP2D6 Gene Com Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81226 CYP2D6 Gene Com Variants 87502 Influenza DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81226 CYP2D6 Gene Com Variants 87505 Nfct Agent Detection Gi CMS Edit

81226 CYP2D6 Gene Com Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81226 CYP2D6 Gene Com Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81226 CYP2D6 Gene Com Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87512 Gardner Vag DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87517 Hepatitis B DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

Page 55: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81226 CYP2D6 Gene Com Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81226 CYP2D6 Gene Com Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81226 CYP2D6 Gene Com Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87527 Hepatitis G DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87528 HSV DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87529 HSV DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87530 HSV DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87533 HHV-6 DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81226 CYP2D6 Gene Com Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81226 CYP2D6 Gene Com Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81226 CYP2D6 Gene Com Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81226 CYP2D6 Gene Com Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81226 CYP2D6 Gene Com Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81226 CYP2D6 Gene Com Variants 87542 Legion Pneumo DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87552 Mycobacteria DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87557 M.Tuberculo DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81226 CYP2D6 Gene Com Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81226 CYP2D6 Gene Com Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87582 M.Pneumon DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81226 CYP2D6 Gene Com Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81226 CYP2D6 Gene Com Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87623 HPV Low-Risk Types CMS Edit

81226 CYP2D6 Gene Com Variants 87624 HPV High-Risk Types CMS Edit

81226 CYP2D6 Gene Com Variants 87625 HPV Types 16 & 18 Only CMS Edit

81226 CYP2D6 Gene Com Variants 87631 Resp Virus 3-5 Targets CMS Edit

81226 CYP2D6 Gene Com Variants 87632 Resp Virus 6-11 Targets CMS Edit

81226 CYP2D6 Gene Com Variants 87633 Resp Virus 12-25 Targets CMS Edit

81226 CYP2D6 Gene Com Variants 87640 Staph A DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87650 Strep A DNA Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87651 Strep A DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87652 Strep A DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87653 Strep B DNA Amp Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81226 CYP2D6 Gene Com Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81226 CYP2D6 Gene Com Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81226 CYP2D6 Gene Com Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81226 CYP2D6 Gene Com Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81226 CYP2D6 Gene Com Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81226 CYP2D6 Gene Com Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81226 CYP2D6 Gene Com Variants 88271 Cytogenetics DNA Probe CMS Edit

81226 CYP2D6 Gene Com Variants 88272 Cytogenetics 3-5 CMS Edit

81226 CYP2D6 Gene Com Variants 88273 Cytogenetics 10-30 CMS Edit

81226 CYP2D6 Gene Com Variants 88274 Cytogenetics 25-99 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81226 CYP2D6 Gene Com Variants 88275 Cytogenetics 100-300 CMS Edit

81226 CYP2D6 Gene Com Variants 88291 Cyto/Molecular Report CMS Edit

81226 CYP2D6 Gene Com Variants 88364 Insitu Hybridization (Fish) CMS Edit

81226 CYP2D6 Gene Com Variants 88365 Insitu Hybridization (Fish) CMS Edit

81226 CYP2D6 Gene Com Variants 88366 Insitu Hybridization (Fish) CMS Edit

81226 CYP2D6 Gene Com Variants 88367 Insitu Hybridization Auto CMS Edit

81226 CYP2D6 Gene Com Variants 88368 Insitu Hybridization Manual CMS Edit

81226 CYP2D6 Gene Com Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81226 CYP2D6 Gene Com Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81226 CYP2D6 Gene Com Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81226 CYP2D6 Gene Com Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81226 CYP2D6 Gene Com Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81227 CYP2C9 Gene Com Variants 87149 DNA/RNA Direct Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87150 DNA/RNA Amplified Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87152 Culture Type Pulse Field Gel CMS Edit

81227 CYP2C9 Gene Com Variants 87153 DNA/RNA Sequencing CMS Edit

81227 CYP2C9 Gene Com Variants 87470 Bartonella DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87471 Bartonella DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87472 Bartonella DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87477 Lyme Dis DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87480 Candida DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87481 Candida DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87482 Candida DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81227 CYP2C9 Gene Com Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87492 Chylmd Trach DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87493 C Diff Amplified Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87497 Cytomeg DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81227 CYP2C9 Gene Com Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81227 CYP2C9 Gene Com Variants 87502 Influenza DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81227 CYP2C9 Gene Com Variants 87505 Nfct Agent Detection Gi CMS Edit

81227 CYP2C9 Gene Com Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81227 CYP2C9 Gene Com Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81227 CYP2C9 Gene Com Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87512 Gardner Vag DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87517 Hepatitis B DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81227 CYP2C9 Gene Com Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81227 CYP2C9 Gene Com Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87527 Hepatitis G DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87528 HSV DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87529 HSV DNA Amp Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81227 CYP2C9 Gene Com Variants 87530 HSV DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87533 HHV-6 DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81227 CYP2C9 Gene Com Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81227 CYP2C9 Gene Com Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81227 CYP2C9 Gene Com Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81227 CYP2C9 Gene Com Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81227 CYP2C9 Gene Com Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81227 CYP2C9 Gene Com Variants 87542 Legion Pneumo DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87552 Mycobacteria DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87557 M.Tuberculo DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81227 CYP2C9 Gene Com Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81227 CYP2C9 Gene Com Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87582 M.Pneumon DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81227 CYP2C9 Gene Com Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81227 CYP2C9 Gene Com Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87623 HPV Low-Risk Types CMS Edit

81227 CYP2C9 Gene Com Variants 87624 HPV High-Risk Types CMS Edit

81227 CYP2C9 Gene Com Variants 87625 HPV Types 16 & 18 Only CMS Edit

81227 CYP2C9 Gene Com Variants 87631 Resp Virus 3-5 Targets CMS Edit

81227 CYP2C9 Gene Com Variants 87632 Resp Virus 6-11 Targets CMS Edit

81227 CYP2C9 Gene Com Variants 87633 Resp Virus 12-25 Targets CMS Edit

81227 CYP2C9 Gene Com Variants 87640 Staph A DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87650 Strep A DNA Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87651 Strep A DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87652 Strep A DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87653 Strep B DNA Amp Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81227 CYP2C9 Gene Com Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81227 CYP2C9 Gene Com Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81227 CYP2C9 Gene Com Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81227 CYP2C9 Gene Com Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81227 CYP2C9 Gene Com Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81227 CYP2C9 Gene Com Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81227 CYP2C9 Gene Com Variants 88271 Cytogenetics DNA Probe CMS Edit

81227 CYP2C9 Gene Com Variants 88272 Cytogenetics 3-5 CMS Edit

81227 CYP2C9 Gene Com Variants 88273 Cytogenetics 10-30 CMS Edit

81227 CYP2C9 Gene Com Variants 88274 Cytogenetics 25-99 CMS Edit

81227 CYP2C9 Gene Com Variants 88275 Cytogenetics 100-300 CMS Edit

81227 CYP2C9 Gene Com Variants 88291 Cyto/Molecular Report CMS Edit

81227 CYP2C9 Gene Com Variants 88364 Insitu Hybridization (Fish) CMS Edit

81227 CYP2C9 Gene Com Variants 88365 Insitu Hybridization (Fish) CMS Edit

81227 CYP2C9 Gene Com Variants 88366 Insitu Hybridization (Fish) CMS Edit

81227 CYP2C9 Gene Com Variants 88367 Insitu Hybridization Auto CMS Edit

81227 CYP2C9 Gene Com Variants 88368 Insitu Hybridization Manual CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81227 CYP2C9 Gene Com Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81227 CYP2C9 Gene Com Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81227 CYP2C9 Gene Com Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81227 CYP2C9 Gene Com Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81227 CYP2C9 Gene Com Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81228 Cytogen Micrarray Copy Nmbr 81161 DMD Dup/Delet Analysis CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81170 ABL1 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81200 ASPA Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81201 APC Gene Full Sequence CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81202 APC Gene Known Fam Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81203 APC Gene Dup/Delet Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81205 BCKDHB Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81206 BCR/ABL1 Gene Major Bp CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81208 BCR/ABL1 Gene Other Bp CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81209 BLM Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81210 BRAF Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81215 BRCA1 Gene Known Fam Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81216 BRCA2 Gene Full Sequence CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81217 BRCA2 Gene Known Fam Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81218 Cebpa Gene Full Sequence CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81219 CALR Gene Com Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81220 CFTR Gene Com Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81221 CFTR Gene Known Fam Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81222 CFTR Gene Dup/Delet Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81223 CFTR Gene Full Sequence CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81224 CFTR Gene Intron Poly T CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81225 CYP2C19 Gene Com Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81226 CYP2D6 Gene Com Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81227 CYP2C9 Gene Com Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81229 Cytogen M Array Copy No&Snp CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81235 EGFR Gene Com Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81240 F2 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81241 F5 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81242 FANCC Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81243 FMR1 Gene Detection CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81244 FMR1 Gene Characterization CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81245 FLT3 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81246 FLT3 Gene Analysis CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81250 G6PC Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81251 GBA Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81252 GJB2 Gene Full Sequence CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81253 GJB2 Gene Known Fam Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81254 GJB6 Gene Com Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81255 HEXA Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81256 HFE Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81257 HBA1/HBA2 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81260 IKBKAP Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81261 IGH Gene Rearrange Amp Meth CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81262 IGH Gene Rearrang Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81263 IGH Vari Regional Mutation CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81265 STR Markers Specimen Anal CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81228 Cytogen Micrarray Copy Nmbr 81266 STR Markers Spec Anal Addl CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81267 Chimerism Anal No Cell Selec CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81268 Chimerism Anal W/Cell Select CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81270 JAK2 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81272 KIT Gene Targeted Seq Analys CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81273 KIT Gene Analys D816 Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81275 KRAS Gene Variants Exon 2 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81276 KRAS Gene Addl Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81287 MGMT Gene Methylation Anal CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81288 MLH1 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81290 MCOLN1 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81291 MTHFR Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81292 MLH1 Gene Full Seq CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81293 MLH1 Gene Known Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81295 MSH2 Gene Full Seq CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81296 MSH2 Gene Known Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81298 MSH6 Gene Full Seq CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81299 MSH6 Gene Known Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81301 Microsatellite Instability CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81302 MECP2 Gene Full Seq CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81303 MECP2 Gene Known Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81310 NPM1 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81313 PCA3/KLK3 Antigen CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81314 PDGFRA Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81315 PML/RARalpha Com Breakpoints CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81316 PML/RARalpha 1 Breakpoint CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81317 PMS2 Gene Full Seq Analysis CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81318 PMS2 Known Familial Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81321 PTEN Gene Full Sequence CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81322 PTEN Gene Known Fam Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81323 PTEN Gene Dup/Delet Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81324 PMP22 Gene Dup/Delet CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81325 PMP22 Gene Full Sequence CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81326 PMP22 Gene Known Fam Variant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81327 SEPT9 Methylation Analysis CMS Edit*81228 Cytogen Micrarray Copy Nmbr 81330 SMPD1 Gene Common Variants CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81331 SNRPN/UBE3A Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81332 SERPINA1 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81340 TRB@ Gene Rearrange Amplify CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81342 TRG Gene Rearrangement Anal CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81350 UGT1A1 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81355 VKORC1 Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81370 HLA I & II Typing Lr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81371 HLA I & II Type Verify Lr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81372 HLA I Typing Complete Lr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81373 HLA I Typing 1 Locus Lr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81375 HLA II Typing Ag Equiv Lr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81376 HLA II Typing 1 Locus Lr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81378 HLA I & II Typing Hr CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81228 Cytogen Micrarray Copy Nmbr 81379 HLA I Typing Complete Hr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81380 HLA I Typing 1 Locus Hr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81381 HLA I Typing 1 Allele Hr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81382 HLA II Typing 1 Loc Hr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81383 HLA II Typing 1 Allele Hr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81400 Mopath Procedure Level 1 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81401 Mopath Procedure Level 2 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81402 Mopath Procedure Level 3 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81403 Mopath Procedure Level 4 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81404 Mopath Procedure Level 5 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81405 Mopath Procedure Level 6 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81406 Mopath Procedure Level 7 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81407 Mopath Procedure Level 8 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81408 Mopath Procedure Level 9 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81410 Aortic Dysfunction/Dilation CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81411 Aortic Dysfunction/Dilation CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81412 Ashkenazi Jewish Assoc Dis CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81415 Exome Sequence Analysis CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81416 Exome Sequence Analysis CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81417 Exome Re-Evaluation CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81420 Fetal Chrmoml Aneuploidy CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81425 Genome Sequence Analysis CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81426 Genome Sequence Analysis CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81427 Genome Re-Evaluation CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81430 Hearing Loss Sequence Analys CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81431 Hearing Loss Dup/Del Analys CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81432 Hrdtry Brst Ca-Rlatd Dsordrs CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81433 Hrdtry Brst Ca-Rlatd Dsordrs CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81434 Hrdtry Retinal Disorders CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81435 Hrdtry Colon Ca Dsordrs CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81436 Hrdtry Colon Ca Dsordrs CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81437 Hrdtry Nurondcrn Tum Dsrdr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81438 Hrdtry Nurondcrn Tum Dsrdr CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81440 Mitochondrial Gene CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81442 Noonan Spectrum Disorders CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81445 Targeted Genomic Seq Analys CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81450 Targeted Genomic Seq Analys CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81455 Targeted Genomic Seq Analys CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81460 Whole Mitochondrial Genome CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81465 Whole Mitochondrial Genome CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81470 X-Linked Intellectual Dblt CMS Edit

81228 Cytogen Micrarray Copy Nmbr 81471 X-Linked Intellectual Dblt CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87149 DNA/RNA Direct Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87150 DNA/RNA Amplified Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87152 Culture Type Pulse Field Gel CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87153 DNA/RNA Sequencing CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87470 Bartonella DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87471 Bartonella DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87472 Bartonella DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87475 Lyme Dis DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87476 Lyme Dis DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87477 Lyme Dis DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87480 Candida DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87481 Candida DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87482 Candida DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81228 Cytogen Micrarray Copy Nmbr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81228 Cytogen Micrarray Copy Nmbr 87487 Chylmd Pneum DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87492 Chylmd Trach DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87493 C Diff Amplified Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87495 Cytomeg DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87496 Cytomeg DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87497 Cytomeg DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87500 Vanomycin DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87502 Influenza DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87503 Influenza DNA Amp Prob Addl CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87505 Nfct Agent Detection Gi CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87510 Gardner Vag DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87511 Gardner Vag DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87512 Gardner Vag DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87515 Hepatitis B DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87516 Hepatitis B DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87517 Hepatitis B DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87520 Hepatitis C RNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87525 Hepatitis G DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87526 Hepatitis G DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87527 Hepatitis G DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87528 HSV DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87529 HSV DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87530 HSV DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87531 HHV-6 DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87532 HHV-6 DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87533 HHV-6 DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87534 HIV-1 DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87537 HIV-2 DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87542 Legion Pneumo DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87550 Mycobacteria DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87551 Mycobacteria DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87552 Mycobacteria DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87557 M.Tuberculo DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87562 M.Avium-Intra DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87580 M.Pneumon DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87581 M.Pneumon DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87582 M.Pneumon DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87592 N.Gonorrhoeae DNA Quant CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81228 Cytogen Micrarray Copy Nmbr 87623 HPV Low-Risk Types CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87624 HPV High-Risk Types CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87625 HPV Types 16 & 18 Only CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87631 Resp Virus 3-5 Targets CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87632 Resp Virus 6-11 Targets CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87633 Resp Virus 12-25 Targets CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87640 Staph A DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87641 Mr-Staph DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87650 Strep A DNA Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87651 Strep A DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87652 Strep A DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87653 Strep B DNA Amp Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87660 Trichomonas Vagin Dir Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87661 Trichomonas Vaginalis Amplif CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87797 Detect Agent Nos DNA Dir CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87798 Detect Agent Nos DNA Amp CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87799 Detect Agent Nos DNA Quant CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87800 Detect Agnt Mult DNA Direc CMS Edit

81228 Cytogen Micrarray Copy Nmbr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88271 Cytogenetics DNA Probe CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88272 Cytogenetics 3-5 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88273 Cytogenetics 10-30 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88274 Cytogenetics 25-99 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88275 Cytogenetics 100-300 CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88291 Cyto/Molecular Report CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88364 Insitu Hybridization (Fish) CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88365 Insitu Hybridization (Fish) CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88366 Insitu Hybridization (Fish) CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88367 Insitu Hybridization Auto CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88368 Insitu Hybridization Manual CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81228 Cytogen Micrarray Copy Nmbr 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81228 Cytogen Micrarray Copy Nmbr G0476 HPV Combo Assay Ca Screen CMS Edit**81229 Cytogen M Array Copy No&Snp 81161 DMD Dup/Delet Analysis CMS Edit

81229 Cytogen M Array Copy No&Snp 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81229 Cytogen M Array Copy No&Snp 81170 ABL1 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81200 ASPA Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81201 APC Gene Full Sequence CMS Edit

81229 Cytogen M Array Copy No&Snp 81202 APC Gene Known Fam Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81203 APC Gene Dup/Delet Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81205 BCKDHB Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81206 BCR/ABL1 Gene Major Bp CMS Edit

81229 Cytogen M Array Copy No&Snp 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81229 Cytogen M Array Copy No&Snp 81208 BCR/ABL1 Gene Other Bp CMS Edit

81229 Cytogen M Array Copy No&Snp 81209 BLM Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81210 BRAF Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81229 Cytogen M Array Copy No&Snp 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81229 Cytogen M Array Copy No&Snp 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81229 Cytogen M Array Copy No&Snp 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81229 Cytogen M Array Copy No&Snp 81215 BRCA1 Gene Known Fam Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81216 BRCA2 Gene Full Sequence CMS Edit

81229 Cytogen M Array Copy No&Snp 81217 BRCA2 Gene Known Fam Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81218 Cebpa Gene Full Sequence CMS Edit

81229 Cytogen M Array Copy No&Snp 81219 CALR Gene Com Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81220 CFTR Gene Com Variants CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81229 Cytogen M Array Copy No&Snp 81221 CFTR Gene Known Fam Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81222 CFTR Gene Dup/Delet Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81223 CFTR Gene Full Sequence CMS Edit

81229 Cytogen M Array Copy No&Snp 81224 CFTR Gene Intron Poly T CMS Edit

81229 Cytogen M Array Copy No&Snp 81225 CYP2C19 Gene Com Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81226 CYP2D6 Gene Com Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81227 CYP2C9 Gene Com Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81235 EGFR Gene Com Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81240 F2 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81241 F5 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81242 FANCC Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81243 FMR1 Gene Detection CMS Edit

81229 Cytogen M Array Copy No&Snp 81244 FMR1 Gene Characterization CMS Edit

81229 Cytogen M Array Copy No&Snp 81245 FLT3 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81246 FLT3 Gene Analysis CMS Edit

81229 Cytogen M Array Copy No&Snp 81250 G6PC Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81251 GBA Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81252 GJB2 Gene Full Sequence CMS Edit

81229 Cytogen M Array Copy No&Snp 81253 GJB2 Gene Known Fam Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81254 GJB6 Gene Com Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81255 HEXA Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81256 HFE Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81257 HBA1/HBA2 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81260 IKBKAP Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81261 IGH Gene Rearrange Amp Meth CMS Edit

81229 Cytogen M Array Copy No&Snp 81262 IGH Gene Rearrang Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 81263 IGH Vari Regional Mutation CMS Edit

81229 Cytogen M Array Copy No&Snp 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81229 Cytogen M Array Copy No&Snp 81265 STR Markers Specimen Anal CMS Edit

81229 Cytogen M Array Copy No&Snp 81266 STR Markers Spec Anal Addl CMS Edit

81229 Cytogen M Array Copy No&Snp 81267 Chimerism Anal No Cell Selec CMS Edit

81229 Cytogen M Array Copy No&Snp 81268 Chimerism Anal W/Cell Select CMS Edit

81229 Cytogen M Array Copy No&Snp 81270 JAK2 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81272 KIT Gene Targeted Seq Analys CMS Edit

81229 Cytogen M Array Copy No&Snp 81273 KIT Gene Analys D816 Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81275 KRAS Gene Variants Exon 2 CMS Edit

81229 Cytogen M Array Copy No&Snp 81276 KRAS Gene Addl Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81287 MGMT Gene Methylation Anal CMS Edit

81229 Cytogen M Array Copy No&Snp 81288 MLH1 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81290 MCOLN1 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81291 MTHFR Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81292 MLH1 Gene Full Seq CMS Edit

81229 Cytogen M Array Copy No&Snp 81293 MLH1 Gene Known Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81295 MSH2 Gene Full Seq CMS Edit

81229 Cytogen M Array Copy No&Snp 81296 MSH2 Gene Known Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81298 MSH6 Gene Full Seq CMS Edit

81229 Cytogen M Array Copy No&Snp 81299 MSH6 Gene Known Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81301 Microsatellite Instability CMS Edit

81229 Cytogen M Array Copy No&Snp 81302 MECP2 Gene Full Seq CMS Edit

81229 Cytogen M Array Copy No&Snp 81303 MECP2 Gene Known Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81310 NPM1 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81229 Cytogen M Array Copy No&Snp 81313 PCA3/KLK3 Antigen CMS Edit

81229 Cytogen M Array Copy No&Snp 81314 PDGFRA Gene CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81229 Cytogen M Array Copy No&Snp 81315 PML/RARalpha Com Breakpoints CMS Edit

81229 Cytogen M Array Copy No&Snp 81316 PML/RARalpha 1 Breakpoint CMS Edit

81229 Cytogen M Array Copy No&Snp 81317 PMS2 Gene Full Seq Analysis CMS Edit

81229 Cytogen M Array Copy No&Snp 81318 PMS2 Known Familial Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81321 PTEN Gene Full Sequence CMS Edit

81229 Cytogen M Array Copy No&Snp 81322 PTEN Gene Known Fam Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81323 PTEN Gene Dup/Delet Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81324 PMP22 Gene Dup/Delet CMS Edit

81229 Cytogen M Array Copy No&Snp 81325 PMP22 Gene Full Sequence CMS Edit

81229 Cytogen M Array Copy No&Snp 81326 PMP22 Gene Known Fam Variant CMS Edit

81229 Cytogen M Array Copy No&Snp 81327 SEPT9 Methylation Analysis CMS Edit*81229 Cytogen M Array Copy No&Snp 81330 SMPD1 Gene Common Variants CMS Edit

81229 Cytogen M Array Copy No&Snp 81331 SNRPN/UBE3A Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81332 SERPINA1 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81340 TRB@ Gene Rearrange Amplify CMS Edit

81229 Cytogen M Array Copy No&Snp 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81229 Cytogen M Array Copy No&Snp 81342 TRG Gene Rearrangement Anal CMS Edit

81229 Cytogen M Array Copy No&Snp 81350 UGT1A1 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81355 VKORC1 Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81370 HLA I & II Typing Lr CMS Edit

81229 Cytogen M Array Copy No&Snp 81371 HLA I & II Type Verify Lr CMS Edit

81229 Cytogen M Array Copy No&Snp 81372 HLA I Typing Complete Lr CMS Edit

81229 Cytogen M Array Copy No&Snp 81373 HLA I Typing 1 Locus Lr CMS Edit

81229 Cytogen M Array Copy No&Snp 81374 HLA I Typing 1 Antigen Lr CMS Edit

81229 Cytogen M Array Copy No&Snp 81375 HLA II Typing Ag Equiv Lr CMS Edit

81229 Cytogen M Array Copy No&Snp 81376 HLA II Typing 1 Locus Lr CMS Edit

81229 Cytogen M Array Copy No&Snp 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81229 Cytogen M Array Copy No&Snp 81378 HLA I & II Typing Hr CMS Edit

81229 Cytogen M Array Copy No&Snp 81379 HLA I Typing Complete Hr CMS Edit

81229 Cytogen M Array Copy No&Snp 81380 HLA I Typing 1 Locus Hr CMS Edit

81229 Cytogen M Array Copy No&Snp 81381 HLA I Typing 1 Allele Hr CMS Edit

81229 Cytogen M Array Copy No&Snp 81382 HLA II Typing 1 Loc Hr CMS Edit

81229 Cytogen M Array Copy No&Snp 81383 HLA II Typing 1 Allele Hr CMS Edit

81229 Cytogen M Array Copy No&Snp 81400 Mopath Procedure Level 1 CMS Edit

81229 Cytogen M Array Copy No&Snp 81401 Mopath Procedure Level 2 CMS Edit

81229 Cytogen M Array Copy No&Snp 81402 Mopath Procedure Level 3 CMS Edit

81229 Cytogen M Array Copy No&Snp 81403 Mopath Procedure Level 4 CMS Edit

81229 Cytogen M Array Copy No&Snp 81404 Mopath Procedure Level 5 CMS Edit

81229 Cytogen M Array Copy No&Snp 81405 Mopath Procedure Level 6 CMS Edit

81229 Cytogen M Array Copy No&Snp 81406 Mopath Procedure Level 7 CMS Edit

81229 Cytogen M Array Copy No&Snp 81407 Mopath Procedure Level 8 CMS Edit

81229 Cytogen M Array Copy No&Snp 81408 Mopath Procedure Level 9 CMS Edit

81229 Cytogen M Array Copy No&Snp 81410 Aortic Dysfunction/Dilation CMS Edit

81229 Cytogen M Array Copy No&Snp 81411 Aortic Dysfunction/Dilation CMS Edit

81229 Cytogen M Array Copy No&Snp 81412 Ashkenazi Jewish Assoc Dis CMS Edit

81229 Cytogen M Array Copy No&Snp 81415 Exome Sequence Analysis CMS Edit

81229 Cytogen M Array Copy No&Snp 81416 Exome Sequence Analysis CMS Edit

81229 Cytogen M Array Copy No&Snp 81417 Exome Re-Evaluation CMS Edit

81229 Cytogen M Array Copy No&Snp 81420 Fetal Chrmoml Aneuploidy CMS Edit

81229 Cytogen M Array Copy No&Snp 81425 Genome Sequence Analysis CMS Edit

81229 Cytogen M Array Copy No&Snp 81426 Genome Sequence Analysis CMS Edit

81229 Cytogen M Array Copy No&Snp 81427 Genome Re-Evaluation CMS Edit

81229 Cytogen M Array Copy No&Snp 81430 Hearing Loss Sequence Analys CMS Edit

81229 Cytogen M Array Copy No&Snp 81431 Hearing Loss Dup/Del Analys CMS Edit

81229 Cytogen M Array Copy No&Snp 81432 Hrdtry Brst Ca-Rlatd Dsordrs CMS Edit

81229 Cytogen M Array Copy No&Snp 81433 Hrdtry Brst Ca-Rlatd Dsordrs CMS Edit

81229 Cytogen M Array Copy No&Snp 81434 Hrdtry Retinal Disorders CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81229 Cytogen M Array Copy No&Snp 81435 Hrdtry Colon Ca Dsordrs CMS Edit

81229 Cytogen M Array Copy No&Snp 81436 Hrdtry Colon Ca Dsordrs CMS Edit

81229 Cytogen M Array Copy No&Snp 81437 Hrdtry Nurondcrn Tum Dsrdr CMS Edit

81229 Cytogen M Array Copy No&Snp 81438 Hrdtry Nurondcrn Tum Dsrdr CMS Edit

81229 Cytogen M Array Copy No&Snp 81440 Mitochondrial Gene CMS Edit

81229 Cytogen M Array Copy No&Snp 81442 Noonan Spectrum Disorders CMS Edit

81229 Cytogen M Array Copy No&Snp 81445 Targeted Genomic Seq Analys CMS Edit

81229 Cytogen M Array Copy No&Snp 81450 Targeted Genomic Seq Analys CMS Edit

81229 Cytogen M Array Copy No&Snp 81455 Targeted Genomic Seq Analys CMS Edit

81229 Cytogen M Array Copy No&Snp 81460 Whole Mitochondrial Genome CMS Edit

81229 Cytogen M Array Copy No&Snp 81465 Whole Mitochondrial Genome CMS Edit

81229 Cytogen M Array Copy No&Snp 81470 X-Linked Intellectual Dblt CMS Edit

81229 Cytogen M Array Copy No&Snp 81471 X-Linked Intellectual Dblt CMS Edit

81229 Cytogen M Array Copy No&Snp 87149 DNA/RNA Direct Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87150 DNA/RNA Amplified Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87152 Culture Type Pulse Field Gel CMS Edit

81229 Cytogen M Array Copy No&Snp 87153 DNA/RNA Sequencing CMS Edit

81229 Cytogen M Array Copy No&Snp 87470 Bartonella DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87471 Bartonella DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87472 Bartonella DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87475 Lyme Dis DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87476 Lyme Dis DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87477 Lyme Dis DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87480 Candida DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87481 Candida DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87482 Candida DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81229 Cytogen M Array Copy No&Snp 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87487 Chylmd Pneum DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87490 Chylmd Trach DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87491 Chylmd Trach DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87492 Chylmd Trach DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87493 C Diff Amplified Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87495 Cytomeg DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87496 Cytomeg DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87497 Cytomeg DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87498 Enterovirus Probe&Revrs Trns CMS Edit

81229 Cytogen M Array Copy No&Snp 87500 Vanomycin DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87501 Influenza DNA Amp Prob 1+ CMS Edit

81229 Cytogen M Array Copy No&Snp 87502 Influenza DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87503 Influenza DNA Amp Prob Addl CMS Edit

81229 Cytogen M Array Copy No&Snp 87505 Nfct Agent Detection Gi CMS Edit

81229 Cytogen M Array Copy No&Snp 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81229 Cytogen M Array Copy No&Snp 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81229 Cytogen M Array Copy No&Snp 87510 Gardner Vag DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87511 Gardner Vag DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87512 Gardner Vag DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87515 Hepatitis B DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87516 Hepatitis B DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87517 Hepatitis B DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87520 Hepatitis C RNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81229 Cytogen M Array Copy No&Snp 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81229 Cytogen M Array Copy No&Snp 87525 Hepatitis G DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87526 Hepatitis G DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87527 Hepatitis G DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87528 HSV DNA Dir Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81229 Cytogen M Array Copy No&Snp 87529 HSV DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87530 HSV DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87531 HHV-6 DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87532 HHV-6 DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87533 HHV-6 DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87534 HIV-1 DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81229 Cytogen M Array Copy No&Snp 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81229 Cytogen M Array Copy No&Snp 87537 HIV-2 DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81229 Cytogen M Array Copy No&Snp 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81229 Cytogen M Array Copy No&Snp 87540 Legion Pneumo DNA Dir Prob CMS Edit

81229 Cytogen M Array Copy No&Snp 87541 Legion Pneumo DNA Amp Prob CMS Edit

81229 Cytogen M Array Copy No&Snp 87542 Legion Pneumo DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87550 Mycobacteria DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87551 Mycobacteria DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87552 Mycobacteria DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87555 M.Tuberculo DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87556 M.Tuberculo DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87557 M.Tuberculo DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81229 Cytogen M Array Copy No&Snp 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81229 Cytogen M Array Copy No&Snp 87562 M.Avium-Intra DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87580 M.Pneumon DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87581 M.Pneumon DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87582 M.Pneumon DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81229 Cytogen M Array Copy No&Snp 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81229 Cytogen M Array Copy No&Snp 87592 N.Gonorrhoeae DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87623 HPV Low-Risk Types CMS Edit

81229 Cytogen M Array Copy No&Snp 87624 HPV High-Risk Types CMS Edit

81229 Cytogen M Array Copy No&Snp 87625 HPV Types 16 & 18 Only CMS Edit

81229 Cytogen M Array Copy No&Snp 87631 Resp Virus 3-5 Targets CMS Edit

81229 Cytogen M Array Copy No&Snp 87632 Resp Virus 6-11 Targets CMS Edit

81229 Cytogen M Array Copy No&Snp 87633 Resp Virus 12-25 Targets CMS Edit

81229 Cytogen M Array Copy No&Snp 87640 Staph A DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87641 Mr-Staph DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87650 Strep A DNA Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87651 Strep A DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87652 Strep A DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87653 Strep B DNA Amp Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87660 Trichomonas Vagin Dir Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 87661 Trichomonas Vaginalis Amplif CMS Edit

81229 Cytogen M Array Copy No&Snp 87797 Detect Agent Nos DNA Dir CMS Edit

81229 Cytogen M Array Copy No&Snp 87798 Detect Agent Nos DNA Amp CMS Edit

81229 Cytogen M Array Copy No&Snp 87799 Detect Agent Nos DNA Quant CMS Edit

81229 Cytogen M Array Copy No&Snp 87800 Detect Agnt Mult DNA Direc CMS Edit

81229 Cytogen M Array Copy No&Snp 87801 Detect Agnt Mult DNA Ampli CMS Edit

81229 Cytogen M Array Copy No&Snp 88271 Cytogenetics DNA Probe CMS Edit

81229 Cytogen M Array Copy No&Snp 88272 Cytogenetics 3-5 CMS Edit

81229 Cytogen M Array Copy No&Snp 88273 Cytogenetics 10-30 CMS Edit

81229 Cytogen M Array Copy No&Snp 88274 Cytogenetics 25-99 CMS Edit

81229 Cytogen M Array Copy No&Snp 88275 Cytogenetics 100-300 CMS Edit

81229 Cytogen M Array Copy No&Snp 88291 Cyto/Molecular Report CMS Edit

81229 Cytogen M Array Copy No&Snp 88364 Insitu Hybridization (Fish) CMS Edit

81229 Cytogen M Array Copy No&Snp 88365 Insitu Hybridization (Fish) CMS Edit

81229 Cytogen M Array Copy No&Snp 88366 Insitu Hybridization (Fish) CMS Edit

81229 Cytogen M Array Copy No&Snp 88367 Insitu Hybridization Auto CMS Edit

Page 67: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81229 Cytogen M Array Copy No&Snp 88368 Insitu Hybridization Manual CMS Edit

81229 Cytogen M Array Copy No&Snp 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81229 Cytogen M Array Copy No&Snp 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81229 Cytogen M Array Copy No&Snp 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81229 Cytogen M Array Copy No&Snp 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81229 Cytogen M Array Copy No&Snp G0476 HPV Combo Assay Ca Screen CMS Edit**81235 EGFR Gene Com Variants 87149 DNA/RNA Direct Probe CMS Edit

81235 EGFR Gene Com Variants 87150 DNA/RNA Amplified Probe CMS Edit

81235 EGFR Gene Com Variants 87152 Culture Type Pulse Field Gel CMS Edit

81235 EGFR Gene Com Variants 87153 DNA/RNA Sequencing CMS Edit

81235 EGFR Gene Com Variants 87470 Bartonella DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87471 Bartonella DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87472 Bartonella DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87477 Lyme Dis DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87480 Candida DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87481 Candida DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87482 Candida DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81235 EGFR Gene Com Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87492 Chylmd Trach DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87493 C Diff Amplified Probe CMS Edit

81235 EGFR Gene Com Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87497 Cytomeg DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81235 EGFR Gene Com Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81235 EGFR Gene Com Variants 87502 Influenza DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81235 EGFR Gene Com Variants 87505 Nfct Agent Detection Gi CMS Edit

81235 EGFR Gene Com Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81235 EGFR Gene Com Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81235 EGFR Gene Com Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87512 Gardner Vag DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87517 Hepatitis B DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81235 EGFR Gene Com Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81235 EGFR Gene Com Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87527 Hepatitis G DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87528 HSV DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87529 HSV DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87530 HSV DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87533 HHV-6 DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

Page 68: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81235 EGFR Gene Com Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81235 EGFR Gene Com Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81235 EGFR Gene Com Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81235 EGFR Gene Com Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81235 EGFR Gene Com Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81235 EGFR Gene Com Variants 87542 Legion Pneumo DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87552 Mycobacteria DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87557 M.Tuberculo DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81235 EGFR Gene Com Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81235 EGFR Gene Com Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87582 M.Pneumon DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81235 EGFR Gene Com Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81235 EGFR Gene Com Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87623 HPV Low-Risk Types CMS Edit

81235 EGFR Gene Com Variants 87624 HPV High-Risk Types CMS Edit

81235 EGFR Gene Com Variants 87625 HPV Types 16 & 18 Only CMS Edit

81235 EGFR Gene Com Variants 87631 Resp Virus 3-5 Targets CMS Edit

81235 EGFR Gene Com Variants 87632 Resp Virus 6-11 Targets CMS Edit

81235 EGFR Gene Com Variants 87633 Resp Virus 12-25 Targets CMS Edit

81235 EGFR Gene Com Variants 87640 Staph A DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87650 Strep A DNA Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87651 Strep A DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87652 Strep A DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87653 Strep B DNA Amp Probe CMS Edit

81235 EGFR Gene Com Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81235 EGFR Gene Com Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81235 EGFR Gene Com Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81235 EGFR Gene Com Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81235 EGFR Gene Com Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81235 EGFR Gene Com Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81235 EGFR Gene Com Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81235 EGFR Gene Com Variants 88271 Cytogenetics DNA Probe CMS Edit

81235 EGFR Gene Com Variants 88272 Cytogenetics 3-5 CMS Edit

81235 EGFR Gene Com Variants 88273 Cytogenetics 10-30 CMS Edit

81235 EGFR Gene Com Variants 88274 Cytogenetics 25-99 CMS Edit

81235 EGFR Gene Com Variants 88275 Cytogenetics 100-300 CMS Edit

81235 EGFR Gene Com Variants 88291 Cyto/Molecular Report CMS Edit

81235 EGFR Gene Com Variants 88364 Insitu Hybridization (Fish) CMS Edit

81235 EGFR Gene Com Variants 88365 Insitu Hybridization (Fish) CMS Edit

81235 EGFR Gene Com Variants 88366 Insitu Hybridization (Fish) CMS Edit

81235 EGFR Gene Com Variants 88367 Insitu Hybridization Auto CMS Edit

81235 EGFR Gene Com Variants 88368 Insitu Hybridization Manual CMS Edit

81235 EGFR Gene Com Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81235 EGFR Gene Com Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81235 EGFR Gene Com Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81235 EGFR Gene Com Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81235 EGFR Gene Com Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81240 F2 Gene 87149 DNA/RNA Direct Probe CMS Edit

Page 69: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81240 F2 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81240 F2 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81240 F2 Gene 87153 DNA/RNA Sequencing CMS Edit

81240 F2 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81240 F2 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81240 F2 Gene 87472 Bartonella DNA Quant CMS Edit

81240 F2 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81240 F2 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81240 F2 Gene 87477 Lyme Dis DNA Quant CMS Edit

81240 F2 Gene 87480 Candida DNA Dir Probe CMS Edit

81240 F2 Gene 87481 Candida DNA Amp Probe CMS Edit

81240 F2 Gene 87482 Candida DNA Quant CMS Edit

81240 F2 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81240 F2 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81240 F2 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81240 F2 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81240 F2 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81240 F2 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81240 F2 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81240 F2 Gene 87493 C Diff Amplified Probe CMS Edit

81240 F2 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81240 F2 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81240 F2 Gene 87497 Cytomeg DNA Quant CMS Edit

81240 F2 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81240 F2 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81240 F2 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81240 F2 Gene 87502 Influenza DNA Amp Probe CMS Edit

81240 F2 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81240 F2 Gene 87505 Nfct Agent Detection Gi CMS Edit

81240 F2 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81240 F2 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81240 F2 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81240 F2 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81240 F2 Gene 87512 Gardner Vag DNA Quant CMS Edit

81240 F2 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81240 F2 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81240 F2 Gene 87517 Hepatitis B DNA Quant CMS Edit

81240 F2 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81240 F2 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81240 F2 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81240 F2 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81240 F2 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81240 F2 Gene 87527 Hepatitis G DNA Quant CMS Edit

81240 F2 Gene 87528 HSV DNA Dir Probe CMS Edit

81240 F2 Gene 87529 HSV DNA Amp Probe CMS Edit

81240 F2 Gene 87530 HSV DNA Quant CMS Edit

81240 F2 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81240 F2 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81240 F2 Gene 87533 HHV-6 DNA Quant CMS Edit

81240 F2 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81240 F2 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81240 F2 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81240 F2 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81240 F2 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81240 F2 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81240 F2 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81240 F2 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81240 F2 Gene 87542 Legion Pneumo DNA Quant CMS Edit

Page 70: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81240 F2 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81240 F2 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81240 F2 Gene 87552 Mycobacteria DNA Quant CMS Edit

81240 F2 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81240 F2 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81240 F2 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81240 F2 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81240 F2 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81240 F2 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81240 F2 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81240 F2 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81240 F2 Gene 87582 M.Pneumon DNA Quant CMS Edit

81240 F2 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81240 F2 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81240 F2 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81240 F2 Gene 87623 HPV Low-Risk Types CMS Edit

81240 F2 Gene 87624 HPV High-Risk Types CMS Edit

81240 F2 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81240 F2 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81240 F2 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81240 F2 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81240 F2 Gene 87640 Staph A DNA Amp Probe CMS Edit

81240 F2 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81240 F2 Gene 87650 Strep A DNA Dir Probe CMS Edit

81240 F2 Gene 87651 Strep A DNA Amp Probe CMS Edit

81240 F2 Gene 87652 Strep A DNA Quant CMS Edit

81240 F2 Gene 87653 Strep B DNA Amp Probe CMS Edit

81240 F2 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81240 F2 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81240 F2 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81240 F2 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81240 F2 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81240 F2 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81240 F2 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81240 F2 Gene 88271 Cytogenetics DNA Probe CMS Edit

81240 F2 Gene 88272 Cytogenetics 3-5 CMS Edit

81240 F2 Gene 88273 Cytogenetics 10-30 CMS Edit

81240 F2 Gene 88274 Cytogenetics 25-99 CMS Edit

81240 F2 Gene 88275 Cytogenetics 100-300 CMS Edit

81240 F2 Gene 88291 Cyto/Molecular Report CMS Edit

81240 F2 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81240 F2 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81240 F2 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81240 F2 Gene 88367 Insitu Hybridization Auto CMS Edit

81240 F2 Gene 88368 Insitu Hybridization Manual CMS Edit

81240 F2 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81240 F2 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81240 F2 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81240 F2 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81240 F2 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81241 F5 Gene 87149 DNA/RNA Direct Probe CMS Edit

81241 F5 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81241 F5 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81241 F5 Gene 87153 DNA/RNA Sequencing CMS Edit

81241 F5 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81241 F5 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81241 F5 Gene 87472 Bartonella DNA Quant CMS Edit

81241 F5 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

Page 71: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81241 F5 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81241 F5 Gene 87477 Lyme Dis DNA Quant CMS Edit

81241 F5 Gene 87480 Candida DNA Dir Probe CMS Edit

81241 F5 Gene 87481 Candida DNA Amp Probe CMS Edit

81241 F5 Gene 87482 Candida DNA Quant CMS Edit

81241 F5 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81241 F5 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81241 F5 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81241 F5 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81241 F5 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81241 F5 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81241 F5 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81241 F5 Gene 87493 C Diff Amplified Probe CMS Edit

81241 F5 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81241 F5 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81241 F5 Gene 87497 Cytomeg DNA Quant CMS Edit

81241 F5 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81241 F5 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81241 F5 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81241 F5 Gene 87502 Influenza DNA Amp Probe CMS Edit

81241 F5 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81241 F5 Gene 87505 Nfct Agent Detection Gi CMS Edit

81241 F5 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81241 F5 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81241 F5 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81241 F5 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81241 F5 Gene 87512 Gardner Vag DNA Quant CMS Edit

81241 F5 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81241 F5 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81241 F5 Gene 87517 Hepatitis B DNA Quant CMS Edit

81241 F5 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81241 F5 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81241 F5 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81241 F5 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81241 F5 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81241 F5 Gene 87527 Hepatitis G DNA Quant CMS Edit

81241 F5 Gene 87528 HSV DNA Dir Probe CMS Edit

81241 F5 Gene 87529 HSV DNA Amp Probe CMS Edit

81241 F5 Gene 87530 HSV DNA Quant CMS Edit

81241 F5 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81241 F5 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81241 F5 Gene 87533 HHV-6 DNA Quant CMS Edit

81241 F5 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81241 F5 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81241 F5 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81241 F5 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81241 F5 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81241 F5 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81241 F5 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81241 F5 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81241 F5 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81241 F5 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81241 F5 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81241 F5 Gene 87552 Mycobacteria DNA Quant CMS Edit

81241 F5 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81241 F5 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81241 F5 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81241 F5 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

Page 72: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81241 F5 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81241 F5 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81241 F5 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81241 F5 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81241 F5 Gene 87582 M.Pneumon DNA Quant CMS Edit

81241 F5 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81241 F5 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81241 F5 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81241 F5 Gene 87623 HPV Low-Risk Types CMS Edit

81241 F5 Gene 87624 HPV High-Risk Types CMS Edit

81241 F5 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81241 F5 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81241 F5 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81241 F5 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81241 F5 Gene 87640 Staph A DNA Amp Probe CMS Edit

81241 F5 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81241 F5 Gene 87650 Strep A DNA Dir Probe CMS Edit

81241 F5 Gene 87651 Strep A DNA Amp Probe CMS Edit

81241 F5 Gene 87652 Strep A DNA Quant CMS Edit

81241 F5 Gene 87653 Strep B DNA Amp Probe CMS Edit

81241 F5 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81241 F5 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81241 F5 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81241 F5 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81241 F5 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81241 F5 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81241 F5 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81241 F5 Gene 88271 Cytogenetics DNA Probe CMS Edit

81241 F5 Gene 88272 Cytogenetics 3-5 CMS Edit

81241 F5 Gene 88273 Cytogenetics 10-30 CMS Edit

81241 F5 Gene 88274 Cytogenetics 25-99 CMS Edit

81241 F5 Gene 88275 Cytogenetics 100-300 CMS Edit

81241 F5 Gene 88291 Cyto/Molecular Report CMS Edit

81241 F5 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81241 F5 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81241 F5 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81241 F5 Gene 88367 Insitu Hybridization Auto CMS Edit

81241 F5 Gene 88368 Insitu Hybridization Manual CMS Edit

81241 F5 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81241 F5 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81241 F5 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81241 F5 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81241 F5 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81242 FANCC Gene 87149 DNA/RNA Direct Probe CMS Edit

81242 FANCC Gene 87150 DNA/RNA Amplified Probe CMS Edit

81242 FANCC Gene 87152 Culture Type Pulse Field Gel CMS Edit

81242 FANCC Gene 87153 DNA/RNA Sequencing CMS Edit

81242 FANCC Gene 87470 Bartonella DNA Dir Probe CMS Edit

81242 FANCC Gene 87471 Bartonella DNA Amp Probe CMS Edit

81242 FANCC Gene 87472 Bartonella DNA Quant CMS Edit

81242 FANCC Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81242 FANCC Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81242 FANCC Gene 87477 Lyme Dis DNA Quant CMS Edit

81242 FANCC Gene 87480 Candida DNA Dir Probe CMS Edit

81242 FANCC Gene 87481 Candida DNA Amp Probe CMS Edit

81242 FANCC Gene 87482 Candida DNA Quant CMS Edit

81242 FANCC Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81242 FANCC Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

Page 73: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81242 FANCC Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81242 FANCC Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81242 FANCC Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81242 FANCC Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81242 FANCC Gene 87492 Chylmd Trach DNA Quant CMS Edit

81242 FANCC Gene 87493 C Diff Amplified Probe CMS Edit

81242 FANCC Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81242 FANCC Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81242 FANCC Gene 87497 Cytomeg DNA Quant CMS Edit

81242 FANCC Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81242 FANCC Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81242 FANCC Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81242 FANCC Gene 87502 Influenza DNA Amp Probe CMS Edit

81242 FANCC Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81242 FANCC Gene 87505 Nfct Agent Detection Gi CMS Edit

81242 FANCC Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81242 FANCC Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81242 FANCC Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81242 FANCC Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81242 FANCC Gene 87512 Gardner Vag DNA Quant CMS Edit

81242 FANCC Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81242 FANCC Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81242 FANCC Gene 87517 Hepatitis B DNA Quant CMS Edit

81242 FANCC Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81242 FANCC Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81242 FANCC Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81242 FANCC Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81242 FANCC Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81242 FANCC Gene 87527 Hepatitis G DNA Quant CMS Edit

81242 FANCC Gene 87528 HSV DNA Dir Probe CMS Edit

81242 FANCC Gene 87529 HSV DNA Amp Probe CMS Edit

81242 FANCC Gene 87530 HSV DNA Quant CMS Edit

81242 FANCC Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81242 FANCC Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81242 FANCC Gene 87533 HHV-6 DNA Quant CMS Edit

81242 FANCC Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81242 FANCC Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81242 FANCC Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81242 FANCC Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81242 FANCC Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81242 FANCC Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81242 FANCC Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81242 FANCC Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81242 FANCC Gene 87542 Legion Pneumo DNA Quant CMS Edit

81242 FANCC Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81242 FANCC Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81242 FANCC Gene 87552 Mycobacteria DNA Quant CMS Edit

81242 FANCC Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81242 FANCC Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81242 FANCC Gene 87557 M.Tuberculo DNA Quant CMS Edit

81242 FANCC Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81242 FANCC Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81242 FANCC Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81242 FANCC Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81242 FANCC Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81242 FANCC Gene 87582 M.Pneumon DNA Quant CMS Edit

81242 FANCC Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81242 FANCC Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

Page 74: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81242 FANCC Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81242 FANCC Gene 87623 HPV Low-Risk Types CMS Edit

81242 FANCC Gene 87624 HPV High-Risk Types CMS Edit

81242 FANCC Gene 87625 HPV Types 16 & 18 Only CMS Edit

81242 FANCC Gene 87631 Resp Virus 3-5 Targets CMS Edit

81242 FANCC Gene 87632 Resp Virus 6-11 Targets CMS Edit

81242 FANCC Gene 87633 Resp Virus 12-25 Targets CMS Edit

81242 FANCC Gene 87640 Staph A DNA Amp Probe CMS Edit

81242 FANCC Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81242 FANCC Gene 87650 Strep A DNA Dir Probe CMS Edit

81242 FANCC Gene 87651 Strep A DNA Amp Probe CMS Edit

81242 FANCC Gene 87652 Strep A DNA Quant CMS Edit

81242 FANCC Gene 87653 Strep B DNA Amp Probe CMS Edit

81242 FANCC Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81242 FANCC Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81242 FANCC Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81242 FANCC Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81242 FANCC Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81242 FANCC Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81242 FANCC Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81242 FANCC Gene 88271 Cytogenetics DNA Probe CMS Edit

81242 FANCC Gene 88272 Cytogenetics 3-5 CMS Edit

81242 FANCC Gene 88273 Cytogenetics 10-30 CMS Edit

81242 FANCC Gene 88274 Cytogenetics 25-99 CMS Edit

81242 FANCC Gene 88275 Cytogenetics 100-300 CMS Edit

81242 FANCC Gene 88291 Cyto/Molecular Report CMS Edit

81242 FANCC Gene 88364 Insitu Hybridization (Fish) CMS Edit

81242 FANCC Gene 88365 Insitu Hybridization (Fish) CMS Edit

81242 FANCC Gene 88366 Insitu Hybridization (Fish) CMS Edit

81242 FANCC Gene 88367 Insitu Hybridization Auto CMS Edit

81242 FANCC Gene 88368 Insitu Hybridization Manual CMS Edit

81242 FANCC Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81242 FANCC Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81242 FANCC Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81242 FANCC Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81242 FANCC Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81243 FMR1 Gene Detection 87149 DNA/RNA Direct Probe CMS Edit

81243 FMR1 Gene Detection 87150 DNA/RNA Amplified Probe CMS Edit

81243 FMR1 Gene Detection 87152 Culture Type Pulse Field Gel CMS Edit

81243 FMR1 Gene Detection 87153 DNA/RNA Sequencing CMS Edit

81243 FMR1 Gene Detection 87470 Bartonella DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87471 Bartonella DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87472 Bartonella DNA Quant CMS Edit

81243 FMR1 Gene Detection 87475 Lyme Dis DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87476 Lyme Dis DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87477 Lyme Dis DNA Quant CMS Edit

81243 FMR1 Gene Detection 87480 Candida DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87481 Candida DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87482 Candida DNA Quant CMS Edit

81243 FMR1 Gene Detection 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81243 FMR1 Gene Detection 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87487 Chylmd Pneum DNA Quant CMS Edit

81243 FMR1 Gene Detection 87490 Chylmd Trach DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87491 Chylmd Trach DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87492 Chylmd Trach DNA Quant CMS Edit

81243 FMR1 Gene Detection 87493 C Diff Amplified Probe CMS Edit

81243 FMR1 Gene Detection 87495 Cytomeg DNA Dir Probe CMS Edit

Page 75: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81243 FMR1 Gene Detection 87496 Cytomeg DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87497 Cytomeg DNA Quant CMS Edit

81243 FMR1 Gene Detection 87498 Enterovirus Probe&Revrs Trns CMS Edit

81243 FMR1 Gene Detection 87500 Vanomycin DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87501 Influenza DNA Amp Prob 1+ CMS Edit

81243 FMR1 Gene Detection 87502 Influenza DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87503 Influenza DNA Amp Prob Addl CMS Edit

81243 FMR1 Gene Detection 87505 Nfct Agent Detection Gi CMS Edit

81243 FMR1 Gene Detection 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81243 FMR1 Gene Detection 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81243 FMR1 Gene Detection 87510 Gardner Vag DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87511 Gardner Vag DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87512 Gardner Vag DNA Quant CMS Edit

81243 FMR1 Gene Detection 87515 Hepatitis B DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87516 Hepatitis B DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87517 Hepatitis B DNA Quant CMS Edit

81243 FMR1 Gene Detection 87520 Hepatitis C RNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81243 FMR1 Gene Detection 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81243 FMR1 Gene Detection 87525 Hepatitis G DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87526 Hepatitis G DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87527 Hepatitis G DNA Quant CMS Edit

81243 FMR1 Gene Detection 87528 HSV DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87529 HSV DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87530 HSV DNA Quant CMS Edit

81243 FMR1 Gene Detection 87531 HHV-6 DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87532 HHV-6 DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87533 HHV-6 DNA Quant CMS Edit

81243 FMR1 Gene Detection 87534 HIV-1 DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81243 FMR1 Gene Detection 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81243 FMR1 Gene Detection 87537 HIV-2 DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81243 FMR1 Gene Detection 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81243 FMR1 Gene Detection 87540 Legion Pneumo DNA Dir Prob CMS Edit

81243 FMR1 Gene Detection 87541 Legion Pneumo DNA Amp Prob CMS Edit

81243 FMR1 Gene Detection 87542 Legion Pneumo DNA Quant CMS Edit

81243 FMR1 Gene Detection 87550 Mycobacteria DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87551 Mycobacteria DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87552 Mycobacteria DNA Quant CMS Edit

81243 FMR1 Gene Detection 87555 M.Tuberculo DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87556 M.Tuberculo DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87557 M.Tuberculo DNA Quant CMS Edit

81243 FMR1 Gene Detection 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81243 FMR1 Gene Detection 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81243 FMR1 Gene Detection 87562 M.Avium-Intra DNA Quant CMS Edit

81243 FMR1 Gene Detection 87580 M.Pneumon DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87581 M.Pneumon DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87582 M.Pneumon DNA Quant CMS Edit

81243 FMR1 Gene Detection 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81243 FMR1 Gene Detection 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81243 FMR1 Gene Detection 87592 N.Gonorrhoeae DNA Quant CMS Edit

81243 FMR1 Gene Detection 87623 HPV Low-Risk Types CMS Edit

81243 FMR1 Gene Detection 87624 HPV High-Risk Types CMS Edit

81243 FMR1 Gene Detection 87625 HPV Types 16 & 18 Only CMS Edit

81243 FMR1 Gene Detection 87631 Resp Virus 3-5 Targets CMS Edit

81243 FMR1 Gene Detection 87632 Resp Virus 6-11 Targets CMS Edit

81243 FMR1 Gene Detection 87633 Resp Virus 12-25 Targets CMS Edit

Page 76: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81243 FMR1 Gene Detection 87640 Staph A DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87641 Mr-Staph DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87650 Strep A DNA Dir Probe CMS Edit

81243 FMR1 Gene Detection 87651 Strep A DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87652 Strep A DNA Quant CMS Edit

81243 FMR1 Gene Detection 87653 Strep B DNA Amp Probe CMS Edit

81243 FMR1 Gene Detection 87660 Trichomonas Vagin Dir Probe CMS Edit

81243 FMR1 Gene Detection 87661 Trichomonas Vaginalis Amplif CMS Edit

81243 FMR1 Gene Detection 87797 Detect Agent Nos DNA Dir CMS Edit

81243 FMR1 Gene Detection 87798 Detect Agent Nos DNA Amp CMS Edit

81243 FMR1 Gene Detection 87799 Detect Agent Nos DNA Quant CMS Edit

81243 FMR1 Gene Detection 87800 Detect Agnt Mult DNA Direc CMS Edit

81243 FMR1 Gene Detection 87801 Detect Agnt Mult DNA Ampli CMS Edit

81243 FMR1 Gene Detection 88271 Cytogenetics DNA Probe CMS Edit

81243 FMR1 Gene Detection 88272 Cytogenetics 3-5 CMS Edit

81243 FMR1 Gene Detection 88273 Cytogenetics 10-30 CMS Edit

81243 FMR1 Gene Detection 88274 Cytogenetics 25-99 CMS Edit

81243 FMR1 Gene Detection 88275 Cytogenetics 100-300 CMS Edit

81243 FMR1 Gene Detection 88291 Cyto/Molecular Report CMS Edit

81243 FMR1 Gene Detection 88364 Insitu Hybridization (Fish) CMS Edit

81243 FMR1 Gene Detection 88365 Insitu Hybridization (Fish) CMS Edit

81243 FMR1 Gene Detection 88366 Insitu Hybridization (Fish) CMS Edit

81243 FMR1 Gene Detection 88367 Insitu Hybridization Auto CMS Edit

81243 FMR1 Gene Detection 88368 Insitu Hybridization Manual CMS Edit

81243 FMR1 Gene Detection 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81243 FMR1 Gene Detection 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81243 FMR1 Gene Detection 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81243 FMR1 Gene Detection 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81243 FMR1 Gene Detection G0476 HPV Combo Assay Ca Screen CMS Edit**81244 FMR1 Gene Characterization 81243 FMR1 Gene Detection CMS Edit

81244 FMR1 Gene Characterization 87149 DNA/RNA Direct Probe CMS Edit

81244 FMR1 Gene Characterization 87150 DNA/RNA Amplified Probe CMS Edit

81244 FMR1 Gene Characterization 87152 Culture Type Pulse Field Gel CMS Edit

81244 FMR1 Gene Characterization 87153 DNA/RNA Sequencing CMS Edit

81244 FMR1 Gene Characterization 87470 Bartonella DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87471 Bartonella DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87472 Bartonella DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87475 Lyme Dis DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87476 Lyme Dis DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87477 Lyme Dis DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87480 Candida DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87481 Candida DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87482 Candida DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81244 FMR1 Gene Characterization 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87487 Chylmd Pneum DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87490 Chylmd Trach DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87491 Chylmd Trach DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87492 Chylmd Trach DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87493 C Diff Amplified Probe CMS Edit

81244 FMR1 Gene Characterization 87495 Cytomeg DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87496 Cytomeg DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87497 Cytomeg DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87498 Enterovirus Probe&Revrs Trns CMS Edit

81244 FMR1 Gene Characterization 87500 Vanomycin DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87501 Influenza DNA Amp Prob 1+ CMS Edit

81244 FMR1 Gene Characterization 87502 Influenza DNA Amp Probe CMS Edit

Page 77: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81244 FMR1 Gene Characterization 87503 Influenza DNA Amp Prob Addl CMS Edit

81244 FMR1 Gene Characterization 87505 Nfct Agent Detection Gi CMS Edit

81244 FMR1 Gene Characterization 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81244 FMR1 Gene Characterization 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81244 FMR1 Gene Characterization 87510 Gardner Vag DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87511 Gardner Vag DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87512 Gardner Vag DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87515 Hepatitis B DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87516 Hepatitis B DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87517 Hepatitis B DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87520 Hepatitis C RNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81244 FMR1 Gene Characterization 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81244 FMR1 Gene Characterization 87525 Hepatitis G DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87526 Hepatitis G DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87527 Hepatitis G DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87528 HSV DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87529 HSV DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87530 HSV DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87531 HHV-6 DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87532 HHV-6 DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87533 HHV-6 DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87534 HIV-1 DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81244 FMR1 Gene Characterization 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81244 FMR1 Gene Characterization 87537 HIV-2 DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81244 FMR1 Gene Characterization 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81244 FMR1 Gene Characterization 87540 Legion Pneumo DNA Dir Prob CMS Edit

81244 FMR1 Gene Characterization 87541 Legion Pneumo DNA Amp Prob CMS Edit

81244 FMR1 Gene Characterization 87542 Legion Pneumo DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87550 Mycobacteria DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87551 Mycobacteria DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87552 Mycobacteria DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87555 M.Tuberculo DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87556 M.Tuberculo DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87557 M.Tuberculo DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81244 FMR1 Gene Characterization 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81244 FMR1 Gene Characterization 87562 M.Avium-Intra DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87580 M.Pneumon DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87581 M.Pneumon DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87582 M.Pneumon DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81244 FMR1 Gene Characterization 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81244 FMR1 Gene Characterization 87592 N.Gonorrhoeae DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87623 HPV Low-Risk Types CMS Edit

81244 FMR1 Gene Characterization 87624 HPV High-Risk Types CMS Edit

81244 FMR1 Gene Characterization 87625 HPV Types 16 & 18 Only CMS Edit

81244 FMR1 Gene Characterization 87631 Resp Virus 3-5 Targets CMS Edit

81244 FMR1 Gene Characterization 87632 Resp Virus 6-11 Targets CMS Edit

81244 FMR1 Gene Characterization 87633 Resp Virus 12-25 Targets CMS Edit

81244 FMR1 Gene Characterization 87640 Staph A DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87641 Mr-Staph DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87650 Strep A DNA Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87651 Strep A DNA Amp Probe CMS Edit

81244 FMR1 Gene Characterization 87652 Strep A DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87653 Strep B DNA Amp Probe CMS Edit

Page 78: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81244 FMR1 Gene Characterization 87660 Trichomonas Vagin Dir Probe CMS Edit

81244 FMR1 Gene Characterization 87661 Trichomonas Vaginalis Amplif CMS Edit

81244 FMR1 Gene Characterization 87797 Detect Agent Nos DNA Dir CMS Edit

81244 FMR1 Gene Characterization 87798 Detect Agent Nos DNA Amp CMS Edit

81244 FMR1 Gene Characterization 87799 Detect Agent Nos DNA Quant CMS Edit

81244 FMR1 Gene Characterization 87800 Detect Agnt Mult DNA Direc CMS Edit

81244 FMR1 Gene Characterization 87801 Detect Agnt Mult DNA Ampli CMS Edit

81244 FMR1 Gene Characterization 88271 Cytogenetics DNA Probe CMS Edit

81244 FMR1 Gene Characterization 88272 Cytogenetics 3-5 CMS Edit

81244 FMR1 Gene Characterization 88273 Cytogenetics 10-30 CMS Edit

81244 FMR1 Gene Characterization 88274 Cytogenetics 25-99 CMS Edit

81244 FMR1 Gene Characterization 88275 Cytogenetics 100-300 CMS Edit

81244 FMR1 Gene Characterization 88291 Cyto/Molecular Report CMS Edit

81244 FMR1 Gene Characterization 88364 Insitu Hybridization (Fish) CMS Edit

81244 FMR1 Gene Characterization 88365 Insitu Hybridization (Fish) CMS Edit

81244 FMR1 Gene Characterization 88366 Insitu Hybridization (Fish) CMS Edit

81244 FMR1 Gene Characterization 88367 Insitu Hybridization Auto CMS Edit

81244 FMR1 Gene Characterization 88368 Insitu Hybridization Manual CMS Edit

81244 FMR1 Gene Characterization 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81244 FMR1 Gene Characterization 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81244 FMR1 Gene Characterization 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81244 FMR1 Gene Characterization 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81244 FMR1 Gene Characterization G0476 HPV Combo Assay Ca Screen CMS Edit**81245 FLT3 Gene 87149 DNA/RNA Direct Probe CMS Edit

81245 FLT3 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81245 FLT3 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81245 FLT3 Gene 87153 DNA/RNA Sequencing CMS Edit

81245 FLT3 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81245 FLT3 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81245 FLT3 Gene 87472 Bartonella DNA Quant CMS Edit

81245 FLT3 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81245 FLT3 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81245 FLT3 Gene 87477 Lyme Dis DNA Quant CMS Edit

81245 FLT3 Gene 87480 Candida DNA Dir Probe CMS Edit

81245 FLT3 Gene 87481 Candida DNA Amp Probe CMS Edit

81245 FLT3 Gene 87482 Candida DNA Quant CMS Edit

81245 FLT3 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81245 FLT3 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81245 FLT3 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81245 FLT3 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81245 FLT3 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81245 FLT3 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81245 FLT3 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81245 FLT3 Gene 87493 C Diff Amplified Probe CMS Edit

81245 FLT3 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81245 FLT3 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81245 FLT3 Gene 87497 Cytomeg DNA Quant CMS Edit

81245 FLT3 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81245 FLT3 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81245 FLT3 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81245 FLT3 Gene 87502 Influenza DNA Amp Probe CMS Edit

81245 FLT3 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81245 FLT3 Gene 87505 Nfct Agent Detection Gi CMS Edit

81245 FLT3 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81245 FLT3 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81245 FLT3 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81245 FLT3 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81245 FLT3 Gene 87512 Gardner Vag DNA Quant CMS Edit

Page 79: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81245 FLT3 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81245 FLT3 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81245 FLT3 Gene 87517 Hepatitis B DNA Quant CMS Edit

81245 FLT3 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81245 FLT3 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81245 FLT3 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81245 FLT3 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81245 FLT3 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81245 FLT3 Gene 87527 Hepatitis G DNA Quant CMS Edit

81245 FLT3 Gene 87528 HSV DNA Dir Probe CMS Edit

81245 FLT3 Gene 87529 HSV DNA Amp Probe CMS Edit

81245 FLT3 Gene 87530 HSV DNA Quant CMS Edit

81245 FLT3 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81245 FLT3 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81245 FLT3 Gene 87533 HHV-6 DNA Quant CMS Edit

81245 FLT3 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81245 FLT3 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81245 FLT3 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81245 FLT3 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81245 FLT3 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81245 FLT3 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81245 FLT3 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81245 FLT3 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81245 FLT3 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81245 FLT3 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81245 FLT3 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81245 FLT3 Gene 87552 Mycobacteria DNA Quant CMS Edit

81245 FLT3 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81245 FLT3 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81245 FLT3 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81245 FLT3 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81245 FLT3 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81245 FLT3 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81245 FLT3 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81245 FLT3 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81245 FLT3 Gene 87582 M.Pneumon DNA Quant CMS Edit

81245 FLT3 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81245 FLT3 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81245 FLT3 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81245 FLT3 Gene 87623 HPV Low-Risk Types CMS Edit

81245 FLT3 Gene 87624 HPV High-Risk Types CMS Edit

81245 FLT3 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81245 FLT3 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81245 FLT3 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81245 FLT3 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81245 FLT3 Gene 87640 Staph A DNA Amp Probe CMS Edit

81245 FLT3 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81245 FLT3 Gene 87650 Strep A DNA Dir Probe CMS Edit

81245 FLT3 Gene 87651 Strep A DNA Amp Probe CMS Edit

81245 FLT3 Gene 87652 Strep A DNA Quant CMS Edit

81245 FLT3 Gene 87653 Strep B DNA Amp Probe CMS Edit

81245 FLT3 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81245 FLT3 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81245 FLT3 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81245 FLT3 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81245 FLT3 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81245 FLT3 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81245 FLT3 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

Page 80: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81245 FLT3 Gene 88271 Cytogenetics DNA Probe CMS Edit

81245 FLT3 Gene 88272 Cytogenetics 3-5 CMS Edit

81245 FLT3 Gene 88273 Cytogenetics 10-30 CMS Edit

81245 FLT3 Gene 88274 Cytogenetics 25-99 CMS Edit

81245 FLT3 Gene 88275 Cytogenetics 100-300 CMS Edit

81245 FLT3 Gene 88291 Cyto/Molecular Report CMS Edit

81245 FLT3 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81245 FLT3 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81245 FLT3 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81245 FLT3 Gene 88367 Insitu Hybridization Auto CMS Edit

81245 FLT3 Gene 88368 Insitu Hybridization Manual CMS Edit

81245 FLT3 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81245 FLT3 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81245 FLT3 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81245 FLT3 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81245 FLT3 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81246 FLT3 Gene Analysis 87149 DNA/RNA Direct Probe CMS Edit

81246 FLT3 Gene Analysis 87150 DNA/RNA Amplified Probe CMS Edit

81246 FLT3 Gene Analysis 87152 Culture Type Pulse Field Gel CMS Edit

81246 FLT3 Gene Analysis 87153 DNA/RNA Sequencing CMS Edit

81246 FLT3 Gene Analysis 87470 Bartonella DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87471 Bartonella DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87472 Bartonella DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87475 Lyme Dis DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87476 Lyme Dis DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87477 Lyme Dis DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87480 Candida DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87481 Candida DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87482 Candida DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81246 FLT3 Gene Analysis 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87487 Chylmd Pneum DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87490 Chylmd Trach DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87491 Chylmd Trach DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87492 Chylmd Trach DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87493 C Diff Amplified Probe CMS Edit

81246 FLT3 Gene Analysis 87495 Cytomeg DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87496 Cytomeg DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87497 Cytomeg DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87498 Enterovirus Probe&Revrs Trns CMS Edit

81246 FLT3 Gene Analysis 87500 Vanomycin DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87501 Influenza DNA Amp Prob 1+ CMS Edit

81246 FLT3 Gene Analysis 87502 Influenza DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87503 Influenza DNA Amp Prob Addl CMS Edit

81246 FLT3 Gene Analysis 87505 Nfct Agent Detection Gi CMS Edit

81246 FLT3 Gene Analysis 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81246 FLT3 Gene Analysis 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81246 FLT3 Gene Analysis 87510 Gardner Vag DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87511 Gardner Vag DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87512 Gardner Vag DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87515 Hepatitis B DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87516 Hepatitis B DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87517 Hepatitis B DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87520 Hepatitis C RNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81246 FLT3 Gene Analysis 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81246 FLT3 Gene Analysis 87525 Hepatitis G DNA Dir Probe CMS Edit

Page 81: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81246 FLT3 Gene Analysis 87526 Hepatitis G DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87527 Hepatitis G DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87528 HSV DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87529 HSV DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87530 HSV DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87531 HHV-6 DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87532 HHV-6 DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87533 HHV-6 DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87534 HIV-1 DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81246 FLT3 Gene Analysis 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81246 FLT3 Gene Analysis 87537 HIV-2 DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81246 FLT3 Gene Analysis 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81246 FLT3 Gene Analysis 87540 Legion Pneumo DNA Dir Prob CMS Edit

81246 FLT3 Gene Analysis 87541 Legion Pneumo DNA Amp Prob CMS Edit

81246 FLT3 Gene Analysis 87542 Legion Pneumo DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87550 Mycobacteria DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87551 Mycobacteria DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87552 Mycobacteria DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87555 M.Tuberculo DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87556 M.Tuberculo DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87557 M.Tuberculo DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81246 FLT3 Gene Analysis 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81246 FLT3 Gene Analysis 87562 M.Avium-Intra DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87580 M.Pneumon DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87581 M.Pneumon DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87582 M.Pneumon DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81246 FLT3 Gene Analysis 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81246 FLT3 Gene Analysis 87592 N.Gonorrhoeae DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87623 HPV Low-Risk Types CMS Edit

81246 FLT3 Gene Analysis 87624 HPV High-Risk Types CMS Edit

81246 FLT3 Gene Analysis 87625 HPV Types 16 & 18 Only CMS Edit

81246 FLT3 Gene Analysis 87631 Resp Virus 3-5 Targets CMS Edit

81246 FLT3 Gene Analysis 87632 Resp Virus 6-11 Targets CMS Edit

81246 FLT3 Gene Analysis 87633 Resp Virus 12-25 Targets CMS Edit

81246 FLT3 Gene Analysis 87640 Staph A DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87641 Mr-Staph DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87650 Strep A DNA Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87651 Strep A DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87652 Strep A DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87653 Strep B DNA Amp Probe CMS Edit

81246 FLT3 Gene Analysis 87660 Trichomonas Vagin Dir Probe CMS Edit

81246 FLT3 Gene Analysis 87661 Trichomonas Vaginalis Amplif CMS Edit

81246 FLT3 Gene Analysis 87797 Detect Agent Nos DNA Dir CMS Edit

81246 FLT3 Gene Analysis 87798 Detect Agent Nos DNA Amp CMS Edit

81246 FLT3 Gene Analysis 87799 Detect Agent Nos DNA Quant CMS Edit

81246 FLT3 Gene Analysis 87800 Detect Agnt Mult DNA Direc CMS Edit

81246 FLT3 Gene Analysis 87801 Detect Agnt Mult DNA Ampli CMS Edit

81246 FLT3 Gene Analysis 88271 Cytogenetics DNA Probe CMS Edit

81246 FLT3 Gene Analysis 88272 Cytogenetics 3-5 CMS Edit

81246 FLT3 Gene Analysis 88273 Cytogenetics 10-30 CMS Edit

81246 FLT3 Gene Analysis 88274 Cytogenetics 25-99 CMS Edit

81246 FLT3 Gene Analysis 88275 Cytogenetics 100-300 CMS Edit

81246 FLT3 Gene Analysis 88291 Cyto/Molecular Report CMS Edit

81246 FLT3 Gene Analysis 88364 Insitu Hybridization (Fish) CMS Edit

Page 82: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81246 FLT3 Gene Analysis 88365 Insitu Hybridization (Fish) CMS Edit

81246 FLT3 Gene Analysis 88366 Insitu Hybridization (Fish) CMS Edit

81246 FLT3 Gene Analysis 88367 Insitu Hybridization Auto CMS Edit

81246 FLT3 Gene Analysis 88368 Insitu Hybridization Manual CMS Edit

81246 FLT3 Gene Analysis 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81246 FLT3 Gene Analysis 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81246 FLT3 Gene Analysis 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81246 FLT3 Gene Analysis 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81246 FLT3 Gene Analysis G0476 HPV Combo Assay Ca Screen CMS Edit**81250 G6PC Gene 87149 DNA/RNA Direct Probe CMS Edit

81250 G6PC Gene 87150 DNA/RNA Amplified Probe CMS Edit

81250 G6PC Gene 87152 Culture Type Pulse Field Gel CMS Edit

81250 G6PC Gene 87153 DNA/RNA Sequencing CMS Edit

81250 G6PC Gene 87470 Bartonella DNA Dir Probe CMS Edit

81250 G6PC Gene 87471 Bartonella DNA Amp Probe CMS Edit

81250 G6PC Gene 87472 Bartonella DNA Quant CMS Edit

81250 G6PC Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81250 G6PC Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81250 G6PC Gene 87477 Lyme Dis DNA Quant CMS Edit

81250 G6PC Gene 87480 Candida DNA Dir Probe CMS Edit

81250 G6PC Gene 87481 Candida DNA Amp Probe CMS Edit

81250 G6PC Gene 87482 Candida DNA Quant CMS Edit

81250 G6PC Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81250 G6PC Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81250 G6PC Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81250 G6PC Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81250 G6PC Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81250 G6PC Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81250 G6PC Gene 87492 Chylmd Trach DNA Quant CMS Edit

81250 G6PC Gene 87493 C Diff Amplified Probe CMS Edit

81250 G6PC Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81250 G6PC Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81250 G6PC Gene 87497 Cytomeg DNA Quant CMS Edit

81250 G6PC Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81250 G6PC Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81250 G6PC Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81250 G6PC Gene 87502 Influenza DNA Amp Probe CMS Edit

81250 G6PC Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81250 G6PC Gene 87505 Nfct Agent Detection Gi CMS Edit

81250 G6PC Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81250 G6PC Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81250 G6PC Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81250 G6PC Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81250 G6PC Gene 87512 Gardner Vag DNA Quant CMS Edit

81250 G6PC Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81250 G6PC Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81250 G6PC Gene 87517 Hepatitis B DNA Quant CMS Edit

81250 G6PC Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81250 G6PC Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81250 G6PC Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81250 G6PC Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81250 G6PC Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81250 G6PC Gene 87527 Hepatitis G DNA Quant CMS Edit

81250 G6PC Gene 87528 HSV DNA Dir Probe CMS Edit

81250 G6PC Gene 87529 HSV DNA Amp Probe CMS Edit

81250 G6PC Gene 87530 HSV DNA Quant CMS Edit

81250 G6PC Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81250 G6PC Gene 87532 HHV-6 DNA Amp Probe CMS Edit

Page 83: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81250 G6PC Gene 87533 HHV-6 DNA Quant CMS Edit

81250 G6PC Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81250 G6PC Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81250 G6PC Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81250 G6PC Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81250 G6PC Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81250 G6PC Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81250 G6PC Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81250 G6PC Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81250 G6PC Gene 87542 Legion Pneumo DNA Quant CMS Edit

81250 G6PC Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81250 G6PC Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81250 G6PC Gene 87552 Mycobacteria DNA Quant CMS Edit

81250 G6PC Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81250 G6PC Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81250 G6PC Gene 87557 M.Tuberculo DNA Quant CMS Edit

81250 G6PC Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81250 G6PC Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81250 G6PC Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81250 G6PC Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81250 G6PC Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81250 G6PC Gene 87582 M.Pneumon DNA Quant CMS Edit

81250 G6PC Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81250 G6PC Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81250 G6PC Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81250 G6PC Gene 87623 HPV Low-Risk Types CMS Edit

81250 G6PC Gene 87624 HPV High-Risk Types CMS Edit

81250 G6PC Gene 87625 HPV Types 16 & 18 Only CMS Edit

81250 G6PC Gene 87631 Resp Virus 3-5 Targets CMS Edit

81250 G6PC Gene 87632 Resp Virus 6-11 Targets CMS Edit

81250 G6PC Gene 87633 Resp Virus 12-25 Targets CMS Edit

81250 G6PC Gene 87640 Staph A DNA Amp Probe CMS Edit

81250 G6PC Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81250 G6PC Gene 87650 Strep A DNA Dir Probe CMS Edit

81250 G6PC Gene 87651 Strep A DNA Amp Probe CMS Edit

81250 G6PC Gene 87652 Strep A DNA Quant CMS Edit

81250 G6PC Gene 87653 Strep B DNA Amp Probe CMS Edit

81250 G6PC Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81250 G6PC Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81250 G6PC Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81250 G6PC Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81250 G6PC Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81250 G6PC Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81250 G6PC Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81250 G6PC Gene 88271 Cytogenetics DNA Probe CMS Edit

81250 G6PC Gene 88272 Cytogenetics 3-5 CMS Edit

81250 G6PC Gene 88273 Cytogenetics 10-30 CMS Edit

81250 G6PC Gene 88274 Cytogenetics 25-99 CMS Edit

81250 G6PC Gene 88275 Cytogenetics 100-300 CMS Edit

81250 G6PC Gene 88291 Cyto/Molecular Report CMS Edit

81250 G6PC Gene 88364 Insitu Hybridization (Fish) CMS Edit

81250 G6PC Gene 88365 Insitu Hybridization (Fish) CMS Edit

81250 G6PC Gene 88366 Insitu Hybridization (Fish) CMS Edit

81250 G6PC Gene 88367 Insitu Hybridization Auto CMS Edit

81250 G6PC Gene 88368 Insitu Hybridization Manual CMS Edit

81250 G6PC Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81250 G6PC Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81250 G6PC Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

Page 84: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81250 G6PC Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81250 G6PC Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81251 GBA Gene 87149 DNA/RNA Direct Probe CMS Edit

81251 GBA Gene 87150 DNA/RNA Amplified Probe CMS Edit

81251 GBA Gene 87152 Culture Type Pulse Field Gel CMS Edit

81251 GBA Gene 87153 DNA/RNA Sequencing CMS Edit

81251 GBA Gene 87470 Bartonella DNA Dir Probe CMS Edit

81251 GBA Gene 87471 Bartonella DNA Amp Probe CMS Edit

81251 GBA Gene 87472 Bartonella DNA Quant CMS Edit

81251 GBA Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81251 GBA Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81251 GBA Gene 87477 Lyme Dis DNA Quant CMS Edit

81251 GBA Gene 87480 Candida DNA Dir Probe CMS Edit

81251 GBA Gene 87481 Candida DNA Amp Probe CMS Edit

81251 GBA Gene 87482 Candida DNA Quant CMS Edit

81251 GBA Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81251 GBA Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81251 GBA Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81251 GBA Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81251 GBA Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81251 GBA Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81251 GBA Gene 87492 Chylmd Trach DNA Quant CMS Edit

81251 GBA Gene 87493 C Diff Amplified Probe CMS Edit

81251 GBA Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81251 GBA Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81251 GBA Gene 87497 Cytomeg DNA Quant CMS Edit

81251 GBA Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81251 GBA Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81251 GBA Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81251 GBA Gene 87502 Influenza DNA Amp Probe CMS Edit

81251 GBA Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81251 GBA Gene 87505 Nfct Agent Detection Gi CMS Edit

81251 GBA Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81251 GBA Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81251 GBA Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81251 GBA Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81251 GBA Gene 87512 Gardner Vag DNA Quant CMS Edit

81251 GBA Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81251 GBA Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81251 GBA Gene 87517 Hepatitis B DNA Quant CMS Edit

81251 GBA Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81251 GBA Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81251 GBA Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81251 GBA Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81251 GBA Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81251 GBA Gene 87527 Hepatitis G DNA Quant CMS Edit

81251 GBA Gene 87528 HSV DNA Dir Probe CMS Edit

81251 GBA Gene 87529 HSV DNA Amp Probe CMS Edit

81251 GBA Gene 87530 HSV DNA Quant CMS Edit

81251 GBA Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81251 GBA Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81251 GBA Gene 87533 HHV-6 DNA Quant CMS Edit

81251 GBA Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81251 GBA Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81251 GBA Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81251 GBA Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81251 GBA Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81251 GBA Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

Page 85: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81251 GBA Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81251 GBA Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81251 GBA Gene 87542 Legion Pneumo DNA Quant CMS Edit

81251 GBA Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81251 GBA Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81251 GBA Gene 87552 Mycobacteria DNA Quant CMS Edit

81251 GBA Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81251 GBA Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81251 GBA Gene 87557 M.Tuberculo DNA Quant CMS Edit

81251 GBA Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81251 GBA Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81251 GBA Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81251 GBA Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81251 GBA Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81251 GBA Gene 87582 M.Pneumon DNA Quant CMS Edit

81251 GBA Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81251 GBA Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81251 GBA Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81251 GBA Gene 87623 HPV Low-Risk Types CMS Edit

81251 GBA Gene 87624 HPV High-Risk Types CMS Edit

81251 GBA Gene 87625 HPV Types 16 & 18 Only CMS Edit

81251 GBA Gene 87631 Resp Virus 3-5 Targets CMS Edit

81251 GBA Gene 87632 Resp Virus 6-11 Targets CMS Edit

81251 GBA Gene 87633 Resp Virus 12-25 Targets CMS Edit

81251 GBA Gene 87640 Staph A DNA Amp Probe CMS Edit

81251 GBA Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81251 GBA Gene 87650 Strep A DNA Dir Probe CMS Edit

81251 GBA Gene 87651 Strep A DNA Amp Probe CMS Edit

81251 GBA Gene 87652 Strep A DNA Quant CMS Edit

81251 GBA Gene 87653 Strep B DNA Amp Probe CMS Edit

81251 GBA Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81251 GBA Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81251 GBA Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81251 GBA Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81251 GBA Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81251 GBA Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81251 GBA Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81251 GBA Gene 88271 Cytogenetics DNA Probe CMS Edit

81251 GBA Gene 88272 Cytogenetics 3-5 CMS Edit

81251 GBA Gene 88273 Cytogenetics 10-30 CMS Edit

81251 GBA Gene 88274 Cytogenetics 25-99 CMS Edit

81251 GBA Gene 88275 Cytogenetics 100-300 CMS Edit

81251 GBA Gene 88291 Cyto/Molecular Report CMS Edit

81251 GBA Gene 88364 Insitu Hybridization (Fish) CMS Edit

81251 GBA Gene 88365 Insitu Hybridization (Fish) CMS Edit

81251 GBA Gene 88366 Insitu Hybridization (Fish) CMS Edit

81251 GBA Gene 88367 Insitu Hybridization Auto CMS Edit

81251 GBA Gene 88368 Insitu Hybridization Manual CMS Edit

81251 GBA Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81251 GBA Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81251 GBA Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81251 GBA Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81251 GBA Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81252 GJB2 Gene Full Sequence 81253 GJB2 Gene Known Fam Variants CMS Edit

81252 GJB2 Gene Full Sequence 87149 DNA/RNA Direct Probe CMS Edit

81252 GJB2 Gene Full Sequence 87150 DNA/RNA Amplified Probe CMS Edit

81252 GJB2 Gene Full Sequence 87152 Culture Type Pulse Field Gel CMS Edit

81252 GJB2 Gene Full Sequence 87153 DNA/RNA Sequencing CMS Edit

Page 86: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81252 GJB2 Gene Full Sequence 87470 Bartonella DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87471 Bartonella DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87472 Bartonella DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87475 Lyme Dis DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87476 Lyme Dis DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87477 Lyme Dis DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87480 Candida DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87481 Candida DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87482 Candida DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81252 GJB2 Gene Full Sequence 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87487 Chylmd Pneum DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87490 Chylmd Trach DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87491 Chylmd Trach DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87492 Chylmd Trach DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87493 C Diff Amplified Probe CMS Edit

81252 GJB2 Gene Full Sequence 87495 Cytomeg DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87496 Cytomeg DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87497 Cytomeg DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87498 Enterovirus Probe&Revrs Trns CMS Edit

81252 GJB2 Gene Full Sequence 87500 Vanomycin DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87501 Influenza DNA Amp Prob 1+ CMS Edit

81252 GJB2 Gene Full Sequence 87502 Influenza DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87503 Influenza DNA Amp Prob Addl CMS Edit

81252 GJB2 Gene Full Sequence 87505 Nfct Agent Detection Gi CMS Edit

81252 GJB2 Gene Full Sequence 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81252 GJB2 Gene Full Sequence 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81252 GJB2 Gene Full Sequence 87510 Gardner Vag DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87511 Gardner Vag DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87512 Gardner Vag DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87515 Hepatitis B DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87516 Hepatitis B DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87517 Hepatitis B DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87520 Hepatitis C RNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81252 GJB2 Gene Full Sequence 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81252 GJB2 Gene Full Sequence 87525 Hepatitis G DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87526 Hepatitis G DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87527 Hepatitis G DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87528 HSV DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87529 HSV DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87530 HSV DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87531 HHV-6 DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87532 HHV-6 DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87533 HHV-6 DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87534 HIV-1 DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81252 GJB2 Gene Full Sequence 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81252 GJB2 Gene Full Sequence 87537 HIV-2 DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81252 GJB2 Gene Full Sequence 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81252 GJB2 Gene Full Sequence 87540 Legion Pneumo DNA Dir Prob CMS Edit

81252 GJB2 Gene Full Sequence 87541 Legion Pneumo DNA Amp Prob CMS Edit

81252 GJB2 Gene Full Sequence 87542 Legion Pneumo DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87550 Mycobacteria DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87551 Mycobacteria DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87552 Mycobacteria DNA Quant CMS Edit

Page 87: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81252 GJB2 Gene Full Sequence 87555 M.Tuberculo DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87556 M.Tuberculo DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87557 M.Tuberculo DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81252 GJB2 Gene Full Sequence 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81252 GJB2 Gene Full Sequence 87562 M.Avium-Intra DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87580 M.Pneumon DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87581 M.Pneumon DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87582 M.Pneumon DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81252 GJB2 Gene Full Sequence 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81252 GJB2 Gene Full Sequence 87592 N.Gonorrhoeae DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87623 HPV Low-Risk Types CMS Edit

81252 GJB2 Gene Full Sequence 87624 HPV High-Risk Types CMS Edit

81252 GJB2 Gene Full Sequence 87625 HPV Types 16 & 18 Only CMS Edit

81252 GJB2 Gene Full Sequence 87631 Resp Virus 3-5 Targets CMS Edit

81252 GJB2 Gene Full Sequence 87632 Resp Virus 6-11 Targets CMS Edit

81252 GJB2 Gene Full Sequence 87633 Resp Virus 12-25 Targets CMS Edit

81252 GJB2 Gene Full Sequence 87640 Staph A DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87641 Mr-Staph DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87650 Strep A DNA Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87651 Strep A DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87652 Strep A DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87653 Strep B DNA Amp Probe CMS Edit

81252 GJB2 Gene Full Sequence 87660 Trichomonas Vagin Dir Probe CMS Edit

81252 GJB2 Gene Full Sequence 87661 Trichomonas Vaginalis Amplif CMS Edit

81252 GJB2 Gene Full Sequence 87797 Detect Agent Nos DNA Dir CMS Edit

81252 GJB2 Gene Full Sequence 87798 Detect Agent Nos DNA Amp CMS Edit

81252 GJB2 Gene Full Sequence 87799 Detect Agent Nos DNA Quant CMS Edit

81252 GJB2 Gene Full Sequence 87800 Detect Agnt Mult DNA Direc CMS Edit

81252 GJB2 Gene Full Sequence 87801 Detect Agnt Mult DNA Ampli CMS Edit

81252 GJB2 Gene Full Sequence 88271 Cytogenetics DNA Probe CMS Edit

81252 GJB2 Gene Full Sequence 88272 Cytogenetics 3-5 CMS Edit

81252 GJB2 Gene Full Sequence 88273 Cytogenetics 10-30 CMS Edit

81252 GJB2 Gene Full Sequence 88274 Cytogenetics 25-99 CMS Edit

81252 GJB2 Gene Full Sequence 88275 Cytogenetics 100-300 CMS Edit

81252 GJB2 Gene Full Sequence 88291 Cyto/Molecular Report CMS Edit

81252 GJB2 Gene Full Sequence 88364 Insitu Hybridization (Fish) CMS Edit

81252 GJB2 Gene Full Sequence 88365 Insitu Hybridization (Fish) CMS Edit

81252 GJB2 Gene Full Sequence 88366 Insitu Hybridization (Fish) CMS Edit

81252 GJB2 Gene Full Sequence 88367 Insitu Hybridization Auto CMS Edit

81252 GJB2 Gene Full Sequence 88368 Insitu Hybridization Manual CMS Edit

81252 GJB2 Gene Full Sequence 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81252 GJB2 Gene Full Sequence 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81252 GJB2 Gene Full Sequence 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81252 GJB2 Gene Full Sequence 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81252 GJB2 Gene Full Sequence G0476 HPV Combo Assay Ca Screen CMS Edit**81253 GJB2 Gene Known Fam Variants 87149 DNA/RNA Direct Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87150 DNA/RNA Amplified Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87152 Culture Type Pulse Field Gel CMS Edit

81253 GJB2 Gene Known Fam Variants 87153 DNA/RNA Sequencing CMS Edit

81253 GJB2 Gene Known Fam Variants 87470 Bartonella DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87471 Bartonella DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87472 Bartonella DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87477 Lyme Dis DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87480 Candida DNA Dir Probe CMS Edit

Page 88: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81253 GJB2 Gene Known Fam Variants 87481 Candida DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87482 Candida DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81253 GJB2 Gene Known Fam Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87492 Chylmd Trach DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87493 C Diff Amplified Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87497 Cytomeg DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81253 GJB2 Gene Known Fam Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81253 GJB2 Gene Known Fam Variants 87502 Influenza DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81253 GJB2 Gene Known Fam Variants 87505 Nfct Agent Detection Gi CMS Edit

81253 GJB2 Gene Known Fam Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81253 GJB2 Gene Known Fam Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81253 GJB2 Gene Known Fam Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87512 Gardner Vag DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87517 Hepatitis B DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81253 GJB2 Gene Known Fam Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81253 GJB2 Gene Known Fam Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87527 Hepatitis G DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87528 HSV DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87529 HSV DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87530 HSV DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87533 HHV-6 DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81253 GJB2 Gene Known Fam Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81253 GJB2 Gene Known Fam Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81253 GJB2 Gene Known Fam Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81253 GJB2 Gene Known Fam Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81253 GJB2 Gene Known Fam Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81253 GJB2 Gene Known Fam Variants 87542 Legion Pneumo DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87552 Mycobacteria DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87557 M.Tuberculo DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81253 GJB2 Gene Known Fam Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81253 GJB2 Gene Known Fam Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

Page 89: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81253 GJB2 Gene Known Fam Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87582 M.Pneumon DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81253 GJB2 Gene Known Fam Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81253 GJB2 Gene Known Fam Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87623 HPV Low-Risk Types CMS Edit

81253 GJB2 Gene Known Fam Variants 87624 HPV High-Risk Types CMS Edit

81253 GJB2 Gene Known Fam Variants 87625 HPV Types 16 & 18 Only CMS Edit

81253 GJB2 Gene Known Fam Variants 87631 Resp Virus 3-5 Targets CMS Edit

81253 GJB2 Gene Known Fam Variants 87632 Resp Virus 6-11 Targets CMS Edit

81253 GJB2 Gene Known Fam Variants 87633 Resp Virus 12-25 Targets CMS Edit

81253 GJB2 Gene Known Fam Variants 87640 Staph A DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87650 Strep A DNA Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87651 Strep A DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87652 Strep A DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87653 Strep B DNA Amp Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81253 GJB2 Gene Known Fam Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81253 GJB2 Gene Known Fam Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81253 GJB2 Gene Known Fam Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81253 GJB2 Gene Known Fam Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81253 GJB2 Gene Known Fam Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81253 GJB2 Gene Known Fam Variants 88271 Cytogenetics DNA Probe CMS Edit

81253 GJB2 Gene Known Fam Variants 88272 Cytogenetics 3-5 CMS Edit

81253 GJB2 Gene Known Fam Variants 88273 Cytogenetics 10-30 CMS Edit

81253 GJB2 Gene Known Fam Variants 88274 Cytogenetics 25-99 CMS Edit

81253 GJB2 Gene Known Fam Variants 88275 Cytogenetics 100-300 CMS Edit

81253 GJB2 Gene Known Fam Variants 88291 Cyto/Molecular Report CMS Edit

81253 GJB2 Gene Known Fam Variants 88364 Insitu Hybridization (Fish) CMS Edit

81253 GJB2 Gene Known Fam Variants 88365 Insitu Hybridization (Fish) CMS Edit

81253 GJB2 Gene Known Fam Variants 88366 Insitu Hybridization (Fish) CMS Edit

81253 GJB2 Gene Known Fam Variants 88367 Insitu Hybridization Auto CMS Edit

81253 GJB2 Gene Known Fam Variants 88368 Insitu Hybridization Manual CMS Edit

81253 GJB2 Gene Known Fam Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81253 GJB2 Gene Known Fam Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81253 GJB2 Gene Known Fam Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81253 GJB2 Gene Known Fam Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81253 GJB2 Gene Known Fam Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81254 GJB6 Gene Com Variants 87149 DNA/RNA Direct Probe CMS Edit

81254 GJB6 Gene Com Variants 87150 DNA/RNA Amplified Probe CMS Edit

81254 GJB6 Gene Com Variants 87152 Culture Type Pulse Field Gel CMS Edit

81254 GJB6 Gene Com Variants 87153 DNA/RNA Sequencing CMS Edit

81254 GJB6 Gene Com Variants 87470 Bartonella DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87471 Bartonella DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87472 Bartonella DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87477 Lyme Dis DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87480 Candida DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87481 Candida DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87482 Candida DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81254 GJB6 Gene Com Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

Page 90: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81254 GJB6 Gene Com Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87492 Chylmd Trach DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87493 C Diff Amplified Probe CMS Edit

81254 GJB6 Gene Com Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87497 Cytomeg DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81254 GJB6 Gene Com Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81254 GJB6 Gene Com Variants 87502 Influenza DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81254 GJB6 Gene Com Variants 87505 Nfct Agent Detection Gi CMS Edit

81254 GJB6 Gene Com Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81254 GJB6 Gene Com Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81254 GJB6 Gene Com Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87512 Gardner Vag DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87517 Hepatitis B DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81254 GJB6 Gene Com Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81254 GJB6 Gene Com Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87527 Hepatitis G DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87528 HSV DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87529 HSV DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87530 HSV DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87533 HHV-6 DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81254 GJB6 Gene Com Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81254 GJB6 Gene Com Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81254 GJB6 Gene Com Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81254 GJB6 Gene Com Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81254 GJB6 Gene Com Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81254 GJB6 Gene Com Variants 87542 Legion Pneumo DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87552 Mycobacteria DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87557 M.Tuberculo DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81254 GJB6 Gene Com Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81254 GJB6 Gene Com Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87582 M.Pneumon DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81254 GJB6 Gene Com Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81254 GJB6 Gene Com Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87623 HPV Low-Risk Types CMS Edit

81254 GJB6 Gene Com Variants 87624 HPV High-Risk Types CMS Edit

Page 91: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81254 GJB6 Gene Com Variants 87625 HPV Types 16 & 18 Only CMS Edit

81254 GJB6 Gene Com Variants 87631 Resp Virus 3-5 Targets CMS Edit

81254 GJB6 Gene Com Variants 87632 Resp Virus 6-11 Targets CMS Edit

81254 GJB6 Gene Com Variants 87633 Resp Virus 12-25 Targets CMS Edit

81254 GJB6 Gene Com Variants 87640 Staph A DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87650 Strep A DNA Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87651 Strep A DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87652 Strep A DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87653 Strep B DNA Amp Probe CMS Edit

81254 GJB6 Gene Com Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81254 GJB6 Gene Com Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81254 GJB6 Gene Com Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81254 GJB6 Gene Com Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81254 GJB6 Gene Com Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81254 GJB6 Gene Com Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81254 GJB6 Gene Com Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81254 GJB6 Gene Com Variants 88271 Cytogenetics DNA Probe CMS Edit

81254 GJB6 Gene Com Variants 88272 Cytogenetics 3-5 CMS Edit

81254 GJB6 Gene Com Variants 88273 Cytogenetics 10-30 CMS Edit

81254 GJB6 Gene Com Variants 88274 Cytogenetics 25-99 CMS Edit

81254 GJB6 Gene Com Variants 88275 Cytogenetics 100-300 CMS Edit

81254 GJB6 Gene Com Variants 88291 Cyto/Molecular Report CMS Edit

81254 GJB6 Gene Com Variants 88364 Insitu Hybridization (Fish) CMS Edit

81254 GJB6 Gene Com Variants 88365 Insitu Hybridization (Fish) CMS Edit

81254 GJB6 Gene Com Variants 88366 Insitu Hybridization (Fish) CMS Edit

81254 GJB6 Gene Com Variants 88367 Insitu Hybridization Auto CMS Edit

81254 GJB6 Gene Com Variants 88368 Insitu Hybridization Manual CMS Edit

81254 GJB6 Gene Com Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81254 GJB6 Gene Com Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81254 GJB6 Gene Com Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81254 GJB6 Gene Com Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81254 GJB6 Gene Com Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81255 HEXA Gene 87149 DNA/RNA Direct Probe CMS Edit

81255 HEXA Gene 87150 DNA/RNA Amplified Probe CMS Edit

81255 HEXA Gene 87152 Culture Type Pulse Field Gel CMS Edit

81255 HEXA Gene 87153 DNA/RNA Sequencing CMS Edit

81255 HEXA Gene 87470 Bartonella DNA Dir Probe CMS Edit

81255 HEXA Gene 87471 Bartonella DNA Amp Probe CMS Edit

81255 HEXA Gene 87472 Bartonella DNA Quant CMS Edit

81255 HEXA Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81255 HEXA Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81255 HEXA Gene 87477 Lyme Dis DNA Quant CMS Edit

81255 HEXA Gene 87480 Candida DNA Dir Probe CMS Edit

81255 HEXA Gene 87481 Candida DNA Amp Probe CMS Edit

81255 HEXA Gene 87482 Candida DNA Quant CMS Edit

81255 HEXA Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81255 HEXA Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81255 HEXA Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81255 HEXA Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81255 HEXA Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81255 HEXA Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81255 HEXA Gene 87492 Chylmd Trach DNA Quant CMS Edit

81255 HEXA Gene 87493 C Diff Amplified Probe CMS Edit

81255 HEXA Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81255 HEXA Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81255 HEXA Gene 87497 Cytomeg DNA Quant CMS Edit

81255 HEXA Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

Page 92: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81255 HEXA Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81255 HEXA Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81255 HEXA Gene 87502 Influenza DNA Amp Probe CMS Edit

81255 HEXA Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81255 HEXA Gene 87505 Nfct Agent Detection Gi CMS Edit

81255 HEXA Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81255 HEXA Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81255 HEXA Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81255 HEXA Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81255 HEXA Gene 87512 Gardner Vag DNA Quant CMS Edit

81255 HEXA Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81255 HEXA Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81255 HEXA Gene 87517 Hepatitis B DNA Quant CMS Edit

81255 HEXA Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81255 HEXA Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81255 HEXA Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81255 HEXA Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81255 HEXA Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81255 HEXA Gene 87527 Hepatitis G DNA Quant CMS Edit

81255 HEXA Gene 87528 HSV DNA Dir Probe CMS Edit

81255 HEXA Gene 87529 HSV DNA Amp Probe CMS Edit

81255 HEXA Gene 87530 HSV DNA Quant CMS Edit

81255 HEXA Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81255 HEXA Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81255 HEXA Gene 87533 HHV-6 DNA Quant CMS Edit

81255 HEXA Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81255 HEXA Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81255 HEXA Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81255 HEXA Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81255 HEXA Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81255 HEXA Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81255 HEXA Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81255 HEXA Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81255 HEXA Gene 87542 Legion Pneumo DNA Quant CMS Edit

81255 HEXA Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81255 HEXA Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81255 HEXA Gene 87552 Mycobacteria DNA Quant CMS Edit

81255 HEXA Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81255 HEXA Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81255 HEXA Gene 87557 M.Tuberculo DNA Quant CMS Edit

81255 HEXA Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81255 HEXA Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81255 HEXA Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81255 HEXA Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81255 HEXA Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81255 HEXA Gene 87582 M.Pneumon DNA Quant CMS Edit

81255 HEXA Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81255 HEXA Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81255 HEXA Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81255 HEXA Gene 87623 HPV Low-Risk Types CMS Edit

81255 HEXA Gene 87624 HPV High-Risk Types CMS Edit

81255 HEXA Gene 87625 HPV Types 16 & 18 Only CMS Edit

81255 HEXA Gene 87631 Resp Virus 3-5 Targets CMS Edit

81255 HEXA Gene 87632 Resp Virus 6-11 Targets CMS Edit

81255 HEXA Gene 87633 Resp Virus 12-25 Targets CMS Edit

81255 HEXA Gene 87640 Staph A DNA Amp Probe CMS Edit

81255 HEXA Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81255 HEXA Gene 87650 Strep A DNA Dir Probe CMS Edit

Page 93: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81255 HEXA Gene 87651 Strep A DNA Amp Probe CMS Edit

81255 HEXA Gene 87652 Strep A DNA Quant CMS Edit

81255 HEXA Gene 87653 Strep B DNA Amp Probe CMS Edit

81255 HEXA Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81255 HEXA Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81255 HEXA Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81255 HEXA Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81255 HEXA Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81255 HEXA Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81255 HEXA Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81255 HEXA Gene 88271 Cytogenetics DNA Probe CMS Edit

81255 HEXA Gene 88272 Cytogenetics 3-5 CMS Edit

81255 HEXA Gene 88273 Cytogenetics 10-30 CMS Edit

81255 HEXA Gene 88274 Cytogenetics 25-99 CMS Edit

81255 HEXA Gene 88275 Cytogenetics 100-300 CMS Edit

81255 HEXA Gene 88291 Cyto/Molecular Report CMS Edit

81255 HEXA Gene 88364 Insitu Hybridization (Fish) CMS Edit

81255 HEXA Gene 88365 Insitu Hybridization (Fish) CMS Edit

81255 HEXA Gene 88366 Insitu Hybridization (Fish) CMS Edit

81255 HEXA Gene 88367 Insitu Hybridization Auto CMS Edit

81255 HEXA Gene 88368 Insitu Hybridization Manual CMS Edit

81255 HEXA Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81255 HEXA Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81255 HEXA Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81255 HEXA Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81255 HEXA Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81256 HFE Gene 87149 DNA/RNA Direct Probe CMS Edit

81256 HFE Gene 87150 DNA/RNA Amplified Probe CMS Edit

81256 HFE Gene 87152 Culture Type Pulse Field Gel CMS Edit

81256 HFE Gene 87153 DNA/RNA Sequencing CMS Edit

81256 HFE Gene 87470 Bartonella DNA Dir Probe CMS Edit

81256 HFE Gene 87471 Bartonella DNA Amp Probe CMS Edit

81256 HFE Gene 87472 Bartonella DNA Quant CMS Edit

81256 HFE Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81256 HFE Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81256 HFE Gene 87477 Lyme Dis DNA Quant CMS Edit

81256 HFE Gene 87480 Candida DNA Dir Probe CMS Edit

81256 HFE Gene 87481 Candida DNA Amp Probe CMS Edit

81256 HFE Gene 87482 Candida DNA Quant CMS Edit

81256 HFE Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81256 HFE Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81256 HFE Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81256 HFE Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81256 HFE Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81256 HFE Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81256 HFE Gene 87492 Chylmd Trach DNA Quant CMS Edit

81256 HFE Gene 87493 C Diff Amplified Probe CMS Edit

81256 HFE Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81256 HFE Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81256 HFE Gene 87497 Cytomeg DNA Quant CMS Edit

81256 HFE Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81256 HFE Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81256 HFE Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81256 HFE Gene 87502 Influenza DNA Amp Probe CMS Edit

81256 HFE Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81256 HFE Gene 87505 Nfct Agent Detection Gi CMS Edit

81256 HFE Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81256 HFE Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

Page 94: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81256 HFE Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81256 HFE Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81256 HFE Gene 87512 Gardner Vag DNA Quant CMS Edit

81256 HFE Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81256 HFE Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81256 HFE Gene 87517 Hepatitis B DNA Quant CMS Edit

81256 HFE Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81256 HFE Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81256 HFE Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81256 HFE Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81256 HFE Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81256 HFE Gene 87527 Hepatitis G DNA Quant CMS Edit

81256 HFE Gene 87528 HSV DNA Dir Probe CMS Edit

81256 HFE Gene 87529 HSV DNA Amp Probe CMS Edit

81256 HFE Gene 87530 HSV DNA Quant CMS Edit

81256 HFE Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81256 HFE Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81256 HFE Gene 87533 HHV-6 DNA Quant CMS Edit

81256 HFE Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81256 HFE Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81256 HFE Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81256 HFE Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81256 HFE Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81256 HFE Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81256 HFE Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81256 HFE Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81256 HFE Gene 87542 Legion Pneumo DNA Quant CMS Edit

81256 HFE Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81256 HFE Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81256 HFE Gene 87552 Mycobacteria DNA Quant CMS Edit

81256 HFE Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81256 HFE Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81256 HFE Gene 87557 M.Tuberculo DNA Quant CMS Edit

81256 HFE Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81256 HFE Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81256 HFE Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81256 HFE Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81256 HFE Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81256 HFE Gene 87582 M.Pneumon DNA Quant CMS Edit

81256 HFE Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81256 HFE Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81256 HFE Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81256 HFE Gene 87623 HPV Low-Risk Types CMS Edit

81256 HFE Gene 87624 HPV High-Risk Types CMS Edit

81256 HFE Gene 87625 HPV Types 16 & 18 Only CMS Edit

81256 HFE Gene 87631 Resp Virus 3-5 Targets CMS Edit

81256 HFE Gene 87632 Resp Virus 6-11 Targets CMS Edit

81256 HFE Gene 87633 Resp Virus 12-25 Targets CMS Edit

81256 HFE Gene 87640 Staph A DNA Amp Probe CMS Edit

81256 HFE Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81256 HFE Gene 87650 Strep A DNA Dir Probe CMS Edit

81256 HFE Gene 87651 Strep A DNA Amp Probe CMS Edit

81256 HFE Gene 87652 Strep A DNA Quant CMS Edit

81256 HFE Gene 87653 Strep B DNA Amp Probe CMS Edit

81256 HFE Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81256 HFE Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81256 HFE Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81256 HFE Gene 87798 Detect Agent Nos DNA Amp CMS Edit

Page 95: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81256 HFE Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81256 HFE Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81256 HFE Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81256 HFE Gene 88271 Cytogenetics DNA Probe CMS Edit

81256 HFE Gene 88272 Cytogenetics 3-5 CMS Edit

81256 HFE Gene 88273 Cytogenetics 10-30 CMS Edit

81256 HFE Gene 88274 Cytogenetics 25-99 CMS Edit

81256 HFE Gene 88275 Cytogenetics 100-300 CMS Edit

81256 HFE Gene 88291 Cyto/Molecular Report CMS Edit

81256 HFE Gene 88364 Insitu Hybridization (Fish) CMS Edit

81256 HFE Gene 88365 Insitu Hybridization (Fish) CMS Edit

81256 HFE Gene 88366 Insitu Hybridization (Fish) CMS Edit

81256 HFE Gene 88367 Insitu Hybridization Auto CMS Edit

81256 HFE Gene 88368 Insitu Hybridization Manual CMS Edit

81256 HFE Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81256 HFE Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81256 HFE Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81256 HFE Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81256 HFE Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81257 HBA1/HBA2 Gene 87149 DNA/RNA Direct Probe CMS Edit

81257 HBA1/HBA2 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81257 HBA1/HBA2 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81257 HBA1/HBA2 Gene 87153 DNA/RNA Sequencing CMS Edit

81257 HBA1/HBA2 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87472 Bartonella DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87477 Lyme Dis DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87480 Candida DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87481 Candida DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87482 Candida DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81257 HBA1/HBA2 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87493 C Diff Amplified Probe CMS Edit

81257 HBA1/HBA2 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87497 Cytomeg DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81257 HBA1/HBA2 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81257 HBA1/HBA2 Gene 87502 Influenza DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81257 HBA1/HBA2 Gene 87505 Nfct Agent Detection Gi CMS Edit

81257 HBA1/HBA2 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81257 HBA1/HBA2 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81257 HBA1/HBA2 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87512 Gardner Vag DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87517 Hepatitis B DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

Page 96: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81257 HBA1/HBA2 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81257 HBA1/HBA2 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81257 HBA1/HBA2 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87527 Hepatitis G DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87528 HSV DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87529 HSV DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87530 HSV DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87533 HHV-6 DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81257 HBA1/HBA2 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81257 HBA1/HBA2 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81257 HBA1/HBA2 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81257 HBA1/HBA2 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81257 HBA1/HBA2 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81257 HBA1/HBA2 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87552 Mycobacteria DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81257 HBA1/HBA2 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81257 HBA1/HBA2 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87582 M.Pneumon DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81257 HBA1/HBA2 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81257 HBA1/HBA2 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87623 HPV Low-Risk Types CMS Edit

81257 HBA1/HBA2 Gene 87624 HPV High-Risk Types CMS Edit

81257 HBA1/HBA2 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81257 HBA1/HBA2 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81257 HBA1/HBA2 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81257 HBA1/HBA2 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81257 HBA1/HBA2 Gene 87640 Staph A DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87650 Strep A DNA Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87651 Strep A DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87652 Strep A DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87653 Strep B DNA Amp Probe CMS Edit

81257 HBA1/HBA2 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81257 HBA1/HBA2 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81257 HBA1/HBA2 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81257 HBA1/HBA2 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81257 HBA1/HBA2 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81257 HBA1/HBA2 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81257 HBA1/HBA2 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81257 HBA1/HBA2 Gene 88271 Cytogenetics DNA Probe CMS Edit

81257 HBA1/HBA2 Gene 88272 Cytogenetics 3-5 CMS Edit

81257 HBA1/HBA2 Gene 88273 Cytogenetics 10-30 CMS Edit

81257 HBA1/HBA2 Gene 88274 Cytogenetics 25-99 CMS Edit

Page 97: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81257 HBA1/HBA2 Gene 88275 Cytogenetics 100-300 CMS Edit

81257 HBA1/HBA2 Gene 88291 Cyto/Molecular Report CMS Edit

81257 HBA1/HBA2 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81257 HBA1/HBA2 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81257 HBA1/HBA2 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81257 HBA1/HBA2 Gene 88367 Insitu Hybridization Auto CMS Edit

81257 HBA1/HBA2 Gene 88368 Insitu Hybridization Manual CMS Edit

81257 HBA1/HBA2 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81257 HBA1/HBA2 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81257 HBA1/HBA2 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81257 HBA1/HBA2 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81257 HBA1/HBA2 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81260 IKBKAP Gene 87149 DNA/RNA Direct Probe CMS Edit

81260 IKBKAP Gene 87150 DNA/RNA Amplified Probe CMS Edit

81260 IKBKAP Gene 87152 Culture Type Pulse Field Gel CMS Edit

81260 IKBKAP Gene 87153 DNA/RNA Sequencing CMS Edit

81260 IKBKAP Gene 87470 Bartonella DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87471 Bartonella DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87472 Bartonella DNA Quant CMS Edit

81260 IKBKAP Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87477 Lyme Dis DNA Quant CMS Edit

81260 IKBKAP Gene 87480 Candida DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87481 Candida DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87482 Candida DNA Quant CMS Edit

81260 IKBKAP Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81260 IKBKAP Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81260 IKBKAP Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87492 Chylmd Trach DNA Quant CMS Edit

81260 IKBKAP Gene 87493 C Diff Amplified Probe CMS Edit

81260 IKBKAP Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87497 Cytomeg DNA Quant CMS Edit

81260 IKBKAP Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81260 IKBKAP Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81260 IKBKAP Gene 87502 Influenza DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81260 IKBKAP Gene 87505 Nfct Agent Detection Gi CMS Edit

81260 IKBKAP Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81260 IKBKAP Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81260 IKBKAP Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87512 Gardner Vag DNA Quant CMS Edit

81260 IKBKAP Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87517 Hepatitis B DNA Quant CMS Edit

81260 IKBKAP Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81260 IKBKAP Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81260 IKBKAP Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81260 IKBKAP Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87527 Hepatitis G DNA Quant CMS Edit

81260 IKBKAP Gene 87528 HSV DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87529 HSV DNA Amp Probe CMS Edit

Page 98: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81260 IKBKAP Gene 87530 HSV DNA Quant CMS Edit

81260 IKBKAP Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87533 HHV-6 DNA Quant CMS Edit

81260 IKBKAP Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81260 IKBKAP Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81260 IKBKAP Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81260 IKBKAP Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81260 IKBKAP Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81260 IKBKAP Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81260 IKBKAP Gene 87542 Legion Pneumo DNA Quant CMS Edit

81260 IKBKAP Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87552 Mycobacteria DNA Quant CMS Edit

81260 IKBKAP Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87557 M.Tuberculo DNA Quant CMS Edit

81260 IKBKAP Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81260 IKBKAP Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81260 IKBKAP Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81260 IKBKAP Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87582 M.Pneumon DNA Quant CMS Edit

81260 IKBKAP Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81260 IKBKAP Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81260 IKBKAP Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81260 IKBKAP Gene 87623 HPV Low-Risk Types CMS Edit

81260 IKBKAP Gene 87624 HPV High-Risk Types CMS Edit

81260 IKBKAP Gene 87625 HPV Types 16 & 18 Only CMS Edit

81260 IKBKAP Gene 87631 Resp Virus 3-5 Targets CMS Edit

81260 IKBKAP Gene 87632 Resp Virus 6-11 Targets CMS Edit

81260 IKBKAP Gene 87633 Resp Virus 12-25 Targets CMS Edit

81260 IKBKAP Gene 87640 Staph A DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87650 Strep A DNA Dir Probe CMS Edit

81260 IKBKAP Gene 87651 Strep A DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87652 Strep A DNA Quant CMS Edit

81260 IKBKAP Gene 87653 Strep B DNA Amp Probe CMS Edit

81260 IKBKAP Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81260 IKBKAP Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81260 IKBKAP Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81260 IKBKAP Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81260 IKBKAP Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81260 IKBKAP Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81260 IKBKAP Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81260 IKBKAP Gene 88271 Cytogenetics DNA Probe CMS Edit

81260 IKBKAP Gene 88272 Cytogenetics 3-5 CMS Edit

81260 IKBKAP Gene 88273 Cytogenetics 10-30 CMS Edit

81260 IKBKAP Gene 88274 Cytogenetics 25-99 CMS Edit

81260 IKBKAP Gene 88275 Cytogenetics 100-300 CMS Edit

81260 IKBKAP Gene 88291 Cyto/Molecular Report CMS Edit

81260 IKBKAP Gene 88364 Insitu Hybridization (Fish) CMS Edit

81260 IKBKAP Gene 88365 Insitu Hybridization (Fish) CMS Edit

81260 IKBKAP Gene 88366 Insitu Hybridization (Fish) CMS Edit

81260 IKBKAP Gene 88367 Insitu Hybridization Auto CMS Edit

81260 IKBKAP Gene 88368 Insitu Hybridization Manual CMS Edit

Page 99: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81260 IKBKAP Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81260 IKBKAP Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81260 IKBKAP Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81260 IKBKAP Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81260 IKBKAP Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81261 IGH Gene Rearrange Amp Meth 81262 IGH Gene Rearrang Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 81263 IGH Vari Regional Mutation CMS Edit

81261 IGH Gene Rearrange Amp Meth 87149 DNA/RNA Direct Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87150 DNA/RNA Amplified Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87152 Culture Type Pulse Field Gel CMS Edit

81261 IGH Gene Rearrange Amp Meth 87153 DNA/RNA Sequencing CMS Edit

81261 IGH Gene Rearrange Amp Meth 87470 Bartonella DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87471 Bartonella DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87472 Bartonella DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87475 Lyme Dis DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87476 Lyme Dis DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87477 Lyme Dis DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87480 Candida DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87481 Candida DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87482 Candida DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81261 IGH Gene Rearrange Amp Meth 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87487 Chylmd Pneum DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87490 Chylmd Trach DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87491 Chylmd Trach DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87492 Chylmd Trach DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87493 C Diff Amplified Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87495 Cytomeg DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87496 Cytomeg DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87497 Cytomeg DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87498 Enterovirus Probe&Revrs Trns CMS Edit

81261 IGH Gene Rearrange Amp Meth 87500 Vanomycin DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87501 Influenza DNA Amp Prob 1+ CMS Edit

81261 IGH Gene Rearrange Amp Meth 87502 Influenza DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87503 Influenza DNA Amp Prob Addl CMS Edit

81261 IGH Gene Rearrange Amp Meth 87505 Nfct Agent Detection Gi CMS Edit

81261 IGH Gene Rearrange Amp Meth 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81261 IGH Gene Rearrange Amp Meth 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81261 IGH Gene Rearrange Amp Meth 87510 Gardner Vag DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87511 Gardner Vag DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87512 Gardner Vag DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87515 Hepatitis B DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87516 Hepatitis B DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87517 Hepatitis B DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87520 Hepatitis C RNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81261 IGH Gene Rearrange Amp Meth 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81261 IGH Gene Rearrange Amp Meth 87525 Hepatitis G DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87526 Hepatitis G DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87527 Hepatitis G DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87528 HSV DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87529 HSV DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87530 HSV DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87531 HHV-6 DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87532 HHV-6 DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87533 HHV-6 DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87534 HIV-1 DNA Dir Probe CMS Edit

Page 100: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81261 IGH Gene Rearrange Amp Meth 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81261 IGH Gene Rearrange Amp Meth 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81261 IGH Gene Rearrange Amp Meth 87537 HIV-2 DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81261 IGH Gene Rearrange Amp Meth 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81261 IGH Gene Rearrange Amp Meth 87540 Legion Pneumo DNA Dir Prob CMS Edit

81261 IGH Gene Rearrange Amp Meth 87541 Legion Pneumo DNA Amp Prob CMS Edit

81261 IGH Gene Rearrange Amp Meth 87542 Legion Pneumo DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87550 Mycobacteria DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87551 Mycobacteria DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87552 Mycobacteria DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87555 M.Tuberculo DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87556 M.Tuberculo DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87557 M.Tuberculo DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81261 IGH Gene Rearrange Amp Meth 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81261 IGH Gene Rearrange Amp Meth 87562 M.Avium-Intra DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87580 M.Pneumon DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87581 M.Pneumon DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87582 M.Pneumon DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81261 IGH Gene Rearrange Amp Meth 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81261 IGH Gene Rearrange Amp Meth 87592 N.Gonorrhoeae DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87623 HPV Low-Risk Types CMS Edit

81261 IGH Gene Rearrange Amp Meth 87624 HPV High-Risk Types CMS Edit

81261 IGH Gene Rearrange Amp Meth 87625 HPV Types 16 & 18 Only CMS Edit

81261 IGH Gene Rearrange Amp Meth 87631 Resp Virus 3-5 Targets CMS Edit

81261 IGH Gene Rearrange Amp Meth 87632 Resp Virus 6-11 Targets CMS Edit

81261 IGH Gene Rearrange Amp Meth 87633 Resp Virus 12-25 Targets CMS Edit

81261 IGH Gene Rearrange Amp Meth 87640 Staph A DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87641 Mr-Staph DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87650 Strep A DNA Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87651 Strep A DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87652 Strep A DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87653 Strep B DNA Amp Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87660 Trichomonas Vagin Dir Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 87661 Trichomonas Vaginalis Amplif CMS Edit

81261 IGH Gene Rearrange Amp Meth 87797 Detect Agent Nos DNA Dir CMS Edit

81261 IGH Gene Rearrange Amp Meth 87798 Detect Agent Nos DNA Amp CMS Edit

81261 IGH Gene Rearrange Amp Meth 87799 Detect Agent Nos DNA Quant CMS Edit

81261 IGH Gene Rearrange Amp Meth 87800 Detect Agnt Mult DNA Direc CMS Edit

81261 IGH Gene Rearrange Amp Meth 87801 Detect Agnt Mult DNA Ampli CMS Edit

81261 IGH Gene Rearrange Amp Meth 88271 Cytogenetics DNA Probe CMS Edit

81261 IGH Gene Rearrange Amp Meth 88272 Cytogenetics 3-5 CMS Edit

81261 IGH Gene Rearrange Amp Meth 88273 Cytogenetics 10-30 CMS Edit

81261 IGH Gene Rearrange Amp Meth 88274 Cytogenetics 25-99 CMS Edit

81261 IGH Gene Rearrange Amp Meth 88275 Cytogenetics 100-300 CMS Edit

81261 IGH Gene Rearrange Amp Meth 88291 Cyto/Molecular Report CMS Edit

81261 IGH Gene Rearrange Amp Meth 88364 Insitu Hybridization (Fish) CMS Edit

81261 IGH Gene Rearrange Amp Meth 88365 Insitu Hybridization (Fish) CMS Edit

81261 IGH Gene Rearrange Amp Meth 88366 Insitu Hybridization (Fish) CMS Edit

81261 IGH Gene Rearrange Amp Meth 88367 Insitu Hybridization Auto CMS Edit

81261 IGH Gene Rearrange Amp Meth 88368 Insitu Hybridization Manual CMS Edit

81261 IGH Gene Rearrange Amp Meth 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81261 IGH Gene Rearrange Amp Meth 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81261 IGH Gene Rearrange Amp Meth 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81261 IGH Gene Rearrange Amp Meth 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81261 IGH Gene Rearrange Amp Meth G0476 HPV Combo Assay Ca Screen CMS Edit**

Page 101: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81262 IGH Gene Rearrang Dir Probe 81263 IGH Vari Regional Mutation CMS Edit

81262 IGH Gene Rearrang Dir Probe 87149 DNA/RNA Direct Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87150 DNA/RNA Amplified Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87152 Culture Type Pulse Field Gel CMS Edit

81262 IGH Gene Rearrang Dir Probe 87153 DNA/RNA Sequencing CMS Edit

81262 IGH Gene Rearrang Dir Probe 87470 Bartonella DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87471 Bartonella DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87472 Bartonella DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87475 Lyme Dis DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87476 Lyme Dis DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87477 Lyme Dis DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87480 Candida DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87481 Candida DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87482 Candida DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81262 IGH Gene Rearrang Dir Probe 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87487 Chylmd Pneum DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87490 Chylmd Trach DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87491 Chylmd Trach DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87492 Chylmd Trach DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87493 C Diff Amplified Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87495 Cytomeg DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87496 Cytomeg DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87497 Cytomeg DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87498 Enterovirus Probe&Revrs Trns CMS Edit

81262 IGH Gene Rearrang Dir Probe 87500 Vanomycin DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87501 Influenza DNA Amp Prob 1+ CMS Edit

81262 IGH Gene Rearrang Dir Probe 87502 Influenza DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87503 Influenza DNA Amp Prob Addl CMS Edit

81262 IGH Gene Rearrang Dir Probe 87505 Nfct Agent Detection Gi CMS Edit

81262 IGH Gene Rearrang Dir Probe 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81262 IGH Gene Rearrang Dir Probe 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81262 IGH Gene Rearrang Dir Probe 87510 Gardner Vag DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87511 Gardner Vag DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87512 Gardner Vag DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87515 Hepatitis B DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87516 Hepatitis B DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87517 Hepatitis B DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87520 Hepatitis C RNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81262 IGH Gene Rearrang Dir Probe 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81262 IGH Gene Rearrang Dir Probe 87525 Hepatitis G DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87526 Hepatitis G DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87527 Hepatitis G DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87528 HSV DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87529 HSV DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87530 HSV DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87531 HHV-6 DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87532 HHV-6 DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87533 HHV-6 DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87534 HIV-1 DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81262 IGH Gene Rearrang Dir Probe 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81262 IGH Gene Rearrang Dir Probe 87537 HIV-2 DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81262 IGH Gene Rearrang Dir Probe 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81262 IGH Gene Rearrang Dir Probe 87540 Legion Pneumo DNA Dir Prob CMS Edit

Page 102: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81262 IGH Gene Rearrang Dir Probe 87541 Legion Pneumo DNA Amp Prob CMS Edit

81262 IGH Gene Rearrang Dir Probe 87542 Legion Pneumo DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87550 Mycobacteria DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87551 Mycobacteria DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87552 Mycobacteria DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87555 M.Tuberculo DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87556 M.Tuberculo DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87557 M.Tuberculo DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81262 IGH Gene Rearrang Dir Probe 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81262 IGH Gene Rearrang Dir Probe 87562 M.Avium-Intra DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87580 M.Pneumon DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87581 M.Pneumon DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87582 M.Pneumon DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81262 IGH Gene Rearrang Dir Probe 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81262 IGH Gene Rearrang Dir Probe 87592 N.Gonorrhoeae DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87623 HPV Low-Risk Types CMS Edit

81262 IGH Gene Rearrang Dir Probe 87624 HPV High-Risk Types CMS Edit

81262 IGH Gene Rearrang Dir Probe 87625 HPV Types 16 & 18 Only CMS Edit

81262 IGH Gene Rearrang Dir Probe 87631 Resp Virus 3-5 Targets CMS Edit

81262 IGH Gene Rearrang Dir Probe 87632 Resp Virus 6-11 Targets CMS Edit

81262 IGH Gene Rearrang Dir Probe 87633 Resp Virus 12-25 Targets CMS Edit

81262 IGH Gene Rearrang Dir Probe 87640 Staph A DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87641 Mr-Staph DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87650 Strep A DNA Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87651 Strep A DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87652 Strep A DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87653 Strep B DNA Amp Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87660 Trichomonas Vagin Dir Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 87661 Trichomonas Vaginalis Amplif CMS Edit

81262 IGH Gene Rearrang Dir Probe 87797 Detect Agent Nos DNA Dir CMS Edit

81262 IGH Gene Rearrang Dir Probe 87798 Detect Agent Nos DNA Amp CMS Edit

81262 IGH Gene Rearrang Dir Probe 87799 Detect Agent Nos DNA Quant CMS Edit

81262 IGH Gene Rearrang Dir Probe 87800 Detect Agnt Mult DNA Direc CMS Edit

81262 IGH Gene Rearrang Dir Probe 87801 Detect Agnt Mult DNA Ampli CMS Edit

81262 IGH Gene Rearrang Dir Probe 88271 Cytogenetics DNA Probe CMS Edit

81262 IGH Gene Rearrang Dir Probe 88272 Cytogenetics 3-5 CMS Edit

81262 IGH Gene Rearrang Dir Probe 88273 Cytogenetics 10-30 CMS Edit

81262 IGH Gene Rearrang Dir Probe 88274 Cytogenetics 25-99 CMS Edit

81262 IGH Gene Rearrang Dir Probe 88275 Cytogenetics 100-300 CMS Edit

81262 IGH Gene Rearrang Dir Probe 88291 Cyto/Molecular Report CMS Edit

81262 IGH Gene Rearrang Dir Probe 88364 Insitu Hybridization (Fish) CMS Edit

81262 IGH Gene Rearrang Dir Probe 88365 Insitu Hybridization (Fish) CMS Edit

81262 IGH Gene Rearrang Dir Probe 88366 Insitu Hybridization (Fish) CMS Edit

81262 IGH Gene Rearrang Dir Probe 88367 Insitu Hybridization Auto CMS Edit

81262 IGH Gene Rearrang Dir Probe 88368 Insitu Hybridization Manual CMS Edit

81262 IGH Gene Rearrang Dir Probe 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81262 IGH Gene Rearrang Dir Probe 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81262 IGH Gene Rearrang Dir Probe 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81262 IGH Gene Rearrang Dir Probe 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81262 IGH Gene Rearrang Dir Probe G0476 HPV Combo Assay Ca Screen CMS Edit**81263 IGH Vari Regional Mutation 87149 DNA/RNA Direct Probe CMS Edit

81263 IGH Vari Regional Mutation 87150 DNA/RNA Amplified Probe CMS Edit

81263 IGH Vari Regional Mutation 87152 Culture Type Pulse Field Gel CMS Edit

81263 IGH Vari Regional Mutation 87153 DNA/RNA Sequencing CMS Edit

81263 IGH Vari Regional Mutation 87470 Bartonella DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87471 Bartonella DNA Amp Probe CMS Edit

Page 103: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81263 IGH Vari Regional Mutation 87472 Bartonella DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87475 Lyme Dis DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87476 Lyme Dis DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87477 Lyme Dis DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87480 Candida DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87481 Candida DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87482 Candida DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81263 IGH Vari Regional Mutation 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87487 Chylmd Pneum DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87490 Chylmd Trach DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87491 Chylmd Trach DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87492 Chylmd Trach DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87493 C Diff Amplified Probe CMS Edit

81263 IGH Vari Regional Mutation 87495 Cytomeg DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87496 Cytomeg DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87497 Cytomeg DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87498 Enterovirus Probe&Revrs Trns CMS Edit

81263 IGH Vari Regional Mutation 87500 Vanomycin DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87501 Influenza DNA Amp Prob 1+ CMS Edit

81263 IGH Vari Regional Mutation 87502 Influenza DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87503 Influenza DNA Amp Prob Addl CMS Edit

81263 IGH Vari Regional Mutation 87505 Nfct Agent Detection Gi CMS Edit

81263 IGH Vari Regional Mutation 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81263 IGH Vari Regional Mutation 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81263 IGH Vari Regional Mutation 87510 Gardner Vag DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87511 Gardner Vag DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87512 Gardner Vag DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87515 Hepatitis B DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87516 Hepatitis B DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87517 Hepatitis B DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87520 Hepatitis C RNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81263 IGH Vari Regional Mutation 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81263 IGH Vari Regional Mutation 87525 Hepatitis G DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87526 Hepatitis G DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87527 Hepatitis G DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87528 HSV DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87529 HSV DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87530 HSV DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87531 HHV-6 DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87532 HHV-6 DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87533 HHV-6 DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87534 HIV-1 DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81263 IGH Vari Regional Mutation 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81263 IGH Vari Regional Mutation 87537 HIV-2 DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81263 IGH Vari Regional Mutation 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81263 IGH Vari Regional Mutation 87540 Legion Pneumo DNA Dir Prob CMS Edit

81263 IGH Vari Regional Mutation 87541 Legion Pneumo DNA Amp Prob CMS Edit

81263 IGH Vari Regional Mutation 87542 Legion Pneumo DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87550 Mycobacteria DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87551 Mycobacteria DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87552 Mycobacteria DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87555 M.Tuberculo DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87556 M.Tuberculo DNA Amp Probe CMS Edit

Page 104: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81263 IGH Vari Regional Mutation 87557 M.Tuberculo DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81263 IGH Vari Regional Mutation 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81263 IGH Vari Regional Mutation 87562 M.Avium-Intra DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87580 M.Pneumon DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87581 M.Pneumon DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87582 M.Pneumon DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81263 IGH Vari Regional Mutation 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81263 IGH Vari Regional Mutation 87592 N.Gonorrhoeae DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87623 HPV Low-Risk Types CMS Edit

81263 IGH Vari Regional Mutation 87624 HPV High-Risk Types CMS Edit

81263 IGH Vari Regional Mutation 87625 HPV Types 16 & 18 Only CMS Edit

81263 IGH Vari Regional Mutation 87631 Resp Virus 3-5 Targets CMS Edit

81263 IGH Vari Regional Mutation 87632 Resp Virus 6-11 Targets CMS Edit

81263 IGH Vari Regional Mutation 87633 Resp Virus 12-25 Targets CMS Edit

81263 IGH Vari Regional Mutation 87640 Staph A DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87641 Mr-Staph DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87650 Strep A DNA Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87651 Strep A DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87652 Strep A DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87653 Strep B DNA Amp Probe CMS Edit

81263 IGH Vari Regional Mutation 87660 Trichomonas Vagin Dir Probe CMS Edit

81263 IGH Vari Regional Mutation 87661 Trichomonas Vaginalis Amplif CMS Edit

81263 IGH Vari Regional Mutation 87797 Detect Agent Nos DNA Dir CMS Edit

81263 IGH Vari Regional Mutation 87798 Detect Agent Nos DNA Amp CMS Edit

81263 IGH Vari Regional Mutation 87799 Detect Agent Nos DNA Quant CMS Edit

81263 IGH Vari Regional Mutation 87800 Detect Agnt Mult DNA Direc CMS Edit

81263 IGH Vari Regional Mutation 87801 Detect Agnt Mult DNA Ampli CMS Edit

81263 IGH Vari Regional Mutation 88271 Cytogenetics DNA Probe CMS Edit

81263 IGH Vari Regional Mutation 88272 Cytogenetics 3-5 CMS Edit

81263 IGH Vari Regional Mutation 88273 Cytogenetics 10-30 CMS Edit

81263 IGH Vari Regional Mutation 88274 Cytogenetics 25-99 CMS Edit

81263 IGH Vari Regional Mutation 88275 Cytogenetics 100-300 CMS Edit

81263 IGH Vari Regional Mutation 88291 Cyto/Molecular Report CMS Edit

81263 IGH Vari Regional Mutation 88364 Insitu Hybridization (Fish) CMS Edit

81263 IGH Vari Regional Mutation 88365 Insitu Hybridization (Fish) CMS Edit

81263 IGH Vari Regional Mutation 88366 Insitu Hybridization (Fish) CMS Edit

81263 IGH Vari Regional Mutation 88367 Insitu Hybridization Auto CMS Edit

81263 IGH Vari Regional Mutation 88368 Insitu Hybridization Manual CMS Edit

81263 IGH Vari Regional Mutation 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81263 IGH Vari Regional Mutation 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81263 IGH Vari Regional Mutation 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81263 IGH Vari Regional Mutation 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81263 IGH Vari Regional Mutation G0476 HPV Combo Assay Ca Screen CMS Edit**81264 IGK Rearrangeabn Clonal Pop 87149 DNA/RNA Direct Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87150 DNA/RNA Amplified Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87152 Culture Type Pulse Field Gel CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87153 DNA/RNA Sequencing CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87470 Bartonella DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87471 Bartonella DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87472 Bartonella DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87475 Lyme Dis DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87476 Lyme Dis DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87477 Lyme Dis DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87480 Candida DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87481 Candida DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87482 Candida DNA Quant CMS Edit

Page 105: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81264 IGK Rearrangeabn Clonal Pop 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81264 IGK Rearrangeabn Clonal Pop 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87487 Chylmd Pneum DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87490 Chylmd Trach DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87491 Chylmd Trach DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87492 Chylmd Trach DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87493 C Diff Amplified Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87495 Cytomeg DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87496 Cytomeg DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87497 Cytomeg DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87498 Enterovirus Probe&Revrs Trns CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87500 Vanomycin DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87501 Influenza DNA Amp Prob 1+ CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87502 Influenza DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87503 Influenza DNA Amp Prob Addl CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87505 Nfct Agent Detection Gi CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87510 Gardner Vag DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87511 Gardner Vag DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87512 Gardner Vag DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87515 Hepatitis B DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87516 Hepatitis B DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87517 Hepatitis B DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87520 Hepatitis C RNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87525 Hepatitis G DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87526 Hepatitis G DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87527 Hepatitis G DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87528 HSV DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87529 HSV DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87530 HSV DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87531 HHV-6 DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87532 HHV-6 DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87533 HHV-6 DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87534 HIV-1 DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87537 HIV-2 DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87540 Legion Pneumo DNA Dir Prob CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87541 Legion Pneumo DNA Amp Prob CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87542 Legion Pneumo DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87550 Mycobacteria DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87551 Mycobacteria DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87552 Mycobacteria DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87555 M.Tuberculo DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87556 M.Tuberculo DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87557 M.Tuberculo DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87562 M.Avium-Intra DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87580 M.Pneumon DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87581 M.Pneumon DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87582 M.Pneumon DNA Quant CMS Edit

Page 106: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81264 IGK Rearrangeabn Clonal Pop 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87592 N.Gonorrhoeae DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87623 HPV Low-Risk Types CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87624 HPV High-Risk Types CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87625 HPV Types 16 & 18 Only CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87631 Resp Virus 3-5 Targets CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87632 Resp Virus 6-11 Targets CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87633 Resp Virus 12-25 Targets CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87640 Staph A DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87641 Mr-Staph DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87650 Strep A DNA Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87651 Strep A DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87652 Strep A DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87653 Strep B DNA Amp Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87660 Trichomonas Vagin Dir Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87661 Trichomonas Vaginalis Amplif CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87797 Detect Agent Nos DNA Dir CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87798 Detect Agent Nos DNA Amp CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87799 Detect Agent Nos DNA Quant CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87800 Detect Agnt Mult DNA Direc CMS Edit

81264 IGK Rearrangeabn Clonal Pop 87801 Detect Agnt Mult DNA Ampli CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88271 Cytogenetics DNA Probe CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88272 Cytogenetics 3-5 CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88273 Cytogenetics 10-30 CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88274 Cytogenetics 25-99 CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88275 Cytogenetics 100-300 CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88291 Cyto/Molecular Report CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88364 Insitu Hybridization (Fish) CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88365 Insitu Hybridization (Fish) CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88366 Insitu Hybridization (Fish) CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88367 Insitu Hybridization Auto CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88368 Insitu Hybridization Manual CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81264 IGK Rearrangeabn Clonal Pop 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81264 IGK Rearrangeabn Clonal Pop G0476 HPV Combo Assay Ca Screen CMS Edit**81265 STR Markers Specimen Anal 87149 DNA/RNA Direct Probe CMS Edit

81265 STR Markers Specimen Anal 87150 DNA/RNA Amplified Probe CMS Edit

81265 STR Markers Specimen Anal 87152 Culture Type Pulse Field Gel CMS Edit

81265 STR Markers Specimen Anal 87153 DNA/RNA Sequencing CMS Edit

81265 STR Markers Specimen Anal 87470 Bartonella DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87471 Bartonella DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87472 Bartonella DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87475 Lyme Dis DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87476 Lyme Dis DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87477 Lyme Dis DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87480 Candida DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87481 Candida DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87482 Candida DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81265 STR Markers Specimen Anal 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87487 Chylmd Pneum DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87490 Chylmd Trach DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87491 Chylmd Trach DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87492 Chylmd Trach DNA Quant CMS Edit

Page 107: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81265 STR Markers Specimen Anal 87493 C Diff Amplified Probe CMS Edit

81265 STR Markers Specimen Anal 87495 Cytomeg DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87496 Cytomeg DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87497 Cytomeg DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87498 Enterovirus Probe&Revrs Trns CMS Edit

81265 STR Markers Specimen Anal 87500 Vanomycin DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87501 Influenza DNA Amp Prob 1+ CMS Edit

81265 STR Markers Specimen Anal 87502 Influenza DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87503 Influenza DNA Amp Prob Addl CMS Edit

81265 STR Markers Specimen Anal 87505 Nfct Agent Detection Gi CMS Edit

81265 STR Markers Specimen Anal 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81265 STR Markers Specimen Anal 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81265 STR Markers Specimen Anal 87510 Gardner Vag DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87511 Gardner Vag DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87512 Gardner Vag DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87515 Hepatitis B DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87516 Hepatitis B DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87517 Hepatitis B DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87520 Hepatitis C RNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81265 STR Markers Specimen Anal 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81265 STR Markers Specimen Anal 87525 Hepatitis G DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87526 Hepatitis G DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87527 Hepatitis G DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87528 HSV DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87529 HSV DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87530 HSV DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87531 HHV-6 DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87532 HHV-6 DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87533 HHV-6 DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87534 HIV-1 DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81265 STR Markers Specimen Anal 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81265 STR Markers Specimen Anal 87537 HIV-2 DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81265 STR Markers Specimen Anal 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81265 STR Markers Specimen Anal 87540 Legion Pneumo DNA Dir Prob CMS Edit

81265 STR Markers Specimen Anal 87541 Legion Pneumo DNA Amp Prob CMS Edit

81265 STR Markers Specimen Anal 87542 Legion Pneumo DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87550 Mycobacteria DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87551 Mycobacteria DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87552 Mycobacteria DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87555 M.Tuberculo DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87556 M.Tuberculo DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87557 M.Tuberculo DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81265 STR Markers Specimen Anal 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81265 STR Markers Specimen Anal 87562 M.Avium-Intra DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87580 M.Pneumon DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87581 M.Pneumon DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87582 M.Pneumon DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81265 STR Markers Specimen Anal 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81265 STR Markers Specimen Anal 87592 N.Gonorrhoeae DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87623 HPV Low-Risk Types CMS Edit

81265 STR Markers Specimen Anal 87624 HPV High-Risk Types CMS Edit

81265 STR Markers Specimen Anal 87625 HPV Types 16 & 18 Only CMS Edit

81265 STR Markers Specimen Anal 87631 Resp Virus 3-5 Targets CMS Edit

Page 108: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81265 STR Markers Specimen Anal 87632 Resp Virus 6-11 Targets CMS Edit

81265 STR Markers Specimen Anal 87633 Resp Virus 12-25 Targets CMS Edit

81265 STR Markers Specimen Anal 87640 Staph A DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87641 Mr-Staph DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87650 Strep A DNA Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87651 Strep A DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87652 Strep A DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87653 Strep B DNA Amp Probe CMS Edit

81265 STR Markers Specimen Anal 87660 Trichomonas Vagin Dir Probe CMS Edit

81265 STR Markers Specimen Anal 87661 Trichomonas Vaginalis Amplif CMS Edit

81265 STR Markers Specimen Anal 87797 Detect Agent Nos DNA Dir CMS Edit

81265 STR Markers Specimen Anal 87798 Detect Agent Nos DNA Amp CMS Edit

81265 STR Markers Specimen Anal 87799 Detect Agent Nos DNA Quant CMS Edit

81265 STR Markers Specimen Anal 87800 Detect Agnt Mult DNA Direc CMS Edit

81265 STR Markers Specimen Anal 87801 Detect Agnt Mult DNA Ampli CMS Edit

81265 STR Markers Specimen Anal 88291 Cyto/Molecular Report CMS Edit

81265 STR Markers Specimen Anal 88364 Insitu Hybridization (Fish) CMS Edit

81265 STR Markers Specimen Anal 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81265 STR Markers Specimen Anal 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81265 STR Markers Specimen Anal G0476 HPV Combo Assay Ca Screen CMS Edit**81266 STR Markers Spec Anal Addl 87149 DNA/RNA Direct Probe CMS Edit

81266 STR Markers Spec Anal Addl 87150 DNA/RNA Amplified Probe CMS Edit

81266 STR Markers Spec Anal Addl 87152 Culture Type Pulse Field Gel CMS Edit

81266 STR Markers Spec Anal Addl 87153 DNA/RNA Sequencing CMS Edit

81266 STR Markers Spec Anal Addl 87470 Bartonella DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87471 Bartonella DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87472 Bartonella DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87475 Lyme Dis DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87476 Lyme Dis DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87477 Lyme Dis DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87480 Candida DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87481 Candida DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87482 Candida DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81266 STR Markers Spec Anal Addl 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87487 Chylmd Pneum DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87490 Chylmd Trach DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87491 Chylmd Trach DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87492 Chylmd Trach DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87493 C Diff Amplified Probe CMS Edit

81266 STR Markers Spec Anal Addl 87495 Cytomeg DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87496 Cytomeg DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87497 Cytomeg DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87498 Enterovirus Probe&Revrs Trns CMS Edit

81266 STR Markers Spec Anal Addl 87500 Vanomycin DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87501 Influenza DNA Amp Prob 1+ CMS Edit

81266 STR Markers Spec Anal Addl 87502 Influenza DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87503 Influenza DNA Amp Prob Addl CMS Edit

81266 STR Markers Spec Anal Addl 87505 Nfct Agent Detection Gi CMS Edit

81266 STR Markers Spec Anal Addl 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81266 STR Markers Spec Anal Addl 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81266 STR Markers Spec Anal Addl 87510 Gardner Vag DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87511 Gardner Vag DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87512 Gardner Vag DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87515 Hepatitis B DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87516 Hepatitis B DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87517 Hepatitis B DNA Quant CMS Edit

Page 109: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81266 STR Markers Spec Anal Addl 87520 Hepatitis C RNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81266 STR Markers Spec Anal Addl 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81266 STR Markers Spec Anal Addl 87525 Hepatitis G DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87526 Hepatitis G DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87527 Hepatitis G DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87528 HSV DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87529 HSV DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87530 HSV DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87531 HHV-6 DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87532 HHV-6 DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87533 HHV-6 DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87534 HIV-1 DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81266 STR Markers Spec Anal Addl 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81266 STR Markers Spec Anal Addl 87537 HIV-2 DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81266 STR Markers Spec Anal Addl 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81266 STR Markers Spec Anal Addl 87540 Legion Pneumo DNA Dir Prob CMS Edit

81266 STR Markers Spec Anal Addl 87541 Legion Pneumo DNA Amp Prob CMS Edit

81266 STR Markers Spec Anal Addl 87542 Legion Pneumo DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87550 Mycobacteria DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87551 Mycobacteria DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87552 Mycobacteria DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87555 M.Tuberculo DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87556 M.Tuberculo DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87557 M.Tuberculo DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81266 STR Markers Spec Anal Addl 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81266 STR Markers Spec Anal Addl 87562 M.Avium-Intra DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87580 M.Pneumon DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87581 M.Pneumon DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87582 M.Pneumon DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81266 STR Markers Spec Anal Addl 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81266 STR Markers Spec Anal Addl 87592 N.Gonorrhoeae DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87623 HPV Low-Risk Types CMS Edit

81266 STR Markers Spec Anal Addl 87624 HPV High-Risk Types CMS Edit

81266 STR Markers Spec Anal Addl 87625 HPV Types 16 & 18 Only CMS Edit

81266 STR Markers Spec Anal Addl 87631 Resp Virus 3-5 Targets CMS Edit

81266 STR Markers Spec Anal Addl 87632 Resp Virus 6-11 Targets CMS Edit

81266 STR Markers Spec Anal Addl 87633 Resp Virus 12-25 Targets CMS Edit

81266 STR Markers Spec Anal Addl 87640 Staph A DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87641 Mr-Staph DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87650 Strep A DNA Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87651 Strep A DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87652 Strep A DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87653 Strep B DNA Amp Probe CMS Edit

81266 STR Markers Spec Anal Addl 87660 Trichomonas Vagin Dir Probe CMS Edit

81266 STR Markers Spec Anal Addl 87661 Trichomonas Vaginalis Amplif CMS Edit

81266 STR Markers Spec Anal Addl 87797 Detect Agent Nos DNA Dir CMS Edit

81266 STR Markers Spec Anal Addl 87798 Detect Agent Nos DNA Amp CMS Edit

81266 STR Markers Spec Anal Addl 87799 Detect Agent Nos DNA Quant CMS Edit

81266 STR Markers Spec Anal Addl 87800 Detect Agnt Mult DNA Direc CMS Edit

81266 STR Markers Spec Anal Addl 87801 Detect Agnt Mult DNA Ampli CMS Edit

81266 STR Markers Spec Anal Addl 88291 Cyto/Molecular Report CMS Edit

81266 STR Markers Spec Anal Addl 88364 Insitu Hybridization (Fish) CMS Edit

81266 STR Markers Spec Anal Addl 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

Page 110: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81266 STR Markers Spec Anal Addl 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81266 STR Markers Spec Anal Addl G0476 HPV Combo Assay Ca Screen CMS Edit**81267 Chimerism Anal No Cell Selec 87149 DNA/RNA Direct Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87150 DNA/RNA Amplified Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87152 Culture Type Pulse Field Gel CMS Edit

81267 Chimerism Anal No Cell Selec 87153 DNA/RNA Sequencing CMS Edit

81267 Chimerism Anal No Cell Selec 87470 Bartonella DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87471 Bartonella DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87472 Bartonella DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87475 Lyme Dis DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87476 Lyme Dis DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87477 Lyme Dis DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87480 Candida DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87481 Candida DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87482 Candida DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81267 Chimerism Anal No Cell Selec 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87487 Chylmd Pneum DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87490 Chylmd Trach DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87491 Chylmd Trach DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87492 Chylmd Trach DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87493 C Diff Amplified Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87495 Cytomeg DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87496 Cytomeg DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87497 Cytomeg DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87498 Enterovirus Probe&Revrs Trns CMS Edit

81267 Chimerism Anal No Cell Selec 87500 Vanomycin DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87501 Influenza DNA Amp Prob 1+ CMS Edit

81267 Chimerism Anal No Cell Selec 87502 Influenza DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87503 Influenza DNA Amp Prob Addl CMS Edit

81267 Chimerism Anal No Cell Selec 87505 Nfct Agent Detection Gi CMS Edit

81267 Chimerism Anal No Cell Selec 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81267 Chimerism Anal No Cell Selec 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81267 Chimerism Anal No Cell Selec 87510 Gardner Vag DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87511 Gardner Vag DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87512 Gardner Vag DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87515 Hepatitis B DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87516 Hepatitis B DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87517 Hepatitis B DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87520 Hepatitis C RNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81267 Chimerism Anal No Cell Selec 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81267 Chimerism Anal No Cell Selec 87525 Hepatitis G DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87526 Hepatitis G DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87527 Hepatitis G DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87528 HSV DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87529 HSV DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87530 HSV DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87531 HHV-6 DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87532 HHV-6 DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87533 HHV-6 DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87534 HIV-1 DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81267 Chimerism Anal No Cell Selec 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81267 Chimerism Anal No Cell Selec 87537 HIV-2 DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81267 Chimerism Anal No Cell Selec 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

Page 111: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81267 Chimerism Anal No Cell Selec 87540 Legion Pneumo DNA Dir Prob CMS Edit

81267 Chimerism Anal No Cell Selec 87541 Legion Pneumo DNA Amp Prob CMS Edit

81267 Chimerism Anal No Cell Selec 87542 Legion Pneumo DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87550 Mycobacteria DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87551 Mycobacteria DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87552 Mycobacteria DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87555 M.Tuberculo DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87556 M.Tuberculo DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87557 M.Tuberculo DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81267 Chimerism Anal No Cell Selec 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81267 Chimerism Anal No Cell Selec 87562 M.Avium-Intra DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87580 M.Pneumon DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87581 M.Pneumon DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87582 M.Pneumon DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81267 Chimerism Anal No Cell Selec 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81267 Chimerism Anal No Cell Selec 87592 N.Gonorrhoeae DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87623 HPV Low-Risk Types CMS Edit

81267 Chimerism Anal No Cell Selec 87624 HPV High-Risk Types CMS Edit

81267 Chimerism Anal No Cell Selec 87625 HPV Types 16 & 18 Only CMS Edit

81267 Chimerism Anal No Cell Selec 87631 Resp Virus 3-5 Targets CMS Edit

81267 Chimerism Anal No Cell Selec 87632 Resp Virus 6-11 Targets CMS Edit

81267 Chimerism Anal No Cell Selec 87633 Resp Virus 12-25 Targets CMS Edit

81267 Chimerism Anal No Cell Selec 87640 Staph A DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87641 Mr-Staph DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87650 Strep A DNA Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87651 Strep A DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87652 Strep A DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87653 Strep B DNA Amp Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87660 Trichomonas Vagin Dir Probe CMS Edit

81267 Chimerism Anal No Cell Selec 87661 Trichomonas Vaginalis Amplif CMS Edit

81267 Chimerism Anal No Cell Selec 87797 Detect Agent Nos DNA Dir CMS Edit

81267 Chimerism Anal No Cell Selec 87798 Detect Agent Nos DNA Amp CMS Edit

81267 Chimerism Anal No Cell Selec 87799 Detect Agent Nos DNA Quant CMS Edit

81267 Chimerism Anal No Cell Selec 87800 Detect Agnt Mult DNA Direc CMS Edit

81267 Chimerism Anal No Cell Selec 87801 Detect Agnt Mult DNA Ampli CMS Edit

81267 Chimerism Anal No Cell Selec 88291 Cyto/Molecular Report CMS Edit

81267 Chimerism Anal No Cell Selec 88364 Insitu Hybridization (Fish) CMS Edit

81267 Chimerism Anal No Cell Selec 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81267 Chimerism Anal No Cell Selec 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81267 Chimerism Anal No Cell Selec G0476 HPV Combo Assay Ca Screen CMS Edit**81268 Chimerism Anal W/Cell Select 81267 Chimerism Anal No Cell Selec CMS Edit

81268 Chimerism Anal W/Cell Select 87149 DNA/RNA Direct Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87150 DNA/RNA Amplified Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87152 Culture Type Pulse Field Gel CMS Edit

81268 Chimerism Anal W/Cell Select 87153 DNA/RNA Sequencing CMS Edit

81268 Chimerism Anal W/Cell Select 87470 Bartonella DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87471 Bartonella DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87472 Bartonella DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87475 Lyme Dis DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87476 Lyme Dis DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87477 Lyme Dis DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87480 Candida DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87481 Candida DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87482 Candida DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81268 Chimerism Anal W/Cell Select 87485 Chylmd Pneum DNA Dir Probe CMS Edit

Page 112: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81268 Chimerism Anal W/Cell Select 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87487 Chylmd Pneum DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87490 Chylmd Trach DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87491 Chylmd Trach DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87492 Chylmd Trach DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87493 C Diff Amplified Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87495 Cytomeg DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87496 Cytomeg DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87497 Cytomeg DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87498 Enterovirus Probe&Revrs Trns CMS Edit

81268 Chimerism Anal W/Cell Select 87500 Vanomycin DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87501 Influenza DNA Amp Prob 1+ CMS Edit

81268 Chimerism Anal W/Cell Select 87502 Influenza DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87503 Influenza DNA Amp Prob Addl CMS Edit

81268 Chimerism Anal W/Cell Select 87505 Nfct Agent Detection Gi CMS Edit

81268 Chimerism Anal W/Cell Select 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81268 Chimerism Anal W/Cell Select 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81268 Chimerism Anal W/Cell Select 87510 Gardner Vag DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87511 Gardner Vag DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87512 Gardner Vag DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87515 Hepatitis B DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87516 Hepatitis B DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87517 Hepatitis B DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87520 Hepatitis C RNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81268 Chimerism Anal W/Cell Select 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81268 Chimerism Anal W/Cell Select 87525 Hepatitis G DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87526 Hepatitis G DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87527 Hepatitis G DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87528 HSV DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87529 HSV DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87530 HSV DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87531 HHV-6 DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87532 HHV-6 DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87533 HHV-6 DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87534 HIV-1 DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81268 Chimerism Anal W/Cell Select 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81268 Chimerism Anal W/Cell Select 87537 HIV-2 DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81268 Chimerism Anal W/Cell Select 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81268 Chimerism Anal W/Cell Select 87540 Legion Pneumo DNA Dir Prob CMS Edit

81268 Chimerism Anal W/Cell Select 87541 Legion Pneumo DNA Amp Prob CMS Edit

81268 Chimerism Anal W/Cell Select 87542 Legion Pneumo DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87550 Mycobacteria DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87551 Mycobacteria DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87552 Mycobacteria DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87555 M.Tuberculo DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87556 M.Tuberculo DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87557 M.Tuberculo DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81268 Chimerism Anal W/Cell Select 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81268 Chimerism Anal W/Cell Select 87562 M.Avium-Intra DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87580 M.Pneumon DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87581 M.Pneumon DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87582 M.Pneumon DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81268 Chimerism Anal W/Cell Select 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

Page 113: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81268 Chimerism Anal W/Cell Select 87592 N.Gonorrhoeae DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87623 HPV Low-Risk Types CMS Edit

81268 Chimerism Anal W/Cell Select 87624 HPV High-Risk Types CMS Edit

81268 Chimerism Anal W/Cell Select 87625 HPV Types 16 & 18 Only CMS Edit

81268 Chimerism Anal W/Cell Select 87631 Resp Virus 3-5 Targets CMS Edit

81268 Chimerism Anal W/Cell Select 87632 Resp Virus 6-11 Targets CMS Edit

81268 Chimerism Anal W/Cell Select 87633 Resp Virus 12-25 Targets CMS Edit

81268 Chimerism Anal W/Cell Select 87640 Staph A DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87641 Mr-Staph DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87650 Strep A DNA Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87651 Strep A DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87652 Strep A DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87653 Strep B DNA Amp Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87660 Trichomonas Vagin Dir Probe CMS Edit

81268 Chimerism Anal W/Cell Select 87661 Trichomonas Vaginalis Amplif CMS Edit

81268 Chimerism Anal W/Cell Select 87797 Detect Agent Nos DNA Dir CMS Edit

81268 Chimerism Anal W/Cell Select 87798 Detect Agent Nos DNA Amp CMS Edit

81268 Chimerism Anal W/Cell Select 87799 Detect Agent Nos DNA Quant CMS Edit

81268 Chimerism Anal W/Cell Select 87800 Detect Agnt Mult DNA Direc CMS Edit

81268 Chimerism Anal W/Cell Select 87801 Detect Agnt Mult DNA Ampli CMS Edit

81268 Chimerism Anal W/Cell Select 88291 Cyto/Molecular Report CMS Edit

81268 Chimerism Anal W/Cell Select 88364 Insitu Hybridization (Fish) CMS Edit

81268 Chimerism Anal W/Cell Select 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81268 Chimerism Anal W/Cell Select 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81268 Chimerism Anal W/Cell Select G0476 HPV Combo Assay Ca Screen CMS Edit**81270 JAK2 Gene 87149 DNA/RNA Direct Probe CMS Edit

81270 JAK2 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81270 JAK2 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81270 JAK2 Gene 87153 DNA/RNA Sequencing CMS Edit

81270 JAK2 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81270 JAK2 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81270 JAK2 Gene 87472 Bartonella DNA Quant CMS Edit

81270 JAK2 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81270 JAK2 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81270 JAK2 Gene 87477 Lyme Dis DNA Quant CMS Edit

81270 JAK2 Gene 87480 Candida DNA Dir Probe CMS Edit

81270 JAK2 Gene 87481 Candida DNA Amp Probe CMS Edit

81270 JAK2 Gene 87482 Candida DNA Quant CMS Edit

81270 JAK2 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81270 JAK2 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81270 JAK2 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81270 JAK2 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81270 JAK2 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81270 JAK2 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81270 JAK2 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81270 JAK2 Gene 87493 C Diff Amplified Probe CMS Edit

81270 JAK2 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81270 JAK2 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81270 JAK2 Gene 87497 Cytomeg DNA Quant CMS Edit

81270 JAK2 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81270 JAK2 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81270 JAK2 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81270 JAK2 Gene 87502 Influenza DNA Amp Probe CMS Edit

81270 JAK2 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81270 JAK2 Gene 87505 Nfct Agent Detection Gi CMS Edit

81270 JAK2 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81270 JAK2 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81270 JAK2 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

Page 114: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81270 JAK2 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81270 JAK2 Gene 87512 Gardner Vag DNA Quant CMS Edit

81270 JAK2 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81270 JAK2 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81270 JAK2 Gene 87517 Hepatitis B DNA Quant CMS Edit

81270 JAK2 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81270 JAK2 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81270 JAK2 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81270 JAK2 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81270 JAK2 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81270 JAK2 Gene 87527 Hepatitis G DNA Quant CMS Edit

81270 JAK2 Gene 87528 HSV DNA Dir Probe CMS Edit

81270 JAK2 Gene 87529 HSV DNA Amp Probe CMS Edit

81270 JAK2 Gene 87530 HSV DNA Quant CMS Edit

81270 JAK2 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81270 JAK2 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81270 JAK2 Gene 87533 HHV-6 DNA Quant CMS Edit

81270 JAK2 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81270 JAK2 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81270 JAK2 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81270 JAK2 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81270 JAK2 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81270 JAK2 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81270 JAK2 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81270 JAK2 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81270 JAK2 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81270 JAK2 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81270 JAK2 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81270 JAK2 Gene 87552 Mycobacteria DNA Quant CMS Edit

81270 JAK2 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81270 JAK2 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81270 JAK2 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81270 JAK2 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81270 JAK2 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81270 JAK2 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81270 JAK2 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81270 JAK2 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81270 JAK2 Gene 87582 M.Pneumon DNA Quant CMS Edit

81270 JAK2 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81270 JAK2 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81270 JAK2 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81270 JAK2 Gene 87623 HPV Low-Risk Types CMS Edit

81270 JAK2 Gene 87624 HPV High-Risk Types CMS Edit

81270 JAK2 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81270 JAK2 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81270 JAK2 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81270 JAK2 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81270 JAK2 Gene 87640 Staph A DNA Amp Probe CMS Edit

81270 JAK2 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81270 JAK2 Gene 87650 Strep A DNA Dir Probe CMS Edit

81270 JAK2 Gene 87651 Strep A DNA Amp Probe CMS Edit

81270 JAK2 Gene 87652 Strep A DNA Quant CMS Edit

81270 JAK2 Gene 87653 Strep B DNA Amp Probe CMS Edit

81270 JAK2 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81270 JAK2 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81270 JAK2 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81270 JAK2 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81270 JAK2 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

Page 115: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81270 JAK2 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81270 JAK2 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81270 JAK2 Gene 88271 Cytogenetics DNA Probe CMS Edit

81270 JAK2 Gene 88272 Cytogenetics 3-5 CMS Edit

81270 JAK2 Gene 88273 Cytogenetics 10-30 CMS Edit

81270 JAK2 Gene 88274 Cytogenetics 25-99 CMS Edit

81270 JAK2 Gene 88275 Cytogenetics 100-300 CMS Edit

81270 JAK2 Gene 88291 Cyto/Molecular Report CMS Edit

81270 JAK2 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81270 JAK2 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81270 JAK2 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81270 JAK2 Gene 88367 Insitu Hybridization Auto CMS Edit

81270 JAK2 Gene 88368 Insitu Hybridization Manual CMS Edit

81270 JAK2 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81270 JAK2 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81270 JAK2 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81270 JAK2 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81270 JAK2 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81272 KIT Gene Targeted Seq Analys 87149 DNA/RNA Direct Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87150 DNA/RNA Amplified Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87152 Culture Type Pulse Field Gel CMS Edit

81272 KIT Gene Targeted Seq Analys 87153 DNA/RNA Sequencing CMS Edit

81272 KIT Gene Targeted Seq Analys 87470 Bartonella DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87471 Bartonella DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87472 Bartonella DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87475 Lyme Dis DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87476 Lyme Dis DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87477 Lyme Dis DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87480 Candida DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87481 Candida DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87482 Candida DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81272 KIT Gene Targeted Seq Analys 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87487 Chylmd Pneum DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87490 Chylmd Trach DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87491 Chylmd Trach DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87492 Chylmd Trach DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87493 C Diff Amplified Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87495 Cytomeg DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87496 Cytomeg DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87497 Cytomeg DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87498 Enterovirus Probe&Revrs Trns CMS Edit

81272 KIT Gene Targeted Seq Analys 87500 Vanomycin DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87501 Influenza DNA Amp Prob 1+ CMS Edit

81272 KIT Gene Targeted Seq Analys 87502 Influenza DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87503 Influenza DNA Amp Prob Addl CMS Edit

81272 KIT Gene Targeted Seq Analys 87505 Nfct Agent Detection Gi CMS Edit

81272 KIT Gene Targeted Seq Analys 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81272 KIT Gene Targeted Seq Analys 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81272 KIT Gene Targeted Seq Analys 87510 Gardner Vag DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87511 Gardner Vag DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87512 Gardner Vag DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87515 Hepatitis B DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87516 Hepatitis B DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87517 Hepatitis B DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87520 Hepatitis C RNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

Page 116: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81272 KIT Gene Targeted Seq Analys 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81272 KIT Gene Targeted Seq Analys 87525 Hepatitis G DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87526 Hepatitis G DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87527 Hepatitis G DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87528 HSV DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87529 HSV DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87530 HSV DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87531 HHV-6 DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87532 HHV-6 DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87533 HHV-6 DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87534 HIV-1 DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81272 KIT Gene Targeted Seq Analys 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81272 KIT Gene Targeted Seq Analys 87537 HIV-2 DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81272 KIT Gene Targeted Seq Analys 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81272 KIT Gene Targeted Seq Analys 87540 Legion Pneumo DNA Dir Prob CMS Edit

81272 KIT Gene Targeted Seq Analys 87541 Legion Pneumo DNA Amp Prob CMS Edit

81272 KIT Gene Targeted Seq Analys 87542 Legion Pneumo DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87550 Mycobacteria DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87551 Mycobacteria DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87552 Mycobacteria DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87555 M.Tuberculo DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87556 M.Tuberculo DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87557 M.Tuberculo DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81272 KIT Gene Targeted Seq Analys 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81272 KIT Gene Targeted Seq Analys 87562 M.Avium-Intra DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87580 M.Pneumon DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87581 M.Pneumon DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87582 M.Pneumon DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81272 KIT Gene Targeted Seq Analys 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81272 KIT Gene Targeted Seq Analys 87592 N.Gonorrhoeae DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87623 HPV Low-Risk Types CMS Edit

81272 KIT Gene Targeted Seq Analys 87624 HPV High-Risk Types CMS Edit

81272 KIT Gene Targeted Seq Analys 87625 HPV Types 16 & 18 Only CMS Edit

81272 KIT Gene Targeted Seq Analys 87631 Resp Virus 3-5 Targets CMS Edit

81272 KIT Gene Targeted Seq Analys 87632 Resp Virus 6-11 Targets CMS Edit

81272 KIT Gene Targeted Seq Analys 87633 Resp Virus 12-25 Targets CMS Edit

81272 KIT Gene Targeted Seq Analys 87640 Staph A DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87641 Mr-Staph DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87650 Strep A DNA Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87651 Strep A DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87652 Strep A DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87653 Strep B DNA Amp Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87660 Trichomonas Vagin Dir Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 87661 Trichomonas Vaginalis Amplif CMS Edit

81272 KIT Gene Targeted Seq Analys 87797 Detect Agent Nos DNA Dir CMS Edit

81272 KIT Gene Targeted Seq Analys 87798 Detect Agent Nos DNA Amp CMS Edit

81272 KIT Gene Targeted Seq Analys 87799 Detect Agent Nos DNA Quant CMS Edit

81272 KIT Gene Targeted Seq Analys 87800 Detect Agnt Mult DNA Direc CMS Edit

81272 KIT Gene Targeted Seq Analys 87801 Detect Agnt Mult DNA Ampli CMS Edit

81272 KIT Gene Targeted Seq Analys 88271 Cytogenetics DNA Probe CMS Edit

81272 KIT Gene Targeted Seq Analys 88272 Cytogenetics 3-5 CMS Edit

81272 KIT Gene Targeted Seq Analys 88273 Cytogenetics 10-30 CMS Edit

81272 KIT Gene Targeted Seq Analys 88274 Cytogenetics 25-99 CMS Edit

81272 KIT Gene Targeted Seq Analys 88275 Cytogenetics 100-300 CMS Edit

Page 117: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81272 KIT Gene Targeted Seq Analys 88291 Cyto/Molecular Report CMS Edit

81272 KIT Gene Targeted Seq Analys 88364 Insitu Hybridization (Fish) CMS Edit

81272 KIT Gene Targeted Seq Analys 88365 Insitu Hybridization (Fish) CMS Edit

81272 KIT Gene Targeted Seq Analys 88366 Insitu Hybridization (Fish) CMS Edit

81272 KIT Gene Targeted Seq Analys 88367 Insitu Hybridization Auto CMS Edit

81272 KIT Gene Targeted Seq Analys 88368 Insitu Hybridization Manual CMS Edit

81272 KIT Gene Targeted Seq Analys 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81272 KIT Gene Targeted Seq Analys 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81272 KIT Gene Targeted Seq Analys 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81272 KIT Gene Targeted Seq Analys 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81272 KIT Gene Targeted Seq Analys G0476 HPV Combo Assay Ca Screen CMS Edit**81273 KIT Gene Analys D816 Variant 87149 DNA/RNA Direct Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87150 DNA/RNA Amplified Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87152 Culture Type Pulse Field Gel CMS Edit

81273 KIT Gene Analys D816 Variant 87153 DNA/RNA Sequencing CMS Edit

81273 KIT Gene Analys D816 Variant 87470 Bartonella DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87471 Bartonella DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87472 Bartonella DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87477 Lyme Dis DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87480 Candida DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87481 Candida DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87482 Candida DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81273 KIT Gene Analys D816 Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87492 Chylmd Trach DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87493 C Diff Amplified Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87497 Cytomeg DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81273 KIT Gene Analys D816 Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81273 KIT Gene Analys D816 Variant 87502 Influenza DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81273 KIT Gene Analys D816 Variant 87505 Nfct Agent Detection Gi CMS Edit

81273 KIT Gene Analys D816 Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81273 KIT Gene Analys D816 Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81273 KIT Gene Analys D816 Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87512 Gardner Vag DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87517 Hepatitis B DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81273 KIT Gene Analys D816 Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81273 KIT Gene Analys D816 Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87527 Hepatitis G DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87528 HSV DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87529 HSV DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87530 HSV DNA Quant CMS Edit

Page 118: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81273 KIT Gene Analys D816 Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87533 HHV-6 DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81273 KIT Gene Analys D816 Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81273 KIT Gene Analys D816 Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81273 KIT Gene Analys D816 Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81273 KIT Gene Analys D816 Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81273 KIT Gene Analys D816 Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81273 KIT Gene Analys D816 Variant 87542 Legion Pneumo DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87552 Mycobacteria DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87557 M.Tuberculo DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81273 KIT Gene Analys D816 Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81273 KIT Gene Analys D816 Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87582 M.Pneumon DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81273 KIT Gene Analys D816 Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81273 KIT Gene Analys D816 Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87623 HPV Low-Risk Types CMS Edit

81273 KIT Gene Analys D816 Variant 87624 HPV High-Risk Types CMS Edit

81273 KIT Gene Analys D816 Variant 87625 HPV Types 16 & 18 Only CMS Edit

81273 KIT Gene Analys D816 Variant 87631 Resp Virus 3-5 Targets CMS Edit

81273 KIT Gene Analys D816 Variant 87632 Resp Virus 6-11 Targets CMS Edit

81273 KIT Gene Analys D816 Variant 87633 Resp Virus 12-25 Targets CMS Edit

81273 KIT Gene Analys D816 Variant 87640 Staph A DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87650 Strep A DNA Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87651 Strep A DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87652 Strep A DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87653 Strep B DNA Amp Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81273 KIT Gene Analys D816 Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81273 KIT Gene Analys D816 Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81273 KIT Gene Analys D816 Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81273 KIT Gene Analys D816 Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81273 KIT Gene Analys D816 Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81273 KIT Gene Analys D816 Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81273 KIT Gene Analys D816 Variant 88271 Cytogenetics DNA Probe CMS Edit

81273 KIT Gene Analys D816 Variant 88272 Cytogenetics 3-5 CMS Edit

81273 KIT Gene Analys D816 Variant 88273 Cytogenetics 10-30 CMS Edit

81273 KIT Gene Analys D816 Variant 88274 Cytogenetics 25-99 CMS Edit

81273 KIT Gene Analys D816 Variant 88275 Cytogenetics 100-300 CMS Edit

81273 KIT Gene Analys D816 Variant 88291 Cyto/Molecular Report CMS Edit

81273 KIT Gene Analys D816 Variant 88364 Insitu Hybridization (Fish) CMS Edit

81273 KIT Gene Analys D816 Variant 88365 Insitu Hybridization (Fish) CMS Edit

81273 KIT Gene Analys D816 Variant 88366 Insitu Hybridization (Fish) CMS Edit

81273 KIT Gene Analys D816 Variant 88367 Insitu Hybridization Auto CMS Edit

81273 KIT Gene Analys D816 Variant 88368 Insitu Hybridization Manual CMS Edit

81273 KIT Gene Analys D816 Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

Page 119: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81273 KIT Gene Analys D816 Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81273 KIT Gene Analys D816 Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81273 KIT Gene Analys D816 Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81273 KIT Gene Analys D816 Variant G0476 HPV Combo Assay Ca Screen CMS Edit**81275 KRAS Gene Variants Exon 2 87149 DNA/RNA Direct Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87150 DNA/RNA Amplified Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87152 Culture Type Pulse Field Gel CMS Edit

81275 KRAS Gene Variants Exon 2 87153 DNA/RNA Sequencing CMS Edit

81275 KRAS Gene Variants Exon 2 87470 Bartonella DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87471 Bartonella DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87472 Bartonella DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87475 Lyme Dis DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87476 Lyme Dis DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87477 Lyme Dis DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87480 Candida DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87481 Candida DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87482 Candida DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81275 KRAS Gene Variants Exon 2 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87487 Chylmd Pneum DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87490 Chylmd Trach DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87491 Chylmd Trach DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87492 Chylmd Trach DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87493 C Diff Amplified Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87495 Cytomeg DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87496 Cytomeg DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87497 Cytomeg DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87498 Enterovirus Probe&Revrs Trns CMS Edit

81275 KRAS Gene Variants Exon 2 87500 Vanomycin DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87501 Influenza DNA Amp Prob 1+ CMS Edit

81275 KRAS Gene Variants Exon 2 87502 Influenza DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87503 Influenza DNA Amp Prob Addl CMS Edit

81275 KRAS Gene Variants Exon 2 87505 Nfct Agent Detection Gi CMS Edit

81275 KRAS Gene Variants Exon 2 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81275 KRAS Gene Variants Exon 2 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81275 KRAS Gene Variants Exon 2 87510 Gardner Vag DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87511 Gardner Vag DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87512 Gardner Vag DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87515 Hepatitis B DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87516 Hepatitis B DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87517 Hepatitis B DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87520 Hepatitis C RNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81275 KRAS Gene Variants Exon 2 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81275 KRAS Gene Variants Exon 2 87525 Hepatitis G DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87526 Hepatitis G DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87527 Hepatitis G DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87528 HSV DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87529 HSV DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87530 HSV DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87531 HHV-6 DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87532 HHV-6 DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87533 HHV-6 DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87534 HIV-1 DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81275 KRAS Gene Variants Exon 2 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81275 KRAS Gene Variants Exon 2 87537 HIV-2 DNA Dir Probe CMS Edit

Page 120: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81275 KRAS Gene Variants Exon 2 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81275 KRAS Gene Variants Exon 2 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81275 KRAS Gene Variants Exon 2 87540 Legion Pneumo DNA Dir Prob CMS Edit

81275 KRAS Gene Variants Exon 2 87541 Legion Pneumo DNA Amp Prob CMS Edit

81275 KRAS Gene Variants Exon 2 87542 Legion Pneumo DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87550 Mycobacteria DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87551 Mycobacteria DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87552 Mycobacteria DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87555 M.Tuberculo DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87556 M.Tuberculo DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87557 M.Tuberculo DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81275 KRAS Gene Variants Exon 2 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81275 KRAS Gene Variants Exon 2 87562 M.Avium-Intra DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87580 M.Pneumon DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87581 M.Pneumon DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87582 M.Pneumon DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81275 KRAS Gene Variants Exon 2 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81275 KRAS Gene Variants Exon 2 87592 N.Gonorrhoeae DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87623 HPV Low-Risk Types CMS Edit

81275 KRAS Gene Variants Exon 2 87624 HPV High-Risk Types CMS Edit

81275 KRAS Gene Variants Exon 2 87625 HPV Types 16 & 18 Only CMS Edit

81275 KRAS Gene Variants Exon 2 87631 Resp Virus 3-5 Targets CMS Edit

81275 KRAS Gene Variants Exon 2 87632 Resp Virus 6-11 Targets CMS Edit

81275 KRAS Gene Variants Exon 2 87633 Resp Virus 12-25 Targets CMS Edit

81275 KRAS Gene Variants Exon 2 87640 Staph A DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87641 Mr-Staph DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87650 Strep A DNA Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87651 Strep A DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87652 Strep A DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87653 Strep B DNA Amp Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87660 Trichomonas Vagin Dir Probe CMS Edit

81275 KRAS Gene Variants Exon 2 87661 Trichomonas Vaginalis Amplif CMS Edit

81275 KRAS Gene Variants Exon 2 87797 Detect Agent Nos DNA Dir CMS Edit

81275 KRAS Gene Variants Exon 2 87798 Detect Agent Nos DNA Amp CMS Edit

81275 KRAS Gene Variants Exon 2 87799 Detect Agent Nos DNA Quant CMS Edit

81275 KRAS Gene Variants Exon 2 87800 Detect Agnt Mult DNA Direc CMS Edit

81275 KRAS Gene Variants Exon 2 87801 Detect Agnt Mult DNA Ampli CMS Edit

81275 KRAS Gene Variants Exon 2 88271 Cytogenetics DNA Probe CMS Edit

81275 KRAS Gene Variants Exon 2 88272 Cytogenetics 3-5 CMS Edit

81275 KRAS Gene Variants Exon 2 88273 Cytogenetics 10-30 CMS Edit

81275 KRAS Gene Variants Exon 2 88274 Cytogenetics 25-99 CMS Edit

81275 KRAS Gene Variants Exon 2 88275 Cytogenetics 100-300 CMS Edit

81275 KRAS Gene Variants Exon 2 88291 Cyto/Molecular Report CMS Edit

81275 KRAS Gene Variants Exon 2 88364 Insitu Hybridization (Fish) CMS Edit

81275 KRAS Gene Variants Exon 2 88365 Insitu Hybridization (Fish) CMS Edit

81275 KRAS Gene Variants Exon 2 88366 Insitu Hybridization (Fish) CMS Edit

81275 KRAS Gene Variants Exon 2 88367 Insitu Hybridization Auto CMS Edit

81275 KRAS Gene Variants Exon 2 88368 Insitu Hybridization Manual CMS Edit

81275 KRAS Gene Variants Exon 2 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81275 KRAS Gene Variants Exon 2 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81275 KRAS Gene Variants Exon 2 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81275 KRAS Gene Variants Exon 2 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81275 KRAS Gene Variants Exon 2 G0476 HPV Combo Assay Ca Screen CMS Edit**81276 KRAS Gene Addl Variants 87149 DNA/RNA Direct Probe CMS Edit

81276 KRAS Gene Addl Variants 87150 DNA/RNA Amplified Probe CMS Edit

81276 KRAS Gene Addl Variants 87152 Culture Type Pulse Field Gel CMS Edit

Page 121: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81276 KRAS Gene Addl Variants 87153 DNA/RNA Sequencing CMS Edit

81276 KRAS Gene Addl Variants 87470 Bartonella DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87471 Bartonella DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87472 Bartonella DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87477 Lyme Dis DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87480 Candida DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87481 Candida DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87482 Candida DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81276 KRAS Gene Addl Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87492 Chylmd Trach DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87493 C Diff Amplified Probe CMS Edit

81276 KRAS Gene Addl Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87497 Cytomeg DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81276 KRAS Gene Addl Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81276 KRAS Gene Addl Variants 87502 Influenza DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81276 KRAS Gene Addl Variants 87505 Nfct Agent Detection Gi CMS Edit

81276 KRAS Gene Addl Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81276 KRAS Gene Addl Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81276 KRAS Gene Addl Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87512 Gardner Vag DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87517 Hepatitis B DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81276 KRAS Gene Addl Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81276 KRAS Gene Addl Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87527 Hepatitis G DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87528 HSV DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87529 HSV DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87530 HSV DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87533 HHV-6 DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81276 KRAS Gene Addl Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81276 KRAS Gene Addl Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81276 KRAS Gene Addl Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81276 KRAS Gene Addl Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81276 KRAS Gene Addl Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81276 KRAS Gene Addl Variants 87542 Legion Pneumo DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

Page 122: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81276 KRAS Gene Addl Variants 87552 Mycobacteria DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87557 M.Tuberculo DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81276 KRAS Gene Addl Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81276 KRAS Gene Addl Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87582 M.Pneumon DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81276 KRAS Gene Addl Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81276 KRAS Gene Addl Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87623 HPV Low-Risk Types CMS Edit

81276 KRAS Gene Addl Variants 87624 HPV High-Risk Types CMS Edit

81276 KRAS Gene Addl Variants 87625 HPV Types 16 & 18 Only CMS Edit

81276 KRAS Gene Addl Variants 87631 Resp Virus 3-5 Targets CMS Edit

81276 KRAS Gene Addl Variants 87632 Resp Virus 6-11 Targets CMS Edit

81276 KRAS Gene Addl Variants 87633 Resp Virus 12-25 Targets CMS Edit

81276 KRAS Gene Addl Variants 87640 Staph A DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87650 Strep A DNA Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87651 Strep A DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87652 Strep A DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87653 Strep B DNA Amp Probe CMS Edit

81276 KRAS Gene Addl Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81276 KRAS Gene Addl Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81276 KRAS Gene Addl Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81276 KRAS Gene Addl Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81276 KRAS Gene Addl Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81276 KRAS Gene Addl Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81276 KRAS Gene Addl Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81276 KRAS Gene Addl Variants 88271 Cytogenetics DNA Probe CMS Edit

81276 KRAS Gene Addl Variants 88272 Cytogenetics 3-5 CMS Edit

81276 KRAS Gene Addl Variants 88273 Cytogenetics 10-30 CMS Edit

81276 KRAS Gene Addl Variants 88274 Cytogenetics 25-99 CMS Edit

81276 KRAS Gene Addl Variants 88275 Cytogenetics 100-300 CMS Edit

81276 KRAS Gene Addl Variants 88291 Cyto/Molecular Report CMS Edit

81276 KRAS Gene Addl Variants 88364 Insitu Hybridization (Fish) CMS Edit

81276 KRAS Gene Addl Variants 88365 Insitu Hybridization (Fish) CMS Edit

81276 KRAS Gene Addl Variants 88366 Insitu Hybridization (Fish) CMS Edit

81276 KRAS Gene Addl Variants 88367 Insitu Hybridization Auto CMS Edit

81276 KRAS Gene Addl Variants 88368 Insitu Hybridization Manual CMS Edit

81276 KRAS Gene Addl Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81276 KRAS Gene Addl Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81276 KRAS Gene Addl Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81276 KRAS Gene Addl Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81276 KRAS Gene Addl Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81287 MGMT Gene Methylation Anal 87149 DNA/RNA Direct Probe CMS Edit

81287 MGMT Gene Methylation Anal 87150 DNA/RNA Amplified Probe CMS Edit

81287 MGMT Gene Methylation Anal 87152 Culture Type Pulse Field Gel CMS Edit

81287 MGMT Gene Methylation Anal 87153 DNA/RNA Sequencing CMS Edit

81287 MGMT Gene Methylation Anal 87470 Bartonella DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87471 Bartonella DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87472 Bartonella DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87475 Lyme Dis DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87476 Lyme Dis DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87477 Lyme Dis DNA Quant CMS Edit

Page 123: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81287 MGMT Gene Methylation Anal 87480 Candida DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87481 Candida DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87482 Candida DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81287 MGMT Gene Methylation Anal 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87487 Chylmd Pneum DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87490 Chylmd Trach DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87491 Chylmd Trach DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87492 Chylmd Trach DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87493 C Diff Amplified Probe CMS Edit

81287 MGMT Gene Methylation Anal 87495 Cytomeg DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87496 Cytomeg DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87497 Cytomeg DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87498 Enterovirus Probe&Revrs Trns CMS Edit

81287 MGMT Gene Methylation Anal 87500 Vanomycin DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87501 Influenza DNA Amp Prob 1+ CMS Edit

81287 MGMT Gene Methylation Anal 87502 Influenza DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87503 Influenza DNA Amp Prob Addl CMS Edit

81287 MGMT Gene Methylation Anal 87505 Nfct Agent Detection Gi CMS Edit

81287 MGMT Gene Methylation Anal 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81287 MGMT Gene Methylation Anal 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81287 MGMT Gene Methylation Anal 87510 Gardner Vag DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87511 Gardner Vag DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87512 Gardner Vag DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87515 Hepatitis B DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87516 Hepatitis B DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87517 Hepatitis B DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87520 Hepatitis C RNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81287 MGMT Gene Methylation Anal 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81287 MGMT Gene Methylation Anal 87525 Hepatitis G DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87526 Hepatitis G DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87527 Hepatitis G DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87528 HSV DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87529 HSV DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87530 HSV DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87531 HHV-6 DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87532 HHV-6 DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87533 HHV-6 DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87534 HIV-1 DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81287 MGMT Gene Methylation Anal 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81287 MGMT Gene Methylation Anal 87537 HIV-2 DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81287 MGMT Gene Methylation Anal 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81287 MGMT Gene Methylation Anal 87540 Legion Pneumo DNA Dir Prob CMS Edit

81287 MGMT Gene Methylation Anal 87541 Legion Pneumo DNA Amp Prob CMS Edit

81287 MGMT Gene Methylation Anal 87542 Legion Pneumo DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87550 Mycobacteria DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87551 Mycobacteria DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87552 Mycobacteria DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87555 M.Tuberculo DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87556 M.Tuberculo DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87557 M.Tuberculo DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81287 MGMT Gene Methylation Anal 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81287 MGMT Gene Methylation Anal 87562 M.Avium-Intra DNA Quant CMS Edit

Page 124: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81287 MGMT Gene Methylation Anal 87580 M.Pneumon DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87581 M.Pneumon DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87582 M.Pneumon DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81287 MGMT Gene Methylation Anal 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81287 MGMT Gene Methylation Anal 87592 N.Gonorrhoeae DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87623 HPV Low-Risk Types CMS Edit

81287 MGMT Gene Methylation Anal 87624 HPV High-Risk Types CMS Edit

81287 MGMT Gene Methylation Anal 87625 HPV Types 16 & 18 Only CMS Edit

81287 MGMT Gene Methylation Anal 87631 Resp Virus 3-5 Targets CMS Edit

81287 MGMT Gene Methylation Anal 87632 Resp Virus 6-11 Targets CMS Edit

81287 MGMT Gene Methylation Anal 87633 Resp Virus 12-25 Targets CMS Edit

81287 MGMT Gene Methylation Anal 87640 Staph A DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87641 Mr-Staph DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87650 Strep A DNA Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87651 Strep A DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87652 Strep A DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87653 Strep B DNA Amp Probe CMS Edit

81287 MGMT Gene Methylation Anal 87660 Trichomonas Vagin Dir Probe CMS Edit

81287 MGMT Gene Methylation Anal 87661 Trichomonas Vaginalis Amplif CMS Edit

81287 MGMT Gene Methylation Anal 87797 Detect Agent Nos DNA Dir CMS Edit

81287 MGMT Gene Methylation Anal 87798 Detect Agent Nos DNA Amp CMS Edit

81287 MGMT Gene Methylation Anal 87799 Detect Agent Nos DNA Quant CMS Edit

81287 MGMT Gene Methylation Anal 87800 Detect Agnt Mult DNA Direc CMS Edit

81287 MGMT Gene Methylation Anal 87801 Detect Agnt Mult DNA Ampli CMS Edit

81287 MGMT Gene Methylation Anal 88271 Cytogenetics DNA Probe CMS Edit

81287 MGMT Gene Methylation Anal 88272 Cytogenetics 3-5 CMS Edit

81287 MGMT Gene Methylation Anal 88273 Cytogenetics 10-30 CMS Edit

81287 MGMT Gene Methylation Anal 88274 Cytogenetics 25-99 CMS Edit

81287 MGMT Gene Methylation Anal 88275 Cytogenetics 100-300 CMS Edit

81287 MGMT Gene Methylation Anal 88364 Insitu Hybridization (Fish) CMS Edit

81287 MGMT Gene Methylation Anal 88365 Insitu Hybridization (Fish) CMS Edit

81287 MGMT Gene Methylation Anal 88366 Insitu Hybridization (Fish) CMS Edit

81287 MGMT Gene Methylation Anal 88367 Insitu Hybridization Auto CMS Edit

81287 MGMT Gene Methylation Anal 88368 Insitu Hybridization Manual CMS Edit

81287 MGMT Gene Methylation Anal 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81287 MGMT Gene Methylation Anal 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81287 MGMT Gene Methylation Anal 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81287 MGMT Gene Methylation Anal 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81287 MGMT Gene Methylation Anal G0476 HPV Combo Assay Ca Screen CMS Edit**81288 MLH1 Gene 81293 MLH1 Gene Known Variants CMS Edit

81288 MLH1 Gene 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81288 MLH1 Gene 87149 DNA/RNA Direct Probe CMS Edit

81288 MLH1 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81288 MLH1 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81288 MLH1 Gene 87153 DNA/RNA Sequencing CMS Edit

81288 MLH1 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81288 MLH1 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81288 MLH1 Gene 87472 Bartonella DNA Quant CMS Edit

81288 MLH1 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81288 MLH1 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81288 MLH1 Gene 87477 Lyme Dis DNA Quant CMS Edit

81288 MLH1 Gene 87480 Candida DNA Dir Probe CMS Edit

81288 MLH1 Gene 87481 Candida DNA Amp Probe CMS Edit

81288 MLH1 Gene 87482 Candida DNA Quant CMS Edit

81288 MLH1 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81288 MLH1 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81288 MLH1 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

Page 125: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81288 MLH1 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81288 MLH1 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81288 MLH1 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81288 MLH1 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81288 MLH1 Gene 87493 C Diff Amplified Probe CMS Edit

81288 MLH1 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81288 MLH1 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81288 MLH1 Gene 87497 Cytomeg DNA Quant CMS Edit

81288 MLH1 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81288 MLH1 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81288 MLH1 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81288 MLH1 Gene 87502 Influenza DNA Amp Probe CMS Edit

81288 MLH1 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81288 MLH1 Gene 87505 Nfct Agent Detection Gi CMS Edit

81288 MLH1 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81288 MLH1 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81288 MLH1 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81288 MLH1 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81288 MLH1 Gene 87512 Gardner Vag DNA Quant CMS Edit

81288 MLH1 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81288 MLH1 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81288 MLH1 Gene 87517 Hepatitis B DNA Quant CMS Edit

81288 MLH1 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81288 MLH1 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81288 MLH1 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81288 MLH1 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81288 MLH1 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81288 MLH1 Gene 87527 Hepatitis G DNA Quant CMS Edit

81288 MLH1 Gene 87528 HSV DNA Dir Probe CMS Edit

81288 MLH1 Gene 87529 HSV DNA Amp Probe CMS Edit

81288 MLH1 Gene 87530 HSV DNA Quant CMS Edit

81288 MLH1 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81288 MLH1 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81288 MLH1 Gene 87533 HHV-6 DNA Quant CMS Edit

81288 MLH1 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81288 MLH1 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81288 MLH1 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81288 MLH1 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81288 MLH1 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81288 MLH1 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81288 MLH1 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81288 MLH1 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81288 MLH1 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81288 MLH1 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81288 MLH1 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81288 MLH1 Gene 87552 Mycobacteria DNA Quant CMS Edit

81288 MLH1 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81288 MLH1 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81288 MLH1 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81288 MLH1 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81288 MLH1 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81288 MLH1 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81288 MLH1 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81288 MLH1 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81288 MLH1 Gene 87582 M.Pneumon DNA Quant CMS Edit

81288 MLH1 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81288 MLH1 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81288 MLH1 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

Page 126: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81288 MLH1 Gene 87623 HPV Low-Risk Types CMS Edit

81288 MLH1 Gene 87624 HPV High-Risk Types CMS Edit

81288 MLH1 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81288 MLH1 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81288 MLH1 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81288 MLH1 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81288 MLH1 Gene 87640 Staph A DNA Amp Probe CMS Edit

81288 MLH1 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81288 MLH1 Gene 87650 Strep A DNA Dir Probe CMS Edit

81288 MLH1 Gene 87651 Strep A DNA Amp Probe CMS Edit

81288 MLH1 Gene 87652 Strep A DNA Quant CMS Edit

81288 MLH1 Gene 87653 Strep B DNA Amp Probe CMS Edit

81288 MLH1 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81288 MLH1 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81288 MLH1 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81288 MLH1 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81288 MLH1 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81288 MLH1 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81288 MLH1 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81288 MLH1 Gene 88271 Cytogenetics DNA Probe CMS Edit

81288 MLH1 Gene 88272 Cytogenetics 3-5 CMS Edit

81288 MLH1 Gene 88273 Cytogenetics 10-30 CMS Edit

81288 MLH1 Gene 88274 Cytogenetics 25-99 CMS Edit

81288 MLH1 Gene 88275 Cytogenetics 100-300 CMS Edit

81288 MLH1 Gene 88291 Cyto/Molecular Report CMS Edit

81288 MLH1 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81288 MLH1 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81288 MLH1 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81288 MLH1 Gene 88367 Insitu Hybridization Auto CMS Edit

81288 MLH1 Gene 88368 Insitu Hybridization Manual CMS Edit

81288 MLH1 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81288 MLH1 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81288 MLH1 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81288 MLH1 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81288 MLH1 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81290 MCOLN1 Gene 87149 DNA/RNA Direct Probe CMS Edit

81290 MCOLN1 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81290 MCOLN1 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81290 MCOLN1 Gene 87153 DNA/RNA Sequencing CMS Edit

81290 MCOLN1 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87472 Bartonella DNA Quant CMS Edit

81290 MCOLN1 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87477 Lyme Dis DNA Quant CMS Edit

81290 MCOLN1 Gene 87480 Candida DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87481 Candida DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87482 Candida DNA Quant CMS Edit

81290 MCOLN1 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81290 MCOLN1 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81290 MCOLN1 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81290 MCOLN1 Gene 87493 C Diff Amplified Probe CMS Edit

81290 MCOLN1 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

Page 127: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81290 MCOLN1 Gene 87497 Cytomeg DNA Quant CMS Edit

81290 MCOLN1 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81290 MCOLN1 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81290 MCOLN1 Gene 87502 Influenza DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81290 MCOLN1 Gene 87505 Nfct Agent Detection Gi CMS Edit

81290 MCOLN1 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81290 MCOLN1 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81290 MCOLN1 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87512 Gardner Vag DNA Quant CMS Edit

81290 MCOLN1 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87517 Hepatitis B DNA Quant CMS Edit

81290 MCOLN1 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81290 MCOLN1 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81290 MCOLN1 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87527 Hepatitis G DNA Quant CMS Edit

81290 MCOLN1 Gene 87528 HSV DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87529 HSV DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87530 HSV DNA Quant CMS Edit

81290 MCOLN1 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87533 HHV-6 DNA Quant CMS Edit

81290 MCOLN1 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81290 MCOLN1 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81290 MCOLN1 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81290 MCOLN1 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81290 MCOLN1 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81290 MCOLN1 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81290 MCOLN1 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81290 MCOLN1 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87552 Mycobacteria DNA Quant CMS Edit

81290 MCOLN1 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81290 MCOLN1 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81290 MCOLN1 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81290 MCOLN1 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81290 MCOLN1 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87582 M.Pneumon DNA Quant CMS Edit

81290 MCOLN1 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81290 MCOLN1 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81290 MCOLN1 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81290 MCOLN1 Gene 87623 HPV Low-Risk Types CMS Edit

81290 MCOLN1 Gene 87624 HPV High-Risk Types CMS Edit

81290 MCOLN1 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81290 MCOLN1 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81290 MCOLN1 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81290 MCOLN1 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81290 MCOLN1 Gene 87640 Staph A DNA Amp Probe CMS Edit

Page 128: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81290 MCOLN1 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87650 Strep A DNA Dir Probe CMS Edit

81290 MCOLN1 Gene 87651 Strep A DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87652 Strep A DNA Quant CMS Edit

81290 MCOLN1 Gene 87653 Strep B DNA Amp Probe CMS Edit

81290 MCOLN1 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81290 MCOLN1 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81290 MCOLN1 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81290 MCOLN1 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81290 MCOLN1 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81290 MCOLN1 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81290 MCOLN1 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81290 MCOLN1 Gene 88271 Cytogenetics DNA Probe CMS Edit

81290 MCOLN1 Gene 88272 Cytogenetics 3-5 CMS Edit

81290 MCOLN1 Gene 88273 Cytogenetics 10-30 CMS Edit

81290 MCOLN1 Gene 88274 Cytogenetics 25-99 CMS Edit

81290 MCOLN1 Gene 88275 Cytogenetics 100-300 CMS Edit

81290 MCOLN1 Gene 88291 Cyto/Molecular Report CMS Edit

81290 MCOLN1 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81290 MCOLN1 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81290 MCOLN1 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81290 MCOLN1 Gene 88367 Insitu Hybridization Auto CMS Edit

81290 MCOLN1 Gene 88368 Insitu Hybridization Manual CMS Edit

81290 MCOLN1 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81290 MCOLN1 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81290 MCOLN1 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81290 MCOLN1 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81290 MCOLN1 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81291 MTHFR Gene 87149 DNA/RNA Direct Probe CMS Edit

81291 MTHFR Gene 87150 DNA/RNA Amplified Probe CMS Edit

81291 MTHFR Gene 87152 Culture Type Pulse Field Gel CMS Edit

81291 MTHFR Gene 87153 DNA/RNA Sequencing CMS Edit

81291 MTHFR Gene 87470 Bartonella DNA Dir Probe CMS Edit

81291 MTHFR Gene 87471 Bartonella DNA Amp Probe CMS Edit

81291 MTHFR Gene 87472 Bartonella DNA Quant CMS Edit

81291 MTHFR Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81291 MTHFR Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81291 MTHFR Gene 87477 Lyme Dis DNA Quant CMS Edit

81291 MTHFR Gene 87480 Candida DNA Dir Probe CMS Edit

81291 MTHFR Gene 87481 Candida DNA Amp Probe CMS Edit

81291 MTHFR Gene 87482 Candida DNA Quant CMS Edit

81291 MTHFR Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81291 MTHFR Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81291 MTHFR Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81291 MTHFR Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81291 MTHFR Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81291 MTHFR Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81291 MTHFR Gene 87492 Chylmd Trach DNA Quant CMS Edit

81291 MTHFR Gene 87493 C Diff Amplified Probe CMS Edit

81291 MTHFR Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81291 MTHFR Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81291 MTHFR Gene 87497 Cytomeg DNA Quant CMS Edit

81291 MTHFR Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81291 MTHFR Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81291 MTHFR Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81291 MTHFR Gene 87502 Influenza DNA Amp Probe CMS Edit

81291 MTHFR Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81291 MTHFR Gene 87505 Nfct Agent Detection Gi CMS Edit

Page 129: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81291 MTHFR Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81291 MTHFR Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81291 MTHFR Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81291 MTHFR Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81291 MTHFR Gene 87512 Gardner Vag DNA Quant CMS Edit

81291 MTHFR Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81291 MTHFR Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81291 MTHFR Gene 87517 Hepatitis B DNA Quant CMS Edit

81291 MTHFR Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81291 MTHFR Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81291 MTHFR Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81291 MTHFR Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81291 MTHFR Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81291 MTHFR Gene 87527 Hepatitis G DNA Quant CMS Edit

81291 MTHFR Gene 87528 HSV DNA Dir Probe CMS Edit

81291 MTHFR Gene 87529 HSV DNA Amp Probe CMS Edit

81291 MTHFR Gene 87530 HSV DNA Quant CMS Edit

81291 MTHFR Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81291 MTHFR Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81291 MTHFR Gene 87533 HHV-6 DNA Quant CMS Edit

81291 MTHFR Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81291 MTHFR Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81291 MTHFR Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81291 MTHFR Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81291 MTHFR Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81291 MTHFR Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81291 MTHFR Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81291 MTHFR Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81291 MTHFR Gene 87542 Legion Pneumo DNA Quant CMS Edit

81291 MTHFR Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81291 MTHFR Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81291 MTHFR Gene 87552 Mycobacteria DNA Quant CMS Edit

81291 MTHFR Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81291 MTHFR Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81291 MTHFR Gene 87557 M.Tuberculo DNA Quant CMS Edit

81291 MTHFR Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81291 MTHFR Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81291 MTHFR Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81291 MTHFR Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81291 MTHFR Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81291 MTHFR Gene 87582 M.Pneumon DNA Quant CMS Edit

81291 MTHFR Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81291 MTHFR Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81291 MTHFR Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81291 MTHFR Gene 87623 HPV Low-Risk Types CMS Edit

81291 MTHFR Gene 87624 HPV High-Risk Types CMS Edit

81291 MTHFR Gene 87625 HPV Types 16 & 18 Only CMS Edit

81291 MTHFR Gene 87631 Resp Virus 3-5 Targets CMS Edit

81291 MTHFR Gene 87632 Resp Virus 6-11 Targets CMS Edit

81291 MTHFR Gene 87633 Resp Virus 12-25 Targets CMS Edit

81291 MTHFR Gene 87640 Staph A DNA Amp Probe CMS Edit

81291 MTHFR Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81291 MTHFR Gene 87650 Strep A DNA Dir Probe CMS Edit

81291 MTHFR Gene 87651 Strep A DNA Amp Probe CMS Edit

81291 MTHFR Gene 87652 Strep A DNA Quant CMS Edit

81291 MTHFR Gene 87653 Strep B DNA Amp Probe CMS Edit

81291 MTHFR Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81291 MTHFR Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

Page 130: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81291 MTHFR Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81291 MTHFR Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81291 MTHFR Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81291 MTHFR Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81291 MTHFR Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81291 MTHFR Gene 88271 Cytogenetics DNA Probe CMS Edit

81291 MTHFR Gene 88272 Cytogenetics 3-5 CMS Edit

81291 MTHFR Gene 88273 Cytogenetics 10-30 CMS Edit

81291 MTHFR Gene 88274 Cytogenetics 25-99 CMS Edit

81291 MTHFR Gene 88275 Cytogenetics 100-300 CMS Edit

81291 MTHFR Gene 88291 Cyto/Molecular Report CMS Edit

81291 MTHFR Gene 88364 Insitu Hybridization (Fish) CMS Edit

81291 MTHFR Gene 88365 Insitu Hybridization (Fish) CMS Edit

81291 MTHFR Gene 88366 Insitu Hybridization (Fish) CMS Edit

81291 MTHFR Gene 88367 Insitu Hybridization Auto CMS Edit

81291 MTHFR Gene 88368 Insitu Hybridization Manual CMS Edit

81291 MTHFR Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81291 MTHFR Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81291 MTHFR Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81291 MTHFR Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81291 MTHFR Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81292 MLH1 Gene Full Seq 81293 MLH1 Gene Known Variants CMS Edit

81292 MLH1 Gene Full Seq 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81292 MLH1 Gene Full Seq 87149 DNA/RNA Direct Probe CMS Edit

81292 MLH1 Gene Full Seq 87150 DNA/RNA Amplified Probe CMS Edit

81292 MLH1 Gene Full Seq 87152 Culture Type Pulse Field Gel CMS Edit

81292 MLH1 Gene Full Seq 87153 DNA/RNA Sequencing CMS Edit

81292 MLH1 Gene Full Seq 87470 Bartonella DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87471 Bartonella DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87472 Bartonella DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87475 Lyme Dis DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87476 Lyme Dis DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87477 Lyme Dis DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87480 Candida DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87481 Candida DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87482 Candida DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81292 MLH1 Gene Full Seq 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87487 Chylmd Pneum DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87490 Chylmd Trach DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87491 Chylmd Trach DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87492 Chylmd Trach DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87493 C Diff Amplified Probe CMS Edit

81292 MLH1 Gene Full Seq 87495 Cytomeg DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87496 Cytomeg DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87497 Cytomeg DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87498 Enterovirus Probe&Revrs Trns CMS Edit

81292 MLH1 Gene Full Seq 87500 Vanomycin DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87501 Influenza DNA Amp Prob 1+ CMS Edit

81292 MLH1 Gene Full Seq 87502 Influenza DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87503 Influenza DNA Amp Prob Addl CMS Edit

81292 MLH1 Gene Full Seq 87505 Nfct Agent Detection Gi CMS Edit

81292 MLH1 Gene Full Seq 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81292 MLH1 Gene Full Seq 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81292 MLH1 Gene Full Seq 87510 Gardner Vag DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87511 Gardner Vag DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87512 Gardner Vag DNA Quant CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81292 MLH1 Gene Full Seq 87515 Hepatitis B DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87516 Hepatitis B DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87517 Hepatitis B DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87520 Hepatitis C RNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81292 MLH1 Gene Full Seq 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81292 MLH1 Gene Full Seq 87525 Hepatitis G DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87526 Hepatitis G DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87527 Hepatitis G DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87528 HSV DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87529 HSV DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87530 HSV DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87531 HHV-6 DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87532 HHV-6 DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87533 HHV-6 DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87534 HIV-1 DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81292 MLH1 Gene Full Seq 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81292 MLH1 Gene Full Seq 87537 HIV-2 DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81292 MLH1 Gene Full Seq 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81292 MLH1 Gene Full Seq 87540 Legion Pneumo DNA Dir Prob CMS Edit

81292 MLH1 Gene Full Seq 87541 Legion Pneumo DNA Amp Prob CMS Edit

81292 MLH1 Gene Full Seq 87542 Legion Pneumo DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87550 Mycobacteria DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87551 Mycobacteria DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87552 Mycobacteria DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87555 M.Tuberculo DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87556 M.Tuberculo DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87557 M.Tuberculo DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81292 MLH1 Gene Full Seq 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81292 MLH1 Gene Full Seq 87562 M.Avium-Intra DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87580 M.Pneumon DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87581 M.Pneumon DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87582 M.Pneumon DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81292 MLH1 Gene Full Seq 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81292 MLH1 Gene Full Seq 87592 N.Gonorrhoeae DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87623 HPV Low-Risk Types CMS Edit

81292 MLH1 Gene Full Seq 87624 HPV High-Risk Types CMS Edit

81292 MLH1 Gene Full Seq 87625 HPV Types 16 & 18 Only CMS Edit

81292 MLH1 Gene Full Seq 87631 Resp Virus 3-5 Targets CMS Edit

81292 MLH1 Gene Full Seq 87632 Resp Virus 6-11 Targets CMS Edit

81292 MLH1 Gene Full Seq 87633 Resp Virus 12-25 Targets CMS Edit

81292 MLH1 Gene Full Seq 87640 Staph A DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87641 Mr-Staph DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87650 Strep A DNA Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87651 Strep A DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87652 Strep A DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87653 Strep B DNA Amp Probe CMS Edit

81292 MLH1 Gene Full Seq 87660 Trichomonas Vagin Dir Probe CMS Edit

81292 MLH1 Gene Full Seq 87661 Trichomonas Vaginalis Amplif CMS Edit

81292 MLH1 Gene Full Seq 87797 Detect Agent Nos DNA Dir CMS Edit

81292 MLH1 Gene Full Seq 87798 Detect Agent Nos DNA Amp CMS Edit

81292 MLH1 Gene Full Seq 87799 Detect Agent Nos DNA Quant CMS Edit

81292 MLH1 Gene Full Seq 87800 Detect Agnt Mult DNA Direc CMS Edit

81292 MLH1 Gene Full Seq 87801 Detect Agnt Mult DNA Ampli CMS Edit

Page 132: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81292 MLH1 Gene Full Seq 88271 Cytogenetics DNA Probe CMS Edit

81292 MLH1 Gene Full Seq 88272 Cytogenetics 3-5 CMS Edit

81292 MLH1 Gene Full Seq 88273 Cytogenetics 10-30 CMS Edit

81292 MLH1 Gene Full Seq 88274 Cytogenetics 25-99 CMS Edit

81292 MLH1 Gene Full Seq 88275 Cytogenetics 100-300 CMS Edit

81292 MLH1 Gene Full Seq 88291 Cyto/Molecular Report CMS Edit

81292 MLH1 Gene Full Seq 88364 Insitu Hybridization (Fish) CMS Edit

81292 MLH1 Gene Full Seq 88365 Insitu Hybridization (Fish) CMS Edit

81292 MLH1 Gene Full Seq 88366 Insitu Hybridization (Fish) CMS Edit

81292 MLH1 Gene Full Seq 88367 Insitu Hybridization Auto CMS Edit

81292 MLH1 Gene Full Seq 88368 Insitu Hybridization Manual CMS Edit

81292 MLH1 Gene Full Seq 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81292 MLH1 Gene Full Seq 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81292 MLH1 Gene Full Seq 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81292 MLH1 Gene Full Seq 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81292 MLH1 Gene Full Seq G0476 HPV Combo Assay Ca Screen CMS Edit**81293 MLH1 Gene Known Variants 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81293 MLH1 Gene Known Variants 87149 DNA/RNA Direct Probe CMS Edit

81293 MLH1 Gene Known Variants 87150 DNA/RNA Amplified Probe CMS Edit

81293 MLH1 Gene Known Variants 87152 Culture Type Pulse Field Gel CMS Edit

81293 MLH1 Gene Known Variants 87153 DNA/RNA Sequencing CMS Edit

81293 MLH1 Gene Known Variants 87470 Bartonella DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87471 Bartonella DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87472 Bartonella DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87477 Lyme Dis DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87480 Candida DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87481 Candida DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87482 Candida DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81293 MLH1 Gene Known Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87492 Chylmd Trach DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87493 C Diff Amplified Probe CMS Edit

81293 MLH1 Gene Known Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87497 Cytomeg DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81293 MLH1 Gene Known Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81293 MLH1 Gene Known Variants 87502 Influenza DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81293 MLH1 Gene Known Variants 87505 Nfct Agent Detection Gi CMS Edit

81293 MLH1 Gene Known Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81293 MLH1 Gene Known Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81293 MLH1 Gene Known Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87512 Gardner Vag DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87517 Hepatitis B DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81293 MLH1 Gene Known Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

Page 133: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81293 MLH1 Gene Known Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87527 Hepatitis G DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87528 HSV DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87529 HSV DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87530 HSV DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87533 HHV-6 DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81293 MLH1 Gene Known Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81293 MLH1 Gene Known Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81293 MLH1 Gene Known Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81293 MLH1 Gene Known Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81293 MLH1 Gene Known Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81293 MLH1 Gene Known Variants 87542 Legion Pneumo DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87552 Mycobacteria DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87557 M.Tuberculo DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81293 MLH1 Gene Known Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81293 MLH1 Gene Known Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87582 M.Pneumon DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81293 MLH1 Gene Known Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81293 MLH1 Gene Known Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87623 HPV Low-Risk Types CMS Edit

81293 MLH1 Gene Known Variants 87624 HPV High-Risk Types CMS Edit

81293 MLH1 Gene Known Variants 87625 HPV Types 16 & 18 Only CMS Edit

81293 MLH1 Gene Known Variants 87631 Resp Virus 3-5 Targets CMS Edit

81293 MLH1 Gene Known Variants 87632 Resp Virus 6-11 Targets CMS Edit

81293 MLH1 Gene Known Variants 87633 Resp Virus 12-25 Targets CMS Edit

81293 MLH1 Gene Known Variants 87640 Staph A DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87650 Strep A DNA Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87651 Strep A DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87652 Strep A DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87653 Strep B DNA Amp Probe CMS Edit

81293 MLH1 Gene Known Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81293 MLH1 Gene Known Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81293 MLH1 Gene Known Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81293 MLH1 Gene Known Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81293 MLH1 Gene Known Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81293 MLH1 Gene Known Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81293 MLH1 Gene Known Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81293 MLH1 Gene Known Variants 88271 Cytogenetics DNA Probe CMS Edit

81293 MLH1 Gene Known Variants 88272 Cytogenetics 3-5 CMS Edit

81293 MLH1 Gene Known Variants 88273 Cytogenetics 10-30 CMS Edit

81293 MLH1 Gene Known Variants 88274 Cytogenetics 25-99 CMS Edit

81293 MLH1 Gene Known Variants 88275 Cytogenetics 100-300 CMS Edit

81293 MLH1 Gene Known Variants 88291 Cyto/Molecular Report CMS Edit

Page 134: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81293 MLH1 Gene Known Variants 88364 Insitu Hybridization (Fish) CMS Edit

81293 MLH1 Gene Known Variants 88365 Insitu Hybridization (Fish) CMS Edit

81293 MLH1 Gene Known Variants 88366 Insitu Hybridization (Fish) CMS Edit

81293 MLH1 Gene Known Variants 88367 Insitu Hybridization Auto CMS Edit

81293 MLH1 Gene Known Variants 88368 Insitu Hybridization Manual CMS Edit

81293 MLH1 Gene Known Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81293 MLH1 Gene Known Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81293 MLH1 Gene Known Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81293 MLH1 Gene Known Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81293 MLH1 Gene Known Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81294 MLH1 Gene Dup/Delete Variant 87149 DNA/RNA Direct Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87150 DNA/RNA Amplified Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87152 Culture Type Pulse Field Gel CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87153 DNA/RNA Sequencing CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87470 Bartonella DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87471 Bartonella DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87472 Bartonella DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87477 Lyme Dis DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87480 Candida DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87481 Candida DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87482 Candida DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81294 MLH1 Gene Dup/Delete Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87492 Chylmd Trach DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87493 C Diff Amplified Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87497 Cytomeg DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87502 Influenza DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87505 Nfct Agent Detection Gi CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87512 Gardner Vag DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87517 Hepatitis B DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87527 Hepatitis G DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87528 HSV DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87529 HSV DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87530 HSV DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87531 HHV-6 DNA Dir Probe CMS Edit

Page 135: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81294 MLH1 Gene Dup/Delete Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87533 HHV-6 DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87542 Legion Pneumo DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87552 Mycobacteria DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87557 M.Tuberculo DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87582 M.Pneumon DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87623 HPV Low-Risk Types CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87624 HPV High-Risk Types CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87625 HPV Types 16 & 18 Only CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87631 Resp Virus 3-5 Targets CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87632 Resp Virus 6-11 Targets CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87633 Resp Virus 12-25 Targets CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87640 Staph A DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87650 Strep A DNA Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87651 Strep A DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87652 Strep A DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87653 Strep B DNA Amp Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81294 MLH1 Gene Dup/Delete Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88271 Cytogenetics DNA Probe CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88272 Cytogenetics 3-5 CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88273 Cytogenetics 10-30 CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88274 Cytogenetics 25-99 CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88275 Cytogenetics 100-300 CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88291 Cyto/Molecular Report CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88364 Insitu Hybridization (Fish) CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88365 Insitu Hybridization (Fish) CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88366 Insitu Hybridization (Fish) CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88367 Insitu Hybridization Auto CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88368 Insitu Hybridization Manual CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

Page 136: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81294 MLH1 Gene Dup/Delete Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81294 MLH1 Gene Dup/Delete Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81294 MLH1 Gene Dup/Delete Variant G0476 HPV Combo Assay Ca Screen CMS Edit**81295 MSH2 Gene Full Seq 81296 MSH2 Gene Known Variants CMS Edit

81295 MSH2 Gene Full Seq 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81295 MSH2 Gene Full Seq 87149 DNA/RNA Direct Probe CMS Edit

81295 MSH2 Gene Full Seq 87150 DNA/RNA Amplified Probe CMS Edit

81295 MSH2 Gene Full Seq 87152 Culture Type Pulse Field Gel CMS Edit

81295 MSH2 Gene Full Seq 87153 DNA/RNA Sequencing CMS Edit

81295 MSH2 Gene Full Seq 87470 Bartonella DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87471 Bartonella DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87472 Bartonella DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87475 Lyme Dis DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87476 Lyme Dis DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87477 Lyme Dis DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87480 Candida DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87481 Candida DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87482 Candida DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81295 MSH2 Gene Full Seq 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87487 Chylmd Pneum DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87490 Chylmd Trach DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87491 Chylmd Trach DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87492 Chylmd Trach DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87493 C Diff Amplified Probe CMS Edit

81295 MSH2 Gene Full Seq 87495 Cytomeg DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87496 Cytomeg DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87497 Cytomeg DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87498 Enterovirus Probe&Revrs Trns CMS Edit

81295 MSH2 Gene Full Seq 87500 Vanomycin DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87501 Influenza DNA Amp Prob 1+ CMS Edit

81295 MSH2 Gene Full Seq 87502 Influenza DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87503 Influenza DNA Amp Prob Addl CMS Edit

81295 MSH2 Gene Full Seq 87505 Nfct Agent Detection Gi CMS Edit

81295 MSH2 Gene Full Seq 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81295 MSH2 Gene Full Seq 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81295 MSH2 Gene Full Seq 87510 Gardner Vag DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87511 Gardner Vag DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87512 Gardner Vag DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87515 Hepatitis B DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87516 Hepatitis B DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87517 Hepatitis B DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87520 Hepatitis C RNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81295 MSH2 Gene Full Seq 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81295 MSH2 Gene Full Seq 87525 Hepatitis G DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87526 Hepatitis G DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87527 Hepatitis G DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87528 HSV DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87529 HSV DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87530 HSV DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87531 HHV-6 DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87532 HHV-6 DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87533 HHV-6 DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87534 HIV-1 DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81295 MSH2 Gene Full Seq 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

Page 137: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81295 MSH2 Gene Full Seq 87537 HIV-2 DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81295 MSH2 Gene Full Seq 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81295 MSH2 Gene Full Seq 87540 Legion Pneumo DNA Dir Prob CMS Edit

81295 MSH2 Gene Full Seq 87541 Legion Pneumo DNA Amp Prob CMS Edit

81295 MSH2 Gene Full Seq 87542 Legion Pneumo DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87550 Mycobacteria DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87551 Mycobacteria DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87552 Mycobacteria DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87555 M.Tuberculo DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87556 M.Tuberculo DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87557 M.Tuberculo DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81295 MSH2 Gene Full Seq 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81295 MSH2 Gene Full Seq 87562 M.Avium-Intra DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87580 M.Pneumon DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87581 M.Pneumon DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87582 M.Pneumon DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81295 MSH2 Gene Full Seq 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81295 MSH2 Gene Full Seq 87592 N.Gonorrhoeae DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87623 HPV Low-Risk Types CMS Edit

81295 MSH2 Gene Full Seq 87624 HPV High-Risk Types CMS Edit

81295 MSH2 Gene Full Seq 87625 HPV Types 16 & 18 Only CMS Edit

81295 MSH2 Gene Full Seq 87631 Resp Virus 3-5 Targets CMS Edit

81295 MSH2 Gene Full Seq 87632 Resp Virus 6-11 Targets CMS Edit

81295 MSH2 Gene Full Seq 87633 Resp Virus 12-25 Targets CMS Edit

81295 MSH2 Gene Full Seq 87640 Staph A DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87641 Mr-Staph DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87650 Strep A DNA Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87651 Strep A DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87652 Strep A DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87653 Strep B DNA Amp Probe CMS Edit

81295 MSH2 Gene Full Seq 87660 Trichomonas Vagin Dir Probe CMS Edit

81295 MSH2 Gene Full Seq 87661 Trichomonas Vaginalis Amplif CMS Edit

81295 MSH2 Gene Full Seq 87797 Detect Agent Nos DNA Dir CMS Edit

81295 MSH2 Gene Full Seq 87798 Detect Agent Nos DNA Amp CMS Edit

81295 MSH2 Gene Full Seq 87799 Detect Agent Nos DNA Quant CMS Edit

81295 MSH2 Gene Full Seq 87800 Detect Agnt Mult DNA Direc CMS Edit

81295 MSH2 Gene Full Seq 87801 Detect Agnt Mult DNA Ampli CMS Edit

81295 MSH2 Gene Full Seq 88271 Cytogenetics DNA Probe CMS Edit

81295 MSH2 Gene Full Seq 88272 Cytogenetics 3-5 CMS Edit

81295 MSH2 Gene Full Seq 88273 Cytogenetics 10-30 CMS Edit

81295 MSH2 Gene Full Seq 88274 Cytogenetics 25-99 CMS Edit

81295 MSH2 Gene Full Seq 88275 Cytogenetics 100-300 CMS Edit

81295 MSH2 Gene Full Seq 88291 Cyto/Molecular Report CMS Edit

81295 MSH2 Gene Full Seq 88364 Insitu Hybridization (Fish) CMS Edit

81295 MSH2 Gene Full Seq 88365 Insitu Hybridization (Fish) CMS Edit

81295 MSH2 Gene Full Seq 88366 Insitu Hybridization (Fish) CMS Edit

81295 MSH2 Gene Full Seq 88367 Insitu Hybridization Auto CMS Edit

81295 MSH2 Gene Full Seq 88368 Insitu Hybridization Manual CMS Edit

81295 MSH2 Gene Full Seq 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81295 MSH2 Gene Full Seq 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81295 MSH2 Gene Full Seq 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81295 MSH2 Gene Full Seq 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81295 MSH2 Gene Full Seq G0476 HPV Combo Assay Ca Screen CMS Edit**81296 MSH2 Gene Known Variants 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81296 MSH2 Gene Known Variants 87149 DNA/RNA Direct Probe CMS Edit

Page 138: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81296 MSH2 Gene Known Variants 87150 DNA/RNA Amplified Probe CMS Edit

81296 MSH2 Gene Known Variants 87152 Culture Type Pulse Field Gel CMS Edit

81296 MSH2 Gene Known Variants 87153 DNA/RNA Sequencing CMS Edit

81296 MSH2 Gene Known Variants 87470 Bartonella DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87471 Bartonella DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87472 Bartonella DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87477 Lyme Dis DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87480 Candida DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87481 Candida DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87482 Candida DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81296 MSH2 Gene Known Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87492 Chylmd Trach DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87493 C Diff Amplified Probe CMS Edit

81296 MSH2 Gene Known Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87497 Cytomeg DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81296 MSH2 Gene Known Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81296 MSH2 Gene Known Variants 87502 Influenza DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81296 MSH2 Gene Known Variants 87505 Nfct Agent Detection Gi CMS Edit

81296 MSH2 Gene Known Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81296 MSH2 Gene Known Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81296 MSH2 Gene Known Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87512 Gardner Vag DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87517 Hepatitis B DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81296 MSH2 Gene Known Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81296 MSH2 Gene Known Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87527 Hepatitis G DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87528 HSV DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87529 HSV DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87530 HSV DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87533 HHV-6 DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81296 MSH2 Gene Known Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81296 MSH2 Gene Known Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81296 MSH2 Gene Known Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81296 MSH2 Gene Known Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81296 MSH2 Gene Known Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81296 MSH2 Gene Known Variants 87542 Legion Pneumo DNA Quant CMS Edit

Page 139: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81296 MSH2 Gene Known Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87552 Mycobacteria DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87557 M.Tuberculo DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81296 MSH2 Gene Known Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81296 MSH2 Gene Known Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87582 M.Pneumon DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81296 MSH2 Gene Known Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81296 MSH2 Gene Known Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87623 HPV Low-Risk Types CMS Edit

81296 MSH2 Gene Known Variants 87624 HPV High-Risk Types CMS Edit

81296 MSH2 Gene Known Variants 87625 HPV Types 16 & 18 Only CMS Edit

81296 MSH2 Gene Known Variants 87631 Resp Virus 3-5 Targets CMS Edit

81296 MSH2 Gene Known Variants 87632 Resp Virus 6-11 Targets CMS Edit

81296 MSH2 Gene Known Variants 87633 Resp Virus 12-25 Targets CMS Edit

81296 MSH2 Gene Known Variants 87640 Staph A DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87650 Strep A DNA Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87651 Strep A DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87652 Strep A DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87653 Strep B DNA Amp Probe CMS Edit

81296 MSH2 Gene Known Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81296 MSH2 Gene Known Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81296 MSH2 Gene Known Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81296 MSH2 Gene Known Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81296 MSH2 Gene Known Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81296 MSH2 Gene Known Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81296 MSH2 Gene Known Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81296 MSH2 Gene Known Variants 88271 Cytogenetics DNA Probe CMS Edit

81296 MSH2 Gene Known Variants 88272 Cytogenetics 3-5 CMS Edit

81296 MSH2 Gene Known Variants 88273 Cytogenetics 10-30 CMS Edit

81296 MSH2 Gene Known Variants 88274 Cytogenetics 25-99 CMS Edit

81296 MSH2 Gene Known Variants 88275 Cytogenetics 100-300 CMS Edit

81296 MSH2 Gene Known Variants 88291 Cyto/Molecular Report CMS Edit

81296 MSH2 Gene Known Variants 88364 Insitu Hybridization (Fish) CMS Edit

81296 MSH2 Gene Known Variants 88365 Insitu Hybridization (Fish) CMS Edit

81296 MSH2 Gene Known Variants 88366 Insitu Hybridization (Fish) CMS Edit

81296 MSH2 Gene Known Variants 88367 Insitu Hybridization Auto CMS Edit

81296 MSH2 Gene Known Variants 88368 Insitu Hybridization Manual CMS Edit

81296 MSH2 Gene Known Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81296 MSH2 Gene Known Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81296 MSH2 Gene Known Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81296 MSH2 Gene Known Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81296 MSH2 Gene Known Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81297 MSH2 Gene Dup/Delete Variant 87149 DNA/RNA Direct Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87150 DNA/RNA Amplified Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87152 Culture Type Pulse Field Gel CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87153 DNA/RNA Sequencing CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87470 Bartonella DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87471 Bartonella DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87472 Bartonella DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

Page 140: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81297 MSH2 Gene Dup/Delete Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87477 Lyme Dis DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87480 Candida DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87481 Candida DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87482 Candida DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81297 MSH2 Gene Dup/Delete Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87492 Chylmd Trach DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87493 C Diff Amplified Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87497 Cytomeg DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87502 Influenza DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87505 Nfct Agent Detection Gi CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87512 Gardner Vag DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87517 Hepatitis B DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87527 Hepatitis G DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87528 HSV DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87529 HSV DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87530 HSV DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87533 HHV-6 DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87542 Legion Pneumo DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87552 Mycobacteria DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87557 M.Tuberculo DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

Page 141: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81297 MSH2 Gene Dup/Delete Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87582 M.Pneumon DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87623 HPV Low-Risk Types CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87624 HPV High-Risk Types CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87625 HPV Types 16 & 18 Only CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87631 Resp Virus 3-5 Targets CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87632 Resp Virus 6-11 Targets CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87633 Resp Virus 12-25 Targets CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87640 Staph A DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87650 Strep A DNA Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87651 Strep A DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87652 Strep A DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87653 Strep B DNA Amp Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81297 MSH2 Gene Dup/Delete Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88271 Cytogenetics DNA Probe CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88272 Cytogenetics 3-5 CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88273 Cytogenetics 10-30 CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88274 Cytogenetics 25-99 CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88275 Cytogenetics 100-300 CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88291 Cyto/Molecular Report CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88364 Insitu Hybridization (Fish) CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88365 Insitu Hybridization (Fish) CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88366 Insitu Hybridization (Fish) CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88367 Insitu Hybridization Auto CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88368 Insitu Hybridization Manual CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81297 MSH2 Gene Dup/Delete Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81297 MSH2 Gene Dup/Delete Variant G0476 HPV Combo Assay Ca Screen CMS Edit**81298 MSH6 Gene Full Seq 81299 MSH6 Gene Known Variants CMS Edit

81298 MSH6 Gene Full Seq 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81298 MSH6 Gene Full Seq 87149 DNA/RNA Direct Probe CMS Edit

81298 MSH6 Gene Full Seq 87150 DNA/RNA Amplified Probe CMS Edit

81298 MSH6 Gene Full Seq 87152 Culture Type Pulse Field Gel CMS Edit

81298 MSH6 Gene Full Seq 87153 DNA/RNA Sequencing CMS Edit

81298 MSH6 Gene Full Seq 87470 Bartonella DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87471 Bartonella DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87472 Bartonella DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87475 Lyme Dis DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87476 Lyme Dis DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87477 Lyme Dis DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87480 Candida DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87481 Candida DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87482 Candida DNA Quant CMS Edit

Page 142: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81298 MSH6 Gene Full Seq 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81298 MSH6 Gene Full Seq 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87487 Chylmd Pneum DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87490 Chylmd Trach DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87491 Chylmd Trach DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87492 Chylmd Trach DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87493 C Diff Amplified Probe CMS Edit

81298 MSH6 Gene Full Seq 87495 Cytomeg DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87496 Cytomeg DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87497 Cytomeg DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87498 Enterovirus Probe&Revrs Trns CMS Edit

81298 MSH6 Gene Full Seq 87500 Vanomycin DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87501 Influenza DNA Amp Prob 1+ CMS Edit

81298 MSH6 Gene Full Seq 87502 Influenza DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87503 Influenza DNA Amp Prob Addl CMS Edit

81298 MSH6 Gene Full Seq 87505 Nfct Agent Detection Gi CMS Edit

81298 MSH6 Gene Full Seq 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81298 MSH6 Gene Full Seq 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81298 MSH6 Gene Full Seq 87510 Gardner Vag DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87511 Gardner Vag DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87512 Gardner Vag DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87515 Hepatitis B DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87516 Hepatitis B DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87517 Hepatitis B DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87520 Hepatitis C RNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81298 MSH6 Gene Full Seq 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81298 MSH6 Gene Full Seq 87525 Hepatitis G DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87526 Hepatitis G DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87527 Hepatitis G DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87528 HSV DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87529 HSV DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87530 HSV DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87531 HHV-6 DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87532 HHV-6 DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87533 HHV-6 DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87534 HIV-1 DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81298 MSH6 Gene Full Seq 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81298 MSH6 Gene Full Seq 87537 HIV-2 DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81298 MSH6 Gene Full Seq 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81298 MSH6 Gene Full Seq 87540 Legion Pneumo DNA Dir Prob CMS Edit

81298 MSH6 Gene Full Seq 87541 Legion Pneumo DNA Amp Prob CMS Edit

81298 MSH6 Gene Full Seq 87542 Legion Pneumo DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87550 Mycobacteria DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87551 Mycobacteria DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87552 Mycobacteria DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87555 M.Tuberculo DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87556 M.Tuberculo DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87557 M.Tuberculo DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81298 MSH6 Gene Full Seq 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81298 MSH6 Gene Full Seq 87562 M.Avium-Intra DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87580 M.Pneumon DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87581 M.Pneumon DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87582 M.Pneumon DNA Quant CMS Edit

Page 143: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81298 MSH6 Gene Full Seq 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81298 MSH6 Gene Full Seq 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81298 MSH6 Gene Full Seq 87592 N.Gonorrhoeae DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87623 HPV Low-Risk Types CMS Edit

81298 MSH6 Gene Full Seq 87624 HPV High-Risk Types CMS Edit

81298 MSH6 Gene Full Seq 87625 HPV Types 16 & 18 Only CMS Edit

81298 MSH6 Gene Full Seq 87631 Resp Virus 3-5 Targets CMS Edit

81298 MSH6 Gene Full Seq 87632 Resp Virus 6-11 Targets CMS Edit

81298 MSH6 Gene Full Seq 87633 Resp Virus 12-25 Targets CMS Edit

81298 MSH6 Gene Full Seq 87640 Staph A DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87641 Mr-Staph DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87650 Strep A DNA Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87651 Strep A DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87652 Strep A DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87653 Strep B DNA Amp Probe CMS Edit

81298 MSH6 Gene Full Seq 87660 Trichomonas Vagin Dir Probe CMS Edit

81298 MSH6 Gene Full Seq 87661 Trichomonas Vaginalis Amplif CMS Edit

81298 MSH6 Gene Full Seq 87797 Detect Agent Nos DNA Dir CMS Edit

81298 MSH6 Gene Full Seq 87798 Detect Agent Nos DNA Amp CMS Edit

81298 MSH6 Gene Full Seq 87799 Detect Agent Nos DNA Quant CMS Edit

81298 MSH6 Gene Full Seq 87800 Detect Agnt Mult DNA Direc CMS Edit

81298 MSH6 Gene Full Seq 87801 Detect Agnt Mult DNA Ampli CMS Edit

81298 MSH6 Gene Full Seq 88271 Cytogenetics DNA Probe CMS Edit

81298 MSH6 Gene Full Seq 88272 Cytogenetics 3-5 CMS Edit

81298 MSH6 Gene Full Seq 88273 Cytogenetics 10-30 CMS Edit

81298 MSH6 Gene Full Seq 88274 Cytogenetics 25-99 CMS Edit

81298 MSH6 Gene Full Seq 88275 Cytogenetics 100-300 CMS Edit

81298 MSH6 Gene Full Seq 88291 Cyto/Molecular Report CMS Edit

81298 MSH6 Gene Full Seq 88364 Insitu Hybridization (Fish) CMS Edit

81298 MSH6 Gene Full Seq 88365 Insitu Hybridization (Fish) CMS Edit

81298 MSH6 Gene Full Seq 88366 Insitu Hybridization (Fish) CMS Edit

81298 MSH6 Gene Full Seq 88367 Insitu Hybridization Auto CMS Edit

81298 MSH6 Gene Full Seq 88368 Insitu Hybridization Manual CMS Edit

81298 MSH6 Gene Full Seq 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81298 MSH6 Gene Full Seq 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81298 MSH6 Gene Full Seq 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81298 MSH6 Gene Full Seq 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81298 MSH6 Gene Full Seq G0476 HPV Combo Assay Ca Screen CMS Edit**81299 MSH6 Gene Known Variants 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81299 MSH6 Gene Known Variants 87149 DNA/RNA Direct Probe CMS Edit

81299 MSH6 Gene Known Variants 87150 DNA/RNA Amplified Probe CMS Edit

81299 MSH6 Gene Known Variants 87152 Culture Type Pulse Field Gel CMS Edit

81299 MSH6 Gene Known Variants 87153 DNA/RNA Sequencing CMS Edit

81299 MSH6 Gene Known Variants 87470 Bartonella DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87471 Bartonella DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87472 Bartonella DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87477 Lyme Dis DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87480 Candida DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87481 Candida DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87482 Candida DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81299 MSH6 Gene Known Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81299 MSH6 Gene Known Variants 87492 Chylmd Trach DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87493 C Diff Amplified Probe CMS Edit

81299 MSH6 Gene Known Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87497 Cytomeg DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81299 MSH6 Gene Known Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81299 MSH6 Gene Known Variants 87502 Influenza DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81299 MSH6 Gene Known Variants 87505 Nfct Agent Detection Gi CMS Edit

81299 MSH6 Gene Known Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81299 MSH6 Gene Known Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81299 MSH6 Gene Known Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87512 Gardner Vag DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87517 Hepatitis B DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81299 MSH6 Gene Known Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81299 MSH6 Gene Known Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87527 Hepatitis G DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87528 HSV DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87529 HSV DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87530 HSV DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87533 HHV-6 DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81299 MSH6 Gene Known Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81299 MSH6 Gene Known Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81299 MSH6 Gene Known Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81299 MSH6 Gene Known Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81299 MSH6 Gene Known Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81299 MSH6 Gene Known Variants 87542 Legion Pneumo DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87552 Mycobacteria DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87557 M.Tuberculo DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81299 MSH6 Gene Known Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81299 MSH6 Gene Known Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87582 M.Pneumon DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81299 MSH6 Gene Known Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81299 MSH6 Gene Known Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87623 HPV Low-Risk Types CMS Edit

81299 MSH6 Gene Known Variants 87624 HPV High-Risk Types CMS Edit

81299 MSH6 Gene Known Variants 87625 HPV Types 16 & 18 Only CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81299 MSH6 Gene Known Variants 87631 Resp Virus 3-5 Targets CMS Edit

81299 MSH6 Gene Known Variants 87632 Resp Virus 6-11 Targets CMS Edit

81299 MSH6 Gene Known Variants 87633 Resp Virus 12-25 Targets CMS Edit

81299 MSH6 Gene Known Variants 87640 Staph A DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87650 Strep A DNA Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87651 Strep A DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87652 Strep A DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87653 Strep B DNA Amp Probe CMS Edit

81299 MSH6 Gene Known Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81299 MSH6 Gene Known Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81299 MSH6 Gene Known Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81299 MSH6 Gene Known Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81299 MSH6 Gene Known Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81299 MSH6 Gene Known Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81299 MSH6 Gene Known Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81299 MSH6 Gene Known Variants 88271 Cytogenetics DNA Probe CMS Edit

81299 MSH6 Gene Known Variants 88272 Cytogenetics 3-5 CMS Edit

81299 MSH6 Gene Known Variants 88273 Cytogenetics 10-30 CMS Edit

81299 MSH6 Gene Known Variants 88274 Cytogenetics 25-99 CMS Edit

81299 MSH6 Gene Known Variants 88275 Cytogenetics 100-300 CMS Edit

81299 MSH6 Gene Known Variants 88291 Cyto/Molecular Report CMS Edit

81299 MSH6 Gene Known Variants 88364 Insitu Hybridization (Fish) CMS Edit

81299 MSH6 Gene Known Variants 88365 Insitu Hybridization (Fish) CMS Edit

81299 MSH6 Gene Known Variants 88366 Insitu Hybridization (Fish) CMS Edit

81299 MSH6 Gene Known Variants 88367 Insitu Hybridization Auto CMS Edit

81299 MSH6 Gene Known Variants 88368 Insitu Hybridization Manual CMS Edit

81299 MSH6 Gene Known Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81299 MSH6 Gene Known Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81299 MSH6 Gene Known Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81299 MSH6 Gene Known Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81299 MSH6 Gene Known Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81300 MSH6 Gene Dup/Delete Variant 87149 DNA/RNA Direct Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87150 DNA/RNA Amplified Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87152 Culture Type Pulse Field Gel CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87153 DNA/RNA Sequencing CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87470 Bartonella DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87471 Bartonella DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87472 Bartonella DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87477 Lyme Dis DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87480 Candida DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87481 Candida DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87482 Candida DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81300 MSH6 Gene Dup/Delete Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87492 Chylmd Trach DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87493 C Diff Amplified Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87497 Cytomeg DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87500 Vanomycin DNA Amp Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81300 MSH6 Gene Dup/Delete Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87502 Influenza DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87505 Nfct Agent Detection Gi CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87512 Gardner Vag DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87517 Hepatitis B DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87527 Hepatitis G DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87528 HSV DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87529 HSV DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87530 HSV DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87533 HHV-6 DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87542 Legion Pneumo DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87552 Mycobacteria DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87557 M.Tuberculo DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87582 M.Pneumon DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87623 HPV Low-Risk Types CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87624 HPV High-Risk Types CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87625 HPV Types 16 & 18 Only CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87631 Resp Virus 3-5 Targets CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87632 Resp Virus 6-11 Targets CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87633 Resp Virus 12-25 Targets CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87640 Staph A DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87650 Strep A DNA Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87651 Strep A DNA Amp Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81300 MSH6 Gene Dup/Delete Variant 87652 Strep A DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87653 Strep B DNA Amp Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81300 MSH6 Gene Dup/Delete Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88271 Cytogenetics DNA Probe CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88272 Cytogenetics 3-5 CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88273 Cytogenetics 10-30 CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88274 Cytogenetics 25-99 CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88275 Cytogenetics 100-300 CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88291 Cyto/Molecular Report CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88364 Insitu Hybridization (Fish) CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88365 Insitu Hybridization (Fish) CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88366 Insitu Hybridization (Fish) CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88367 Insitu Hybridization Auto CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88368 Insitu Hybridization Manual CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81300 MSH6 Gene Dup/Delete Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81300 MSH6 Gene Dup/Delete Variant G0476 HPV Combo Assay Ca Screen CMS Edit**81301 Microsatellite Instability 87149 DNA/RNA Direct Probe CMS Edit

81301 Microsatellite Instability 87150 DNA/RNA Amplified Probe CMS Edit

81301 Microsatellite Instability 87152 Culture Type Pulse Field Gel CMS Edit

81301 Microsatellite Instability 87153 DNA/RNA Sequencing CMS Edit

81301 Microsatellite Instability 87470 Bartonella DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87471 Bartonella DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87472 Bartonella DNA Quant CMS Edit

81301 Microsatellite Instability 87475 Lyme Dis DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87476 Lyme Dis DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87477 Lyme Dis DNA Quant CMS Edit

81301 Microsatellite Instability 87480 Candida DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87481 Candida DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87482 Candida DNA Quant CMS Edit

81301 Microsatellite Instability 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81301 Microsatellite Instability 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87487 Chylmd Pneum DNA Quant CMS Edit

81301 Microsatellite Instability 87490 Chylmd Trach DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87491 Chylmd Trach DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87492 Chylmd Trach DNA Quant CMS Edit

81301 Microsatellite Instability 87493 C Diff Amplified Probe CMS Edit

81301 Microsatellite Instability 87495 Cytomeg DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87496 Cytomeg DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87497 Cytomeg DNA Quant CMS Edit

81301 Microsatellite Instability 87498 Enterovirus Probe&Revrs Trns CMS Edit

81301 Microsatellite Instability 87500 Vanomycin DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87501 Influenza DNA Amp Prob 1+ CMS Edit

81301 Microsatellite Instability 87502 Influenza DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87503 Influenza DNA Amp Prob Addl CMS Edit

81301 Microsatellite Instability 87505 Nfct Agent Detection Gi CMS Edit

81301 Microsatellite Instability 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81301 Microsatellite Instability 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81301 Microsatellite Instability 87510 Gardner Vag DNA Dir Probe CMS Edit

Page 148: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81301 Microsatellite Instability 87511 Gardner Vag DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87512 Gardner Vag DNA Quant CMS Edit

81301 Microsatellite Instability 87515 Hepatitis B DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87516 Hepatitis B DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87517 Hepatitis B DNA Quant CMS Edit

81301 Microsatellite Instability 87520 Hepatitis C RNA Dir Probe CMS Edit

81301 Microsatellite Instability 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81301 Microsatellite Instability 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81301 Microsatellite Instability 87525 Hepatitis G DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87526 Hepatitis G DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87527 Hepatitis G DNA Quant CMS Edit

81301 Microsatellite Instability 87528 HSV DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87529 HSV DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87530 HSV DNA Quant CMS Edit

81301 Microsatellite Instability 87531 HHV-6 DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87532 HHV-6 DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87533 HHV-6 DNA Quant CMS Edit

81301 Microsatellite Instability 87534 HIV-1 DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81301 Microsatellite Instability 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81301 Microsatellite Instability 87537 HIV-2 DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81301 Microsatellite Instability 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81301 Microsatellite Instability 87540 Legion Pneumo DNA Dir Prob CMS Edit

81301 Microsatellite Instability 87541 Legion Pneumo DNA Amp Prob CMS Edit

81301 Microsatellite Instability 87542 Legion Pneumo DNA Quant CMS Edit

81301 Microsatellite Instability 87550 Mycobacteria DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87551 Mycobacteria DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87552 Mycobacteria DNA Quant CMS Edit

81301 Microsatellite Instability 87555 M.Tuberculo DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87556 M.Tuberculo DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87557 M.Tuberculo DNA Quant CMS Edit

81301 Microsatellite Instability 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81301 Microsatellite Instability 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81301 Microsatellite Instability 87562 M.Avium-Intra DNA Quant CMS Edit

81301 Microsatellite Instability 87580 M.Pneumon DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87581 M.Pneumon DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87582 M.Pneumon DNA Quant CMS Edit

81301 Microsatellite Instability 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81301 Microsatellite Instability 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81301 Microsatellite Instability 87592 N.Gonorrhoeae DNA Quant CMS Edit

81301 Microsatellite Instability 87623 HPV Low-Risk Types CMS Edit

81301 Microsatellite Instability 87624 HPV High-Risk Types CMS Edit

81301 Microsatellite Instability 87625 HPV Types 16 & 18 Only CMS Edit

81301 Microsatellite Instability 87631 Resp Virus 3-5 Targets CMS Edit

81301 Microsatellite Instability 87632 Resp Virus 6-11 Targets CMS Edit

81301 Microsatellite Instability 87633 Resp Virus 12-25 Targets CMS Edit

81301 Microsatellite Instability 87640 Staph A DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87641 Mr-Staph DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87650 Strep A DNA Dir Probe CMS Edit

81301 Microsatellite Instability 87651 Strep A DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87652 Strep A DNA Quant CMS Edit

81301 Microsatellite Instability 87653 Strep B DNA Amp Probe CMS Edit

81301 Microsatellite Instability 87660 Trichomonas Vagin Dir Probe CMS Edit

81301 Microsatellite Instability 87661 Trichomonas Vaginalis Amplif CMS Edit

81301 Microsatellite Instability 87797 Detect Agent Nos DNA Dir CMS Edit

81301 Microsatellite Instability 87798 Detect Agent Nos DNA Amp CMS Edit

81301 Microsatellite Instability 87799 Detect Agent Nos DNA Quant CMS Edit

Page 149: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81301 Microsatellite Instability 87800 Detect Agnt Mult DNA Direc CMS Edit

81301 Microsatellite Instability 87801 Detect Agnt Mult DNA Ampli CMS Edit

81301 Microsatellite Instability 88271 Cytogenetics DNA Probe CMS Edit

81301 Microsatellite Instability 88272 Cytogenetics 3-5 CMS Edit

81301 Microsatellite Instability 88273 Cytogenetics 10-30 CMS Edit

81301 Microsatellite Instability 88274 Cytogenetics 25-99 CMS Edit

81301 Microsatellite Instability 88275 Cytogenetics 100-300 CMS Edit

81301 Microsatellite Instability 88291 Cyto/Molecular Report CMS Edit

81301 Microsatellite Instability 88364 Insitu Hybridization (Fish) CMS Edit

81301 Microsatellite Instability 88365 Insitu Hybridization (Fish) CMS Edit

81301 Microsatellite Instability 88366 Insitu Hybridization (Fish) CMS Edit

81301 Microsatellite Instability 88367 Insitu Hybridization Auto CMS Edit

81301 Microsatellite Instability 88368 Insitu Hybridization Manual CMS Edit

81301 Microsatellite Instability 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81301 Microsatellite Instability 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81301 Microsatellite Instability 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81301 Microsatellite Instability 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81301 Microsatellite Instability G0476 HPV Combo Assay Ca Screen CMS Edit**81302 MECP2 Gene Full Seq 81303 MECP2 Gene Known Variant CMS Edit

81302 MECP2 Gene Full Seq 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81302 MECP2 Gene Full Seq 87149 DNA/RNA Direct Probe CMS Edit

81302 MECP2 Gene Full Seq 87150 DNA/RNA Amplified Probe CMS Edit

81302 MECP2 Gene Full Seq 87152 Culture Type Pulse Field Gel CMS Edit

81302 MECP2 Gene Full Seq 87153 DNA/RNA Sequencing CMS Edit

81302 MECP2 Gene Full Seq 87470 Bartonella DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87471 Bartonella DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87472 Bartonella DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87475 Lyme Dis DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87476 Lyme Dis DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87477 Lyme Dis DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87480 Candida DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87481 Candida DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87482 Candida DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81302 MECP2 Gene Full Seq 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87487 Chylmd Pneum DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87490 Chylmd Trach DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87491 Chylmd Trach DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87492 Chylmd Trach DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87493 C Diff Amplified Probe CMS Edit

81302 MECP2 Gene Full Seq 87495 Cytomeg DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87496 Cytomeg DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87497 Cytomeg DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87498 Enterovirus Probe&Revrs Trns CMS Edit

81302 MECP2 Gene Full Seq 87500 Vanomycin DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87501 Influenza DNA Amp Prob 1+ CMS Edit

81302 MECP2 Gene Full Seq 87502 Influenza DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87503 Influenza DNA Amp Prob Addl CMS Edit

81302 MECP2 Gene Full Seq 87505 Nfct Agent Detection Gi CMS Edit

81302 MECP2 Gene Full Seq 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81302 MECP2 Gene Full Seq 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81302 MECP2 Gene Full Seq 87510 Gardner Vag DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87511 Gardner Vag DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87512 Gardner Vag DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87515 Hepatitis B DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87516 Hepatitis B DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87517 Hepatitis B DNA Quant CMS Edit

Page 150: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81302 MECP2 Gene Full Seq 87520 Hepatitis C RNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81302 MECP2 Gene Full Seq 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81302 MECP2 Gene Full Seq 87525 Hepatitis G DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87526 Hepatitis G DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87527 Hepatitis G DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87528 HSV DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87529 HSV DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87530 HSV DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87531 HHV-6 DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87532 HHV-6 DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87533 HHV-6 DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87534 HIV-1 DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81302 MECP2 Gene Full Seq 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81302 MECP2 Gene Full Seq 87537 HIV-2 DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81302 MECP2 Gene Full Seq 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81302 MECP2 Gene Full Seq 87540 Legion Pneumo DNA Dir Prob CMS Edit

81302 MECP2 Gene Full Seq 87541 Legion Pneumo DNA Amp Prob CMS Edit

81302 MECP2 Gene Full Seq 87542 Legion Pneumo DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87550 Mycobacteria DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87551 Mycobacteria DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87552 Mycobacteria DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87555 M.Tuberculo DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87556 M.Tuberculo DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87557 M.Tuberculo DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81302 MECP2 Gene Full Seq 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81302 MECP2 Gene Full Seq 87562 M.Avium-Intra DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87580 M.Pneumon DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87581 M.Pneumon DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87582 M.Pneumon DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81302 MECP2 Gene Full Seq 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81302 MECP2 Gene Full Seq 87592 N.Gonorrhoeae DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87623 HPV Low-Risk Types CMS Edit

81302 MECP2 Gene Full Seq 87624 HPV High-Risk Types CMS Edit

81302 MECP2 Gene Full Seq 87625 HPV Types 16 & 18 Only CMS Edit

81302 MECP2 Gene Full Seq 87631 Resp Virus 3-5 Targets CMS Edit

81302 MECP2 Gene Full Seq 87632 Resp Virus 6-11 Targets CMS Edit

81302 MECP2 Gene Full Seq 87633 Resp Virus 12-25 Targets CMS Edit

81302 MECP2 Gene Full Seq 87640 Staph A DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87641 Mr-Staph DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87650 Strep A DNA Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87651 Strep A DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87652 Strep A DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87653 Strep B DNA Amp Probe CMS Edit

81302 MECP2 Gene Full Seq 87660 Trichomonas Vagin Dir Probe CMS Edit

81302 MECP2 Gene Full Seq 87661 Trichomonas Vaginalis Amplif CMS Edit

81302 MECP2 Gene Full Seq 87797 Detect Agent Nos DNA Dir CMS Edit

81302 MECP2 Gene Full Seq 87798 Detect Agent Nos DNA Amp CMS Edit

81302 MECP2 Gene Full Seq 87799 Detect Agent Nos DNA Quant CMS Edit

81302 MECP2 Gene Full Seq 87800 Detect Agnt Mult DNA Direc CMS Edit

81302 MECP2 Gene Full Seq 87801 Detect Agnt Mult DNA Ampli CMS Edit

81302 MECP2 Gene Full Seq 88271 Cytogenetics DNA Probe CMS Edit

81302 MECP2 Gene Full Seq 88272 Cytogenetics 3-5 CMS Edit

81302 MECP2 Gene Full Seq 88273 Cytogenetics 10-30 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81302 MECP2 Gene Full Seq 88274 Cytogenetics 25-99 CMS Edit

81302 MECP2 Gene Full Seq 88275 Cytogenetics 100-300 CMS Edit

81302 MECP2 Gene Full Seq 88291 Cyto/Molecular Report CMS Edit

81302 MECP2 Gene Full Seq 88364 Insitu Hybridization (Fish) CMS Edit

81302 MECP2 Gene Full Seq 88365 Insitu Hybridization (Fish) CMS Edit

81302 MECP2 Gene Full Seq 88366 Insitu Hybridization (Fish) CMS Edit

81302 MECP2 Gene Full Seq 88367 Insitu Hybridization Auto CMS Edit

81302 MECP2 Gene Full Seq 88368 Insitu Hybridization Manual CMS Edit

81302 MECP2 Gene Full Seq 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81302 MECP2 Gene Full Seq 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81302 MECP2 Gene Full Seq 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81302 MECP2 Gene Full Seq 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81302 MECP2 Gene Full Seq G0476 HPV Combo Assay Ca Screen CMS Edit**81303 MECP2 Gene Known Variant 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81303 MECP2 Gene Known Variant 87149 DNA/RNA Direct Probe CMS Edit

81303 MECP2 Gene Known Variant 87150 DNA/RNA Amplified Probe CMS Edit

81303 MECP2 Gene Known Variant 87152 Culture Type Pulse Field Gel CMS Edit

81303 MECP2 Gene Known Variant 87153 DNA/RNA Sequencing CMS Edit

81303 MECP2 Gene Known Variant 87470 Bartonella DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87471 Bartonella DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87472 Bartonella DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87477 Lyme Dis DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87480 Candida DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87481 Candida DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87482 Candida DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81303 MECP2 Gene Known Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87492 Chylmd Trach DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87493 C Diff Amplified Probe CMS Edit

81303 MECP2 Gene Known Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87497 Cytomeg DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81303 MECP2 Gene Known Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81303 MECP2 Gene Known Variant 87502 Influenza DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81303 MECP2 Gene Known Variant 87505 Nfct Agent Detection Gi CMS Edit

81303 MECP2 Gene Known Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81303 MECP2 Gene Known Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81303 MECP2 Gene Known Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87512 Gardner Vag DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87517 Hepatitis B DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81303 MECP2 Gene Known Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81303 MECP2 Gene Known Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87527 Hepatitis G DNA Quant CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81303 MECP2 Gene Known Variant 87528 HSV DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87529 HSV DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87530 HSV DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87533 HHV-6 DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81303 MECP2 Gene Known Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81303 MECP2 Gene Known Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81303 MECP2 Gene Known Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81303 MECP2 Gene Known Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81303 MECP2 Gene Known Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81303 MECP2 Gene Known Variant 87542 Legion Pneumo DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87552 Mycobacteria DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87557 M.Tuberculo DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81303 MECP2 Gene Known Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81303 MECP2 Gene Known Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87582 M.Pneumon DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81303 MECP2 Gene Known Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81303 MECP2 Gene Known Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87623 HPV Low-Risk Types CMS Edit

81303 MECP2 Gene Known Variant 87624 HPV High-Risk Types CMS Edit

81303 MECP2 Gene Known Variant 87625 HPV Types 16 & 18 Only CMS Edit

81303 MECP2 Gene Known Variant 87631 Resp Virus 3-5 Targets CMS Edit

81303 MECP2 Gene Known Variant 87632 Resp Virus 6-11 Targets CMS Edit

81303 MECP2 Gene Known Variant 87633 Resp Virus 12-25 Targets CMS Edit

81303 MECP2 Gene Known Variant 87640 Staph A DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87650 Strep A DNA Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87651 Strep A DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87652 Strep A DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87653 Strep B DNA Amp Probe CMS Edit

81303 MECP2 Gene Known Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81303 MECP2 Gene Known Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81303 MECP2 Gene Known Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81303 MECP2 Gene Known Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81303 MECP2 Gene Known Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81303 MECP2 Gene Known Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81303 MECP2 Gene Known Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81303 MECP2 Gene Known Variant 88271 Cytogenetics DNA Probe CMS Edit

81303 MECP2 Gene Known Variant 88272 Cytogenetics 3-5 CMS Edit

81303 MECP2 Gene Known Variant 88273 Cytogenetics 10-30 CMS Edit

81303 MECP2 Gene Known Variant 88274 Cytogenetics 25-99 CMS Edit

81303 MECP2 Gene Known Variant 88275 Cytogenetics 100-300 CMS Edit

81303 MECP2 Gene Known Variant 88291 Cyto/Molecular Report CMS Edit

81303 MECP2 Gene Known Variant 88364 Insitu Hybridization (Fish) CMS Edit

81303 MECP2 Gene Known Variant 88365 Insitu Hybridization (Fish) CMS Edit

81303 MECP2 Gene Known Variant 88366 Insitu Hybridization (Fish) CMS Edit

Page 153: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81303 MECP2 Gene Known Variant 88367 Insitu Hybridization Auto CMS Edit

81303 MECP2 Gene Known Variant 88368 Insitu Hybridization Manual CMS Edit

81303 MECP2 Gene Known Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81303 MECP2 Gene Known Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81303 MECP2 Gene Known Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81303 MECP2 Gene Known Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81303 MECP2 Gene Known Variant G0476 HPV Combo Assay Ca Screen CMS Edit**81304 MECP2 Gene Dup/Delet Variant 87149 DNA/RNA Direct Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87150 DNA/RNA Amplified Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87152 Culture Type Pulse Field Gel CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87153 DNA/RNA Sequencing CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87470 Bartonella DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87471 Bartonella DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87472 Bartonella DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87477 Lyme Dis DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87480 Candida DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87481 Candida DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87482 Candida DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81304 MECP2 Gene Dup/Delet Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87492 Chylmd Trach DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87493 C Diff Amplified Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87497 Cytomeg DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87502 Influenza DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87505 Nfct Agent Detection Gi CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87512 Gardner Vag DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87517 Hepatitis B DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87527 Hepatitis G DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87528 HSV DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87529 HSV DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87530 HSV DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87533 HHV-6 DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87534 HIV-1 DNA Dir Probe CMS Edit

Page 154: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81304 MECP2 Gene Dup/Delet Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87542 Legion Pneumo DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87552 Mycobacteria DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87557 M.Tuberculo DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87582 M.Pneumon DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87623 HPV Low-Risk Types CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87624 HPV High-Risk Types CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87625 HPV Types 16 & 18 Only CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87631 Resp Virus 3-5 Targets CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87632 Resp Virus 6-11 Targets CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87633 Resp Virus 12-25 Targets CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87640 Staph A DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87650 Strep A DNA Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87651 Strep A DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87652 Strep A DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87653 Strep B DNA Amp Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81304 MECP2 Gene Dup/Delet Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88271 Cytogenetics DNA Probe CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88272 Cytogenetics 3-5 CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88273 Cytogenetics 10-30 CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88274 Cytogenetics 25-99 CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88275 Cytogenetics 100-300 CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88291 Cyto/Molecular Report CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88364 Insitu Hybridization (Fish) CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88365 Insitu Hybridization (Fish) CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88366 Insitu Hybridization (Fish) CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88367 Insitu Hybridization Auto CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88368 Insitu Hybridization Manual CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81304 MECP2 Gene Dup/Delet Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81304 MECP2 Gene Dup/Delet Variant G0476 HPV Combo Assay Ca Screen CMS Edit**

Page 155: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81310 NPM1 Gene 87149 DNA/RNA Direct Probe CMS Edit

81310 NPM1 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81310 NPM1 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81310 NPM1 Gene 87153 DNA/RNA Sequencing CMS Edit

81310 NPM1 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81310 NPM1 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81310 NPM1 Gene 87472 Bartonella DNA Quant CMS Edit

81310 NPM1 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81310 NPM1 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81310 NPM1 Gene 87477 Lyme Dis DNA Quant CMS Edit

81310 NPM1 Gene 87480 Candida DNA Dir Probe CMS Edit

81310 NPM1 Gene 87481 Candida DNA Amp Probe CMS Edit

81310 NPM1 Gene 87482 Candida DNA Quant CMS Edit

81310 NPM1 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81310 NPM1 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81310 NPM1 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81310 NPM1 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81310 NPM1 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81310 NPM1 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81310 NPM1 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81310 NPM1 Gene 87493 C Diff Amplified Probe CMS Edit

81310 NPM1 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81310 NPM1 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81310 NPM1 Gene 87497 Cytomeg DNA Quant CMS Edit

81310 NPM1 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81310 NPM1 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81310 NPM1 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81310 NPM1 Gene 87502 Influenza DNA Amp Probe CMS Edit

81310 NPM1 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81310 NPM1 Gene 87505 Nfct Agent Detection Gi CMS Edit

81310 NPM1 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81310 NPM1 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81310 NPM1 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81310 NPM1 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81310 NPM1 Gene 87512 Gardner Vag DNA Quant CMS Edit

81310 NPM1 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81310 NPM1 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81310 NPM1 Gene 87517 Hepatitis B DNA Quant CMS Edit

81310 NPM1 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81310 NPM1 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81310 NPM1 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81310 NPM1 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81310 NPM1 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81310 NPM1 Gene 87527 Hepatitis G DNA Quant CMS Edit

81310 NPM1 Gene 87528 HSV DNA Dir Probe CMS Edit

81310 NPM1 Gene 87529 HSV DNA Amp Probe CMS Edit

81310 NPM1 Gene 87530 HSV DNA Quant CMS Edit

81310 NPM1 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81310 NPM1 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81310 NPM1 Gene 87533 HHV-6 DNA Quant CMS Edit

81310 NPM1 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81310 NPM1 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81310 NPM1 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81310 NPM1 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81310 NPM1 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81310 NPM1 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81310 NPM1 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81310 NPM1 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

Page 156: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81310 NPM1 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81310 NPM1 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81310 NPM1 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81310 NPM1 Gene 87552 Mycobacteria DNA Quant CMS Edit

81310 NPM1 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81310 NPM1 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81310 NPM1 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81310 NPM1 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81310 NPM1 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81310 NPM1 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81310 NPM1 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81310 NPM1 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81310 NPM1 Gene 87582 M.Pneumon DNA Quant CMS Edit

81310 NPM1 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81310 NPM1 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81310 NPM1 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81310 NPM1 Gene 87623 HPV Low-Risk Types CMS Edit

81310 NPM1 Gene 87624 HPV High-Risk Types CMS Edit

81310 NPM1 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81310 NPM1 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81310 NPM1 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81310 NPM1 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81310 NPM1 Gene 87640 Staph A DNA Amp Probe CMS Edit

81310 NPM1 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81310 NPM1 Gene 87650 Strep A DNA Dir Probe CMS Edit

81310 NPM1 Gene 87651 Strep A DNA Amp Probe CMS Edit

81310 NPM1 Gene 87652 Strep A DNA Quant CMS Edit

81310 NPM1 Gene 87653 Strep B DNA Amp Probe CMS Edit

81310 NPM1 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81310 NPM1 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81310 NPM1 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81310 NPM1 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81310 NPM1 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81310 NPM1 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81310 NPM1 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81310 NPM1 Gene 88271 Cytogenetics DNA Probe CMS Edit

81310 NPM1 Gene 88272 Cytogenetics 3-5 CMS Edit

81310 NPM1 Gene 88273 Cytogenetics 10-30 CMS Edit

81310 NPM1 Gene 88274 Cytogenetics 25-99 CMS Edit

81310 NPM1 Gene 88275 Cytogenetics 100-300 CMS Edit

81310 NPM1 Gene 88291 Cyto/Molecular Report CMS Edit

81310 NPM1 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81310 NPM1 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81310 NPM1 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81310 NPM1 Gene 88367 Insitu Hybridization Auto CMS Edit

81310 NPM1 Gene 88368 Insitu Hybridization Manual CMS Edit

81310 NPM1 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81310 NPM1 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81310 NPM1 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81310 NPM1 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81310 NPM1 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81311 NRAS Gene Variants Exon 2&3 87149 DNA/RNA Direct Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87150 DNA/RNA Amplified Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87152 Culture Type Pulse Field Gel CMS Edit

81311 NRAS Gene Variants Exon 2&3 87153 DNA/RNA Sequencing CMS Edit

81311 NRAS Gene Variants Exon 2&3 87470 Bartonella DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87471 Bartonella DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87472 Bartonella DNA Quant CMS Edit

Page 157: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81311 NRAS Gene Variants Exon 2&3 87475 Lyme Dis DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87476 Lyme Dis DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87477 Lyme Dis DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87480 Candida DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87481 Candida DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87482 Candida DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81311 NRAS Gene Variants Exon 2&3 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87487 Chylmd Pneum DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87490 Chylmd Trach DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87491 Chylmd Trach DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87492 Chylmd Trach DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87493 C Diff Amplified Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87495 Cytomeg DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87496 Cytomeg DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87497 Cytomeg DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87498 Enterovirus Probe&Revrs Trns CMS Edit

81311 NRAS Gene Variants Exon 2&3 87500 Vanomycin DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87501 Influenza DNA Amp Prob 1+ CMS Edit

81311 NRAS Gene Variants Exon 2&3 87502 Influenza DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87503 Influenza DNA Amp Prob Addl CMS Edit

81311 NRAS Gene Variants Exon 2&3 87505 Nfct Agent Detection Gi CMS Edit

81311 NRAS Gene Variants Exon 2&3 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81311 NRAS Gene Variants Exon 2&3 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81311 NRAS Gene Variants Exon 2&3 87510 Gardner Vag DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87511 Gardner Vag DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87512 Gardner Vag DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87515 Hepatitis B DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87516 Hepatitis B DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87517 Hepatitis B DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87520 Hepatitis C RNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81311 NRAS Gene Variants Exon 2&3 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81311 NRAS Gene Variants Exon 2&3 87525 Hepatitis G DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87526 Hepatitis G DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87527 Hepatitis G DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87528 HSV DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87529 HSV DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87530 HSV DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87531 HHV-6 DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87532 HHV-6 DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87533 HHV-6 DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87534 HIV-1 DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81311 NRAS Gene Variants Exon 2&3 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81311 NRAS Gene Variants Exon 2&3 87537 HIV-2 DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81311 NRAS Gene Variants Exon 2&3 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81311 NRAS Gene Variants Exon 2&3 87540 Legion Pneumo DNA Dir Prob CMS Edit

81311 NRAS Gene Variants Exon 2&3 87541 Legion Pneumo DNA Amp Prob CMS Edit

81311 NRAS Gene Variants Exon 2&3 87542 Legion Pneumo DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87550 Mycobacteria DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87551 Mycobacteria DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87552 Mycobacteria DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87555 M.Tuberculo DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87556 M.Tuberculo DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87557 M.Tuberculo DNA Quant CMS Edit

Page 158: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81311 NRAS Gene Variants Exon 2&3 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81311 NRAS Gene Variants Exon 2&3 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81311 NRAS Gene Variants Exon 2&3 87562 M.Avium-Intra DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87580 M.Pneumon DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87581 M.Pneumon DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87582 M.Pneumon DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81311 NRAS Gene Variants Exon 2&3 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81311 NRAS Gene Variants Exon 2&3 87592 N.Gonorrhoeae DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87623 HPV Low-Risk Types CMS Edit

81311 NRAS Gene Variants Exon 2&3 87624 HPV High-Risk Types CMS Edit

81311 NRAS Gene Variants Exon 2&3 87625 HPV Types 16 & 18 Only CMS Edit

81311 NRAS Gene Variants Exon 2&3 87631 Resp Virus 3-5 Targets CMS Edit

81311 NRAS Gene Variants Exon 2&3 87632 Resp Virus 6-11 Targets CMS Edit

81311 NRAS Gene Variants Exon 2&3 87633 Resp Virus 12-25 Targets CMS Edit

81311 NRAS Gene Variants Exon 2&3 87640 Staph A DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87641 Mr-Staph DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87650 Strep A DNA Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87651 Strep A DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87652 Strep A DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87653 Strep B DNA Amp Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87660 Trichomonas Vagin Dir Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 87661 Trichomonas Vaginalis Amplif CMS Edit

81311 NRAS Gene Variants Exon 2&3 87797 Detect Agent Nos DNA Dir CMS Edit

81311 NRAS Gene Variants Exon 2&3 87798 Detect Agent Nos DNA Amp CMS Edit

81311 NRAS Gene Variants Exon 2&3 87799 Detect Agent Nos DNA Quant CMS Edit

81311 NRAS Gene Variants Exon 2&3 87800 Detect Agnt Mult DNA Direc CMS Edit

81311 NRAS Gene Variants Exon 2&3 87801 Detect Agnt Mult DNA Ampli CMS Edit

81311 NRAS Gene Variants Exon 2&3 88271 Cytogenetics DNA Probe CMS Edit

81311 NRAS Gene Variants Exon 2&3 88272 Cytogenetics 3-5 CMS Edit

81311 NRAS Gene Variants Exon 2&3 88273 Cytogenetics 10-30 CMS Edit

81311 NRAS Gene Variants Exon 2&3 88274 Cytogenetics 25-99 CMS Edit

81311 NRAS Gene Variants Exon 2&3 88275 Cytogenetics 100-300 CMS Edit

81311 NRAS Gene Variants Exon 2&3 88291 Cyto/Molecular Report CMS Edit

81311 NRAS Gene Variants Exon 2&3 88364 Insitu Hybridization (Fish) CMS Edit

81311 NRAS Gene Variants Exon 2&3 88365 Insitu Hybridization (Fish) CMS Edit

81311 NRAS Gene Variants Exon 2&3 88366 Insitu Hybridization (Fish) CMS Edit

81311 NRAS Gene Variants Exon 2&3 88367 Insitu Hybridization Auto CMS Edit

81311 NRAS Gene Variants Exon 2&3 88368 Insitu Hybridization Manual CMS Edit

81311 NRAS Gene Variants Exon 2&3 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81311 NRAS Gene Variants Exon 2&3 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81311 NRAS Gene Variants Exon 2&3 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81311 NRAS Gene Variants Exon 2&3 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81311 NRAS Gene Variants Exon 2&3 G0476 HPV Combo Assay Ca Screen CMS Edit**81313 PCA3/KLK3 Antigen 87149 DNA/RNA Direct Probe CMS Edit

81313 PCA3/KLK3 Antigen 87150 DNA/RNA Amplified Probe CMS Edit

81313 PCA3/KLK3 Antigen 87152 Culture Type Pulse Field Gel CMS Edit

81313 PCA3/KLK3 Antigen 87153 DNA/RNA Sequencing CMS Edit

81313 PCA3/KLK3 Antigen 87470 Bartonella DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87471 Bartonella DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87472 Bartonella DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87475 Lyme Dis DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87476 Lyme Dis DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87477 Lyme Dis DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87480 Candida DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87481 Candida DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87482 Candida DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*

Page 159: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81313 PCA3/KLK3 Antigen 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87487 Chylmd Pneum DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87490 Chylmd Trach DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87491 Chylmd Trach DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87492 Chylmd Trach DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87493 C Diff Amplified Probe CMS Edit

81313 PCA3/KLK3 Antigen 87495 Cytomeg DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87496 Cytomeg DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87497 Cytomeg DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87498 Enterovirus Probe&Revrs Trns CMS Edit

81313 PCA3/KLK3 Antigen 87500 Vanomycin DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87501 Influenza DNA Amp Prob 1+ CMS Edit

81313 PCA3/KLK3 Antigen 87502 Influenza DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87503 Influenza DNA Amp Prob Addl CMS Edit

81313 PCA3/KLK3 Antigen 87505 Nfct Agent Detection Gi CMS Edit

81313 PCA3/KLK3 Antigen 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81313 PCA3/KLK3 Antigen 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81313 PCA3/KLK3 Antigen 87510 Gardner Vag DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87511 Gardner Vag DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87512 Gardner Vag DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87515 Hepatitis B DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87516 Hepatitis B DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87517 Hepatitis B DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87520 Hepatitis C RNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81313 PCA3/KLK3 Antigen 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81313 PCA3/KLK3 Antigen 87525 Hepatitis G DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87526 Hepatitis G DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87527 Hepatitis G DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87528 HSV DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87529 HSV DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87530 HSV DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87531 HHV-6 DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87532 HHV-6 DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87533 HHV-6 DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87534 HIV-1 DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81313 PCA3/KLK3 Antigen 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81313 PCA3/KLK3 Antigen 87537 HIV-2 DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81313 PCA3/KLK3 Antigen 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81313 PCA3/KLK3 Antigen 87540 Legion Pneumo DNA Dir Prob CMS Edit

81313 PCA3/KLK3 Antigen 87541 Legion Pneumo DNA Amp Prob CMS Edit

81313 PCA3/KLK3 Antigen 87542 Legion Pneumo DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87550 Mycobacteria DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87551 Mycobacteria DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87552 Mycobacteria DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87555 M.Tuberculo DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87556 M.Tuberculo DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87557 M.Tuberculo DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81313 PCA3/KLK3 Antigen 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81313 PCA3/KLK3 Antigen 87562 M.Avium-Intra DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87580 M.Pneumon DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87581 M.Pneumon DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87582 M.Pneumon DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

Page 160: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81313 PCA3/KLK3 Antigen 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81313 PCA3/KLK3 Antigen 87592 N.Gonorrhoeae DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87623 HPV Low-Risk Types CMS Edit

81313 PCA3/KLK3 Antigen 87624 HPV High-Risk Types CMS Edit

81313 PCA3/KLK3 Antigen 87625 HPV Types 16 & 18 Only CMS Edit

81313 PCA3/KLK3 Antigen 87631 Resp Virus 3-5 Targets CMS Edit

81313 PCA3/KLK3 Antigen 87632 Resp Virus 6-11 Targets CMS Edit

81313 PCA3/KLK3 Antigen 87633 Resp Virus 12-25 Targets CMS Edit

81313 PCA3/KLK3 Antigen 87640 Staph A DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87641 Mr-Staph DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87650 Strep A DNA Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87651 Strep A DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87652 Strep A DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87653 Strep B DNA Amp Probe CMS Edit

81313 PCA3/KLK3 Antigen 87660 Trichomonas Vagin Dir Probe CMS Edit

81313 PCA3/KLK3 Antigen 87661 Trichomonas Vaginalis Amplif CMS Edit

81313 PCA3/KLK3 Antigen 87797 Detect Agent Nos DNA Dir CMS Edit

81313 PCA3/KLK3 Antigen 87798 Detect Agent Nos DNA Amp CMS Edit

81313 PCA3/KLK3 Antigen 87799 Detect Agent Nos DNA Quant CMS Edit

81313 PCA3/KLK3 Antigen 87800 Detect Agnt Mult DNA Direc CMS Edit

81313 PCA3/KLK3 Antigen 87801 Detect Agnt Mult DNA Ampli CMS Edit

81313 PCA3/KLK3 Antigen 88271 Cytogenetics DNA Probe CMS Edit

81313 PCA3/KLK3 Antigen 88272 Cytogenetics 3-5 CMS Edit

81313 PCA3/KLK3 Antigen 88273 Cytogenetics 10-30 CMS Edit

81313 PCA3/KLK3 Antigen 88274 Cytogenetics 25-99 CMS Edit

81313 PCA3/KLK3 Antigen 88275 Cytogenetics 100-300 CMS Edit

81313 PCA3/KLK3 Antigen 88291 Cyto/Molecular Report CMS Edit

81313 PCA3/KLK3 Antigen 88364 Insitu Hybridization (Fish) CMS Edit

81313 PCA3/KLK3 Antigen 88365 Insitu Hybridization (Fish) CMS Edit

81313 PCA3/KLK3 Antigen 88366 Insitu Hybridization (Fish) CMS Edit

81313 PCA3/KLK3 Antigen 88367 Insitu Hybridization Auto CMS Edit

81313 PCA3/KLK3 Antigen 88368 Insitu Hybridization Manual CMS Edit

81313 PCA3/KLK3 Antigen 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81313 PCA3/KLK3 Antigen 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81313 PCA3/KLK3 Antigen 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81313 PCA3/KLK3 Antigen 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81313 PCA3/KLK3 Antigen G0476 HPV Combo Assay Ca Screen CMS Edit**81314 PDGFRA Gene 87149 DNA/RNA Direct Probe CMS Edit

81314 PDGFRA Gene 87150 DNA/RNA Amplified Probe CMS Edit

81314 PDGFRA Gene 87152 Culture Type Pulse Field Gel CMS Edit

81314 PDGFRA Gene 87153 DNA/RNA Sequencing CMS Edit

81314 PDGFRA Gene 87470 Bartonella DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87471 Bartonella DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87472 Bartonella DNA Quant CMS Edit

81314 PDGFRA Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87477 Lyme Dis DNA Quant CMS Edit

81314 PDGFRA Gene 87480 Candida DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87481 Candida DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87482 Candida DNA Quant CMS Edit

81314 PDGFRA Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81314 PDGFRA Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81314 PDGFRA Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87492 Chylmd Trach DNA Quant CMS Edit

81314 PDGFRA Gene 87493 C Diff Amplified Probe CMS Edit

Page 161: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81314 PDGFRA Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87497 Cytomeg DNA Quant CMS Edit

81314 PDGFRA Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81314 PDGFRA Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81314 PDGFRA Gene 87502 Influenza DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81314 PDGFRA Gene 87505 Nfct Agent Detection Gi CMS Edit

81314 PDGFRA Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81314 PDGFRA Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81314 PDGFRA Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87512 Gardner Vag DNA Quant CMS Edit

81314 PDGFRA Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87517 Hepatitis B DNA Quant CMS Edit

81314 PDGFRA Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81314 PDGFRA Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81314 PDGFRA Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81314 PDGFRA Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87527 Hepatitis G DNA Quant CMS Edit

81314 PDGFRA Gene 87528 HSV DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87529 HSV DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87530 HSV DNA Quant CMS Edit

81314 PDGFRA Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87533 HHV-6 DNA Quant CMS Edit

81314 PDGFRA Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81314 PDGFRA Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81314 PDGFRA Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81314 PDGFRA Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81314 PDGFRA Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81314 PDGFRA Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81314 PDGFRA Gene 87542 Legion Pneumo DNA Quant CMS Edit

81314 PDGFRA Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87552 Mycobacteria DNA Quant CMS Edit

81314 PDGFRA Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87557 M.Tuberculo DNA Quant CMS Edit

81314 PDGFRA Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81314 PDGFRA Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81314 PDGFRA Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81314 PDGFRA Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87582 M.Pneumon DNA Quant CMS Edit

81314 PDGFRA Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81314 PDGFRA Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81314 PDGFRA Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81314 PDGFRA Gene 87623 HPV Low-Risk Types CMS Edit

81314 PDGFRA Gene 87624 HPV High-Risk Types CMS Edit

81314 PDGFRA Gene 87625 HPV Types 16 & 18 Only CMS Edit

81314 PDGFRA Gene 87631 Resp Virus 3-5 Targets CMS Edit

81314 PDGFRA Gene 87632 Resp Virus 6-11 Targets CMS Edit

Page 162: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81314 PDGFRA Gene 87633 Resp Virus 12-25 Targets CMS Edit

81314 PDGFRA Gene 87640 Staph A DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87650 Strep A DNA Dir Probe CMS Edit

81314 PDGFRA Gene 87651 Strep A DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87652 Strep A DNA Quant CMS Edit

81314 PDGFRA Gene 87653 Strep B DNA Amp Probe CMS Edit

81314 PDGFRA Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81314 PDGFRA Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81314 PDGFRA Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81314 PDGFRA Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81314 PDGFRA Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81314 PDGFRA Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81314 PDGFRA Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81314 PDGFRA Gene 88271 Cytogenetics DNA Probe CMS Edit

81314 PDGFRA Gene 88272 Cytogenetics 3-5 CMS Edit

81314 PDGFRA Gene 88273 Cytogenetics 10-30 CMS Edit

81314 PDGFRA Gene 88274 Cytogenetics 25-99 CMS Edit

81314 PDGFRA Gene 88275 Cytogenetics 100-300 CMS Edit

81314 PDGFRA Gene 88291 Cyto/Molecular Report CMS Edit

81314 PDGFRA Gene 88364 Insitu Hybridization (Fish) CMS Edit

81314 PDGFRA Gene 88365 Insitu Hybridization (Fish) CMS Edit

81314 PDGFRA Gene 88366 Insitu Hybridization (Fish) CMS Edit

81314 PDGFRA Gene 88367 Insitu Hybridization Auto CMS Edit

81314 PDGFRA Gene 88368 Insitu Hybridization Manual CMS Edit

81314 PDGFRA Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81314 PDGFRA Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81314 PDGFRA Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81314 PDGFRA Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81314 PDGFRA Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81315 PML/RARalpha Com Breakpoints 81316 PML/RARalpha 1 Breakpoint CMS Edit

81315 PML/RARalpha Com Breakpoints 87149 DNA/RNA Direct Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87150 DNA/RNA Amplified Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87152 Culture Type Pulse Field Gel CMS Edit

81315 PML/RARalpha Com Breakpoints 87153 DNA/RNA Sequencing CMS Edit

81315 PML/RARalpha Com Breakpoints 87470 Bartonella DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87471 Bartonella DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87472 Bartonella DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87475 Lyme Dis DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87476 Lyme Dis DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87477 Lyme Dis DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87480 Candida DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87481 Candida DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87482 Candida DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81315 PML/RARalpha Com Breakpoints 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87487 Chylmd Pneum DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87490 Chylmd Trach DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87491 Chylmd Trach DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87492 Chylmd Trach DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87493 C Diff Amplified Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87495 Cytomeg DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87496 Cytomeg DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87497 Cytomeg DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87498 Enterovirus Probe&Revrs Trns CMS Edit

81315 PML/RARalpha Com Breakpoints 87500 Vanomycin DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87501 Influenza DNA Amp Prob 1+ CMS Edit

Page 163: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81315 PML/RARalpha Com Breakpoints 87502 Influenza DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87503 Influenza DNA Amp Prob Addl CMS Edit

81315 PML/RARalpha Com Breakpoints 87505 Nfct Agent Detection Gi CMS Edit

81315 PML/RARalpha Com Breakpoints 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81315 PML/RARalpha Com Breakpoints 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81315 PML/RARalpha Com Breakpoints 87510 Gardner Vag DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87511 Gardner Vag DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87512 Gardner Vag DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87515 Hepatitis B DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87516 Hepatitis B DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87517 Hepatitis B DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87520 Hepatitis C RNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81315 PML/RARalpha Com Breakpoints 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81315 PML/RARalpha Com Breakpoints 87525 Hepatitis G DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87526 Hepatitis G DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87527 Hepatitis G DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87528 HSV DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87529 HSV DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87530 HSV DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87531 HHV-6 DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87532 HHV-6 DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87533 HHV-6 DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87534 HIV-1 DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81315 PML/RARalpha Com Breakpoints 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81315 PML/RARalpha Com Breakpoints 87537 HIV-2 DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81315 PML/RARalpha Com Breakpoints 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81315 PML/RARalpha Com Breakpoints 87540 Legion Pneumo DNA Dir Prob CMS Edit

81315 PML/RARalpha Com Breakpoints 87541 Legion Pneumo DNA Amp Prob CMS Edit

81315 PML/RARalpha Com Breakpoints 87542 Legion Pneumo DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87550 Mycobacteria DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87551 Mycobacteria DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87552 Mycobacteria DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87555 M.Tuberculo DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87556 M.Tuberculo DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87557 M.Tuberculo DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81315 PML/RARalpha Com Breakpoints 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81315 PML/RARalpha Com Breakpoints 87562 M.Avium-Intra DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87580 M.Pneumon DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87581 M.Pneumon DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87582 M.Pneumon DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81315 PML/RARalpha Com Breakpoints 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81315 PML/RARalpha Com Breakpoints 87592 N.Gonorrhoeae DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87623 HPV Low-Risk Types CMS Edit

81315 PML/RARalpha Com Breakpoints 87624 HPV High-Risk Types CMS Edit

81315 PML/RARalpha Com Breakpoints 87625 HPV Types 16 & 18 Only CMS Edit

81315 PML/RARalpha Com Breakpoints 87631 Resp Virus 3-5 Targets CMS Edit

81315 PML/RARalpha Com Breakpoints 87632 Resp Virus 6-11 Targets CMS Edit

81315 PML/RARalpha Com Breakpoints 87633 Resp Virus 12-25 Targets CMS Edit

81315 PML/RARalpha Com Breakpoints 87640 Staph A DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87641 Mr-Staph DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87650 Strep A DNA Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87651 Strep A DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87652 Strep A DNA Quant CMS Edit

Page 164: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81315 PML/RARalpha Com Breakpoints 87653 Strep B DNA Amp Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87660 Trichomonas Vagin Dir Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 87661 Trichomonas Vaginalis Amplif CMS Edit

81315 PML/RARalpha Com Breakpoints 87797 Detect Agent Nos DNA Dir CMS Edit

81315 PML/RARalpha Com Breakpoints 87798 Detect Agent Nos DNA Amp CMS Edit

81315 PML/RARalpha Com Breakpoints 87799 Detect Agent Nos DNA Quant CMS Edit

81315 PML/RARalpha Com Breakpoints 87800 Detect Agnt Mult DNA Direc CMS Edit

81315 PML/RARalpha Com Breakpoints 87801 Detect Agnt Mult DNA Ampli CMS Edit

81315 PML/RARalpha Com Breakpoints 88271 Cytogenetics DNA Probe CMS Edit

81315 PML/RARalpha Com Breakpoints 88272 Cytogenetics 3-5 CMS Edit

81315 PML/RARalpha Com Breakpoints 88273 Cytogenetics 10-30 CMS Edit

81315 PML/RARalpha Com Breakpoints 88274 Cytogenetics 25-99 CMS Edit

81315 PML/RARalpha Com Breakpoints 88275 Cytogenetics 100-300 CMS Edit

81315 PML/RARalpha Com Breakpoints 88291 Cyto/Molecular Report CMS Edit

81315 PML/RARalpha Com Breakpoints 88364 Insitu Hybridization (Fish) CMS Edit

81315 PML/RARalpha Com Breakpoints 88365 Insitu Hybridization (Fish) CMS Edit

81315 PML/RARalpha Com Breakpoints 88366 Insitu Hybridization (Fish) CMS Edit

81315 PML/RARalpha Com Breakpoints 88367 Insitu Hybridization Auto CMS Edit

81315 PML/RARalpha Com Breakpoints 88368 Insitu Hybridization Manual CMS Edit

81315 PML/RARalpha Com Breakpoints 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81315 PML/RARalpha Com Breakpoints 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81315 PML/RARalpha Com Breakpoints 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81315 PML/RARalpha Com Breakpoints 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81315 PML/RARalpha Com Breakpoints G0476 HPV Combo Assay Ca Screen CMS Edit**81316 PML/RARalpha 1 Breakpoint 87149 DNA/RNA Direct Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87150 DNA/RNA Amplified Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87152 Culture Type Pulse Field Gel CMS Edit

81316 PML/RARalpha 1 Breakpoint 87153 DNA/RNA Sequencing CMS Edit

81316 PML/RARalpha 1 Breakpoint 87470 Bartonella DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87471 Bartonella DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87472 Bartonella DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87475 Lyme Dis DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87476 Lyme Dis DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87477 Lyme Dis DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87480 Candida DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87481 Candida DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87482 Candida DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81316 PML/RARalpha 1 Breakpoint 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87487 Chylmd Pneum DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87490 Chylmd Trach DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87491 Chylmd Trach DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87492 Chylmd Trach DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87493 C Diff Amplified Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87495 Cytomeg DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87496 Cytomeg DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87497 Cytomeg DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87498 Enterovirus Probe&Revrs Trns CMS Edit

81316 PML/RARalpha 1 Breakpoint 87500 Vanomycin DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87501 Influenza DNA Amp Prob 1+ CMS Edit

81316 PML/RARalpha 1 Breakpoint 87502 Influenza DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87503 Influenza DNA Amp Prob Addl CMS Edit

81316 PML/RARalpha 1 Breakpoint 87505 Nfct Agent Detection Gi CMS Edit

81316 PML/RARalpha 1 Breakpoint 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81316 PML/RARalpha 1 Breakpoint 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81316 PML/RARalpha 1 Breakpoint 87510 Gardner Vag DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87511 Gardner Vag DNA Amp Probe CMS Edit

Page 165: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81316 PML/RARalpha 1 Breakpoint 87512 Gardner Vag DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87515 Hepatitis B DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87516 Hepatitis B DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87517 Hepatitis B DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87520 Hepatitis C RNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81316 PML/RARalpha 1 Breakpoint 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81316 PML/RARalpha 1 Breakpoint 87525 Hepatitis G DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87526 Hepatitis G DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87527 Hepatitis G DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87528 HSV DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87529 HSV DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87530 HSV DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87531 HHV-6 DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87532 HHV-6 DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87533 HHV-6 DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87534 HIV-1 DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81316 PML/RARalpha 1 Breakpoint 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81316 PML/RARalpha 1 Breakpoint 87537 HIV-2 DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81316 PML/RARalpha 1 Breakpoint 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81316 PML/RARalpha 1 Breakpoint 87540 Legion Pneumo DNA Dir Prob CMS Edit

81316 PML/RARalpha 1 Breakpoint 87541 Legion Pneumo DNA Amp Prob CMS Edit

81316 PML/RARalpha 1 Breakpoint 87542 Legion Pneumo DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87550 Mycobacteria DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87551 Mycobacteria DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87552 Mycobacteria DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87555 M.Tuberculo DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87556 M.Tuberculo DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87557 M.Tuberculo DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81316 PML/RARalpha 1 Breakpoint 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81316 PML/RARalpha 1 Breakpoint 87562 M.Avium-Intra DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87580 M.Pneumon DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87581 M.Pneumon DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87582 M.Pneumon DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81316 PML/RARalpha 1 Breakpoint 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81316 PML/RARalpha 1 Breakpoint 87592 N.Gonorrhoeae DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87623 HPV Low-Risk Types CMS Edit

81316 PML/RARalpha 1 Breakpoint 87624 HPV High-Risk Types CMS Edit

81316 PML/RARalpha 1 Breakpoint 87625 HPV Types 16 & 18 Only CMS Edit

81316 PML/RARalpha 1 Breakpoint 87631 Resp Virus 3-5 Targets CMS Edit

81316 PML/RARalpha 1 Breakpoint 87632 Resp Virus 6-11 Targets CMS Edit

81316 PML/RARalpha 1 Breakpoint 87633 Resp Virus 12-25 Targets CMS Edit

81316 PML/RARalpha 1 Breakpoint 87640 Staph A DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87641 Mr-Staph DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87650 Strep A DNA Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87651 Strep A DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87652 Strep A DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87653 Strep B DNA Amp Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87660 Trichomonas Vagin Dir Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 87661 Trichomonas Vaginalis Amplif CMS Edit

81316 PML/RARalpha 1 Breakpoint 87797 Detect Agent Nos DNA Dir CMS Edit

81316 PML/RARalpha 1 Breakpoint 87798 Detect Agent Nos DNA Amp CMS Edit

81316 PML/RARalpha 1 Breakpoint 87799 Detect Agent Nos DNA Quant CMS Edit

81316 PML/RARalpha 1 Breakpoint 87800 Detect Agnt Mult DNA Direc CMS Edit

Page 166: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81316 PML/RARalpha 1 Breakpoint 87801 Detect Agnt Mult DNA Ampli CMS Edit

81316 PML/RARalpha 1 Breakpoint 88271 Cytogenetics DNA Probe CMS Edit

81316 PML/RARalpha 1 Breakpoint 88272 Cytogenetics 3-5 CMS Edit

81316 PML/RARalpha 1 Breakpoint 88273 Cytogenetics 10-30 CMS Edit

81316 PML/RARalpha 1 Breakpoint 88274 Cytogenetics 25-99 CMS Edit

81316 PML/RARalpha 1 Breakpoint 88275 Cytogenetics 100-300 CMS Edit

81316 PML/RARalpha 1 Breakpoint 88291 Cyto/Molecular Report CMS Edit

81316 PML/RARalpha 1 Breakpoint 88364 Insitu Hybridization (Fish) CMS Edit

81316 PML/RARalpha 1 Breakpoint 88365 Insitu Hybridization (Fish) CMS Edit

81316 PML/RARalpha 1 Breakpoint 88366 Insitu Hybridization (Fish) CMS Edit

81316 PML/RARalpha 1 Breakpoint 88367 Insitu Hybridization Auto CMS Edit

81316 PML/RARalpha 1 Breakpoint 88368 Insitu Hybridization Manual CMS Edit

81316 PML/RARalpha 1 Breakpoint 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81316 PML/RARalpha 1 Breakpoint 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81316 PML/RARalpha 1 Breakpoint 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81316 PML/RARalpha 1 Breakpoint 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81316 PML/RARalpha 1 Breakpoint G0476 HPV Combo Assay Ca Screen CMS Edit**81317 PMS2 Gene Full Seq Analysis 81318 PMS2 Known Familial Variants CMS Edit

81317 PMS2 Gene Full Seq Analysis 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81317 PMS2 Gene Full Seq Analysis 87149 DNA/RNA Direct Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87150 DNA/RNA Amplified Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87152 Culture Type Pulse Field Gel CMS Edit

81317 PMS2 Gene Full Seq Analysis 87153 DNA/RNA Sequencing CMS Edit

81317 PMS2 Gene Full Seq Analysis 87470 Bartonella DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87471 Bartonella DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87472 Bartonella DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87475 Lyme Dis DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87476 Lyme Dis DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87477 Lyme Dis DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87480 Candida DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87481 Candida DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87482 Candida DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81317 PMS2 Gene Full Seq Analysis 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87487 Chylmd Pneum DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87490 Chylmd Trach DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87491 Chylmd Trach DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87492 Chylmd Trach DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87493 C Diff Amplified Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87495 Cytomeg DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87496 Cytomeg DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87497 Cytomeg DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87498 Enterovirus Probe&Revrs Trns CMS Edit

81317 PMS2 Gene Full Seq Analysis 87500 Vanomycin DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87501 Influenza DNA Amp Prob 1+ CMS Edit

81317 PMS2 Gene Full Seq Analysis 87502 Influenza DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87503 Influenza DNA Amp Prob Addl CMS Edit

81317 PMS2 Gene Full Seq Analysis 87505 Nfct Agent Detection Gi CMS Edit

81317 PMS2 Gene Full Seq Analysis 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81317 PMS2 Gene Full Seq Analysis 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81317 PMS2 Gene Full Seq Analysis 87510 Gardner Vag DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87511 Gardner Vag DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87512 Gardner Vag DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87515 Hepatitis B DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87516 Hepatitis B DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87517 Hepatitis B DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87520 Hepatitis C RNA Dir Probe CMS Edit

Page 167: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81317 PMS2 Gene Full Seq Analysis 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81317 PMS2 Gene Full Seq Analysis 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81317 PMS2 Gene Full Seq Analysis 87525 Hepatitis G DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87526 Hepatitis G DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87527 Hepatitis G DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87528 HSV DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87529 HSV DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87530 HSV DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87531 HHV-6 DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87532 HHV-6 DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87533 HHV-6 DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87534 HIV-1 DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81317 PMS2 Gene Full Seq Analysis 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81317 PMS2 Gene Full Seq Analysis 87537 HIV-2 DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81317 PMS2 Gene Full Seq Analysis 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81317 PMS2 Gene Full Seq Analysis 87540 Legion Pneumo DNA Dir Prob CMS Edit

81317 PMS2 Gene Full Seq Analysis 87541 Legion Pneumo DNA Amp Prob CMS Edit

81317 PMS2 Gene Full Seq Analysis 87542 Legion Pneumo DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87550 Mycobacteria DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87551 Mycobacteria DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87552 Mycobacteria DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87555 M.Tuberculo DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87556 M.Tuberculo DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87557 M.Tuberculo DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81317 PMS2 Gene Full Seq Analysis 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81317 PMS2 Gene Full Seq Analysis 87562 M.Avium-Intra DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87580 M.Pneumon DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87581 M.Pneumon DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87582 M.Pneumon DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81317 PMS2 Gene Full Seq Analysis 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81317 PMS2 Gene Full Seq Analysis 87592 N.Gonorrhoeae DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87623 HPV Low-Risk Types CMS Edit

81317 PMS2 Gene Full Seq Analysis 87624 HPV High-Risk Types CMS Edit

81317 PMS2 Gene Full Seq Analysis 87625 HPV Types 16 & 18 Only CMS Edit

81317 PMS2 Gene Full Seq Analysis 87631 Resp Virus 3-5 Targets CMS Edit

81317 PMS2 Gene Full Seq Analysis 87632 Resp Virus 6-11 Targets CMS Edit

81317 PMS2 Gene Full Seq Analysis 87633 Resp Virus 12-25 Targets CMS Edit

81317 PMS2 Gene Full Seq Analysis 87640 Staph A DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87641 Mr-Staph DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87650 Strep A DNA Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87651 Strep A DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87652 Strep A DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87653 Strep B DNA Amp Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87660 Trichomonas Vagin Dir Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 87661 Trichomonas Vaginalis Amplif CMS Edit

81317 PMS2 Gene Full Seq Analysis 87797 Detect Agent Nos DNA Dir CMS Edit

81317 PMS2 Gene Full Seq Analysis 87798 Detect Agent Nos DNA Amp CMS Edit

81317 PMS2 Gene Full Seq Analysis 87799 Detect Agent Nos DNA Quant CMS Edit

81317 PMS2 Gene Full Seq Analysis 87800 Detect Agnt Mult DNA Direc CMS Edit

81317 PMS2 Gene Full Seq Analysis 87801 Detect Agnt Mult DNA Ampli CMS Edit

81317 PMS2 Gene Full Seq Analysis 88271 Cytogenetics DNA Probe CMS Edit

81317 PMS2 Gene Full Seq Analysis 88272 Cytogenetics 3-5 CMS Edit

81317 PMS2 Gene Full Seq Analysis 88273 Cytogenetics 10-30 CMS Edit

81317 PMS2 Gene Full Seq Analysis 88274 Cytogenetics 25-99 CMS Edit

Page 168: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81317 PMS2 Gene Full Seq Analysis 88275 Cytogenetics 100-300 CMS Edit

81317 PMS2 Gene Full Seq Analysis 88291 Cyto/Molecular Report CMS Edit

81317 PMS2 Gene Full Seq Analysis 88364 Insitu Hybridization (Fish) CMS Edit

81317 PMS2 Gene Full Seq Analysis 88365 Insitu Hybridization (Fish) CMS Edit

81317 PMS2 Gene Full Seq Analysis 88366 Insitu Hybridization (Fish) CMS Edit

81317 PMS2 Gene Full Seq Analysis 88367 Insitu Hybridization Auto CMS Edit

81317 PMS2 Gene Full Seq Analysis 88368 Insitu Hybridization Manual CMS Edit

81317 PMS2 Gene Full Seq Analysis 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81317 PMS2 Gene Full Seq Analysis 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81317 PMS2 Gene Full Seq Analysis 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81317 PMS2 Gene Full Seq Analysis 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81317 PMS2 Gene Full Seq Analysis G0476 HPV Combo Assay Ca Screen CMS Edit**81318 PMS2 Known Familial Variants 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81318 PMS2 Known Familial Variants 87149 DNA/RNA Direct Probe CMS Edit

81318 PMS2 Known Familial Variants 87150 DNA/RNA Amplified Probe CMS Edit

81318 PMS2 Known Familial Variants 87152 Culture Type Pulse Field Gel CMS Edit

81318 PMS2 Known Familial Variants 87153 DNA/RNA Sequencing CMS Edit

81318 PMS2 Known Familial Variants 87470 Bartonella DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87471 Bartonella DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87472 Bartonella DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87477 Lyme Dis DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87480 Candida DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87481 Candida DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87482 Candida DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81318 PMS2 Known Familial Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87492 Chylmd Trach DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87493 C Diff Amplified Probe CMS Edit

81318 PMS2 Known Familial Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87497 Cytomeg DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81318 PMS2 Known Familial Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81318 PMS2 Known Familial Variants 87502 Influenza DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81318 PMS2 Known Familial Variants 87505 Nfct Agent Detection Gi CMS Edit

81318 PMS2 Known Familial Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81318 PMS2 Known Familial Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81318 PMS2 Known Familial Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87512 Gardner Vag DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87517 Hepatitis B DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81318 PMS2 Known Familial Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81318 PMS2 Known Familial Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87527 Hepatitis G DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87528 HSV DNA Dir Probe CMS Edit

Page 169: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81318 PMS2 Known Familial Variants 87529 HSV DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87530 HSV DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87533 HHV-6 DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81318 PMS2 Known Familial Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81318 PMS2 Known Familial Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81318 PMS2 Known Familial Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81318 PMS2 Known Familial Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81318 PMS2 Known Familial Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81318 PMS2 Known Familial Variants 87542 Legion Pneumo DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87552 Mycobacteria DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87557 M.Tuberculo DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81318 PMS2 Known Familial Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81318 PMS2 Known Familial Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87582 M.Pneumon DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81318 PMS2 Known Familial Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81318 PMS2 Known Familial Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87623 HPV Low-Risk Types CMS Edit

81318 PMS2 Known Familial Variants 87624 HPV High-Risk Types CMS Edit

81318 PMS2 Known Familial Variants 87625 HPV Types 16 & 18 Only CMS Edit

81318 PMS2 Known Familial Variants 87631 Resp Virus 3-5 Targets CMS Edit

81318 PMS2 Known Familial Variants 87632 Resp Virus 6-11 Targets CMS Edit

81318 PMS2 Known Familial Variants 87633 Resp Virus 12-25 Targets CMS Edit

81318 PMS2 Known Familial Variants 87640 Staph A DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87650 Strep A DNA Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87651 Strep A DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87652 Strep A DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87653 Strep B DNA Amp Probe CMS Edit

81318 PMS2 Known Familial Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81318 PMS2 Known Familial Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81318 PMS2 Known Familial Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81318 PMS2 Known Familial Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81318 PMS2 Known Familial Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81318 PMS2 Known Familial Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81318 PMS2 Known Familial Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81318 PMS2 Known Familial Variants 88271 Cytogenetics DNA Probe CMS Edit

81318 PMS2 Known Familial Variants 88272 Cytogenetics 3-5 CMS Edit

81318 PMS2 Known Familial Variants 88273 Cytogenetics 10-30 CMS Edit

81318 PMS2 Known Familial Variants 88274 Cytogenetics 25-99 CMS Edit

81318 PMS2 Known Familial Variants 88275 Cytogenetics 100-300 CMS Edit

81318 PMS2 Known Familial Variants 88291 Cyto/Molecular Report CMS Edit

81318 PMS2 Known Familial Variants 88364 Insitu Hybridization (Fish) CMS Edit

81318 PMS2 Known Familial Variants 88365 Insitu Hybridization (Fish) CMS Edit

81318 PMS2 Known Familial Variants 88366 Insitu Hybridization (Fish) CMS Edit

81318 PMS2 Known Familial Variants 88367 Insitu Hybridization Auto CMS Edit

Page 170: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81318 PMS2 Known Familial Variants 88368 Insitu Hybridization Manual CMS Edit

81318 PMS2 Known Familial Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81318 PMS2 Known Familial Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81318 PMS2 Known Familial Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81318 PMS2 Known Familial Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81318 PMS2 Known Familial Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81319 PMS2 Gene Dup/Delet Variants 87149 DNA/RNA Direct Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87150 DNA/RNA Amplified Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87152 Culture Type Pulse Field Gel CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87153 DNA/RNA Sequencing CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87470 Bartonella DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87471 Bartonella DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87472 Bartonella DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87477 Lyme Dis DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87480 Candida DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87481 Candida DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87482 Candida DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81319 PMS2 Gene Dup/Delet Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87492 Chylmd Trach DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87493 C Diff Amplified Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87497 Cytomeg DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87502 Influenza DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87505 Nfct Agent Detection Gi CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87512 Gardner Vag DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87517 Hepatitis B DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87527 Hepatitis G DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87528 HSV DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87529 HSV DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87530 HSV DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87533 HHV-6 DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

Page 171: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81319 PMS2 Gene Dup/Delet Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87542 Legion Pneumo DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87552 Mycobacteria DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87557 M.Tuberculo DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87582 M.Pneumon DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87623 HPV Low-Risk Types CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87624 HPV High-Risk Types CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87625 HPV Types 16 & 18 Only CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87631 Resp Virus 3-5 Targets CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87632 Resp Virus 6-11 Targets CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87633 Resp Virus 12-25 Targets CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87640 Staph A DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87650 Strep A DNA Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87651 Strep A DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87652 Strep A DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87653 Strep B DNA Amp Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81319 PMS2 Gene Dup/Delet Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88271 Cytogenetics DNA Probe CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88272 Cytogenetics 3-5 CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88273 Cytogenetics 10-30 CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88274 Cytogenetics 25-99 CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88275 Cytogenetics 100-300 CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88291 Cyto/Molecular Report CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88364 Insitu Hybridization (Fish) CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88365 Insitu Hybridization (Fish) CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88366 Insitu Hybridization (Fish) CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88367 Insitu Hybridization Auto CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88368 Insitu Hybridization Manual CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81319 PMS2 Gene Dup/Delet Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81319 PMS2 Gene Dup/Delet Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81321 PTEN Gene Full Sequence 81322 PTEN Gene Known Fam Variant CMS Edit

Page 172: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81321 PTEN Gene Full Sequence 81323 PTEN Gene Dup/Delet Variant CMS Edit

81321 PTEN Gene Full Sequence 87149 DNA/RNA Direct Probe CMS Edit

81321 PTEN Gene Full Sequence 87150 DNA/RNA Amplified Probe CMS Edit

81321 PTEN Gene Full Sequence 87152 Culture Type Pulse Field Gel CMS Edit

81321 PTEN Gene Full Sequence 87153 DNA/RNA Sequencing CMS Edit

81321 PTEN Gene Full Sequence 87470 Bartonella DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87471 Bartonella DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87472 Bartonella DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87475 Lyme Dis DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87476 Lyme Dis DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87477 Lyme Dis DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87480 Candida DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87481 Candida DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87482 Candida DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81321 PTEN Gene Full Sequence 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87487 Chylmd Pneum DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87490 Chylmd Trach DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87491 Chylmd Trach DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87492 Chylmd Trach DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87493 C Diff Amplified Probe CMS Edit

81321 PTEN Gene Full Sequence 87495 Cytomeg DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87496 Cytomeg DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87497 Cytomeg DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87498 Enterovirus Probe&Revrs Trns CMS Edit

81321 PTEN Gene Full Sequence 87500 Vanomycin DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87501 Influenza DNA Amp Prob 1+ CMS Edit

81321 PTEN Gene Full Sequence 87502 Influenza DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87503 Influenza DNA Amp Prob Addl CMS Edit

81321 PTEN Gene Full Sequence 87505 Nfct Agent Detection Gi CMS Edit

81321 PTEN Gene Full Sequence 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81321 PTEN Gene Full Sequence 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81321 PTEN Gene Full Sequence 87510 Gardner Vag DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87511 Gardner Vag DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87512 Gardner Vag DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87515 Hepatitis B DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87516 Hepatitis B DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87517 Hepatitis B DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87520 Hepatitis C RNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81321 PTEN Gene Full Sequence 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81321 PTEN Gene Full Sequence 87525 Hepatitis G DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87526 Hepatitis G DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87527 Hepatitis G DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87528 HSV DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87529 HSV DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87530 HSV DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87531 HHV-6 DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87532 HHV-6 DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87533 HHV-6 DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87534 HIV-1 DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81321 PTEN Gene Full Sequence 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81321 PTEN Gene Full Sequence 87537 HIV-2 DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81321 PTEN Gene Full Sequence 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81321 PTEN Gene Full Sequence 87540 Legion Pneumo DNA Dir Prob CMS Edit

Page 173: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81321 PTEN Gene Full Sequence 87541 Legion Pneumo DNA Amp Prob CMS Edit

81321 PTEN Gene Full Sequence 87542 Legion Pneumo DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87550 Mycobacteria DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87551 Mycobacteria DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87552 Mycobacteria DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87555 M.Tuberculo DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87556 M.Tuberculo DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87557 M.Tuberculo DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81321 PTEN Gene Full Sequence 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81321 PTEN Gene Full Sequence 87562 M.Avium-Intra DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87580 M.Pneumon DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87581 M.Pneumon DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87582 M.Pneumon DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81321 PTEN Gene Full Sequence 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81321 PTEN Gene Full Sequence 87592 N.Gonorrhoeae DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87623 HPV Low-Risk Types CMS Edit

81321 PTEN Gene Full Sequence 87624 HPV High-Risk Types CMS Edit

81321 PTEN Gene Full Sequence 87625 HPV Types 16 & 18 Only CMS Edit

81321 PTEN Gene Full Sequence 87631 Resp Virus 3-5 Targets CMS Edit

81321 PTEN Gene Full Sequence 87632 Resp Virus 6-11 Targets CMS Edit

81321 PTEN Gene Full Sequence 87633 Resp Virus 12-25 Targets CMS Edit

81321 PTEN Gene Full Sequence 87640 Staph A DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87641 Mr-Staph DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87650 Strep A DNA Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87651 Strep A DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87652 Strep A DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87653 Strep B DNA Amp Probe CMS Edit

81321 PTEN Gene Full Sequence 87660 Trichomonas Vagin Dir Probe CMS Edit

81321 PTEN Gene Full Sequence 87661 Trichomonas Vaginalis Amplif CMS Edit

81321 PTEN Gene Full Sequence 87797 Detect Agent Nos DNA Dir CMS Edit

81321 PTEN Gene Full Sequence 87798 Detect Agent Nos DNA Amp CMS Edit

81321 PTEN Gene Full Sequence 87799 Detect Agent Nos DNA Quant CMS Edit

81321 PTEN Gene Full Sequence 87800 Detect Agnt Mult DNA Direc CMS Edit

81321 PTEN Gene Full Sequence 87801 Detect Agnt Mult DNA Ampli CMS Edit

81321 PTEN Gene Full Sequence 88271 Cytogenetics DNA Probe CMS Edit

81321 PTEN Gene Full Sequence 88272 Cytogenetics 3-5 CMS Edit

81321 PTEN Gene Full Sequence 88273 Cytogenetics 10-30 CMS Edit

81321 PTEN Gene Full Sequence 88274 Cytogenetics 25-99 CMS Edit

81321 PTEN Gene Full Sequence 88275 Cytogenetics 100-300 CMS Edit

81321 PTEN Gene Full Sequence 88291 Cyto/Molecular Report CMS Edit

81321 PTEN Gene Full Sequence 88364 Insitu Hybridization (Fish) CMS Edit

81321 PTEN Gene Full Sequence 88365 Insitu Hybridization (Fish) CMS Edit

81321 PTEN Gene Full Sequence 88366 Insitu Hybridization (Fish) CMS Edit

81321 PTEN Gene Full Sequence 88367 Insitu Hybridization Auto CMS Edit

81321 PTEN Gene Full Sequence 88368 Insitu Hybridization Manual CMS Edit

81321 PTEN Gene Full Sequence 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81321 PTEN Gene Full Sequence 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81321 PTEN Gene Full Sequence 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81321 PTEN Gene Full Sequence 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81321 PTEN Gene Full Sequence G0476 HPV Combo Assay Ca Screen CMS Edit**81322 PTEN Gene Known Fam Variant 81323 PTEN Gene Dup/Delet Variant CMS Edit

81322 PTEN Gene Known Fam Variant 87149 DNA/RNA Direct Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87150 DNA/RNA Amplified Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87152 Culture Type Pulse Field Gel CMS Edit

81322 PTEN Gene Known Fam Variant 87153 DNA/RNA Sequencing CMS Edit

81322 PTEN Gene Known Fam Variant 87470 Bartonella DNA Dir Probe CMS Edit

Page 174: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81322 PTEN Gene Known Fam Variant 87471 Bartonella DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87472 Bartonella DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87477 Lyme Dis DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87480 Candida DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87481 Candida DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87482 Candida DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81322 PTEN Gene Known Fam Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87492 Chylmd Trach DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87493 C Diff Amplified Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87497 Cytomeg DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81322 PTEN Gene Known Fam Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81322 PTEN Gene Known Fam Variant 87502 Influenza DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81322 PTEN Gene Known Fam Variant 87505 Nfct Agent Detection Gi CMS Edit

81322 PTEN Gene Known Fam Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81322 PTEN Gene Known Fam Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81322 PTEN Gene Known Fam Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87512 Gardner Vag DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87517 Hepatitis B DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81322 PTEN Gene Known Fam Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81322 PTEN Gene Known Fam Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87527 Hepatitis G DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87528 HSV DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87529 HSV DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87530 HSV DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87533 HHV-6 DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81322 PTEN Gene Known Fam Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81322 PTEN Gene Known Fam Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81322 PTEN Gene Known Fam Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81322 PTEN Gene Known Fam Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81322 PTEN Gene Known Fam Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81322 PTEN Gene Known Fam Variant 87542 Legion Pneumo DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87552 Mycobacteria DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

Page 175: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81322 PTEN Gene Known Fam Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87557 M.Tuberculo DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81322 PTEN Gene Known Fam Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81322 PTEN Gene Known Fam Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87582 M.Pneumon DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81322 PTEN Gene Known Fam Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81322 PTEN Gene Known Fam Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87623 HPV Low-Risk Types CMS Edit

81322 PTEN Gene Known Fam Variant 87624 HPV High-Risk Types CMS Edit

81322 PTEN Gene Known Fam Variant 87625 HPV Types 16 & 18 Only CMS Edit

81322 PTEN Gene Known Fam Variant 87631 Resp Virus 3-5 Targets CMS Edit

81322 PTEN Gene Known Fam Variant 87632 Resp Virus 6-11 Targets CMS Edit

81322 PTEN Gene Known Fam Variant 87633 Resp Virus 12-25 Targets CMS Edit

81322 PTEN Gene Known Fam Variant 87640 Staph A DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87650 Strep A DNA Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87651 Strep A DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87652 Strep A DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87653 Strep B DNA Amp Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81322 PTEN Gene Known Fam Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81322 PTEN Gene Known Fam Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81322 PTEN Gene Known Fam Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81322 PTEN Gene Known Fam Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81322 PTEN Gene Known Fam Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81322 PTEN Gene Known Fam Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81322 PTEN Gene Known Fam Variant 88271 Cytogenetics DNA Probe CMS Edit

81322 PTEN Gene Known Fam Variant 88272 Cytogenetics 3-5 CMS Edit

81322 PTEN Gene Known Fam Variant 88273 Cytogenetics 10-30 CMS Edit

81322 PTEN Gene Known Fam Variant 88274 Cytogenetics 25-99 CMS Edit

81322 PTEN Gene Known Fam Variant 88275 Cytogenetics 100-300 CMS Edit

81322 PTEN Gene Known Fam Variant 88291 Cyto/Molecular Report CMS Edit

81322 PTEN Gene Known Fam Variant 88364 Insitu Hybridization (Fish) CMS Edit

81322 PTEN Gene Known Fam Variant 88365 Insitu Hybridization (Fish) CMS Edit

81322 PTEN Gene Known Fam Variant 88366 Insitu Hybridization (Fish) CMS Edit

81322 PTEN Gene Known Fam Variant 88367 Insitu Hybridization Auto CMS Edit

81322 PTEN Gene Known Fam Variant 88368 Insitu Hybridization Manual CMS Edit

81322 PTEN Gene Known Fam Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81322 PTEN Gene Known Fam Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81322 PTEN Gene Known Fam Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81322 PTEN Gene Known Fam Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81322 PTEN Gene Known Fam Variant G0476 HPV Combo Assay Ca Screen CMS Edit**81323 PTEN Gene Dup/Delet Variant 87149 DNA/RNA Direct Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87150 DNA/RNA Amplified Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87152 Culture Type Pulse Field Gel CMS Edit

81323 PTEN Gene Dup/Delet Variant 87153 DNA/RNA Sequencing CMS Edit

81323 PTEN Gene Dup/Delet Variant 87470 Bartonella DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87471 Bartonella DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87472 Bartonella DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87477 Lyme Dis DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87480 Candida DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87481 Candida DNA Amp Probe CMS Edit

Page 176: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81323 PTEN Gene Dup/Delet Variant 87482 Candida DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81323 PTEN Gene Dup/Delet Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87492 Chylmd Trach DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87493 C Diff Amplified Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87497 Cytomeg DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81323 PTEN Gene Dup/Delet Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81323 PTEN Gene Dup/Delet Variant 87502 Influenza DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81323 PTEN Gene Dup/Delet Variant 87505 Nfct Agent Detection Gi CMS Edit

81323 PTEN Gene Dup/Delet Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81323 PTEN Gene Dup/Delet Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81323 PTEN Gene Dup/Delet Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87512 Gardner Vag DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87517 Hepatitis B DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81323 PTEN Gene Dup/Delet Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81323 PTEN Gene Dup/Delet Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87527 Hepatitis G DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87528 HSV DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87529 HSV DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87530 HSV DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87533 HHV-6 DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81323 PTEN Gene Dup/Delet Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81323 PTEN Gene Dup/Delet Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81323 PTEN Gene Dup/Delet Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81323 PTEN Gene Dup/Delet Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81323 PTEN Gene Dup/Delet Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81323 PTEN Gene Dup/Delet Variant 87542 Legion Pneumo DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87552 Mycobacteria DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87557 M.Tuberculo DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81323 PTEN Gene Dup/Delet Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81323 PTEN Gene Dup/Delet Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

Page 177: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81323 PTEN Gene Dup/Delet Variant 87582 M.Pneumon DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81323 PTEN Gene Dup/Delet Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81323 PTEN Gene Dup/Delet Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87623 HPV Low-Risk Types CMS Edit

81323 PTEN Gene Dup/Delet Variant 87624 HPV High-Risk Types CMS Edit

81323 PTEN Gene Dup/Delet Variant 87625 HPV Types 16 & 18 Only CMS Edit

81323 PTEN Gene Dup/Delet Variant 87631 Resp Virus 3-5 Targets CMS Edit

81323 PTEN Gene Dup/Delet Variant 87632 Resp Virus 6-11 Targets CMS Edit

81323 PTEN Gene Dup/Delet Variant 87633 Resp Virus 12-25 Targets CMS Edit

81323 PTEN Gene Dup/Delet Variant 87640 Staph A DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87650 Strep A DNA Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87651 Strep A DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87652 Strep A DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87653 Strep B DNA Amp Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

81323 PTEN Gene Dup/Delet Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81323 PTEN Gene Dup/Delet Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81323 PTEN Gene Dup/Delet Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81323 PTEN Gene Dup/Delet Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81323 PTEN Gene Dup/Delet Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81323 PTEN Gene Dup/Delet Variant 88271 Cytogenetics DNA Probe CMS Edit

81323 PTEN Gene Dup/Delet Variant 88272 Cytogenetics 3-5 CMS Edit

81323 PTEN Gene Dup/Delet Variant 88273 Cytogenetics 10-30 CMS Edit

81323 PTEN Gene Dup/Delet Variant 88274 Cytogenetics 25-99 CMS Edit

81323 PTEN Gene Dup/Delet Variant 88275 Cytogenetics 100-300 CMS Edit

81323 PTEN Gene Dup/Delet Variant 88291 Cyto/Molecular Report CMS Edit

81323 PTEN Gene Dup/Delet Variant 88364 Insitu Hybridization (Fish) CMS Edit

81323 PTEN Gene Dup/Delet Variant 88365 Insitu Hybridization (Fish) CMS Edit

81323 PTEN Gene Dup/Delet Variant 88366 Insitu Hybridization (Fish) CMS Edit

81323 PTEN Gene Dup/Delet Variant 88367 Insitu Hybridization Auto CMS Edit

81323 PTEN Gene Dup/Delet Variant 88368 Insitu Hybridization Manual CMS Edit

81323 PTEN Gene Dup/Delet Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81323 PTEN Gene Dup/Delet Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81323 PTEN Gene Dup/Delet Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81323 PTEN Gene Dup/Delet Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81323 PTEN Gene Dup/Delet Variant G0476 HPV Combo Assay Ca Screen CMS Edit**81324 PMP22 Gene Dup/Delet 81326 PMP22 Gene Known Fam Variant CMS Edit

81324 PMP22 Gene Dup/Delet 87149 DNA/RNA Direct Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87150 DNA/RNA Amplified Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87152 Culture Type Pulse Field Gel CMS Edit

81324 PMP22 Gene Dup/Delet 87153 DNA/RNA Sequencing CMS Edit

81324 PMP22 Gene Dup/Delet 87470 Bartonella DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87471 Bartonella DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87472 Bartonella DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87475 Lyme Dis DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87476 Lyme Dis DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87477 Lyme Dis DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87480 Candida DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87481 Candida DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87482 Candida DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81324 PMP22 Gene Dup/Delet 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87487 Chylmd Pneum DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87490 Chylmd Trach DNA Dir Probe CMS Edit

Page 178: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81324 PMP22 Gene Dup/Delet 87491 Chylmd Trach DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87492 Chylmd Trach DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87493 C Diff Amplified Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87495 Cytomeg DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87496 Cytomeg DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87497 Cytomeg DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87498 Enterovirus Probe&Revrs Trns CMS Edit

81324 PMP22 Gene Dup/Delet 87500 Vanomycin DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87501 Influenza DNA Amp Prob 1+ CMS Edit

81324 PMP22 Gene Dup/Delet 87502 Influenza DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87503 Influenza DNA Amp Prob Addl CMS Edit

81324 PMP22 Gene Dup/Delet 87505 Nfct Agent Detection Gi CMS Edit

81324 PMP22 Gene Dup/Delet 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81324 PMP22 Gene Dup/Delet 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81324 PMP22 Gene Dup/Delet 87510 Gardner Vag DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87511 Gardner Vag DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87512 Gardner Vag DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87515 Hepatitis B DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87516 Hepatitis B DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87517 Hepatitis B DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87520 Hepatitis C RNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81324 PMP22 Gene Dup/Delet 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81324 PMP22 Gene Dup/Delet 87525 Hepatitis G DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87526 Hepatitis G DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87527 Hepatitis G DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87528 HSV DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87529 HSV DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87530 HSV DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87531 HHV-6 DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87532 HHV-6 DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87533 HHV-6 DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87534 HIV-1 DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81324 PMP22 Gene Dup/Delet 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81324 PMP22 Gene Dup/Delet 87537 HIV-2 DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81324 PMP22 Gene Dup/Delet 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81324 PMP22 Gene Dup/Delet 87540 Legion Pneumo DNA Dir Prob CMS Edit

81324 PMP22 Gene Dup/Delet 87541 Legion Pneumo DNA Amp Prob CMS Edit

81324 PMP22 Gene Dup/Delet 87542 Legion Pneumo DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87550 Mycobacteria DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87551 Mycobacteria DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87552 Mycobacteria DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87555 M.Tuberculo DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87556 M.Tuberculo DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87557 M.Tuberculo DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81324 PMP22 Gene Dup/Delet 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81324 PMP22 Gene Dup/Delet 87562 M.Avium-Intra DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87580 M.Pneumon DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87581 M.Pneumon DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87582 M.Pneumon DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81324 PMP22 Gene Dup/Delet 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81324 PMP22 Gene Dup/Delet 87592 N.Gonorrhoeae DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87623 HPV Low-Risk Types CMS Edit

81324 PMP22 Gene Dup/Delet 87624 HPV High-Risk Types CMS Edit

Page 179: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81324 PMP22 Gene Dup/Delet 87625 HPV Types 16 & 18 Only CMS Edit

81324 PMP22 Gene Dup/Delet 87631 Resp Virus 3-5 Targets CMS Edit

81324 PMP22 Gene Dup/Delet 87632 Resp Virus 6-11 Targets CMS Edit

81324 PMP22 Gene Dup/Delet 87633 Resp Virus 12-25 Targets CMS Edit

81324 PMP22 Gene Dup/Delet 87640 Staph A DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87641 Mr-Staph DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87650 Strep A DNA Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87651 Strep A DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87652 Strep A DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87653 Strep B DNA Amp Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87660 Trichomonas Vagin Dir Probe CMS Edit

81324 PMP22 Gene Dup/Delet 87661 Trichomonas Vaginalis Amplif CMS Edit

81324 PMP22 Gene Dup/Delet 87797 Detect Agent Nos DNA Dir CMS Edit

81324 PMP22 Gene Dup/Delet 87798 Detect Agent Nos DNA Amp CMS Edit

81324 PMP22 Gene Dup/Delet 87799 Detect Agent Nos DNA Quant CMS Edit

81324 PMP22 Gene Dup/Delet 87800 Detect Agnt Mult DNA Direc CMS Edit

81324 PMP22 Gene Dup/Delet 87801 Detect Agnt Mult DNA Ampli CMS Edit

81324 PMP22 Gene Dup/Delet 88271 Cytogenetics DNA Probe CMS Edit

81324 PMP22 Gene Dup/Delet 88272 Cytogenetics 3-5 CMS Edit

81324 PMP22 Gene Dup/Delet 88273 Cytogenetics 10-30 CMS Edit

81324 PMP22 Gene Dup/Delet 88274 Cytogenetics 25-99 CMS Edit

81324 PMP22 Gene Dup/Delet 88275 Cytogenetics 100-300 CMS Edit

81324 PMP22 Gene Dup/Delet 88291 Cyto/Molecular Report CMS Edit

81324 PMP22 Gene Dup/Delet 88364 Insitu Hybridization (Fish) CMS Edit

81324 PMP22 Gene Dup/Delet 88365 Insitu Hybridization (Fish) CMS Edit

81324 PMP22 Gene Dup/Delet 88366 Insitu Hybridization (Fish) CMS Edit

81324 PMP22 Gene Dup/Delet 88367 Insitu Hybridization Auto CMS Edit

81324 PMP22 Gene Dup/Delet 88368 Insitu Hybridization Manual CMS Edit

81324 PMP22 Gene Dup/Delet 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81324 PMP22 Gene Dup/Delet 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81324 PMP22 Gene Dup/Delet 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81324 PMP22 Gene Dup/Delet 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81324 PMP22 Gene Dup/Delet G0476 HPV Combo Assay Ca Screen CMS Edit**81325 PMP22 Gene Full Sequence 81324 PMP22 Gene Dup/Delet CMS Edit

81325 PMP22 Gene Full Sequence 81326 PMP22 Gene Known Fam Variant CMS Edit

81325 PMP22 Gene Full Sequence 87149 DNA/RNA Direct Probe CMS Edit

81325 PMP22 Gene Full Sequence 87150 DNA/RNA Amplified Probe CMS Edit

81325 PMP22 Gene Full Sequence 87152 Culture Type Pulse Field Gel CMS Edit

81325 PMP22 Gene Full Sequence 87153 DNA/RNA Sequencing CMS Edit

81325 PMP22 Gene Full Sequence 87470 Bartonella DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87471 Bartonella DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87472 Bartonella DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87475 Lyme Dis DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87476 Lyme Dis DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87477 Lyme Dis DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87480 Candida DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87481 Candida DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87482 Candida DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81325 PMP22 Gene Full Sequence 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87487 Chylmd Pneum DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87490 Chylmd Trach DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87491 Chylmd Trach DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87492 Chylmd Trach DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87493 C Diff Amplified Probe CMS Edit

81325 PMP22 Gene Full Sequence 87495 Cytomeg DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87496 Cytomeg DNA Amp Probe CMS Edit

Page 180: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81325 PMP22 Gene Full Sequence 87497 Cytomeg DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87498 Enterovirus Probe&Revrs Trns CMS Edit

81325 PMP22 Gene Full Sequence 87500 Vanomycin DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87501 Influenza DNA Amp Prob 1+ CMS Edit

81325 PMP22 Gene Full Sequence 87502 Influenza DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87503 Influenza DNA Amp Prob Addl CMS Edit

81325 PMP22 Gene Full Sequence 87505 Nfct Agent Detection Gi CMS Edit

81325 PMP22 Gene Full Sequence 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81325 PMP22 Gene Full Sequence 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81325 PMP22 Gene Full Sequence 87510 Gardner Vag DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87511 Gardner Vag DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87512 Gardner Vag DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87515 Hepatitis B DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87516 Hepatitis B DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87517 Hepatitis B DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87520 Hepatitis C RNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81325 PMP22 Gene Full Sequence 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81325 PMP22 Gene Full Sequence 87525 Hepatitis G DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87526 Hepatitis G DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87527 Hepatitis G DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87528 HSV DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87529 HSV DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87530 HSV DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87531 HHV-6 DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87532 HHV-6 DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87533 HHV-6 DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87534 HIV-1 DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81325 PMP22 Gene Full Sequence 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81325 PMP22 Gene Full Sequence 87537 HIV-2 DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81325 PMP22 Gene Full Sequence 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81325 PMP22 Gene Full Sequence 87540 Legion Pneumo DNA Dir Prob CMS Edit

81325 PMP22 Gene Full Sequence 87541 Legion Pneumo DNA Amp Prob CMS Edit

81325 PMP22 Gene Full Sequence 87542 Legion Pneumo DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87550 Mycobacteria DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87551 Mycobacteria DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87552 Mycobacteria DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87555 M.Tuberculo DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87556 M.Tuberculo DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87557 M.Tuberculo DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81325 PMP22 Gene Full Sequence 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81325 PMP22 Gene Full Sequence 87562 M.Avium-Intra DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87580 M.Pneumon DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87581 M.Pneumon DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87582 M.Pneumon DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81325 PMP22 Gene Full Sequence 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81325 PMP22 Gene Full Sequence 87592 N.Gonorrhoeae DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87623 HPV Low-Risk Types CMS Edit

81325 PMP22 Gene Full Sequence 87624 HPV High-Risk Types CMS Edit

81325 PMP22 Gene Full Sequence 87625 HPV Types 16 & 18 Only CMS Edit

81325 PMP22 Gene Full Sequence 87631 Resp Virus 3-5 Targets CMS Edit

81325 PMP22 Gene Full Sequence 87632 Resp Virus 6-11 Targets CMS Edit

81325 PMP22 Gene Full Sequence 87633 Resp Virus 12-25 Targets CMS Edit

81325 PMP22 Gene Full Sequence 87640 Staph A DNA Amp Probe CMS Edit

Page 181: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81325 PMP22 Gene Full Sequence 87641 Mr-Staph DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87650 Strep A DNA Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87651 Strep A DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87652 Strep A DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87653 Strep B DNA Amp Probe CMS Edit

81325 PMP22 Gene Full Sequence 87660 Trichomonas Vagin Dir Probe CMS Edit

81325 PMP22 Gene Full Sequence 87661 Trichomonas Vaginalis Amplif CMS Edit

81325 PMP22 Gene Full Sequence 87797 Detect Agent Nos DNA Dir CMS Edit

81325 PMP22 Gene Full Sequence 87798 Detect Agent Nos DNA Amp CMS Edit

81325 PMP22 Gene Full Sequence 87799 Detect Agent Nos DNA Quant CMS Edit

81325 PMP22 Gene Full Sequence 87800 Detect Agnt Mult DNA Direc CMS Edit

81325 PMP22 Gene Full Sequence 87801 Detect Agnt Mult DNA Ampli CMS Edit

81325 PMP22 Gene Full Sequence 88271 Cytogenetics DNA Probe CMS Edit

81325 PMP22 Gene Full Sequence 88272 Cytogenetics 3-5 CMS Edit

81325 PMP22 Gene Full Sequence 88273 Cytogenetics 10-30 CMS Edit

81325 PMP22 Gene Full Sequence 88274 Cytogenetics 25-99 CMS Edit

81325 PMP22 Gene Full Sequence 88275 Cytogenetics 100-300 CMS Edit

81325 PMP22 Gene Full Sequence 88291 Cyto/Molecular Report CMS Edit

81325 PMP22 Gene Full Sequence 88364 Insitu Hybridization (Fish) CMS Edit

81325 PMP22 Gene Full Sequence 88365 Insitu Hybridization (Fish) CMS Edit

81325 PMP22 Gene Full Sequence 88366 Insitu Hybridization (Fish) CMS Edit

81325 PMP22 Gene Full Sequence 88367 Insitu Hybridization Auto CMS Edit

81325 PMP22 Gene Full Sequence 88368 Insitu Hybridization Manual CMS Edit

81325 PMP22 Gene Full Sequence 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81325 PMP22 Gene Full Sequence 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81325 PMP22 Gene Full Sequence 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81325 PMP22 Gene Full Sequence 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81325 PMP22 Gene Full Sequence G0476 HPV Combo Assay Ca Screen CMS Edit**81326 PMP22 Gene Known Fam Variant 87149 DNA/RNA Direct Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87150 DNA/RNA Amplified Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87152 Culture Type Pulse Field Gel CMS Edit

81326 PMP22 Gene Known Fam Variant 87153 DNA/RNA Sequencing CMS Edit

81326 PMP22 Gene Known Fam Variant 87470 Bartonella DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87471 Bartonella DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87472 Bartonella DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87475 Lyme Dis DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87476 Lyme Dis DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87477 Lyme Dis DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87480 Candida DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87481 Candida DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87482 Candida DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81326 PMP22 Gene Known Fam Variant 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87487 Chylmd Pneum DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87490 Chylmd Trach DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87491 Chylmd Trach DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87492 Chylmd Trach DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87493 C Diff Amplified Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87495 Cytomeg DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87496 Cytomeg DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87497 Cytomeg DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87498 Enterovirus Probe&Revrs Trns CMS Edit

81326 PMP22 Gene Known Fam Variant 87500 Vanomycin DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87501 Influenza DNA Amp Prob 1+ CMS Edit

81326 PMP22 Gene Known Fam Variant 87502 Influenza DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87503 Influenza DNA Amp Prob Addl CMS Edit

81326 PMP22 Gene Known Fam Variant 87505 Nfct Agent Detection Gi CMS Edit

Page 182: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81326 PMP22 Gene Known Fam Variant 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81326 PMP22 Gene Known Fam Variant 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81326 PMP22 Gene Known Fam Variant 87510 Gardner Vag DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87511 Gardner Vag DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87512 Gardner Vag DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87515 Hepatitis B DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87516 Hepatitis B DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87517 Hepatitis B DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87520 Hepatitis C RNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81326 PMP22 Gene Known Fam Variant 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81326 PMP22 Gene Known Fam Variant 87525 Hepatitis G DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87526 Hepatitis G DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87527 Hepatitis G DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87528 HSV DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87529 HSV DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87530 HSV DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87531 HHV-6 DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87532 HHV-6 DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87533 HHV-6 DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87534 HIV-1 DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81326 PMP22 Gene Known Fam Variant 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81326 PMP22 Gene Known Fam Variant 87537 HIV-2 DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81326 PMP22 Gene Known Fam Variant 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81326 PMP22 Gene Known Fam Variant 87540 Legion Pneumo DNA Dir Prob CMS Edit

81326 PMP22 Gene Known Fam Variant 87541 Legion Pneumo DNA Amp Prob CMS Edit

81326 PMP22 Gene Known Fam Variant 87542 Legion Pneumo DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87550 Mycobacteria DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87551 Mycobacteria DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87552 Mycobacteria DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87555 M.Tuberculo DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87556 M.Tuberculo DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87557 M.Tuberculo DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81326 PMP22 Gene Known Fam Variant 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81326 PMP22 Gene Known Fam Variant 87562 M.Avium-Intra DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87580 M.Pneumon DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87581 M.Pneumon DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87582 M.Pneumon DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81326 PMP22 Gene Known Fam Variant 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81326 PMP22 Gene Known Fam Variant 87592 N.Gonorrhoeae DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87623 HPV Low-Risk Types CMS Edit

81326 PMP22 Gene Known Fam Variant 87624 HPV High-Risk Types CMS Edit

81326 PMP22 Gene Known Fam Variant 87625 HPV Types 16 & 18 Only CMS Edit

81326 PMP22 Gene Known Fam Variant 87631 Resp Virus 3-5 Targets CMS Edit

81326 PMP22 Gene Known Fam Variant 87632 Resp Virus 6-11 Targets CMS Edit

81326 PMP22 Gene Known Fam Variant 87633 Resp Virus 12-25 Targets CMS Edit

81326 PMP22 Gene Known Fam Variant 87640 Staph A DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87641 Mr-Staph DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87650 Strep A DNA Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87651 Strep A DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87652 Strep A DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87653 Strep B DNA Amp Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87660 Trichomonas Vagin Dir Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 87661 Trichomonas Vaginalis Amplif CMS Edit

Page 183: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81326 PMP22 Gene Known Fam Variant 87797 Detect Agent Nos DNA Dir CMS Edit

81326 PMP22 Gene Known Fam Variant 87798 Detect Agent Nos DNA Amp CMS Edit

81326 PMP22 Gene Known Fam Variant 87799 Detect Agent Nos DNA Quant CMS Edit

81326 PMP22 Gene Known Fam Variant 87800 Detect Agnt Mult DNA Direc CMS Edit

81326 PMP22 Gene Known Fam Variant 87801 Detect Agnt Mult DNA Ampli CMS Edit

81326 PMP22 Gene Known Fam Variant 88271 Cytogenetics DNA Probe CMS Edit

81326 PMP22 Gene Known Fam Variant 88272 Cytogenetics 3-5 CMS Edit

81326 PMP22 Gene Known Fam Variant 88273 Cytogenetics 10-30 CMS Edit

81326 PMP22 Gene Known Fam Variant 88274 Cytogenetics 25-99 CMS Edit

81326 PMP22 Gene Known Fam Variant 88275 Cytogenetics 100-300 CMS Edit

81326 PMP22 Gene Known Fam Variant 88291 Cyto/Molecular Report CMS Edit

81326 PMP22 Gene Known Fam Variant 88364 Insitu Hybridization (Fish) CMS Edit

81326 PMP22 Gene Known Fam Variant 88365 Insitu Hybridization (Fish) CMS Edit

81326 PMP22 Gene Known Fam Variant 88366 Insitu Hybridization (Fish) CMS Edit

81326 PMP22 Gene Known Fam Variant 88367 Insitu Hybridization Auto CMS Edit

81326 PMP22 Gene Known Fam Variant 88368 Insitu Hybridization Manual CMS Edit

81326 PMP22 Gene Known Fam Variant 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81326 PMP22 Gene Known Fam Variant 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81326 PMP22 Gene Known Fam Variant 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81326 PMP22 Gene Known Fam Variant 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81326 PMP22 Gene Known Fam Variant G0476 HPV Combo Assay Ca Screen CMS Edit**

81327 SEPT9 Methylation Analysis 87149 DNA/RNA Direct Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87150 DNA/RNA Amplified Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87152 Culture Type Pulse Field Gel CMS Edit*

81327 SEPT9 Methylation Analysis 87153 DNA/RNA Sequencing CMS Edit*

81327 SEPT9 Methylation Analysis 87470 Bartonella DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87471 Bartonella DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87472 Bartonella DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87475 Lyme Dis DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87476 Lyme Dis DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87477 Lyme Dis DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87480 Candida DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87481 Candida DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87482 Candida DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*

81327 SEPT9 Methylation Analysis 87485 Chylmd Pneum DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87486 Chylmd Pneum DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87487 Chylmd Pneum DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87490 Chylmd Trach DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87491 Chylmd Trach DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87492 Chylmd Trach DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87493 C Diff Amplified Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87495 Cytomeg DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87496 Cytomeg DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87497 Cytomeg DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87498 Enterovirus Probe&Revrs Trns CMS Edit*

81327 SEPT9 Methylation Analysis 87500 Vanomycin DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87501 Influenza DNA Amp Prob 1+ CMS Edit*

81327 SEPT9 Methylation Analysis 87502 Influenza DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87503 Influenza DNA Amp Prob Addl CMS Edit*

81327 SEPT9 Methylation Analysis 87505 Nfct Agent Detection Gi CMS Edit*

81327 SEPT9 Methylation Analysis 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit*

81327 SEPT9 Methylation Analysis 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit*

81327 SEPT9 Methylation Analysis 87510 Gardner Vag DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87511 Gardner Vag DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87512 Gardner Vag DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87515 Hepatitis B DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87516 Hepatitis B DNA Amp Probe CMS Edit*

Page 184: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81327 SEPT9 Methylation Analysis 87517 Hepatitis B DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87520 Hepatitis C RNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit*

81327 SEPT9 Methylation Analysis 87522 Hepatitis C Revrs Trnscrpj CMS Edit*

81327 SEPT9 Methylation Analysis 87525 Hepatitis G DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87526 Hepatitis G DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87527 Hepatitis G DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87528 HSV DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87529 HSV DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87530 HSV DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87531 HHV-6 DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87532 HHV-6 DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87533 HHV-6 DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87534 HIV-1 DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit*

81327 SEPT9 Methylation Analysis 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit*

81327 SEPT9 Methylation Analysis 87537 HIV-2 DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit*

81327 SEPT9 Methylation Analysis 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit*

81327 SEPT9 Methylation Analysis 87540 Legion Pneumo DNA Dir Prob CMS Edit*

81327 SEPT9 Methylation Analysis 87541 Legion Pneumo DNA Amp Prob CMS Edit*

81327 SEPT9 Methylation Analysis 87542 Legion Pneumo DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87550 Mycobacteria DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87551 Mycobacteria DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87552 Mycobacteria DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87555 M.Tuberculo DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87556 M.Tuberculo DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87557 M.Tuberculo DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87560 M.Avium-Intra DNA Dir Prob CMS Edit*

81327 SEPT9 Methylation Analysis 87561 M.Avium-Intra DNA Amp Prob CMS Edit*

81327 SEPT9 Methylation Analysis 87562 M.Avium-Intra DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87580 M.Pneumon DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87581 M.Pneumon DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87582 M.Pneumon DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit*

81327 SEPT9 Methylation Analysis 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit*

81327 SEPT9 Methylation Analysis 87592 N.Gonorrhoeae DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87623 HPV Low-Risk Types CMS Edit*

81327 SEPT9 Methylation Analysis 87624 HPV High-Risk Types CMS Edit*

81327 SEPT9 Methylation Analysis 87625 HPV Types 16 & 18 Only CMS Edit*

81327 SEPT9 Methylation Analysis 87631 Resp Virus 3-5 Targets CMS Edit*

81327 SEPT9 Methylation Analysis 87632 Resp Virus 6-11 Targets CMS Edit*

81327 SEPT9 Methylation Analysis 87633 Resp Virus 12-25 Targets CMS Edit*

81327 SEPT9 Methylation Analysis 87640 Staph A DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87641 Mr-Staph DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87650 Strep A DNA Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87651 Strep A DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87652 Strep A DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87653 Strep B DNA Amp Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87660 Trichomonas Vagin Dir Probe CMS Edit*

81327 SEPT9 Methylation Analysis 87661 Trichomonas Vaginalis Amplif CMS Edit*

81327 SEPT9 Methylation Analysis 87797 Detect Agent Nos DNA Dir CMS Edit*

81327 SEPT9 Methylation Analysis 87798 Detect Agent Nos DNA Amp CMS Edit*

81327 SEPT9 Methylation Analysis 87799 Detect Agent Nos DNA Quant CMS Edit*

81327 SEPT9 Methylation Analysis 87800 Detect Agnt Mult DNA Direc CMS Edit*

81327 SEPT9 Methylation Analysis 87801 Detect Agnt Mult DNA Ampli CMS Edit*

81327 SEPT9 Methylation Analysis 88271 Cytogenetics DNA Probe CMS Edit*

81327 SEPT9 Methylation Analysis 88272 Cytogenetics 3-5 CMS Edit*

Page 185: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81327 SEPT9 Methylation Analysis 88273 Cytogenetics 10-30 CMS Edit*

81327 SEPT9 Methylation Analysis 88274 Cytogenetics 25-99 CMS Edit*

81327 SEPT9 Methylation Analysis 88275 Cytogenetics 100-300 CMS Edit*

81327 SEPT9 Methylation Analysis 88291 Cyto/Molecular Report CMS Edit*

81327 SEPT9 Methylation Analysis 88364 Insitu Hybridization (Fish) CMS Edit*

81327 SEPT9 Methylation Analysis 88365 Insitu Hybridization (Fish) CMS Edit*

81327 SEPT9 Methylation Analysis 88366 Insitu Hybridization (Fish) CMS Edit*

81327 SEPT9 Methylation Analysis 88367 Insitu Hybridization Auto CMS Edit*

81327 SEPT9 Methylation Analysis 88368 Insitu Hybridization Manual CMS Edit*

81327 SEPT9 Methylation Analysis 88369 M/Phmtrc Alysishquant/Semiq CMS Edit*

81327 SEPT9 Methylation Analysis 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81327 SEPT9 Methylation Analysis 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81327 SEPT9 Methylation Analysis 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81327 SEPT9 Methylation Analysis G0476 HPV Combo Assay Ca Screen CMS Edit**81330 SMPD1 Gene Common Variants 87149 DNA/RNA Direct Probe CMS Edit

81330 SMPD1 Gene Common Variants 87150 DNA/RNA Amplified Probe CMS Edit

81330 SMPD1 Gene Common Variants 87152 Culture Type Pulse Field Gel CMS Edit

81330 SMPD1 Gene Common Variants 87153 DNA/RNA Sequencing CMS Edit

81330 SMPD1 Gene Common Variants 87470 Bartonella DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87471 Bartonella DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87472 Bartonella DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87475 Lyme Dis DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87476 Lyme Dis DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87477 Lyme Dis DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87480 Candida DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87481 Candida DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87482 Candida DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81330 SMPD1 Gene Common Variants 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87487 Chylmd Pneum DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87490 Chylmd Trach DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87491 Chylmd Trach DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87492 Chylmd Trach DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87493 C Diff Amplified Probe CMS Edit

81330 SMPD1 Gene Common Variants 87495 Cytomeg DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87496 Cytomeg DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87497 Cytomeg DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87498 Enterovirus Probe&Revrs Trns CMS Edit

81330 SMPD1 Gene Common Variants 87500 Vanomycin DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87501 Influenza DNA Amp Prob 1+ CMS Edit

81330 SMPD1 Gene Common Variants 87502 Influenza DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87503 Influenza DNA Amp Prob Addl CMS Edit

81330 SMPD1 Gene Common Variants 87505 Nfct Agent Detection Gi CMS Edit

81330 SMPD1 Gene Common Variants 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81330 SMPD1 Gene Common Variants 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81330 SMPD1 Gene Common Variants 87510 Gardner Vag DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87511 Gardner Vag DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87512 Gardner Vag DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87515 Hepatitis B DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87516 Hepatitis B DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87517 Hepatitis B DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87520 Hepatitis C RNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81330 SMPD1 Gene Common Variants 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81330 SMPD1 Gene Common Variants 87525 Hepatitis G DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87526 Hepatitis G DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87527 Hepatitis G DNA Quant CMS Edit

Page 186: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

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81330 SMPD1 Gene Common Variants 87528 HSV DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87529 HSV DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87530 HSV DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87531 HHV-6 DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87532 HHV-6 DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87533 HHV-6 DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87534 HIV-1 DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81330 SMPD1 Gene Common Variants 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81330 SMPD1 Gene Common Variants 87537 HIV-2 DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81330 SMPD1 Gene Common Variants 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81330 SMPD1 Gene Common Variants 87540 Legion Pneumo DNA Dir Prob CMS Edit

81330 SMPD1 Gene Common Variants 87541 Legion Pneumo DNA Amp Prob CMS Edit

81330 SMPD1 Gene Common Variants 87542 Legion Pneumo DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87550 Mycobacteria DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87551 Mycobacteria DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87552 Mycobacteria DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87555 M.Tuberculo DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87556 M.Tuberculo DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87557 M.Tuberculo DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81330 SMPD1 Gene Common Variants 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81330 SMPD1 Gene Common Variants 87562 M.Avium-Intra DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87580 M.Pneumon DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87581 M.Pneumon DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87582 M.Pneumon DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81330 SMPD1 Gene Common Variants 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81330 SMPD1 Gene Common Variants 87592 N.Gonorrhoeae DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87623 HPV Low-Risk Types CMS Edit

81330 SMPD1 Gene Common Variants 87624 HPV High-Risk Types CMS Edit

81330 SMPD1 Gene Common Variants 87625 HPV Types 16 & 18 Only CMS Edit

81330 SMPD1 Gene Common Variants 87631 Resp Virus 3-5 Targets CMS Edit

81330 SMPD1 Gene Common Variants 87632 Resp Virus 6-11 Targets CMS Edit

81330 SMPD1 Gene Common Variants 87633 Resp Virus 12-25 Targets CMS Edit

81330 SMPD1 Gene Common Variants 87640 Staph A DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87641 Mr-Staph DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87650 Strep A DNA Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87651 Strep A DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87652 Strep A DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87653 Strep B DNA Amp Probe CMS Edit

81330 SMPD1 Gene Common Variants 87660 Trichomonas Vagin Dir Probe CMS Edit

81330 SMPD1 Gene Common Variants 87661 Trichomonas Vaginalis Amplif CMS Edit

81330 SMPD1 Gene Common Variants 87797 Detect Agent Nos DNA Dir CMS Edit

81330 SMPD1 Gene Common Variants 87798 Detect Agent Nos DNA Amp CMS Edit

81330 SMPD1 Gene Common Variants 87799 Detect Agent Nos DNA Quant CMS Edit

81330 SMPD1 Gene Common Variants 87800 Detect Agnt Mult DNA Direc CMS Edit

81330 SMPD1 Gene Common Variants 87801 Detect Agnt Mult DNA Ampli CMS Edit

81330 SMPD1 Gene Common Variants 88271 Cytogenetics DNA Probe CMS Edit

81330 SMPD1 Gene Common Variants 88272 Cytogenetics 3-5 CMS Edit

81330 SMPD1 Gene Common Variants 88273 Cytogenetics 10-30 CMS Edit

81330 SMPD1 Gene Common Variants 88274 Cytogenetics 25-99 CMS Edit

81330 SMPD1 Gene Common Variants 88275 Cytogenetics 100-300 CMS Edit

81330 SMPD1 Gene Common Variants 88291 Cyto/Molecular Report CMS Edit

81330 SMPD1 Gene Common Variants 88364 Insitu Hybridization (Fish) CMS Edit

81330 SMPD1 Gene Common Variants 88365 Insitu Hybridization (Fish) CMS Edit

81330 SMPD1 Gene Common Variants 88366 Insitu Hybridization (Fish) CMS Edit

Page 187: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81330 SMPD1 Gene Common Variants 88367 Insitu Hybridization Auto CMS Edit

81330 SMPD1 Gene Common Variants 88368 Insitu Hybridization Manual CMS Edit

81330 SMPD1 Gene Common Variants 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81330 SMPD1 Gene Common Variants 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81330 SMPD1 Gene Common Variants 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81330 SMPD1 Gene Common Variants 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81330 SMPD1 Gene Common Variants G0476 HPV Combo Assay Ca Screen CMS Edit**81331 SNRPN/UBE3A Gene 87149 DNA/RNA Direct Probe CMS Edit

81331 SNRPN/UBE3A Gene 87150 DNA/RNA Amplified Probe CMS Edit

81331 SNRPN/UBE3A Gene 87152 Culture Type Pulse Field Gel CMS Edit

81331 SNRPN/UBE3A Gene 87153 DNA/RNA Sequencing CMS Edit

81331 SNRPN/UBE3A Gene 87470 Bartonella DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87471 Bartonella DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87472 Bartonella DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87477 Lyme Dis DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87480 Candida DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87481 Candida DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87482 Candida DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81331 SNRPN/UBE3A Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87492 Chylmd Trach DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87493 C Diff Amplified Probe CMS Edit

81331 SNRPN/UBE3A Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87497 Cytomeg DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81331 SNRPN/UBE3A Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81331 SNRPN/UBE3A Gene 87502 Influenza DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81331 SNRPN/UBE3A Gene 87505 Nfct Agent Detection Gi CMS Edit

81331 SNRPN/UBE3A Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81331 SNRPN/UBE3A Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81331 SNRPN/UBE3A Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87512 Gardner Vag DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87517 Hepatitis B DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81331 SNRPN/UBE3A Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81331 SNRPN/UBE3A Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87527 Hepatitis G DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87528 HSV DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87529 HSV DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87530 HSV DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87533 HHV-6 DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87534 HIV-1 DNA Dir Probe CMS Edit

Page 188: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81331 SNRPN/UBE3A Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81331 SNRPN/UBE3A Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81331 SNRPN/UBE3A Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81331 SNRPN/UBE3A Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81331 SNRPN/UBE3A Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81331 SNRPN/UBE3A Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81331 SNRPN/UBE3A Gene 87542 Legion Pneumo DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87552 Mycobacteria DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87557 M.Tuberculo DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81331 SNRPN/UBE3A Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81331 SNRPN/UBE3A Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87582 M.Pneumon DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81331 SNRPN/UBE3A Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81331 SNRPN/UBE3A Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87623 HPV Low-Risk Types CMS Edit

81331 SNRPN/UBE3A Gene 87624 HPV High-Risk Types CMS Edit

81331 SNRPN/UBE3A Gene 87625 HPV Types 16 & 18 Only CMS Edit

81331 SNRPN/UBE3A Gene 87631 Resp Virus 3-5 Targets CMS Edit

81331 SNRPN/UBE3A Gene 87632 Resp Virus 6-11 Targets CMS Edit

81331 SNRPN/UBE3A Gene 87633 Resp Virus 12-25 Targets CMS Edit

81331 SNRPN/UBE3A Gene 87640 Staph A DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87650 Strep A DNA Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87651 Strep A DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87652 Strep A DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87653 Strep B DNA Amp Probe CMS Edit

81331 SNRPN/UBE3A Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81331 SNRPN/UBE3A Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81331 SNRPN/UBE3A Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81331 SNRPN/UBE3A Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81331 SNRPN/UBE3A Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81331 SNRPN/UBE3A Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81331 SNRPN/UBE3A Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81331 SNRPN/UBE3A Gene 88271 Cytogenetics DNA Probe CMS Edit

81331 SNRPN/UBE3A Gene 88272 Cytogenetics 3-5 CMS Edit

81331 SNRPN/UBE3A Gene 88273 Cytogenetics 10-30 CMS Edit

81331 SNRPN/UBE3A Gene 88274 Cytogenetics 25-99 CMS Edit

81331 SNRPN/UBE3A Gene 88275 Cytogenetics 100-300 CMS Edit

81331 SNRPN/UBE3A Gene 88291 Cyto/Molecular Report CMS Edit

81331 SNRPN/UBE3A Gene 88364 Insitu Hybridization (Fish) CMS Edit

81331 SNRPN/UBE3A Gene 88365 Insitu Hybridization (Fish) CMS Edit

81331 SNRPN/UBE3A Gene 88366 Insitu Hybridization (Fish) CMS Edit

81331 SNRPN/UBE3A Gene 88367 Insitu Hybridization Auto CMS Edit

81331 SNRPN/UBE3A Gene 88368 Insitu Hybridization Manual CMS Edit

81331 SNRPN/UBE3A Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81331 SNRPN/UBE3A Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81331 SNRPN/UBE3A Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81331 SNRPN/UBE3A Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81331 SNRPN/UBE3A Gene G0476 HPV Combo Assay Ca Screen CMS Edit**

Page 189: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81332 SERPINA1 Gene 87149 DNA/RNA Direct Probe CMS Edit

81332 SERPINA1 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81332 SERPINA1 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81332 SERPINA1 Gene 87153 DNA/RNA Sequencing CMS Edit

81332 SERPINA1 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87472 Bartonella DNA Quant CMS Edit

81332 SERPINA1 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87477 Lyme Dis DNA Quant CMS Edit

81332 SERPINA1 Gene 87480 Candida DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87481 Candida DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87482 Candida DNA Quant CMS Edit

81332 SERPINA1 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81332 SERPINA1 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81332 SERPINA1 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81332 SERPINA1 Gene 87493 C Diff Amplified Probe CMS Edit

81332 SERPINA1 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87497 Cytomeg DNA Quant CMS Edit

81332 SERPINA1 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81332 SERPINA1 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81332 SERPINA1 Gene 87502 Influenza DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81332 SERPINA1 Gene 87505 Nfct Agent Detection Gi CMS Edit

81332 SERPINA1 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81332 SERPINA1 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81332 SERPINA1 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87512 Gardner Vag DNA Quant CMS Edit

81332 SERPINA1 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87517 Hepatitis B DNA Quant CMS Edit

81332 SERPINA1 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81332 SERPINA1 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81332 SERPINA1 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87527 Hepatitis G DNA Quant CMS Edit

81332 SERPINA1 Gene 87528 HSV DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87529 HSV DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87530 HSV DNA Quant CMS Edit

81332 SERPINA1 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87533 HHV-6 DNA Quant CMS Edit

81332 SERPINA1 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81332 SERPINA1 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81332 SERPINA1 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81332 SERPINA1 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81332 SERPINA1 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81332 SERPINA1 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

Page 190: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81332 SERPINA1 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81332 SERPINA1 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87552 Mycobacteria DNA Quant CMS Edit

81332 SERPINA1 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81332 SERPINA1 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81332 SERPINA1 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81332 SERPINA1 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81332 SERPINA1 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87582 M.Pneumon DNA Quant CMS Edit

81332 SERPINA1 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81332 SERPINA1 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81332 SERPINA1 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81332 SERPINA1 Gene 87623 HPV Low-Risk Types CMS Edit

81332 SERPINA1 Gene 87624 HPV High-Risk Types CMS Edit

81332 SERPINA1 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81332 SERPINA1 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81332 SERPINA1 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81332 SERPINA1 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81332 SERPINA1 Gene 87640 Staph A DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87650 Strep A DNA Dir Probe CMS Edit

81332 SERPINA1 Gene 87651 Strep A DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87652 Strep A DNA Quant CMS Edit

81332 SERPINA1 Gene 87653 Strep B DNA Amp Probe CMS Edit

81332 SERPINA1 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81332 SERPINA1 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81332 SERPINA1 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81332 SERPINA1 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81332 SERPINA1 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81332 SERPINA1 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81332 SERPINA1 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81332 SERPINA1 Gene 88271 Cytogenetics DNA Probe CMS Edit

81332 SERPINA1 Gene 88272 Cytogenetics 3-5 CMS Edit

81332 SERPINA1 Gene 88273 Cytogenetics 10-30 CMS Edit

81332 SERPINA1 Gene 88274 Cytogenetics 25-99 CMS Edit

81332 SERPINA1 Gene 88275 Cytogenetics 100-300 CMS Edit

81332 SERPINA1 Gene 88291 Cyto/Molecular Report CMS Edit

81332 SERPINA1 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81332 SERPINA1 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81332 SERPINA1 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81332 SERPINA1 Gene 88367 Insitu Hybridization Auto CMS Edit

81332 SERPINA1 Gene 88368 Insitu Hybridization Manual CMS Edit

81332 SERPINA1 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81332 SERPINA1 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81332 SERPINA1 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81332 SERPINA1 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81332 SERPINA1 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81340 TRB@ Gene Rearrange Amplify 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87149 DNA/RNA Direct Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87150 DNA/RNA Amplified Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87152 Culture Type Pulse Field Gel CMS Edit

81340 TRB@ Gene Rearrange Amplify 87153 DNA/RNA Sequencing CMS Edit

81340 TRB@ Gene Rearrange Amplify 87470 Bartonella DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87471 Bartonella DNA Amp Probe CMS Edit

Page 191: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81340 TRB@ Gene Rearrange Amplify 87472 Bartonella DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87475 Lyme Dis DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87476 Lyme Dis DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87477 Lyme Dis DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87480 Candida DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87481 Candida DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87482 Candida DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81340 TRB@ Gene Rearrange Amplify 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87487 Chylmd Pneum DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87490 Chylmd Trach DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87491 Chylmd Trach DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87492 Chylmd Trach DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87493 C Diff Amplified Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87495 Cytomeg DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87496 Cytomeg DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87497 Cytomeg DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87498 Enterovirus Probe&Revrs Trns CMS Edit

81340 TRB@ Gene Rearrange Amplify 87500 Vanomycin DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87501 Influenza DNA Amp Prob 1+ CMS Edit

81340 TRB@ Gene Rearrange Amplify 87502 Influenza DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87503 Influenza DNA Amp Prob Addl CMS Edit

81340 TRB@ Gene Rearrange Amplify 87505 Nfct Agent Detection Gi CMS Edit

81340 TRB@ Gene Rearrange Amplify 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81340 TRB@ Gene Rearrange Amplify 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81340 TRB@ Gene Rearrange Amplify 87510 Gardner Vag DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87511 Gardner Vag DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87512 Gardner Vag DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87515 Hepatitis B DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87516 Hepatitis B DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87517 Hepatitis B DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87520 Hepatitis C RNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81340 TRB@ Gene Rearrange Amplify 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81340 TRB@ Gene Rearrange Amplify 87525 Hepatitis G DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87526 Hepatitis G DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87527 Hepatitis G DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87528 HSV DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87529 HSV DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87530 HSV DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87531 HHV-6 DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87532 HHV-6 DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87533 HHV-6 DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87534 HIV-1 DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81340 TRB@ Gene Rearrange Amplify 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81340 TRB@ Gene Rearrange Amplify 87537 HIV-2 DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81340 TRB@ Gene Rearrange Amplify 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81340 TRB@ Gene Rearrange Amplify 87540 Legion Pneumo DNA Dir Prob CMS Edit

81340 TRB@ Gene Rearrange Amplify 87541 Legion Pneumo DNA Amp Prob CMS Edit

81340 TRB@ Gene Rearrange Amplify 87542 Legion Pneumo DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87550 Mycobacteria DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87551 Mycobacteria DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87552 Mycobacteria DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87555 M.Tuberculo DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87556 M.Tuberculo DNA Amp Probe CMS Edit

Page 192: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81340 TRB@ Gene Rearrange Amplify 87557 M.Tuberculo DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81340 TRB@ Gene Rearrange Amplify 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81340 TRB@ Gene Rearrange Amplify 87562 M.Avium-Intra DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87580 M.Pneumon DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87581 M.Pneumon DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87582 M.Pneumon DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81340 TRB@ Gene Rearrange Amplify 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81340 TRB@ Gene Rearrange Amplify 87592 N.Gonorrhoeae DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87623 HPV Low-Risk Types CMS Edit

81340 TRB@ Gene Rearrange Amplify 87624 HPV High-Risk Types CMS Edit

81340 TRB@ Gene Rearrange Amplify 87625 HPV Types 16 & 18 Only CMS Edit

81340 TRB@ Gene Rearrange Amplify 87631 Resp Virus 3-5 Targets CMS Edit

81340 TRB@ Gene Rearrange Amplify 87632 Resp Virus 6-11 Targets CMS Edit

81340 TRB@ Gene Rearrange Amplify 87633 Resp Virus 12-25 Targets CMS Edit

81340 TRB@ Gene Rearrange Amplify 87640 Staph A DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87641 Mr-Staph DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87650 Strep A DNA Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87651 Strep A DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87652 Strep A DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87653 Strep B DNA Amp Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87660 Trichomonas Vagin Dir Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 87661 Trichomonas Vaginalis Amplif CMS Edit

81340 TRB@ Gene Rearrange Amplify 87797 Detect Agent Nos DNA Dir CMS Edit

81340 TRB@ Gene Rearrange Amplify 87798 Detect Agent Nos DNA Amp CMS Edit

81340 TRB@ Gene Rearrange Amplify 87799 Detect Agent Nos DNA Quant CMS Edit

81340 TRB@ Gene Rearrange Amplify 87800 Detect Agnt Mult DNA Direc CMS Edit

81340 TRB@ Gene Rearrange Amplify 87801 Detect Agnt Mult DNA Ampli CMS Edit

81340 TRB@ Gene Rearrange Amplify 88271 Cytogenetics DNA Probe CMS Edit

81340 TRB@ Gene Rearrange Amplify 88272 Cytogenetics 3-5 CMS Edit

81340 TRB@ Gene Rearrange Amplify 88273 Cytogenetics 10-30 CMS Edit

81340 TRB@ Gene Rearrange Amplify 88274 Cytogenetics 25-99 CMS Edit

81340 TRB@ Gene Rearrange Amplify 88275 Cytogenetics 100-300 CMS Edit

81340 TRB@ Gene Rearrange Amplify 88291 Cyto/Molecular Report CMS Edit

81340 TRB@ Gene Rearrange Amplify 88364 Insitu Hybridization (Fish) CMS Edit

81340 TRB@ Gene Rearrange Amplify 88365 Insitu Hybridization (Fish) CMS Edit

81340 TRB@ Gene Rearrange Amplify 88366 Insitu Hybridization (Fish) CMS Edit

81340 TRB@ Gene Rearrange Amplify 88367 Insitu Hybridization Auto CMS Edit

81340 TRB@ Gene Rearrange Amplify 88368 Insitu Hybridization Manual CMS Edit

81340 TRB@ Gene Rearrange Amplify 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81340 TRB@ Gene Rearrange Amplify 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81340 TRB@ Gene Rearrange Amplify 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81340 TRB@ Gene Rearrange Amplify 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81340 TRB@ Gene Rearrange Amplify G0476 HPV Combo Assay Ca Screen CMS Edit**81341 TRB@ Gene Rearrange Dirprobe 87149 DNA/RNA Direct Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87150 DNA/RNA Amplified Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87152 Culture Type Pulse Field Gel CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87153 DNA/RNA Sequencing CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87470 Bartonella DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87471 Bartonella DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87472 Bartonella DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87475 Lyme Dis DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87476 Lyme Dis DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87477 Lyme Dis DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87480 Candida DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87481 Candida DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87482 Candida DNA Quant CMS Edit

Page 193: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81341 TRB@ Gene Rearrange Dirprobe 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81341 TRB@ Gene Rearrange Dirprobe 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87487 Chylmd Pneum DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87490 Chylmd Trach DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87491 Chylmd Trach DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87492 Chylmd Trach DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87493 C Diff Amplified Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87495 Cytomeg DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87496 Cytomeg DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87497 Cytomeg DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87498 Enterovirus Probe&Revrs Trns CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87500 Vanomycin DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87501 Influenza DNA Amp Prob 1+ CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87502 Influenza DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87503 Influenza DNA Amp Prob Addl CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87505 Nfct Agent Detection Gi CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87510 Gardner Vag DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87511 Gardner Vag DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87512 Gardner Vag DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87515 Hepatitis B DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87516 Hepatitis B DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87517 Hepatitis B DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87520 Hepatitis C RNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87525 Hepatitis G DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87526 Hepatitis G DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87527 Hepatitis G DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87528 HSV DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87529 HSV DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87530 HSV DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87531 HHV-6 DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87532 HHV-6 DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87533 HHV-6 DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87534 HIV-1 DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87537 HIV-2 DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87540 Legion Pneumo DNA Dir Prob CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87541 Legion Pneumo DNA Amp Prob CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87542 Legion Pneumo DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87550 Mycobacteria DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87551 Mycobacteria DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87552 Mycobacteria DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87555 M.Tuberculo DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87556 M.Tuberculo DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87557 M.Tuberculo DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87562 M.Avium-Intra DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87580 M.Pneumon DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87581 M.Pneumon DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87582 M.Pneumon DNA Quant CMS Edit

Page 194: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81341 TRB@ Gene Rearrange Dirprobe 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87592 N.Gonorrhoeae DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87623 HPV Low-Risk Types CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87624 HPV High-Risk Types CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87625 HPV Types 16 & 18 Only CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87631 Resp Virus 3-5 Targets CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87632 Resp Virus 6-11 Targets CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87633 Resp Virus 12-25 Targets CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87640 Staph A DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87641 Mr-Staph DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87650 Strep A DNA Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87651 Strep A DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87652 Strep A DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87653 Strep B DNA Amp Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87660 Trichomonas Vagin Dir Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87661 Trichomonas Vaginalis Amplif CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87797 Detect Agent Nos DNA Dir CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87798 Detect Agent Nos DNA Amp CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87799 Detect Agent Nos DNA Quant CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87800 Detect Agnt Mult DNA Direc CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 87801 Detect Agnt Mult DNA Ampli CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88271 Cytogenetics DNA Probe CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88272 Cytogenetics 3-5 CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88273 Cytogenetics 10-30 CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88274 Cytogenetics 25-99 CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88275 Cytogenetics 100-300 CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88291 Cyto/Molecular Report CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88364 Insitu Hybridization (Fish) CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88365 Insitu Hybridization (Fish) CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88366 Insitu Hybridization (Fish) CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88367 Insitu Hybridization Auto CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88368 Insitu Hybridization Manual CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81341 TRB@ Gene Rearrange Dirprobe 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81341 TRB@ Gene Rearrange Dirprobe G0476 HPV Combo Assay Ca Screen CMS Edit**81342 TRG Gene Rearrangement Anal 87149 DNA/RNA Direct Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87150 DNA/RNA Amplified Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87152 Culture Type Pulse Field Gel CMS Edit

81342 TRG Gene Rearrangement Anal 87153 DNA/RNA Sequencing CMS Edit

81342 TRG Gene Rearrangement Anal 87470 Bartonella DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87471 Bartonella DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87472 Bartonella DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87475 Lyme Dis DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87476 Lyme Dis DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87477 Lyme Dis DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87480 Candida DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87481 Candida DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87482 Candida DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81342 TRG Gene Rearrangement Anal 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87487 Chylmd Pneum DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87490 Chylmd Trach DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87491 Chylmd Trach DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87492 Chylmd Trach DNA Quant CMS Edit

Page 195: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81342 TRG Gene Rearrangement Anal 87493 C Diff Amplified Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87495 Cytomeg DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87496 Cytomeg DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87497 Cytomeg DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87498 Enterovirus Probe&Revrs Trns CMS Edit

81342 TRG Gene Rearrangement Anal 87500 Vanomycin DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87501 Influenza DNA Amp Prob 1+ CMS Edit

81342 TRG Gene Rearrangement Anal 87502 Influenza DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87503 Influenza DNA Amp Prob Addl CMS Edit

81342 TRG Gene Rearrangement Anal 87505 Nfct Agent Detection Gi CMS Edit

81342 TRG Gene Rearrangement Anal 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81342 TRG Gene Rearrangement Anal 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81342 TRG Gene Rearrangement Anal 87510 Gardner Vag DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87511 Gardner Vag DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87512 Gardner Vag DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87515 Hepatitis B DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87516 Hepatitis B DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87517 Hepatitis B DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87520 Hepatitis C RNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81342 TRG Gene Rearrangement Anal 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81342 TRG Gene Rearrangement Anal 87525 Hepatitis G DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87526 Hepatitis G DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87527 Hepatitis G DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87528 HSV DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87529 HSV DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87530 HSV DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87531 HHV-6 DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87532 HHV-6 DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87533 HHV-6 DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87534 HIV-1 DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81342 TRG Gene Rearrangement Anal 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81342 TRG Gene Rearrangement Anal 87537 HIV-2 DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81342 TRG Gene Rearrangement Anal 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81342 TRG Gene Rearrangement Anal 87540 Legion Pneumo DNA Dir Prob CMS Edit

81342 TRG Gene Rearrangement Anal 87541 Legion Pneumo DNA Amp Prob CMS Edit

81342 TRG Gene Rearrangement Anal 87542 Legion Pneumo DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87550 Mycobacteria DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87551 Mycobacteria DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87552 Mycobacteria DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87555 M.Tuberculo DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87556 M.Tuberculo DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87557 M.Tuberculo DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81342 TRG Gene Rearrangement Anal 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81342 TRG Gene Rearrangement Anal 87562 M.Avium-Intra DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87580 M.Pneumon DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87581 M.Pneumon DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87582 M.Pneumon DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81342 TRG Gene Rearrangement Anal 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81342 TRG Gene Rearrangement Anal 87592 N.Gonorrhoeae DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87623 HPV Low-Risk Types CMS Edit

81342 TRG Gene Rearrangement Anal 87624 HPV High-Risk Types CMS Edit

81342 TRG Gene Rearrangement Anal 87625 HPV Types 16 & 18 Only CMS Edit

81342 TRG Gene Rearrangement Anal 87631 Resp Virus 3-5 Targets CMS Edit

Page 196: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81342 TRG Gene Rearrangement Anal 87632 Resp Virus 6-11 Targets CMS Edit

81342 TRG Gene Rearrangement Anal 87633 Resp Virus 12-25 Targets CMS Edit

81342 TRG Gene Rearrangement Anal 87640 Staph A DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87641 Mr-Staph DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87650 Strep A DNA Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87651 Strep A DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87652 Strep A DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87653 Strep B DNA Amp Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87660 Trichomonas Vagin Dir Probe CMS Edit

81342 TRG Gene Rearrangement Anal 87661 Trichomonas Vaginalis Amplif CMS Edit

81342 TRG Gene Rearrangement Anal 87797 Detect Agent Nos DNA Dir CMS Edit

81342 TRG Gene Rearrangement Anal 87798 Detect Agent Nos DNA Amp CMS Edit

81342 TRG Gene Rearrangement Anal 87799 Detect Agent Nos DNA Quant CMS Edit

81342 TRG Gene Rearrangement Anal 87800 Detect Agnt Mult DNA Direc CMS Edit

81342 TRG Gene Rearrangement Anal 87801 Detect Agnt Mult DNA Ampli CMS Edit

81342 TRG Gene Rearrangement Anal 88271 Cytogenetics DNA Probe CMS Edit

81342 TRG Gene Rearrangement Anal 88272 Cytogenetics 3-5 CMS Edit

81342 TRG Gene Rearrangement Anal 88273 Cytogenetics 10-30 CMS Edit

81342 TRG Gene Rearrangement Anal 88274 Cytogenetics 25-99 CMS Edit

81342 TRG Gene Rearrangement Anal 88275 Cytogenetics 100-300 CMS Edit

81342 TRG Gene Rearrangement Anal 88291 Cyto/Molecular Report CMS Edit

81342 TRG Gene Rearrangement Anal 88364 Insitu Hybridization (Fish) CMS Edit

81342 TRG Gene Rearrangement Anal 88365 Insitu Hybridization (Fish) CMS Edit

81342 TRG Gene Rearrangement Anal 88366 Insitu Hybridization (Fish) CMS Edit

81342 TRG Gene Rearrangement Anal 88367 Insitu Hybridization Auto CMS Edit

81342 TRG Gene Rearrangement Anal 88368 Insitu Hybridization Manual CMS Edit

81342 TRG Gene Rearrangement Anal 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81342 TRG Gene Rearrangement Anal 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81342 TRG Gene Rearrangement Anal 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81342 TRG Gene Rearrangement Anal 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81342 TRG Gene Rearrangement Anal G0476 HPV Combo Assay Ca Screen CMS Edit**81350 UGT1A1 Gene 87149 DNA/RNA Direct Probe CMS Edit

81350 UGT1A1 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81350 UGT1A1 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81350 UGT1A1 Gene 87153 DNA/RNA Sequencing CMS Edit

81350 UGT1A1 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87472 Bartonella DNA Quant CMS Edit

81350 UGT1A1 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87477 Lyme Dis DNA Quant CMS Edit

81350 UGT1A1 Gene 87480 Candida DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87481 Candida DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87482 Candida DNA Quant CMS Edit

81350 UGT1A1 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81350 UGT1A1 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81350 UGT1A1 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81350 UGT1A1 Gene 87493 C Diff Amplified Probe CMS Edit

81350 UGT1A1 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87497 Cytomeg DNA Quant CMS Edit

81350 UGT1A1 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81350 UGT1A1 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

Page 197: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81350 UGT1A1 Gene 87502 Influenza DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81350 UGT1A1 Gene 87505 Nfct Agent Detection Gi CMS Edit

81350 UGT1A1 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81350 UGT1A1 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81350 UGT1A1 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87512 Gardner Vag DNA Quant CMS Edit

81350 UGT1A1 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87517 Hepatitis B DNA Quant CMS Edit

81350 UGT1A1 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81350 UGT1A1 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81350 UGT1A1 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87527 Hepatitis G DNA Quant CMS Edit

81350 UGT1A1 Gene 87528 HSV DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87529 HSV DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87530 HSV DNA Quant CMS Edit

81350 UGT1A1 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87533 HHV-6 DNA Quant CMS Edit

81350 UGT1A1 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81350 UGT1A1 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81350 UGT1A1 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81350 UGT1A1 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81350 UGT1A1 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81350 UGT1A1 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81350 UGT1A1 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81350 UGT1A1 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87552 Mycobacteria DNA Quant CMS Edit

81350 UGT1A1 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81350 UGT1A1 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81350 UGT1A1 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81350 UGT1A1 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81350 UGT1A1 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87582 M.Pneumon DNA Quant CMS Edit

81350 UGT1A1 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81350 UGT1A1 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81350 UGT1A1 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81350 UGT1A1 Gene 87623 HPV Low-Risk Types CMS Edit

81350 UGT1A1 Gene 87624 HPV High-Risk Types CMS Edit

81350 UGT1A1 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81350 UGT1A1 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81350 UGT1A1 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81350 UGT1A1 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81350 UGT1A1 Gene 87640 Staph A DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87650 Strep A DNA Dir Probe CMS Edit

81350 UGT1A1 Gene 87651 Strep A DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87652 Strep A DNA Quant CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81350 UGT1A1 Gene 87653 Strep B DNA Amp Probe CMS Edit

81350 UGT1A1 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81350 UGT1A1 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81350 UGT1A1 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81350 UGT1A1 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81350 UGT1A1 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81350 UGT1A1 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

81350 UGT1A1 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81350 UGT1A1 Gene 88271 Cytogenetics DNA Probe CMS Edit

81350 UGT1A1 Gene 88272 Cytogenetics 3-5 CMS Edit

81350 UGT1A1 Gene 88273 Cytogenetics 10-30 CMS Edit

81350 UGT1A1 Gene 88274 Cytogenetics 25-99 CMS Edit

81350 UGT1A1 Gene 88275 Cytogenetics 100-300 CMS Edit

81350 UGT1A1 Gene 88291 Cyto/Molecular Report CMS Edit

81350 UGT1A1 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81350 UGT1A1 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81350 UGT1A1 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81350 UGT1A1 Gene 88367 Insitu Hybridization Auto CMS Edit

81350 UGT1A1 Gene 88368 Insitu Hybridization Manual CMS Edit

81350 UGT1A1 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81350 UGT1A1 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81350 UGT1A1 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81350 UGT1A1 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81350 UGT1A1 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81355 VKORC1 Gene 87149 DNA/RNA Direct Probe CMS Edit

81355 VKORC1 Gene 87150 DNA/RNA Amplified Probe CMS Edit

81355 VKORC1 Gene 87152 Culture Type Pulse Field Gel CMS Edit

81355 VKORC1 Gene 87153 DNA/RNA Sequencing CMS Edit

81355 VKORC1 Gene 87470 Bartonella DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87471 Bartonella DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87472 Bartonella DNA Quant CMS Edit

81355 VKORC1 Gene 87475 Lyme Dis DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87476 Lyme Dis DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87477 Lyme Dis DNA Quant CMS Edit

81355 VKORC1 Gene 87480 Candida DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87481 Candida DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87482 Candida DNA Quant CMS Edit

81355 VKORC1 Gene 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81355 VKORC1 Gene 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87487 Chylmd Pneum DNA Quant CMS Edit

81355 VKORC1 Gene 87490 Chylmd Trach DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87491 Chylmd Trach DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87492 Chylmd Trach DNA Quant CMS Edit

81355 VKORC1 Gene 87493 C Diff Amplified Probe CMS Edit

81355 VKORC1 Gene 87495 Cytomeg DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87496 Cytomeg DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87497 Cytomeg DNA Quant CMS Edit

81355 VKORC1 Gene 87498 Enterovirus Probe&Revrs Trns CMS Edit

81355 VKORC1 Gene 87500 Vanomycin DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87501 Influenza DNA Amp Prob 1+ CMS Edit

81355 VKORC1 Gene 87502 Influenza DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87503 Influenza DNA Amp Prob Addl CMS Edit

81355 VKORC1 Gene 87505 Nfct Agent Detection Gi CMS Edit

81355 VKORC1 Gene 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81355 VKORC1 Gene 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81355 VKORC1 Gene 87510 Gardner Vag DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87511 Gardner Vag DNA Amp Probe CMS Edit

Page 199: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81355 VKORC1 Gene 87512 Gardner Vag DNA Quant CMS Edit

81355 VKORC1 Gene 87515 Hepatitis B DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87516 Hepatitis B DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87517 Hepatitis B DNA Quant CMS Edit

81355 VKORC1 Gene 87520 Hepatitis C RNA Dir Probe CMS Edit

81355 VKORC1 Gene 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81355 VKORC1 Gene 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81355 VKORC1 Gene 87525 Hepatitis G DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87526 Hepatitis G DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87527 Hepatitis G DNA Quant CMS Edit

81355 VKORC1 Gene 87528 HSV DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87529 HSV DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87530 HSV DNA Quant CMS Edit

81355 VKORC1 Gene 87531 HHV-6 DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87532 HHV-6 DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87533 HHV-6 DNA Quant CMS Edit

81355 VKORC1 Gene 87534 HIV-1 DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81355 VKORC1 Gene 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81355 VKORC1 Gene 87537 HIV-2 DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81355 VKORC1 Gene 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81355 VKORC1 Gene 87540 Legion Pneumo DNA Dir Prob CMS Edit

81355 VKORC1 Gene 87541 Legion Pneumo DNA Amp Prob CMS Edit

81355 VKORC1 Gene 87542 Legion Pneumo DNA Quant CMS Edit

81355 VKORC1 Gene 87550 Mycobacteria DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87551 Mycobacteria DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87552 Mycobacteria DNA Quant CMS Edit

81355 VKORC1 Gene 87555 M.Tuberculo DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87556 M.Tuberculo DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87557 M.Tuberculo DNA Quant CMS Edit

81355 VKORC1 Gene 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81355 VKORC1 Gene 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81355 VKORC1 Gene 87562 M.Avium-Intra DNA Quant CMS Edit

81355 VKORC1 Gene 87580 M.Pneumon DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87581 M.Pneumon DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87582 M.Pneumon DNA Quant CMS Edit

81355 VKORC1 Gene 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81355 VKORC1 Gene 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81355 VKORC1 Gene 87592 N.Gonorrhoeae DNA Quant CMS Edit

81355 VKORC1 Gene 87623 HPV Low-Risk Types CMS Edit

81355 VKORC1 Gene 87624 HPV High-Risk Types CMS Edit

81355 VKORC1 Gene 87625 HPV Types 16 & 18 Only CMS Edit

81355 VKORC1 Gene 87631 Resp Virus 3-5 Targets CMS Edit

81355 VKORC1 Gene 87632 Resp Virus 6-11 Targets CMS Edit

81355 VKORC1 Gene 87633 Resp Virus 12-25 Targets CMS Edit

81355 VKORC1 Gene 87640 Staph A DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87641 Mr-Staph DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87650 Strep A DNA Dir Probe CMS Edit

81355 VKORC1 Gene 87651 Strep A DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87652 Strep A DNA Quant CMS Edit

81355 VKORC1 Gene 87653 Strep B DNA Amp Probe CMS Edit

81355 VKORC1 Gene 87660 Trichomonas Vagin Dir Probe CMS Edit

81355 VKORC1 Gene 87661 Trichomonas Vaginalis Amplif CMS Edit

81355 VKORC1 Gene 87797 Detect Agent Nos DNA Dir CMS Edit

81355 VKORC1 Gene 87798 Detect Agent Nos DNA Amp CMS Edit

81355 VKORC1 Gene 87799 Detect Agent Nos DNA Quant CMS Edit

81355 VKORC1 Gene 87800 Detect Agnt Mult DNA Direc CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81355 VKORC1 Gene 87801 Detect Agnt Mult DNA Ampli CMS Edit

81355 VKORC1 Gene 88271 Cytogenetics DNA Probe CMS Edit

81355 VKORC1 Gene 88272 Cytogenetics 3-5 CMS Edit

81355 VKORC1 Gene 88273 Cytogenetics 10-30 CMS Edit

81355 VKORC1 Gene 88274 Cytogenetics 25-99 CMS Edit

81355 VKORC1 Gene 88275 Cytogenetics 100-300 CMS Edit

81355 VKORC1 Gene 88291 Cyto/Molecular Report CMS Edit

81355 VKORC1 Gene 88364 Insitu Hybridization (Fish) CMS Edit

81355 VKORC1 Gene 88365 Insitu Hybridization (Fish) CMS Edit

81355 VKORC1 Gene 88366 Insitu Hybridization (Fish) CMS Edit

81355 VKORC1 Gene 88367 Insitu Hybridization Auto CMS Edit

81355 VKORC1 Gene 88368 Insitu Hybridization Manual CMS Edit

81355 VKORC1 Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81355 VKORC1 Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81355 VKORC1 Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81355 VKORC1 Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81355 VKORC1 Gene G0476 HPV Combo Assay Ca Screen CMS Edit**81370 HLA I & II Typing Lr 81371 HLA I & II Type Verify Lr CMS Edit

81370 HLA I & II Typing Lr 81372 HLA I Typing Complete Lr CMS Edit

81370 HLA I & II Typing Lr 81373 HLA I Typing 1 Locus Lr CMS Edit

81370 HLA I & II Typing Lr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81370 HLA I & II Typing Lr 81375 HLA II Typing Ag Equiv Lr CMS Edit

81370 HLA I & II Typing Lr 81376 HLA II Typing 1 Locus Lr CMS Edit

81370 HLA I & II Typing Lr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81370 HLA I & II Typing Lr 87149 DNA/RNA Direct Probe CMS Edit

81370 HLA I & II Typing Lr 87150 DNA/RNA Amplified Probe CMS Edit

81370 HLA I & II Typing Lr 87152 Culture Type Pulse Field Gel CMS Edit

81370 HLA I & II Typing Lr 87153 DNA/RNA Sequencing CMS Edit

81370 HLA I & II Typing Lr 87470 Bartonella DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87471 Bartonella DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87472 Bartonella DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87475 Lyme Dis DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87476 Lyme Dis DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87477 Lyme Dis DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87480 Candida DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87481 Candida DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87482 Candida DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81370 HLA I & II Typing Lr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87487 Chylmd Pneum DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87492 Chylmd Trach DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87493 C Diff Amplified Probe CMS Edit

81370 HLA I & II Typing Lr 87495 Cytomeg DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87496 Cytomeg DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87497 Cytomeg DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81370 HLA I & II Typing Lr 87500 Vanomycin DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81370 HLA I & II Typing Lr 87502 Influenza DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87503 Influenza DNA Amp Prob Addl CMS Edit

81370 HLA I & II Typing Lr 87505 Nfct Agent Detection Gi CMS Edit

81370 HLA I & II Typing Lr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81370 HLA I & II Typing Lr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81370 HLA I & II Typing Lr 87510 Gardner Vag DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87511 Gardner Vag DNA Amp Probe CMS Edit

Page 201: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81370 HLA I & II Typing Lr 87512 Gardner Vag DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87515 Hepatitis B DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87516 Hepatitis B DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87517 Hepatitis B DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87520 Hepatitis C RNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81370 HLA I & II Typing Lr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81370 HLA I & II Typing Lr 87525 Hepatitis G DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87526 Hepatitis G DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87527 Hepatitis G DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87528 HSV DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87529 HSV DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87530 HSV DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87531 HHV-6 DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87532 HHV-6 DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87533 HHV-6 DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87534 HIV-1 DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81370 HLA I & II Typing Lr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81370 HLA I & II Typing Lr 87537 HIV-2 DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81370 HLA I & II Typing Lr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81370 HLA I & II Typing Lr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81370 HLA I & II Typing Lr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81370 HLA I & II Typing Lr 87542 Legion Pneumo DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87550 Mycobacteria DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87551 Mycobacteria DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87552 Mycobacteria DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87557 M.Tuberculo DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81370 HLA I & II Typing Lr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81370 HLA I & II Typing Lr 87562 M.Avium-Intra DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87580 M.Pneumon DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87581 M.Pneumon DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87582 M.Pneumon DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81370 HLA I & II Typing Lr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81370 HLA I & II Typing Lr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87623 HPV Low-Risk Types CMS Edit

81370 HLA I & II Typing Lr 87624 HPV High-Risk Types CMS Edit

81370 HLA I & II Typing Lr 87625 HPV Types 16 & 18 Only CMS Edit

81370 HLA I & II Typing Lr 87631 Resp Virus 3-5 Targets CMS Edit

81370 HLA I & II Typing Lr 87632 Resp Virus 6-11 Targets CMS Edit

81370 HLA I & II Typing Lr 87633 Resp Virus 12-25 Targets CMS Edit

81370 HLA I & II Typing Lr 87640 Staph A DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87641 Mr-Staph DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87650 Strep A DNA Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87651 Strep A DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87652 Strep A DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87653 Strep B DNA Amp Probe CMS Edit

81370 HLA I & II Typing Lr 87660 Trichomonas Vagin Dir Probe CMS Edit

81370 HLA I & II Typing Lr 87661 Trichomonas Vaginalis Amplif CMS Edit

81370 HLA I & II Typing Lr 87797 Detect Agent Nos DNA Dir CMS Edit

81370 HLA I & II Typing Lr 87798 Detect Agent Nos DNA Amp CMS Edit

81370 HLA I & II Typing Lr 87799 Detect Agent Nos DNA Quant CMS Edit

81370 HLA I & II Typing Lr 87800 Detect Agnt Mult DNA Direc CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81370 HLA I & II Typing Lr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81370 HLA I & II Typing Lr 88291 Cyto/Molecular Report CMS Edit

81370 HLA I & II Typing Lr G0476 HPV Combo Assay Ca Screen CMS Edit**81371 HLA I & II Type Verify Lr 81372 HLA I Typing Complete Lr CMS Edit

81371 HLA I & II Type Verify Lr 81373 HLA I Typing 1 Locus Lr CMS Edit

81371 HLA I & II Type Verify Lr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81371 HLA I & II Type Verify Lr 81375 HLA II Typing Ag Equiv Lr CMS Edit

81371 HLA I & II Type Verify Lr 81376 HLA II Typing 1 Locus Lr CMS Edit

81371 HLA I & II Type Verify Lr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81371 HLA I & II Type Verify Lr 87149 DNA/RNA Direct Probe CMS Edit

81371 HLA I & II Type Verify Lr 87150 DNA/RNA Amplified Probe CMS Edit

81371 HLA I & II Type Verify Lr 87152 Culture Type Pulse Field Gel CMS Edit

81371 HLA I & II Type Verify Lr 87153 DNA/RNA Sequencing CMS Edit

81371 HLA I & II Type Verify Lr 87470 Bartonella DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87471 Bartonella DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87472 Bartonella DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87475 Lyme Dis DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87476 Lyme Dis DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87477 Lyme Dis DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87480 Candida DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87481 Candida DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87482 Candida DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81371 HLA I & II Type Verify Lr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87487 Chylmd Pneum DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87492 Chylmd Trach DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87493 C Diff Amplified Probe CMS Edit

81371 HLA I & II Type Verify Lr 87495 Cytomeg DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87496 Cytomeg DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87497 Cytomeg DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81371 HLA I & II Type Verify Lr 87500 Vanomycin DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81371 HLA I & II Type Verify Lr 87502 Influenza DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87503 Influenza DNA Amp Prob Addl CMS Edit

81371 HLA I & II Type Verify Lr 87505 Nfct Agent Detection Gi CMS Edit

81371 HLA I & II Type Verify Lr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81371 HLA I & II Type Verify Lr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81371 HLA I & II Type Verify Lr 87510 Gardner Vag DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87511 Gardner Vag DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87512 Gardner Vag DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87515 Hepatitis B DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87516 Hepatitis B DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87517 Hepatitis B DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87520 Hepatitis C RNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81371 HLA I & II Type Verify Lr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81371 HLA I & II Type Verify Lr 87525 Hepatitis G DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87526 Hepatitis G DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87527 Hepatitis G DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87528 HSV DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87529 HSV DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87530 HSV DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87531 HHV-6 DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87532 HHV-6 DNA Amp Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81371 HLA I & II Type Verify Lr 87533 HHV-6 DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87534 HIV-1 DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81371 HLA I & II Type Verify Lr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81371 HLA I & II Type Verify Lr 87537 HIV-2 DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81371 HLA I & II Type Verify Lr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81371 HLA I & II Type Verify Lr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81371 HLA I & II Type Verify Lr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81371 HLA I & II Type Verify Lr 87542 Legion Pneumo DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87550 Mycobacteria DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87551 Mycobacteria DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87552 Mycobacteria DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87557 M.Tuberculo DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81371 HLA I & II Type Verify Lr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81371 HLA I & II Type Verify Lr 87562 M.Avium-Intra DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87580 M.Pneumon DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87581 M.Pneumon DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87582 M.Pneumon DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81371 HLA I & II Type Verify Lr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81371 HLA I & II Type Verify Lr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87623 HPV Low-Risk Types CMS Edit

81371 HLA I & II Type Verify Lr 87624 HPV High-Risk Types CMS Edit

81371 HLA I & II Type Verify Lr 87625 HPV Types 16 & 18 Only CMS Edit

81371 HLA I & II Type Verify Lr 87631 Resp Virus 3-5 Targets CMS Edit

81371 HLA I & II Type Verify Lr 87632 Resp Virus 6-11 Targets CMS Edit

81371 HLA I & II Type Verify Lr 87633 Resp Virus 12-25 Targets CMS Edit

81371 HLA I & II Type Verify Lr 87640 Staph A DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87641 Mr-Staph DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87650 Strep A DNA Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87651 Strep A DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87652 Strep A DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87653 Strep B DNA Amp Probe CMS Edit

81371 HLA I & II Type Verify Lr 87660 Trichomonas Vagin Dir Probe CMS Edit

81371 HLA I & II Type Verify Lr 87661 Trichomonas Vaginalis Amplif CMS Edit

81371 HLA I & II Type Verify Lr 87797 Detect Agent Nos DNA Dir CMS Edit

81371 HLA I & II Type Verify Lr 87798 Detect Agent Nos DNA Amp CMS Edit

81371 HLA I & II Type Verify Lr 87799 Detect Agent Nos DNA Quant CMS Edit

81371 HLA I & II Type Verify Lr 87800 Detect Agnt Mult DNA Direc CMS Edit

81371 HLA I & II Type Verify Lr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81371 HLA I & II Type Verify Lr 88291 Cyto/Molecular Report CMS Edit

81371 HLA I & II Type Verify Lr G0476 HPV Combo Assay Ca Screen CMS Edit**81372 HLA I Typing Complete Lr 81373 HLA I Typing 1 Locus Lr CMS Edit

81372 HLA I Typing Complete Lr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81372 HLA I Typing Complete Lr 81375 HLA II Typing Ag Equiv Lr CMS Edit

81372 HLA I Typing Complete Lr 81376 HLA II Typing 1 Locus Lr CMS Edit

81372 HLA I Typing Complete Lr 87149 DNA/RNA Direct Probe CMS Edit

81372 HLA I Typing Complete Lr 87150 DNA/RNA Amplified Probe CMS Edit

81372 HLA I Typing Complete Lr 87152 Culture Type Pulse Field Gel CMS Edit

81372 HLA I Typing Complete Lr 87153 DNA/RNA Sequencing CMS Edit

81372 HLA I Typing Complete Lr 87470 Bartonella DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87471 Bartonella DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87472 Bartonella DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87475 Lyme Dis DNA Dir Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81372 HLA I Typing Complete Lr 87476 Lyme Dis DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87477 Lyme Dis DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87480 Candida DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87481 Candida DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87482 Candida DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81372 HLA I Typing Complete Lr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87487 Chylmd Pneum DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87492 Chylmd Trach DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87493 C Diff Amplified Probe CMS Edit

81372 HLA I Typing Complete Lr 87495 Cytomeg DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87496 Cytomeg DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87497 Cytomeg DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81372 HLA I Typing Complete Lr 87500 Vanomycin DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81372 HLA I Typing Complete Lr 87502 Influenza DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87503 Influenza DNA Amp Prob Addl CMS Edit

81372 HLA I Typing Complete Lr 87505 Nfct Agent Detection Gi CMS Edit

81372 HLA I Typing Complete Lr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81372 HLA I Typing Complete Lr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81372 HLA I Typing Complete Lr 87510 Gardner Vag DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87511 Gardner Vag DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87512 Gardner Vag DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87515 Hepatitis B DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87516 Hepatitis B DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87517 Hepatitis B DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87520 Hepatitis C RNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81372 HLA I Typing Complete Lr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81372 HLA I Typing Complete Lr 87525 Hepatitis G DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87526 Hepatitis G DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87527 Hepatitis G DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87528 HSV DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87529 HSV DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87530 HSV DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87531 HHV-6 DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87532 HHV-6 DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87533 HHV-6 DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87534 HIV-1 DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81372 HLA I Typing Complete Lr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81372 HLA I Typing Complete Lr 87537 HIV-2 DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81372 HLA I Typing Complete Lr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81372 HLA I Typing Complete Lr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81372 HLA I Typing Complete Lr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81372 HLA I Typing Complete Lr 87542 Legion Pneumo DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87550 Mycobacteria DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87551 Mycobacteria DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87552 Mycobacteria DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87557 M.Tuberculo DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81372 HLA I Typing Complete Lr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81372 HLA I Typing Complete Lr 87562 M.Avium-Intra DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87580 M.Pneumon DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87581 M.Pneumon DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87582 M.Pneumon DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81372 HLA I Typing Complete Lr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81372 HLA I Typing Complete Lr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87623 HPV Low-Risk Types CMS Edit

81372 HLA I Typing Complete Lr 87624 HPV High-Risk Types CMS Edit

81372 HLA I Typing Complete Lr 87625 HPV Types 16 & 18 Only CMS Edit

81372 HLA I Typing Complete Lr 87631 Resp Virus 3-5 Targets CMS Edit

81372 HLA I Typing Complete Lr 87632 Resp Virus 6-11 Targets CMS Edit

81372 HLA I Typing Complete Lr 87633 Resp Virus 12-25 Targets CMS Edit

81372 HLA I Typing Complete Lr 87640 Staph A DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87641 Mr-Staph DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87650 Strep A DNA Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87651 Strep A DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87652 Strep A DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87653 Strep B DNA Amp Probe CMS Edit

81372 HLA I Typing Complete Lr 87660 Trichomonas Vagin Dir Probe CMS Edit

81372 HLA I Typing Complete Lr 87661 Trichomonas Vaginalis Amplif CMS Edit

81372 HLA I Typing Complete Lr 87797 Detect Agent Nos DNA Dir CMS Edit

81372 HLA I Typing Complete Lr 87798 Detect Agent Nos DNA Amp CMS Edit

81372 HLA I Typing Complete Lr 87799 Detect Agent Nos DNA Quant CMS Edit

81372 HLA I Typing Complete Lr 87800 Detect Agnt Mult DNA Direc CMS Edit

81372 HLA I Typing Complete Lr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81372 HLA I Typing Complete Lr 88291 Cyto/Molecular Report CMS Edit

81372 HLA I Typing Complete Lr G0476 HPV Combo Assay Ca Screen CMS Edit**81373 HLA I Typing 1 Locus Lr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81373 HLA I Typing 1 Locus Lr 81376 HLA II Typing 1 Locus Lr CMS Edit

81373 HLA I Typing 1 Locus Lr 87149 DNA/RNA Direct Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87150 DNA/RNA Amplified Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87152 Culture Type Pulse Field Gel CMS Edit

81373 HLA I Typing 1 Locus Lr 87153 DNA/RNA Sequencing CMS Edit

81373 HLA I Typing 1 Locus Lr 87470 Bartonella DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87471 Bartonella DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87472 Bartonella DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87475 Lyme Dis DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87476 Lyme Dis DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87477 Lyme Dis DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87480 Candida DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87481 Candida DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87482 Candida DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81373 HLA I Typing 1 Locus Lr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87487 Chylmd Pneum DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87492 Chylmd Trach DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87493 C Diff Amplified Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87495 Cytomeg DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87496 Cytomeg DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87497 Cytomeg DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81373 HLA I Typing 1 Locus Lr 87500 Vanomycin DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87501 Influenza DNA Amp Prob 1+ CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81373 HLA I Typing 1 Locus Lr 87502 Influenza DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87503 Influenza DNA Amp Prob Addl CMS Edit

81373 HLA I Typing 1 Locus Lr 87505 Nfct Agent Detection Gi CMS Edit

81373 HLA I Typing 1 Locus Lr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81373 HLA I Typing 1 Locus Lr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81373 HLA I Typing 1 Locus Lr 87510 Gardner Vag DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87511 Gardner Vag DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87512 Gardner Vag DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87515 Hepatitis B DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87516 Hepatitis B DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87517 Hepatitis B DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87520 Hepatitis C RNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81373 HLA I Typing 1 Locus Lr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81373 HLA I Typing 1 Locus Lr 87525 Hepatitis G DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87526 Hepatitis G DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87527 Hepatitis G DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87528 HSV DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87529 HSV DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87530 HSV DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87531 HHV-6 DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87532 HHV-6 DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87533 HHV-6 DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87534 HIV-1 DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81373 HLA I Typing 1 Locus Lr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81373 HLA I Typing 1 Locus Lr 87537 HIV-2 DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81373 HLA I Typing 1 Locus Lr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81373 HLA I Typing 1 Locus Lr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81373 HLA I Typing 1 Locus Lr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81373 HLA I Typing 1 Locus Lr 87542 Legion Pneumo DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87550 Mycobacteria DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87551 Mycobacteria DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87552 Mycobacteria DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87557 M.Tuberculo DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81373 HLA I Typing 1 Locus Lr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81373 HLA I Typing 1 Locus Lr 87562 M.Avium-Intra DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87580 M.Pneumon DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87581 M.Pneumon DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87582 M.Pneumon DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81373 HLA I Typing 1 Locus Lr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81373 HLA I Typing 1 Locus Lr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87623 HPV Low-Risk Types CMS Edit

81373 HLA I Typing 1 Locus Lr 87624 HPV High-Risk Types CMS Edit

81373 HLA I Typing 1 Locus Lr 87625 HPV Types 16 & 18 Only CMS Edit

81373 HLA I Typing 1 Locus Lr 87631 Resp Virus 3-5 Targets CMS Edit

81373 HLA I Typing 1 Locus Lr 87632 Resp Virus 6-11 Targets CMS Edit

81373 HLA I Typing 1 Locus Lr 87633 Resp Virus 12-25 Targets CMS Edit

81373 HLA I Typing 1 Locus Lr 87640 Staph A DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87641 Mr-Staph DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87650 Strep A DNA Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87651 Strep A DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87652 Strep A DNA Quant CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81373 HLA I Typing 1 Locus Lr 87653 Strep B DNA Amp Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87660 Trichomonas Vagin Dir Probe CMS Edit

81373 HLA I Typing 1 Locus Lr 87661 Trichomonas Vaginalis Amplif CMS Edit

81373 HLA I Typing 1 Locus Lr 87797 Detect Agent Nos DNA Dir CMS Edit

81373 HLA I Typing 1 Locus Lr 87798 Detect Agent Nos DNA Amp CMS Edit

81373 HLA I Typing 1 Locus Lr 87799 Detect Agent Nos DNA Quant CMS Edit

81373 HLA I Typing 1 Locus Lr 87800 Detect Agnt Mult DNA Direc CMS Edit

81373 HLA I Typing 1 Locus Lr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81373 HLA I Typing 1 Locus Lr 88291 Cyto/Molecular Report CMS Edit

81373 HLA I Typing 1 Locus Lr G0476 HPV Combo Assay Ca Screen CMS Edit**81374 HLA I Typing 1 Antigen Lr 87149 DNA/RNA Direct Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87150 DNA/RNA Amplified Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87152 Culture Type Pulse Field Gel CMS Edit

81374 HLA I Typing 1 Antigen Lr 87153 DNA/RNA Sequencing CMS Edit

81374 HLA I Typing 1 Antigen Lr 87470 Bartonella DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87471 Bartonella DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87472 Bartonella DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87475 Lyme Dis DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87476 Lyme Dis DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87477 Lyme Dis DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87480 Candida DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87481 Candida DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87482 Candida DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81374 HLA I Typing 1 Antigen Lr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87487 Chylmd Pneum DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87492 Chylmd Trach DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87493 C Diff Amplified Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87495 Cytomeg DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87496 Cytomeg DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87497 Cytomeg DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81374 HLA I Typing 1 Antigen Lr 87500 Vanomycin DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81374 HLA I Typing 1 Antigen Lr 87502 Influenza DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87503 Influenza DNA Amp Prob Addl CMS Edit

81374 HLA I Typing 1 Antigen Lr 87505 Nfct Agent Detection Gi CMS Edit

81374 HLA I Typing 1 Antigen Lr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81374 HLA I Typing 1 Antigen Lr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81374 HLA I Typing 1 Antigen Lr 87510 Gardner Vag DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87511 Gardner Vag DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87512 Gardner Vag DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87515 Hepatitis B DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87516 Hepatitis B DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87517 Hepatitis B DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87520 Hepatitis C RNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81374 HLA I Typing 1 Antigen Lr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81374 HLA I Typing 1 Antigen Lr 87525 Hepatitis G DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87526 Hepatitis G DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87527 Hepatitis G DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87528 HSV DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87529 HSV DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87530 HSV DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87531 HHV-6 DNA Dir Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81374 HLA I Typing 1 Antigen Lr 87532 HHV-6 DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87533 HHV-6 DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87534 HIV-1 DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81374 HLA I Typing 1 Antigen Lr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81374 HLA I Typing 1 Antigen Lr 87537 HIV-2 DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81374 HLA I Typing 1 Antigen Lr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81374 HLA I Typing 1 Antigen Lr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81374 HLA I Typing 1 Antigen Lr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81374 HLA I Typing 1 Antigen Lr 87542 Legion Pneumo DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87550 Mycobacteria DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87551 Mycobacteria DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87552 Mycobacteria DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87557 M.Tuberculo DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81374 HLA I Typing 1 Antigen Lr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81374 HLA I Typing 1 Antigen Lr 87562 M.Avium-Intra DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87580 M.Pneumon DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87581 M.Pneumon DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87582 M.Pneumon DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81374 HLA I Typing 1 Antigen Lr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81374 HLA I Typing 1 Antigen Lr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87623 HPV Low-Risk Types CMS Edit

81374 HLA I Typing 1 Antigen Lr 87624 HPV High-Risk Types CMS Edit

81374 HLA I Typing 1 Antigen Lr 87625 HPV Types 16 & 18 Only CMS Edit

81374 HLA I Typing 1 Antigen Lr 87631 Resp Virus 3-5 Targets CMS Edit

81374 HLA I Typing 1 Antigen Lr 87632 Resp Virus 6-11 Targets CMS Edit

81374 HLA I Typing 1 Antigen Lr 87633 Resp Virus 12-25 Targets CMS Edit

81374 HLA I Typing 1 Antigen Lr 87640 Staph A DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87641 Mr-Staph DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87650 Strep A DNA Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87651 Strep A DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87652 Strep A DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87653 Strep B DNA Amp Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87660 Trichomonas Vagin Dir Probe CMS Edit

81374 HLA I Typing 1 Antigen Lr 87661 Trichomonas Vaginalis Amplif CMS Edit

81374 HLA I Typing 1 Antigen Lr 87797 Detect Agent Nos DNA Dir CMS Edit

81374 HLA I Typing 1 Antigen Lr 87798 Detect Agent Nos DNA Amp CMS Edit

81374 HLA I Typing 1 Antigen Lr 87799 Detect Agent Nos DNA Quant CMS Edit

81374 HLA I Typing 1 Antigen Lr 87800 Detect Agnt Mult DNA Direc CMS Edit

81374 HLA I Typing 1 Antigen Lr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81374 HLA I Typing 1 Antigen Lr 88291 Cyto/Molecular Report CMS Edit

81374 HLA I Typing 1 Antigen Lr G0476 HPV Combo Assay Ca Screen CMS Edit**81375 HLA II Typing Ag Equiv Lr 81376 HLA II Typing 1 Locus Lr CMS Edit

81375 HLA II Typing Ag Equiv Lr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81375 HLA II Typing Ag Equiv Lr 87149 DNA/RNA Direct Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87150 DNA/RNA Amplified Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87152 Culture Type Pulse Field Gel CMS Edit

81375 HLA II Typing Ag Equiv Lr 87153 DNA/RNA Sequencing CMS Edit

81375 HLA II Typing Ag Equiv Lr 87470 Bartonella DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87471 Bartonella DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87472 Bartonella DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87475 Lyme Dis DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87476 Lyme Dis DNA Amp Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81375 HLA II Typing Ag Equiv Lr 87477 Lyme Dis DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87480 Candida DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87481 Candida DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87482 Candida DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81375 HLA II Typing Ag Equiv Lr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87487 Chylmd Pneum DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87492 Chylmd Trach DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87493 C Diff Amplified Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87495 Cytomeg DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87496 Cytomeg DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87497 Cytomeg DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81375 HLA II Typing Ag Equiv Lr 87500 Vanomycin DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81375 HLA II Typing Ag Equiv Lr 87502 Influenza DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87503 Influenza DNA Amp Prob Addl CMS Edit

81375 HLA II Typing Ag Equiv Lr 87505 Nfct Agent Detection Gi CMS Edit

81375 HLA II Typing Ag Equiv Lr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81375 HLA II Typing Ag Equiv Lr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81375 HLA II Typing Ag Equiv Lr 87510 Gardner Vag DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87511 Gardner Vag DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87512 Gardner Vag DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87515 Hepatitis B DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87516 Hepatitis B DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87517 Hepatitis B DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87520 Hepatitis C RNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81375 HLA II Typing Ag Equiv Lr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81375 HLA II Typing Ag Equiv Lr 87525 Hepatitis G DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87526 Hepatitis G DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87527 Hepatitis G DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87528 HSV DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87529 HSV DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87530 HSV DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87531 HHV-6 DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87532 HHV-6 DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87533 HHV-6 DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87534 HIV-1 DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81375 HLA II Typing Ag Equiv Lr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81375 HLA II Typing Ag Equiv Lr 87537 HIV-2 DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81375 HLA II Typing Ag Equiv Lr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81375 HLA II Typing Ag Equiv Lr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81375 HLA II Typing Ag Equiv Lr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81375 HLA II Typing Ag Equiv Lr 87542 Legion Pneumo DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87550 Mycobacteria DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87551 Mycobacteria DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87552 Mycobacteria DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87557 M.Tuberculo DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81375 HLA II Typing Ag Equiv Lr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81375 HLA II Typing Ag Equiv Lr 87562 M.Avium-Intra DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87580 M.Pneumon DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87581 M.Pneumon DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87582 M.Pneumon DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81375 HLA II Typing Ag Equiv Lr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81375 HLA II Typing Ag Equiv Lr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87623 HPV Low-Risk Types CMS Edit

81375 HLA II Typing Ag Equiv Lr 87624 HPV High-Risk Types CMS Edit

81375 HLA II Typing Ag Equiv Lr 87625 HPV Types 16 & 18 Only CMS Edit

81375 HLA II Typing Ag Equiv Lr 87631 Resp Virus 3-5 Targets CMS Edit

81375 HLA II Typing Ag Equiv Lr 87632 Resp Virus 6-11 Targets CMS Edit

81375 HLA II Typing Ag Equiv Lr 87633 Resp Virus 12-25 Targets CMS Edit

81375 HLA II Typing Ag Equiv Lr 87640 Staph A DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87641 Mr-Staph DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87650 Strep A DNA Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87651 Strep A DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87652 Strep A DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87653 Strep B DNA Amp Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87660 Trichomonas Vagin Dir Probe CMS Edit

81375 HLA II Typing Ag Equiv Lr 87661 Trichomonas Vaginalis Amplif CMS Edit

81375 HLA II Typing Ag Equiv Lr 87797 Detect Agent Nos DNA Dir CMS Edit

81375 HLA II Typing Ag Equiv Lr 87798 Detect Agent Nos DNA Amp CMS Edit

81375 HLA II Typing Ag Equiv Lr 87799 Detect Agent Nos DNA Quant CMS Edit

81375 HLA II Typing Ag Equiv Lr 87800 Detect Agnt Mult DNA Direc CMS Edit

81375 HLA II Typing Ag Equiv Lr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81375 HLA II Typing Ag Equiv Lr 88291 Cyto/Molecular Report CMS Edit

81375 HLA II Typing Ag Equiv Lr G0476 HPV Combo Assay Ca Screen CMS Edit**81376 HLA II Typing 1 Locus Lr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81376 HLA II Typing 1 Locus Lr 87149 DNA/RNA Direct Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87150 DNA/RNA Amplified Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87152 Culture Type Pulse Field Gel CMS Edit

81376 HLA II Typing 1 Locus Lr 87153 DNA/RNA Sequencing CMS Edit

81376 HLA II Typing 1 Locus Lr 87470 Bartonella DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87471 Bartonella DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87472 Bartonella DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87475 Lyme Dis DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87476 Lyme Dis DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87477 Lyme Dis DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87480 Candida DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87481 Candida DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87482 Candida DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81376 HLA II Typing 1 Locus Lr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87487 Chylmd Pneum DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87492 Chylmd Trach DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87493 C Diff Amplified Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87495 Cytomeg DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87496 Cytomeg DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87497 Cytomeg DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81376 HLA II Typing 1 Locus Lr 87500 Vanomycin DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81376 HLA II Typing 1 Locus Lr 87502 Influenza DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87503 Influenza DNA Amp Prob Addl CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81376 HLA II Typing 1 Locus Lr 87505 Nfct Agent Detection Gi CMS Edit

81376 HLA II Typing 1 Locus Lr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81376 HLA II Typing 1 Locus Lr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81376 HLA II Typing 1 Locus Lr 87510 Gardner Vag DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87511 Gardner Vag DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87512 Gardner Vag DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87515 Hepatitis B DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87516 Hepatitis B DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87517 Hepatitis B DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87520 Hepatitis C RNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81376 HLA II Typing 1 Locus Lr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81376 HLA II Typing 1 Locus Lr 87525 Hepatitis G DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87526 Hepatitis G DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87527 Hepatitis G DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87528 HSV DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87529 HSV DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87530 HSV DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87531 HHV-6 DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87532 HHV-6 DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87533 HHV-6 DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87534 HIV-1 DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81376 HLA II Typing 1 Locus Lr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81376 HLA II Typing 1 Locus Lr 87537 HIV-2 DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81376 HLA II Typing 1 Locus Lr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81376 HLA II Typing 1 Locus Lr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81376 HLA II Typing 1 Locus Lr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81376 HLA II Typing 1 Locus Lr 87542 Legion Pneumo DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87550 Mycobacteria DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87551 Mycobacteria DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87552 Mycobacteria DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87557 M.Tuberculo DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81376 HLA II Typing 1 Locus Lr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81376 HLA II Typing 1 Locus Lr 87562 M.Avium-Intra DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87580 M.Pneumon DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87581 M.Pneumon DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87582 M.Pneumon DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81376 HLA II Typing 1 Locus Lr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81376 HLA II Typing 1 Locus Lr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87623 HPV Low-Risk Types CMS Edit

81376 HLA II Typing 1 Locus Lr 87624 HPV High-Risk Types CMS Edit

81376 HLA II Typing 1 Locus Lr 87625 HPV Types 16 & 18 Only CMS Edit

81376 HLA II Typing 1 Locus Lr 87631 Resp Virus 3-5 Targets CMS Edit

81376 HLA II Typing 1 Locus Lr 87632 Resp Virus 6-11 Targets CMS Edit

81376 HLA II Typing 1 Locus Lr 87633 Resp Virus 12-25 Targets CMS Edit

81376 HLA II Typing 1 Locus Lr 87640 Staph A DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87641 Mr-Staph DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87650 Strep A DNA Dir Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87651 Strep A DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87652 Strep A DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87653 Strep B DNA Amp Probe CMS Edit

81376 HLA II Typing 1 Locus Lr 87660 Trichomonas Vagin Dir Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81376 HLA II Typing 1 Locus Lr 87661 Trichomonas Vaginalis Amplif CMS Edit

81376 HLA II Typing 1 Locus Lr 87797 Detect Agent Nos DNA Dir CMS Edit

81376 HLA II Typing 1 Locus Lr 87798 Detect Agent Nos DNA Amp CMS Edit

81376 HLA II Typing 1 Locus Lr 87799 Detect Agent Nos DNA Quant CMS Edit

81376 HLA II Typing 1 Locus Lr 87800 Detect Agnt Mult DNA Direc CMS Edit

81376 HLA II Typing 1 Locus Lr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81376 HLA II Typing 1 Locus Lr 88291 Cyto/Molecular Report CMS Edit

81376 HLA II Typing 1 Locus Lr G0476 HPV Combo Assay Ca Screen CMS Edit**81377 HLA II Type 1 Ag Equiv Lr 87149 DNA/RNA Direct Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87150 DNA/RNA Amplified Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87152 Culture Type Pulse Field Gel CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87153 DNA/RNA Sequencing CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87470 Bartonella DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87471 Bartonella DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87472 Bartonella DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87475 Lyme Dis DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87476 Lyme Dis DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87477 Lyme Dis DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87480 Candida DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87481 Candida DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87482 Candida DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81377 HLA II Type 1 Ag Equiv Lr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87487 Chylmd Pneum DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87492 Chylmd Trach DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87493 C Diff Amplified Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87495 Cytomeg DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87496 Cytomeg DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87497 Cytomeg DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87500 Vanomycin DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87502 Influenza DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87503 Influenza DNA Amp Prob Addl CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87505 Nfct Agent Detection Gi CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87510 Gardner Vag DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87511 Gardner Vag DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87512 Gardner Vag DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87515 Hepatitis B DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87516 Hepatitis B DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87517 Hepatitis B DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87520 Hepatitis C RNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87525 Hepatitis G DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87526 Hepatitis G DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87527 Hepatitis G DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87528 HSV DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87529 HSV DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87530 HSV DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87531 HHV-6 DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87532 HHV-6 DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87533 HHV-6 DNA Quant CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81377 HLA II Type 1 Ag Equiv Lr 87534 HIV-1 DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87537 HIV-2 DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87542 Legion Pneumo DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87550 Mycobacteria DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87551 Mycobacteria DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87552 Mycobacteria DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87557 M.Tuberculo DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87562 M.Avium-Intra DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87580 M.Pneumon DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87581 M.Pneumon DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87582 M.Pneumon DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87623 HPV Low-Risk Types CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87624 HPV High-Risk Types CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87625 HPV Types 16 & 18 Only CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87631 Resp Virus 3-5 Targets CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87632 Resp Virus 6-11 Targets CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87633 Resp Virus 12-25 Targets CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87640 Staph A DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87641 Mr-Staph DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87650 Strep A DNA Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87651 Strep A DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87652 Strep A DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87653 Strep B DNA Amp Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87660 Trichomonas Vagin Dir Probe CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87661 Trichomonas Vaginalis Amplif CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87797 Detect Agent Nos DNA Dir CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87798 Detect Agent Nos DNA Amp CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87799 Detect Agent Nos DNA Quant CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87800 Detect Agnt Mult DNA Direc CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81377 HLA II Type 1 Ag Equiv Lr 88291 Cyto/Molecular Report CMS Edit

81377 HLA II Type 1 Ag Equiv Lr G0476 HPV Combo Assay Ca Screen CMS Edit**81378 HLA I & II Typing Hr 81370 HLA I & II Typing Lr CMS Edit

81378 HLA I & II Typing Hr 81371 HLA I & II Type Verify Lr CMS Edit

81378 HLA I & II Typing Hr 81372 HLA I Typing Complete Lr CMS Edit

81378 HLA I & II Typing Hr 81373 HLA I Typing 1 Locus Lr CMS Edit

81378 HLA I & II Typing Hr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81378 HLA I & II Typing Hr 81375 HLA II Typing Ag Equiv Lr CMS Edit

81378 HLA I & II Typing Hr 81376 HLA II Typing 1 Locus Lr CMS Edit

81378 HLA I & II Typing Hr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81378 HLA I & II Typing Hr 81379 HLA I Typing Complete Hr CMS Edit

81378 HLA I & II Typing Hr 81380 HLA I Typing 1 Locus Hr CMS Edit

81378 HLA I & II Typing Hr 81381 HLA I Typing 1 Allele Hr CMS Edit

81378 HLA I & II Typing Hr 81382 HLA II Typing 1 Loc Hr CMS Edit

81378 HLA I & II Typing Hr 81383 HLA II Typing 1 Allele Hr CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81378 HLA I & II Typing Hr 87149 DNA/RNA Direct Probe CMS Edit

81378 HLA I & II Typing Hr 87150 DNA/RNA Amplified Probe CMS Edit

81378 HLA I & II Typing Hr 87152 Culture Type Pulse Field Gel CMS Edit

81378 HLA I & II Typing Hr 87153 DNA/RNA Sequencing CMS Edit

81378 HLA I & II Typing Hr 87470 Bartonella DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87471 Bartonella DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87472 Bartonella DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87475 Lyme Dis DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87476 Lyme Dis DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87477 Lyme Dis DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87480 Candida DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87481 Candida DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87482 Candida DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81378 HLA I & II Typing Hr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87487 Chylmd Pneum DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87492 Chylmd Trach DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87493 C Diff Amplified Probe CMS Edit

81378 HLA I & II Typing Hr 87495 Cytomeg DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87496 Cytomeg DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87497 Cytomeg DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81378 HLA I & II Typing Hr 87500 Vanomycin DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81378 HLA I & II Typing Hr 87502 Influenza DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87503 Influenza DNA Amp Prob Addl CMS Edit

81378 HLA I & II Typing Hr 87505 Nfct Agent Detection Gi CMS Edit

81378 HLA I & II Typing Hr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81378 HLA I & II Typing Hr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81378 HLA I & II Typing Hr 87510 Gardner Vag DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87511 Gardner Vag DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87512 Gardner Vag DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87515 Hepatitis B DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87516 Hepatitis B DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87517 Hepatitis B DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87520 Hepatitis C RNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81378 HLA I & II Typing Hr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81378 HLA I & II Typing Hr 87525 Hepatitis G DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87526 Hepatitis G DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87527 Hepatitis G DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87528 HSV DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87529 HSV DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87530 HSV DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87531 HHV-6 DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87532 HHV-6 DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87533 HHV-6 DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87534 HIV-1 DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81378 HLA I & II Typing Hr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81378 HLA I & II Typing Hr 87537 HIV-2 DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81378 HLA I & II Typing Hr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81378 HLA I & II Typing Hr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81378 HLA I & II Typing Hr 87541 Legion Pneumo DNA Amp Prob CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81378 HLA I & II Typing Hr 87542 Legion Pneumo DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87550 Mycobacteria DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87551 Mycobacteria DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87552 Mycobacteria DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87557 M.Tuberculo DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81378 HLA I & II Typing Hr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81378 HLA I & II Typing Hr 87562 M.Avium-Intra DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87580 M.Pneumon DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87581 M.Pneumon DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87582 M.Pneumon DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81378 HLA I & II Typing Hr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81378 HLA I & II Typing Hr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87623 HPV Low-Risk Types CMS Edit

81378 HLA I & II Typing Hr 87624 HPV High-Risk Types CMS Edit

81378 HLA I & II Typing Hr 87625 HPV Types 16 & 18 Only CMS Edit

81378 HLA I & II Typing Hr 87631 Resp Virus 3-5 Targets CMS Edit

81378 HLA I & II Typing Hr 87632 Resp Virus 6-11 Targets CMS Edit

81378 HLA I & II Typing Hr 87633 Resp Virus 12-25 Targets CMS Edit

81378 HLA I & II Typing Hr 87640 Staph A DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87641 Mr-Staph DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87650 Strep A DNA Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87651 Strep A DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87652 Strep A DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87653 Strep B DNA Amp Probe CMS Edit

81378 HLA I & II Typing Hr 87660 Trichomonas Vagin Dir Probe CMS Edit

81378 HLA I & II Typing Hr 87661 Trichomonas Vaginalis Amplif CMS Edit

81378 HLA I & II Typing Hr 87797 Detect Agent Nos DNA Dir CMS Edit

81378 HLA I & II Typing Hr 87798 Detect Agent Nos DNA Amp CMS Edit

81378 HLA I & II Typing Hr 87799 Detect Agent Nos DNA Quant CMS Edit

81378 HLA I & II Typing Hr 87800 Detect Agnt Mult DNA Direc CMS Edit

81378 HLA I & II Typing Hr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81378 HLA I & II Typing Hr 88291 Cyto/Molecular Report CMS Edit

81378 HLA I & II Typing Hr G0476 HPV Combo Assay Ca Screen CMS Edit**81379 HLA I Typing Complete Hr 81370 HLA I & II Typing Lr CMS Edit

81379 HLA I Typing Complete Hr 81371 HLA I & II Type Verify Lr CMS Edit

81379 HLA I Typing Complete Hr 81372 HLA I Typing Complete Lr CMS Edit

81379 HLA I Typing Complete Hr 81373 HLA I Typing 1 Locus Lr CMS Edit

81379 HLA I Typing Complete Hr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81379 HLA I Typing Complete Hr 81375 HLA II Typing Ag Equiv Lr CMS Edit

81379 HLA I Typing Complete Hr 81376 HLA II Typing 1 Locus Lr CMS Edit

81379 HLA I Typing Complete Hr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81379 HLA I Typing Complete Hr 81380 HLA I Typing 1 Locus Hr CMS Edit

81379 HLA I Typing Complete Hr 81381 HLA I Typing 1 Allele Hr CMS Edit

81379 HLA I Typing Complete Hr 81382 HLA II Typing 1 Loc Hr CMS Edit

81379 HLA I Typing Complete Hr 87149 DNA/RNA Direct Probe CMS Edit

81379 HLA I Typing Complete Hr 87150 DNA/RNA Amplified Probe CMS Edit

81379 HLA I Typing Complete Hr 87152 Culture Type Pulse Field Gel CMS Edit

81379 HLA I Typing Complete Hr 87153 DNA/RNA Sequencing CMS Edit

81379 HLA I Typing Complete Hr 87470 Bartonella DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87471 Bartonella DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87472 Bartonella DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87475 Lyme Dis DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87476 Lyme Dis DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87477 Lyme Dis DNA Quant CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81379 HLA I Typing Complete Hr 87480 Candida DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87481 Candida DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87482 Candida DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81379 HLA I Typing Complete Hr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87487 Chylmd Pneum DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87492 Chylmd Trach DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87493 C Diff Amplified Probe CMS Edit

81379 HLA I Typing Complete Hr 87495 Cytomeg DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87496 Cytomeg DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87497 Cytomeg DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81379 HLA I Typing Complete Hr 87500 Vanomycin DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81379 HLA I Typing Complete Hr 87502 Influenza DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87503 Influenza DNA Amp Prob Addl CMS Edit

81379 HLA I Typing Complete Hr 87505 Nfct Agent Detection Gi CMS Edit

81379 HLA I Typing Complete Hr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81379 HLA I Typing Complete Hr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81379 HLA I Typing Complete Hr 87510 Gardner Vag DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87511 Gardner Vag DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87512 Gardner Vag DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87515 Hepatitis B DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87516 Hepatitis B DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87517 Hepatitis B DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87520 Hepatitis C RNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81379 HLA I Typing Complete Hr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81379 HLA I Typing Complete Hr 87525 Hepatitis G DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87526 Hepatitis G DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87527 Hepatitis G DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87528 HSV DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87529 HSV DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87530 HSV DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87531 HHV-6 DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87532 HHV-6 DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87533 HHV-6 DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87534 HIV-1 DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81379 HLA I Typing Complete Hr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81379 HLA I Typing Complete Hr 87537 HIV-2 DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81379 HLA I Typing Complete Hr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81379 HLA I Typing Complete Hr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81379 HLA I Typing Complete Hr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81379 HLA I Typing Complete Hr 87542 Legion Pneumo DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87550 Mycobacteria DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87551 Mycobacteria DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87552 Mycobacteria DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87557 M.Tuberculo DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81379 HLA I Typing Complete Hr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81379 HLA I Typing Complete Hr 87562 M.Avium-Intra DNA Quant CMS Edit

Page 217: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81379 HLA I Typing Complete Hr 87580 M.Pneumon DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87581 M.Pneumon DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87582 M.Pneumon DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81379 HLA I Typing Complete Hr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81379 HLA I Typing Complete Hr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87623 HPV Low-Risk Types CMS Edit

81379 HLA I Typing Complete Hr 87624 HPV High-Risk Types CMS Edit

81379 HLA I Typing Complete Hr 87625 HPV Types 16 & 18 Only CMS Edit

81379 HLA I Typing Complete Hr 87631 Resp Virus 3-5 Targets CMS Edit

81379 HLA I Typing Complete Hr 87632 Resp Virus 6-11 Targets CMS Edit

81379 HLA I Typing Complete Hr 87633 Resp Virus 12-25 Targets CMS Edit

81379 HLA I Typing Complete Hr 87640 Staph A DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87641 Mr-Staph DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87650 Strep A DNA Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87651 Strep A DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87652 Strep A DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87653 Strep B DNA Amp Probe CMS Edit

81379 HLA I Typing Complete Hr 87660 Trichomonas Vagin Dir Probe CMS Edit

81379 HLA I Typing Complete Hr 87661 Trichomonas Vaginalis Amplif CMS Edit

81379 HLA I Typing Complete Hr 87797 Detect Agent Nos DNA Dir CMS Edit

81379 HLA I Typing Complete Hr 87798 Detect Agent Nos DNA Amp CMS Edit

81379 HLA I Typing Complete Hr 87799 Detect Agent Nos DNA Quant CMS Edit

81379 HLA I Typing Complete Hr 87800 Detect Agnt Mult DNA Direc CMS Edit

81379 HLA I Typing Complete Hr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81379 HLA I Typing Complete Hr 88291 Cyto/Molecular Report CMS Edit

81379 HLA I Typing Complete Hr G0476 HPV Combo Assay Ca Screen CMS Edit**81380 HLA I Typing 1 Locus Hr 81370 HLA I & II Typing Lr CMS Edit

81380 HLA I Typing 1 Locus Hr 81371 HLA I & II Type Verify Lr CMS Edit

81380 HLA I Typing 1 Locus Hr 81372 HLA I Typing Complete Lr CMS Edit

81380 HLA I Typing 1 Locus Hr 81373 HLA I Typing 1 Locus Lr CMS Edit

81380 HLA I Typing 1 Locus Hr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81380 HLA I Typing 1 Locus Hr 81375 HLA II Typing Ag Equiv Lr CMS Edit

81380 HLA I Typing 1 Locus Hr 81376 HLA II Typing 1 Locus Lr CMS Edit

81380 HLA I Typing 1 Locus Hr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81380 HLA I Typing 1 Locus Hr 81381 HLA I Typing 1 Allele Hr CMS Edit

81380 HLA I Typing 1 Locus Hr 81382 HLA II Typing 1 Loc Hr CMS Edit

81380 HLA I Typing 1 Locus Hr 87149 DNA/RNA Direct Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87150 DNA/RNA Amplified Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87152 Culture Type Pulse Field Gel CMS Edit

81380 HLA I Typing 1 Locus Hr 87153 DNA/RNA Sequencing CMS Edit

81380 HLA I Typing 1 Locus Hr 87470 Bartonella DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87471 Bartonella DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87472 Bartonella DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87475 Lyme Dis DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87476 Lyme Dis DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87477 Lyme Dis DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87480 Candida DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87481 Candida DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87482 Candida DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81380 HLA I Typing 1 Locus Hr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87487 Chylmd Pneum DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87492 Chylmd Trach DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87493 C Diff Amplified Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81380 HLA I Typing 1 Locus Hr 87495 Cytomeg DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87496 Cytomeg DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87497 Cytomeg DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81380 HLA I Typing 1 Locus Hr 87500 Vanomycin DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81380 HLA I Typing 1 Locus Hr 87502 Influenza DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87503 Influenza DNA Amp Prob Addl CMS Edit

81380 HLA I Typing 1 Locus Hr 87505 Nfct Agent Detection Gi CMS Edit

81380 HLA I Typing 1 Locus Hr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81380 HLA I Typing 1 Locus Hr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81380 HLA I Typing 1 Locus Hr 87510 Gardner Vag DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87511 Gardner Vag DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87512 Gardner Vag DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87515 Hepatitis B DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87516 Hepatitis B DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87517 Hepatitis B DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87520 Hepatitis C RNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81380 HLA I Typing 1 Locus Hr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81380 HLA I Typing 1 Locus Hr 87525 Hepatitis G DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87526 Hepatitis G DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87527 Hepatitis G DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87528 HSV DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87529 HSV DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87530 HSV DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87531 HHV-6 DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87532 HHV-6 DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87533 HHV-6 DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87534 HIV-1 DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81380 HLA I Typing 1 Locus Hr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81380 HLA I Typing 1 Locus Hr 87537 HIV-2 DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81380 HLA I Typing 1 Locus Hr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81380 HLA I Typing 1 Locus Hr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81380 HLA I Typing 1 Locus Hr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81380 HLA I Typing 1 Locus Hr 87542 Legion Pneumo DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87550 Mycobacteria DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87551 Mycobacteria DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87552 Mycobacteria DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87557 M.Tuberculo DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81380 HLA I Typing 1 Locus Hr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81380 HLA I Typing 1 Locus Hr 87562 M.Avium-Intra DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87580 M.Pneumon DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87581 M.Pneumon DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87582 M.Pneumon DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81380 HLA I Typing 1 Locus Hr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81380 HLA I Typing 1 Locus Hr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87623 HPV Low-Risk Types CMS Edit

81380 HLA I Typing 1 Locus Hr 87624 HPV High-Risk Types CMS Edit

81380 HLA I Typing 1 Locus Hr 87625 HPV Types 16 & 18 Only CMS Edit

81380 HLA I Typing 1 Locus Hr 87631 Resp Virus 3-5 Targets CMS Edit

81380 HLA I Typing 1 Locus Hr 87632 Resp Virus 6-11 Targets CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81380 HLA I Typing 1 Locus Hr 87633 Resp Virus 12-25 Targets CMS Edit

81380 HLA I Typing 1 Locus Hr 87640 Staph A DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87641 Mr-Staph DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87650 Strep A DNA Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87651 Strep A DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87652 Strep A DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87653 Strep B DNA Amp Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87660 Trichomonas Vagin Dir Probe CMS Edit

81380 HLA I Typing 1 Locus Hr 87661 Trichomonas Vaginalis Amplif CMS Edit

81380 HLA I Typing 1 Locus Hr 87797 Detect Agent Nos DNA Dir CMS Edit

81380 HLA I Typing 1 Locus Hr 87798 Detect Agent Nos DNA Amp CMS Edit

81380 HLA I Typing 1 Locus Hr 87799 Detect Agent Nos DNA Quant CMS Edit

81380 HLA I Typing 1 Locus Hr 87800 Detect Agnt Mult DNA Direc CMS Edit

81380 HLA I Typing 1 Locus Hr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81380 HLA I Typing 1 Locus Hr 88291 Cyto/Molecular Report CMS Edit

81380 HLA I Typing 1 Locus Hr G0476 HPV Combo Assay Ca Screen CMS Edit**81381 HLA I Typing 1 Allele Hr 81370 HLA I & II Typing Lr CMS Edit

81381 HLA I Typing 1 Allele Hr 81371 HLA I & II Type Verify Lr CMS Edit

81381 HLA I Typing 1 Allele Hr 81372 HLA I Typing Complete Lr CMS Edit

81381 HLA I Typing 1 Allele Hr 81373 HLA I Typing 1 Locus Lr CMS Edit

81381 HLA I Typing 1 Allele Hr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81381 HLA I Typing 1 Allele Hr 81376 HLA II Typing 1 Locus Lr CMS Edit

81381 HLA I Typing 1 Allele Hr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81381 HLA I Typing 1 Allele Hr 87149 DNA/RNA Direct Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87150 DNA/RNA Amplified Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87152 Culture Type Pulse Field Gel CMS Edit

81381 HLA I Typing 1 Allele Hr 87153 DNA/RNA Sequencing CMS Edit

81381 HLA I Typing 1 Allele Hr 87470 Bartonella DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87471 Bartonella DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87472 Bartonella DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87475 Lyme Dis DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87476 Lyme Dis DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87477 Lyme Dis DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87480 Candida DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87481 Candida DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87482 Candida DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81381 HLA I Typing 1 Allele Hr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87487 Chylmd Pneum DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87492 Chylmd Trach DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87493 C Diff Amplified Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87495 Cytomeg DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87496 Cytomeg DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87497 Cytomeg DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81381 HLA I Typing 1 Allele Hr 87500 Vanomycin DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81381 HLA I Typing 1 Allele Hr 87502 Influenza DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87503 Influenza DNA Amp Prob Addl CMS Edit

81381 HLA I Typing 1 Allele Hr 87505 Nfct Agent Detection Gi CMS Edit

81381 HLA I Typing 1 Allele Hr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81381 HLA I Typing 1 Allele Hr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81381 HLA I Typing 1 Allele Hr 87510 Gardner Vag DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87511 Gardner Vag DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87512 Gardner Vag DNA Quant CMS Edit

Page 220: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81381 HLA I Typing 1 Allele Hr 87515 Hepatitis B DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87516 Hepatitis B DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87517 Hepatitis B DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87520 Hepatitis C RNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81381 HLA I Typing 1 Allele Hr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81381 HLA I Typing 1 Allele Hr 87525 Hepatitis G DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87526 Hepatitis G DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87527 Hepatitis G DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87528 HSV DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87529 HSV DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87530 HSV DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87531 HHV-6 DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87532 HHV-6 DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87533 HHV-6 DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87534 HIV-1 DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81381 HLA I Typing 1 Allele Hr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81381 HLA I Typing 1 Allele Hr 87537 HIV-2 DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81381 HLA I Typing 1 Allele Hr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81381 HLA I Typing 1 Allele Hr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81381 HLA I Typing 1 Allele Hr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81381 HLA I Typing 1 Allele Hr 87542 Legion Pneumo DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87550 Mycobacteria DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87551 Mycobacteria DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87552 Mycobacteria DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87557 M.Tuberculo DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81381 HLA I Typing 1 Allele Hr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81381 HLA I Typing 1 Allele Hr 87562 M.Avium-Intra DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87580 M.Pneumon DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87581 M.Pneumon DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87582 M.Pneumon DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81381 HLA I Typing 1 Allele Hr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81381 HLA I Typing 1 Allele Hr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87623 HPV Low-Risk Types CMS Edit

81381 HLA I Typing 1 Allele Hr 87624 HPV High-Risk Types CMS Edit

81381 HLA I Typing 1 Allele Hr 87625 HPV Types 16 & 18 Only CMS Edit

81381 HLA I Typing 1 Allele Hr 87631 Resp Virus 3-5 Targets CMS Edit

81381 HLA I Typing 1 Allele Hr 87632 Resp Virus 6-11 Targets CMS Edit

81381 HLA I Typing 1 Allele Hr 87633 Resp Virus 12-25 Targets CMS Edit

81381 HLA I Typing 1 Allele Hr 87640 Staph A DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87641 Mr-Staph DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87650 Strep A DNA Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87651 Strep A DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87652 Strep A DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87653 Strep B DNA Amp Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87660 Trichomonas Vagin Dir Probe CMS Edit

81381 HLA I Typing 1 Allele Hr 87661 Trichomonas Vaginalis Amplif CMS Edit

81381 HLA I Typing 1 Allele Hr 87797 Detect Agent Nos DNA Dir CMS Edit

81381 HLA I Typing 1 Allele Hr 87798 Detect Agent Nos DNA Amp CMS Edit

81381 HLA I Typing 1 Allele Hr 87799 Detect Agent Nos DNA Quant CMS Edit

81381 HLA I Typing 1 Allele Hr 87800 Detect Agnt Mult DNA Direc CMS Edit

81381 HLA I Typing 1 Allele Hr 87801 Detect Agnt Mult DNA Ampli CMS Edit

Page 221: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81381 HLA I Typing 1 Allele Hr 88291 Cyto/Molecular Report CMS Edit

81381 HLA I Typing 1 Allele Hr G0476 HPV Combo Assay Ca Screen CMS Edit**81382 HLA II Typing 1 Loc Hr 81370 HLA I & II Typing Lr CMS Edit

81382 HLA II Typing 1 Loc Hr 81375 HLA II Typing Ag Equiv Lr CMS Edit

81382 HLA II Typing 1 Loc Hr 81376 HLA II Typing 1 Locus Lr CMS Edit

81382 HLA II Typing 1 Loc Hr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81382 HLA II Typing 1 Loc Hr 81383 HLA II Typing 1 Allele Hr CMS Edit

81382 HLA II Typing 1 Loc Hr 87149 DNA/RNA Direct Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87150 DNA/RNA Amplified Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87152 Culture Type Pulse Field Gel CMS Edit

81382 HLA II Typing 1 Loc Hr 87153 DNA/RNA Sequencing CMS Edit

81382 HLA II Typing 1 Loc Hr 87470 Bartonella DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87471 Bartonella DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87472 Bartonella DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87475 Lyme Dis DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87476 Lyme Dis DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87477 Lyme Dis DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87480 Candida DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87481 Candida DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87482 Candida DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81382 HLA II Typing 1 Loc Hr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87487 Chylmd Pneum DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87492 Chylmd Trach DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87493 C Diff Amplified Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87495 Cytomeg DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87496 Cytomeg DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87497 Cytomeg DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81382 HLA II Typing 1 Loc Hr 87500 Vanomycin DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81382 HLA II Typing 1 Loc Hr 87502 Influenza DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87503 Influenza DNA Amp Prob Addl CMS Edit

81382 HLA II Typing 1 Loc Hr 87505 Nfct Agent Detection Gi CMS Edit

81382 HLA II Typing 1 Loc Hr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81382 HLA II Typing 1 Loc Hr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81382 HLA II Typing 1 Loc Hr 87510 Gardner Vag DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87511 Gardner Vag DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87512 Gardner Vag DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87515 Hepatitis B DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87516 Hepatitis B DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87517 Hepatitis B DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87520 Hepatitis C RNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81382 HLA II Typing 1 Loc Hr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81382 HLA II Typing 1 Loc Hr 87525 Hepatitis G DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87526 Hepatitis G DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87527 Hepatitis G DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87528 HSV DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87529 HSV DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87530 HSV DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87531 HHV-6 DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87532 HHV-6 DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87533 HHV-6 DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87534 HIV-1 DNA Dir Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81382 HLA II Typing 1 Loc Hr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81382 HLA II Typing 1 Loc Hr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81382 HLA II Typing 1 Loc Hr 87537 HIV-2 DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81382 HLA II Typing 1 Loc Hr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81382 HLA II Typing 1 Loc Hr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81382 HLA II Typing 1 Loc Hr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81382 HLA II Typing 1 Loc Hr 87542 Legion Pneumo DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87550 Mycobacteria DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87551 Mycobacteria DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87552 Mycobacteria DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87556 M.Tuberculo DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87557 M.Tuberculo DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81382 HLA II Typing 1 Loc Hr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81382 HLA II Typing 1 Loc Hr 87562 M.Avium-Intra DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87580 M.Pneumon DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87581 M.Pneumon DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87582 M.Pneumon DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81382 HLA II Typing 1 Loc Hr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81382 HLA II Typing 1 Loc Hr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87623 HPV Low-Risk Types CMS Edit

81382 HLA II Typing 1 Loc Hr 87624 HPV High-Risk Types CMS Edit

81382 HLA II Typing 1 Loc Hr 87625 HPV Types 16 & 18 Only CMS Edit

81382 HLA II Typing 1 Loc Hr 87631 Resp Virus 3-5 Targets CMS Edit

81382 HLA II Typing 1 Loc Hr 87632 Resp Virus 6-11 Targets CMS Edit

81382 HLA II Typing 1 Loc Hr 87633 Resp Virus 12-25 Targets CMS Edit

81382 HLA II Typing 1 Loc Hr 87640 Staph A DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87641 Mr-Staph DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87650 Strep A DNA Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87651 Strep A DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87652 Strep A DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87653 Strep B DNA Amp Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87660 Trichomonas Vagin Dir Probe CMS Edit

81382 HLA II Typing 1 Loc Hr 87661 Trichomonas Vaginalis Amplif CMS Edit

81382 HLA II Typing 1 Loc Hr 87797 Detect Agent Nos DNA Dir CMS Edit

81382 HLA II Typing 1 Loc Hr 87798 Detect Agent Nos DNA Amp CMS Edit

81382 HLA II Typing 1 Loc Hr 87799 Detect Agent Nos DNA Quant CMS Edit

81382 HLA II Typing 1 Loc Hr 87800 Detect Agnt Mult DNA Direc CMS Edit

81382 HLA II Typing 1 Loc Hr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81382 HLA II Typing 1 Loc Hr 88291 Cyto/Molecular Report CMS Edit

81382 HLA II Typing 1 Loc Hr G0476 HPV Combo Assay Ca Screen CMS Edit**81383 HLA II Typing 1 Allele Hr 81370 HLA I & II Typing Lr CMS Edit

81383 HLA II Typing 1 Allele Hr 81371 HLA I & II Type Verify Lr CMS Edit

81383 HLA II Typing 1 Allele Hr 81372 HLA I Typing Complete Lr CMS Edit

81383 HLA II Typing 1 Allele Hr 81373 HLA I Typing 1 Locus Lr CMS Edit

81383 HLA II Typing 1 Allele Hr 81374 HLA I Typing 1 Antigen Lr CMS Edit

81383 HLA II Typing 1 Allele Hr 81375 HLA II Typing Ag Equiv Lr CMS Edit

81383 HLA II Typing 1 Allele Hr 81376 HLA II Typing 1 Locus Lr CMS Edit

81383 HLA II Typing 1 Allele Hr 81377 HLA II Type 1 Ag Equiv Lr CMS Edit

81383 HLA II Typing 1 Allele Hr 87149 DNA/RNA Direct Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87150 DNA/RNA Amplified Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87152 Culture Type Pulse Field Gel CMS Edit

81383 HLA II Typing 1 Allele Hr 87153 DNA/RNA Sequencing CMS Edit

81383 HLA II Typing 1 Allele Hr 87470 Bartonella DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87471 Bartonella DNA Amp Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81383 HLA II Typing 1 Allele Hr 87472 Bartonella DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87475 Lyme Dis DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87476 Lyme Dis DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87477 Lyme Dis DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87480 Candida DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87481 Candida DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87482 Candida DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*81383 HLA II Typing 1 Allele Hr 87485 Chylmd Pneum DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87486 Chylmd Pneum DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87487 Chylmd Pneum DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87490 Chylmd Trach DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87491 Chylmd Trach DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87492 Chylmd Trach DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87493 C Diff Amplified Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87495 Cytomeg DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87496 Cytomeg DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87497 Cytomeg DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87498 Enterovirus Probe&Revrs Trns CMS Edit

81383 HLA II Typing 1 Allele Hr 87500 Vanomycin DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87501 Influenza DNA Amp Prob 1+ CMS Edit

81383 HLA II Typing 1 Allele Hr 87502 Influenza DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87503 Influenza DNA Amp Prob Addl CMS Edit

81383 HLA II Typing 1 Allele Hr 87505 Nfct Agent Detection Gi CMS Edit

81383 HLA II Typing 1 Allele Hr 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

81383 HLA II Typing 1 Allele Hr 87507 Iadna-DNA/RNA Probe Tq 12-25 CMS Edit

81383 HLA II Typing 1 Allele Hr 87510 Gardner Vag DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87511 Gardner Vag DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87512 Gardner Vag DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87515 Hepatitis B DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87516 Hepatitis B DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87517 Hepatitis B DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87520 Hepatitis C RNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

81383 HLA II Typing 1 Allele Hr 87522 Hepatitis C Revrs Trnscrpj CMS Edit

81383 HLA II Typing 1 Allele Hr 87525 Hepatitis G DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87526 Hepatitis G DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87527 Hepatitis G DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87528 HSV DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87529 HSV DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87530 HSV DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87531 HHV-6 DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87532 HHV-6 DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87533 HHV-6 DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87534 HIV-1 DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

81383 HLA II Typing 1 Allele Hr 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

81383 HLA II Typing 1 Allele Hr 87537 HIV-2 DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

81383 HLA II Typing 1 Allele Hr 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

81383 HLA II Typing 1 Allele Hr 87540 Legion Pneumo DNA Dir Prob CMS Edit

81383 HLA II Typing 1 Allele Hr 87541 Legion Pneumo DNA Amp Prob CMS Edit

81383 HLA II Typing 1 Allele Hr 87542 Legion Pneumo DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87550 Mycobacteria DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87551 Mycobacteria DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87552 Mycobacteria DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87555 M.Tuberculo DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87556 M.Tuberculo DNA Amp Probe CMS Edit

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Code Code Description Code Code Description Source

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81383 HLA II Typing 1 Allele Hr 87557 M.Tuberculo DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87560 M.Avium-Intra DNA Dir Prob CMS Edit

81383 HLA II Typing 1 Allele Hr 87561 M.Avium-Intra DNA Amp Prob CMS Edit

81383 HLA II Typing 1 Allele Hr 87562 M.Avium-Intra DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87580 M.Pneumon DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87581 M.Pneumon DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87582 M.Pneumon DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

81383 HLA II Typing 1 Allele Hr 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

81383 HLA II Typing 1 Allele Hr 87592 N.Gonorrhoeae DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87623 HPV Low-Risk Types CMS Edit

81383 HLA II Typing 1 Allele Hr 87624 HPV High-Risk Types CMS Edit

81383 HLA II Typing 1 Allele Hr 87625 HPV Types 16 & 18 Only CMS Edit

81383 HLA II Typing 1 Allele Hr 87631 Resp Virus 3-5 Targets CMS Edit

81383 HLA II Typing 1 Allele Hr 87632 Resp Virus 6-11 Targets CMS Edit

81383 HLA II Typing 1 Allele Hr 87633 Resp Virus 12-25 Targets CMS Edit

81383 HLA II Typing 1 Allele Hr 87640 Staph A DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87641 Mr-Staph DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87650 Strep A DNA Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87651 Strep A DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87652 Strep A DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87653 Strep B DNA Amp Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87660 Trichomonas Vagin Dir Probe CMS Edit

81383 HLA II Typing 1 Allele Hr 87661 Trichomonas Vaginalis Amplif CMS Edit

81383 HLA II Typing 1 Allele Hr 87797 Detect Agent Nos DNA Dir CMS Edit

81383 HLA II Typing 1 Allele Hr 87798 Detect Agent Nos DNA Amp CMS Edit

81383 HLA II Typing 1 Allele Hr 87799 Detect Agent Nos DNA Quant CMS Edit

81383 HLA II Typing 1 Allele Hr 87800 Detect Agnt Mult DNA Direc CMS Edit

81383 HLA II Typing 1 Allele Hr 87801 Detect Agnt Mult DNA Ampli CMS Edit

81383 HLA II Typing 1 Allele Hr 88291 Cyto/Molecular Report CMS Edit

81383 HLA II Typing 1 Allele Hr G0476 HPV Combo Assay Ca Screen CMS Edit**81400 Mopath Procedure Level 1 88271 Cytogenetics DNA Probe CMS Edit

81400 Mopath Procedure Level 1 88272 Cytogenetics 3-5 CMS Edit

81400 Mopath Procedure Level 1 88273 Cytogenetics 10-30 CMS Edit

81400 Mopath Procedure Level 1 88274 Cytogenetics 25-99 CMS Edit

81400 Mopath Procedure Level 1 88275 Cytogenetics 100-300 CMS Edit

81400 Mopath Procedure Level 1 88291 Cyto/Molecular Report CMS Edit

81400 Mopath Procedure Level 1 88364 Insitu Hybridization (Fish) CMS Edit

81400 Mopath Procedure Level 1 88365 Insitu Hybridization (Fish) CMS Edit

81400 Mopath Procedure Level 1 88366 Insitu Hybridization (Fish) CMS Edit

81400 Mopath Procedure Level 1 88367 Insitu Hybridization Auto CMS Edit

81400 Mopath Procedure Level 1 88368 Insitu Hybridization Manual CMS Edit

81400 Mopath Procedure Level 1 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81400 Mopath Procedure Level 1 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81400 Mopath Procedure Level 1 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81400 Mopath Procedure Level 1 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81401 Mopath Procedure Level 2 88271 Cytogenetics DNA Probe CMS Edit

81401 Mopath Procedure Level 2 88272 Cytogenetics 3-5 CMS Edit

81401 Mopath Procedure Level 2 88273 Cytogenetics 10-30 CMS Edit

81401 Mopath Procedure Level 2 88274 Cytogenetics 25-99 CMS Edit

81401 Mopath Procedure Level 2 88275 Cytogenetics 100-300 CMS Edit

81401 Mopath Procedure Level 2 88291 Cyto/Molecular Report CMS Edit

81401 Mopath Procedure Level 2 88364 Insitu Hybridization (Fish) CMS Edit

81401 Mopath Procedure Level 2 88365 Insitu Hybridization (Fish) CMS Edit

81401 Mopath Procedure Level 2 88366 Insitu Hybridization (Fish) CMS Edit

81401 Mopath Procedure Level 2 88367 Insitu Hybridization Auto CMS Edit

81401 Mopath Procedure Level 2 88368 Insitu Hybridization Manual CMS Edit

81401 Mopath Procedure Level 2 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

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Code Code Description Code Code Description Source

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81401 Mopath Procedure Level 2 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81401 Mopath Procedure Level 2 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81401 Mopath Procedure Level 2 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81402 Mopath Procedure Level 3 88271 Cytogenetics DNA Probe CMS Edit

81402 Mopath Procedure Level 3 88272 Cytogenetics 3-5 CMS Edit

81402 Mopath Procedure Level 3 88273 Cytogenetics 10-30 CMS Edit

81402 Mopath Procedure Level 3 88274 Cytogenetics 25-99 CMS Edit

81402 Mopath Procedure Level 3 88275 Cytogenetics 100-300 CMS Edit

81402 Mopath Procedure Level 3 88291 Cyto/Molecular Report CMS Edit

81402 Mopath Procedure Level 3 88364 Insitu Hybridization (Fish) CMS Edit

81402 Mopath Procedure Level 3 88365 Insitu Hybridization (Fish) CMS Edit

81402 Mopath Procedure Level 3 88366 Insitu Hybridization (Fish) CMS Edit

81402 Mopath Procedure Level 3 88367 Insitu Hybridization Auto CMS Edit

81402 Mopath Procedure Level 3 88368 Insitu Hybridization Manual CMS Edit

81402 Mopath Procedure Level 3 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81402 Mopath Procedure Level 3 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81402 Mopath Procedure Level 3 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81402 Mopath Procedure Level 3 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81403 Mopath Procedure Level 4 88271 Cytogenetics DNA Probe CMS Edit

81403 Mopath Procedure Level 4 88272 Cytogenetics 3-5 CMS Edit

81403 Mopath Procedure Level 4 88273 Cytogenetics 10-30 CMS Edit

81403 Mopath Procedure Level 4 88274 Cytogenetics 25-99 CMS Edit

81403 Mopath Procedure Level 4 88275 Cytogenetics 100-300 CMS Edit

81403 Mopath Procedure Level 4 88291 Cyto/Molecular Report CMS Edit

81403 Mopath Procedure Level 4 88364 Insitu Hybridization (Fish) CMS Edit

81403 Mopath Procedure Level 4 88365 Insitu Hybridization (Fish) CMS Edit

81403 Mopath Procedure Level 4 88366 Insitu Hybridization (Fish) CMS Edit

81403 Mopath Procedure Level 4 88367 Insitu Hybridization Auto CMS Edit

81403 Mopath Procedure Level 4 88368 Insitu Hybridization Manual CMS Edit

81403 Mopath Procedure Level 4 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81403 Mopath Procedure Level 4 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81403 Mopath Procedure Level 4 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81403 Mopath Procedure Level 4 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81404 Mopath Procedure Level 5 88271 Cytogenetics DNA Probe CMS Edit

81404 Mopath Procedure Level 5 88272 Cytogenetics 3-5 CMS Edit

81404 Mopath Procedure Level 5 88273 Cytogenetics 10-30 CMS Edit

81404 Mopath Procedure Level 5 88274 Cytogenetics 25-99 CMS Edit

81404 Mopath Procedure Level 5 88275 Cytogenetics 100-300 CMS Edit

81404 Mopath Procedure Level 5 88291 Cyto/Molecular Report CMS Edit

81404 Mopath Procedure Level 5 88364 Insitu Hybridization (Fish) CMS Edit

81404 Mopath Procedure Level 5 88365 Insitu Hybridization (Fish) CMS Edit

81404 Mopath Procedure Level 5 88366 Insitu Hybridization (Fish) CMS Edit

81404 Mopath Procedure Level 5 88367 Insitu Hybridization Auto CMS Edit

81404 Mopath Procedure Level 5 88368 Insitu Hybridization Manual CMS Edit

81404 Mopath Procedure Level 5 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81404 Mopath Procedure Level 5 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81404 Mopath Procedure Level 5 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81404 Mopath Procedure Level 5 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81405 Mopath Procedure Level 6 88271 Cytogenetics DNA Probe CMS Edit

81405 Mopath Procedure Level 6 88272 Cytogenetics 3-5 CMS Edit

81405 Mopath Procedure Level 6 88273 Cytogenetics 10-30 CMS Edit

81405 Mopath Procedure Level 6 88274 Cytogenetics 25-99 CMS Edit

81405 Mopath Procedure Level 6 88275 Cytogenetics 100-300 CMS Edit

81405 Mopath Procedure Level 6 88291 Cyto/Molecular Report CMS Edit

81405 Mopath Procedure Level 6 88364 Insitu Hybridization (Fish) CMS Edit

81405 Mopath Procedure Level 6 88365 Insitu Hybridization (Fish) CMS Edit

81405 Mopath Procedure Level 6 88366 Insitu Hybridization (Fish) CMS Edit

81405 Mopath Procedure Level 6 88367 Insitu Hybridization Auto CMS Edit

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Code Code Description Code Code Description Source

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81405 Mopath Procedure Level 6 88368 Insitu Hybridization Manual CMS Edit

81405 Mopath Procedure Level 6 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81405 Mopath Procedure Level 6 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81405 Mopath Procedure Level 6 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81405 Mopath Procedure Level 6 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81406 Mopath Procedure Level 7 88271 Cytogenetics DNA Probe CMS Edit

81406 Mopath Procedure Level 7 88272 Cytogenetics 3-5 CMS Edit

81406 Mopath Procedure Level 7 88273 Cytogenetics 10-30 CMS Edit

81406 Mopath Procedure Level 7 88274 Cytogenetics 25-99 CMS Edit

81406 Mopath Procedure Level 7 88275 Cytogenetics 100-300 CMS Edit

81406 Mopath Procedure Level 7 88291 Cyto/Molecular Report CMS Edit

81406 Mopath Procedure Level 7 88364 Insitu Hybridization (Fish) CMS Edit

81406 Mopath Procedure Level 7 88365 Insitu Hybridization (Fish) CMS Edit

81406 Mopath Procedure Level 7 88366 Insitu Hybridization (Fish) CMS Edit

81406 Mopath Procedure Level 7 88367 Insitu Hybridization Auto CMS Edit

81406 Mopath Procedure Level 7 88368 Insitu Hybridization Manual CMS Edit

81406 Mopath Procedure Level 7 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81406 Mopath Procedure Level 7 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81406 Mopath Procedure Level 7 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81406 Mopath Procedure Level 7 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81407 Mopath Procedure Level 8 88271 Cytogenetics DNA Probe CMS Edit

81407 Mopath Procedure Level 8 88272 Cytogenetics 3-5 CMS Edit

81407 Mopath Procedure Level 8 88273 Cytogenetics 10-30 CMS Edit

81407 Mopath Procedure Level 8 88274 Cytogenetics 25-99 CMS Edit

81407 Mopath Procedure Level 8 88275 Cytogenetics 100-300 CMS Edit

81407 Mopath Procedure Level 8 88291 Cyto/Molecular Report CMS Edit

81407 Mopath Procedure Level 8 88364 Insitu Hybridization (Fish) CMS Edit

81407 Mopath Procedure Level 8 88365 Insitu Hybridization (Fish) CMS Edit

81407 Mopath Procedure Level 8 88366 Insitu Hybridization (Fish) CMS Edit

81407 Mopath Procedure Level 8 88367 Insitu Hybridization Auto CMS Edit

81407 Mopath Procedure Level 8 88368 Insitu Hybridization Manual CMS Edit

81407 Mopath Procedure Level 8 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81407 Mopath Procedure Level 8 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81407 Mopath Procedure Level 8 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81407 Mopath Procedure Level 8 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81408 Mopath Procedure Level 9 88271 Cytogenetics DNA Probe CMS Edit

81408 Mopath Procedure Level 9 88272 Cytogenetics 3-5 CMS Edit

81408 Mopath Procedure Level 9 88273 Cytogenetics 10-30 CMS Edit

81408 Mopath Procedure Level 9 88274 Cytogenetics 25-99 CMS Edit

81408 Mopath Procedure Level 9 88275 Cytogenetics 100-300 CMS Edit

81408 Mopath Procedure Level 9 88291 Cyto/Molecular Report CMS Edit

81408 Mopath Procedure Level 9 88364 Insitu Hybridization (Fish) CMS Edit

81408 Mopath Procedure Level 9 88365 Insitu Hybridization (Fish) CMS Edit

81408 Mopath Procedure Level 9 88366 Insitu Hybridization (Fish) CMS Edit

81408 Mopath Procedure Level 9 88367 Insitu Hybridization Auto CMS Edit

81408 Mopath Procedure Level 9 88368 Insitu Hybridization Manual CMS Edit

81408 Mopath Procedure Level 9 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81408 Mopath Procedure Level 9 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81408 Mopath Procedure Level 9 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81408 Mopath Procedure Level 9 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81410 Aortic Dysfunction/Dilation 81161 DMD Dup/Delet Analysis CMS Edit

81410 Aortic Dysfunction/Dilation 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81410 Aortic Dysfunction/Dilation 81170 ABL1 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81200 ASPA Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81201 APC Gene Full Sequence CMS Edit

81410 Aortic Dysfunction/Dilation 81202 APC Gene Known Fam Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81203 APC Gene Dup/Delet Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81205 BCKDHB Gene CMS Edit

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Code Code Description Code Code Description Source

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81410 Aortic Dysfunction/Dilation 81206 BCR/ABL1 Gene Major Bp CMS Edit

81410 Aortic Dysfunction/Dilation 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81410 Aortic Dysfunction/Dilation 81208 BCR/ABL1 Gene Other Bp CMS Edit

81410 Aortic Dysfunction/Dilation 81209 BLM Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81210 BRAF Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81410 Aortic Dysfunction/Dilation 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81410 Aortic Dysfunction/Dilation 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81410 Aortic Dysfunction/Dilation 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81410 Aortic Dysfunction/Dilation 81215 BRCA1 Gene Known Fam Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81216 BRCA2 Gene Full Sequence CMS Edit

81410 Aortic Dysfunction/Dilation 81217 BRCA2 Gene Known Fam Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81218 Cebpa Gene Full Sequence CMS Edit

81410 Aortic Dysfunction/Dilation 81219 CALR Gene Com Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81220 CFTR Gene Com Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81221 CFTR Gene Known Fam Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81222 CFTR Gene Dup/Delet Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81223 CFTR Gene Full Sequence CMS Edit

81410 Aortic Dysfunction/Dilation 81224 CFTR Gene Intron Poly T CMS Edit

81410 Aortic Dysfunction/Dilation 81225 CYP2C19 Gene Com Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81226 CYP2D6 Gene Com Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81227 CYP2C9 Gene Com Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81235 EGFR Gene Com Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81240 F2 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81241 F5 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81242 FANCC Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81243 FMR1 Gene Detection CMS Edit

81410 Aortic Dysfunction/Dilation 81244 FMR1 Gene Characterization CMS Edit

81410 Aortic Dysfunction/Dilation 81245 FLT3 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81246 FLT3 Gene Analysis CMS Edit

81410 Aortic Dysfunction/Dilation 81250 G6PC Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81251 GBA Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81252 GJB2 Gene Full Sequence CMS Edit

81410 Aortic Dysfunction/Dilation 81253 GJB2 Gene Known Fam Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81254 GJB6 Gene Com Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81255 HEXA Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81256 HFE Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81257 HBA1/HBA2 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81260 IKBKAP Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81261 IGH Gene Rearrange Amp Meth CMS Edit

81410 Aortic Dysfunction/Dilation 81262 IGH Gene Rearrang Dir Probe CMS Edit

81410 Aortic Dysfunction/Dilation 81263 IGH Vari Regional Mutation CMS Edit

81410 Aortic Dysfunction/Dilation 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81410 Aortic Dysfunction/Dilation 81265 STR Markers Specimen Anal CMS Edit

81410 Aortic Dysfunction/Dilation 81266 STR Markers Spec Anal Addl CMS Edit

81410 Aortic Dysfunction/Dilation 81267 Chimerism Anal No Cell Selec CMS Edit

81410 Aortic Dysfunction/Dilation 81268 Chimerism Anal W/Cell Select CMS Edit

81410 Aortic Dysfunction/Dilation 81270 JAK2 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81272 KIT Gene Targeted Seq Analys CMS Edit

81410 Aortic Dysfunction/Dilation 81273 KIT Gene Analys D816 Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81275 KRAS Gene Variants Exon 2 CMS Edit

81410 Aortic Dysfunction/Dilation 81276 KRAS Gene Addl Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81287 MGMT Gene Methylation Anal CMS Edit

81410 Aortic Dysfunction/Dilation 81288 MLH1 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81290 MCOLN1 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81291 MTHFR Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81292 MLH1 Gene Full Seq CMS Edit

81410 Aortic Dysfunction/Dilation 81293 MLH1 Gene Known Variants CMS Edit

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Code Code Description Code Code Description Source

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81410 Aortic Dysfunction/Dilation 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81295 MSH2 Gene Full Seq CMS Edit

81410 Aortic Dysfunction/Dilation 81296 MSH2 Gene Known Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81298 MSH6 Gene Full Seq CMS Edit

81410 Aortic Dysfunction/Dilation 81299 MSH6 Gene Known Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81301 Microsatellite Instability CMS Edit

81410 Aortic Dysfunction/Dilation 81302 MECP2 Gene Full Seq CMS Edit

81410 Aortic Dysfunction/Dilation 81303 MECP2 Gene Known Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81310 NPM1 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81410 Aortic Dysfunction/Dilation 81313 PCA3/KLK3 Antigen CMS Edit

81410 Aortic Dysfunction/Dilation 81314 PDGFRA Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81315 PML/RARalpha Com Breakpoints CMS Edit

81410 Aortic Dysfunction/Dilation 81316 PML/RARalpha 1 Breakpoint CMS Edit

81410 Aortic Dysfunction/Dilation 81317 PMS2 Gene Full Seq Analysis CMS Edit

81410 Aortic Dysfunction/Dilation 81318 PMS2 Known Familial Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81321 PTEN Gene Full Sequence CMS Edit

81410 Aortic Dysfunction/Dilation 81322 PTEN Gene Known Fam Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81323 PTEN Gene Dup/Delet Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81324 PMP22 Gene Dup/Delet CMS Edit

81410 Aortic Dysfunction/Dilation 81325 PMP22 Gene Full Sequence CMS Edit

81410 Aortic Dysfunction/Dilation 81326 PMP22 Gene Known Fam Variant CMS Edit

81410 Aortic Dysfunction/Dilation 81327 SEPT9 Methylation Analysis CMS Edit*81410 Aortic Dysfunction/Dilation 81330 SMPD1 Gene Common Variants CMS Edit

81410 Aortic Dysfunction/Dilation 81331 SNRPN/UBE3A Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81332 SERPINA1 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81340 TRB@ Gene Rearrange Amplify CMS Edit

81410 Aortic Dysfunction/Dilation 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81410 Aortic Dysfunction/Dilation 81342 TRG Gene Rearrangement Anal CMS Edit

81410 Aortic Dysfunction/Dilation 81350 UGT1A1 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81355 VKORC1 Gene CMS Edit

81410 Aortic Dysfunction/Dilation 81400 Mopath Procedure Level 1 CMS Edit

81410 Aortic Dysfunction/Dilation 81401 Mopath Procedure Level 2 CMS Edit

81410 Aortic Dysfunction/Dilation 81402 Mopath Procedure Level 3 CMS Edit

81410 Aortic Dysfunction/Dilation 81403 Mopath Procedure Level 4 CMS Edit

81410 Aortic Dysfunction/Dilation 81404 Mopath Procedure Level 5 CMS Edit

81410 Aortic Dysfunction/Dilation 81405 Mopath Procedure Level 6 CMS Edit

81410 Aortic Dysfunction/Dilation 81406 Mopath Procedure Level 7 CMS Edit

81410 Aortic Dysfunction/Dilation 81407 Mopath Procedure Level 8 CMS Edit

81410 Aortic Dysfunction/Dilation 81408 Mopath Procedure Level 9 CMS Edit

81410 Aortic Dysfunction/Dilation 81493 Cor Artery Disease mRNA CMS Edit

81410 Aortic Dysfunction/Dilation 81504 Oncology Tissue of Origin CMS Edit

81410 Aortic Dysfunction/Dilation 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81410 Aortic Dysfunction/Dilation 81519 Oncology Breast mRNA CMS Edit

81410 Aortic Dysfunction/Dilation 81525 Oncology Colon mRNA CMS Edit

81410 Aortic Dysfunction/Dilation 81528 Oncology Colorectal Scr CMS Edit

81410 Aortic Dysfunction/Dilation 81540 Oncology Tum Unknown Origin CMS Edit

81410 Aortic Dysfunction/Dilation 81545 Oncology Thyroid CMS Edit

81410 Aortic Dysfunction/Dilation 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81410 Aortic Dysfunction/Dilation 88271 Cytogenetics DNA Probe CMS Edit

81410 Aortic Dysfunction/Dilation 88272 Cytogenetics 3-5 CMS Edit

81410 Aortic Dysfunction/Dilation 88273 Cytogenetics 10-30 CMS Edit

81410 Aortic Dysfunction/Dilation 88274 Cytogenetics 25-99 CMS Edit

81410 Aortic Dysfunction/Dilation 88275 Cytogenetics 100-300 CMS Edit

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Code Code Description Code Code Description Source

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81410 Aortic Dysfunction/Dilation 88291 Cyto/Molecular Report CMS Edit

81410 Aortic Dysfunction/Dilation 88364 Insitu Hybridization (Fish) CMS Edit

81410 Aortic Dysfunction/Dilation 88365 Insitu Hybridization (Fish) CMS Edit

81410 Aortic Dysfunction/Dilation 88366 Insitu Hybridization (Fish) CMS Edit

81410 Aortic Dysfunction/Dilation 88367 Insitu Hybridization Auto CMS Edit

81410 Aortic Dysfunction/Dilation 88368 Insitu Hybridization Manual CMS Edit

81410 Aortic Dysfunction/Dilation 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81410 Aortic Dysfunction/Dilation 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81410 Aortic Dysfunction/Dilation 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81410 Aortic Dysfunction/Dilation 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81410 Aortic Dysfunction/Dilation G0452 Molecular Pathology Interpr CMS Edit

81411 Aortic Dysfunction/Dilation 81161 DMD Dup/Delet Analysis CMS Edit

81411 Aortic Dysfunction/Dilation 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81411 Aortic Dysfunction/Dilation 81170 ABL1 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81200 ASPA Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81201 APC Gene Full Sequence CMS Edit

81411 Aortic Dysfunction/Dilation 81202 APC Gene Known Fam Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81203 APC Gene Dup/Delet Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81205 BCKDHB Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81206 BCR/ABL1 Gene Major Bp CMS Edit

81411 Aortic Dysfunction/Dilation 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81411 Aortic Dysfunction/Dilation 81208 BCR/ABL1 Gene Other Bp CMS Edit

81411 Aortic Dysfunction/Dilation 81209 BLM Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81210 BRAF Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81411 Aortic Dysfunction/Dilation 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81411 Aortic Dysfunction/Dilation 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81411 Aortic Dysfunction/Dilation 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81411 Aortic Dysfunction/Dilation 81215 BRCA1 Gene Known Fam Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81216 BRCA2 Gene Full Sequence CMS Edit

81411 Aortic Dysfunction/Dilation 81217 BRCA2 Gene Known Fam Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81218 Cebpa Gene Full Sequence CMS Edit

81411 Aortic Dysfunction/Dilation 81219 CALR Gene Com Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81220 CFTR Gene Com Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81221 CFTR Gene Known Fam Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81222 CFTR Gene Dup/Delet Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81223 CFTR Gene Full Sequence CMS Edit

81411 Aortic Dysfunction/Dilation 81224 CFTR Gene Intron Poly T CMS Edit

81411 Aortic Dysfunction/Dilation 81225 CYP2C19 Gene Com Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81226 CYP2D6 Gene Com Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81227 CYP2C9 Gene Com Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81235 EGFR Gene Com Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81240 F2 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81241 F5 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81242 FANCC Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81243 FMR1 Gene Detection CMS Edit

81411 Aortic Dysfunction/Dilation 81244 FMR1 Gene Characterization CMS Edit

81411 Aortic Dysfunction/Dilation 81245 FLT3 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81246 FLT3 Gene Analysis CMS Edit

81411 Aortic Dysfunction/Dilation 81250 G6PC Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81251 GBA Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81252 GJB2 Gene Full Sequence CMS Edit

81411 Aortic Dysfunction/Dilation 81253 GJB2 Gene Known Fam Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81254 GJB6 Gene Com Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81255 HEXA Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81256 HFE Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81257 HBA1/HBA2 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81260 IKBKAP Gene CMS Edit

Page 230: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81411 Aortic Dysfunction/Dilation 81261 IGH Gene Rearrange Amp Meth CMS Edit

81411 Aortic Dysfunction/Dilation 81262 IGH Gene Rearrang Dir Probe CMS Edit

81411 Aortic Dysfunction/Dilation 81263 IGH Vari Regional Mutation CMS Edit

81411 Aortic Dysfunction/Dilation 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81411 Aortic Dysfunction/Dilation 81265 STR Markers Specimen Anal CMS Edit

81411 Aortic Dysfunction/Dilation 81266 STR Markers Spec Anal Addl CMS Edit

81411 Aortic Dysfunction/Dilation 81267 Chimerism Anal No Cell Selec CMS Edit

81411 Aortic Dysfunction/Dilation 81268 Chimerism Anal W/Cell Select CMS Edit

81411 Aortic Dysfunction/Dilation 81270 JAK2 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81272 KIT Gene Targeted Seq Analys CMS Edit

81411 Aortic Dysfunction/Dilation 81273 KIT Gene Analys D816 Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81275 KRAS Gene Variants Exon 2 CMS Edit

81411 Aortic Dysfunction/Dilation 81276 KRAS Gene Addl Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81287 MGMT Gene Methylation Anal CMS Edit

81411 Aortic Dysfunction/Dilation 81288 MLH1 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81290 MCOLN1 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81291 MTHFR Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81292 MLH1 Gene Full Seq CMS Edit

81411 Aortic Dysfunction/Dilation 81293 MLH1 Gene Known Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81295 MSH2 Gene Full Seq CMS Edit

81411 Aortic Dysfunction/Dilation 81296 MSH2 Gene Known Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81298 MSH6 Gene Full Seq CMS Edit

81411 Aortic Dysfunction/Dilation 81299 MSH6 Gene Known Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81301 Microsatellite Instability CMS Edit

81411 Aortic Dysfunction/Dilation 81302 MECP2 Gene Full Seq CMS Edit

81411 Aortic Dysfunction/Dilation 81303 MECP2 Gene Known Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81310 NPM1 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81411 Aortic Dysfunction/Dilation 81313 PCA3/KLK3 Antigen CMS Edit

81411 Aortic Dysfunction/Dilation 81314 PDGFRA Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81315 PML/RARalpha Com Breakpoints CMS Edit

81411 Aortic Dysfunction/Dilation 81316 PML/RARalpha 1 Breakpoint CMS Edit

81411 Aortic Dysfunction/Dilation 81317 PMS2 Gene Full Seq Analysis CMS Edit

81411 Aortic Dysfunction/Dilation 81318 PMS2 Known Familial Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81321 PTEN Gene Full Sequence CMS Edit

81411 Aortic Dysfunction/Dilation 81322 PTEN Gene Known Fam Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81323 PTEN Gene Dup/Delet Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81324 PMP22 Gene Dup/Delet CMS Edit

81411 Aortic Dysfunction/Dilation 81325 PMP22 Gene Full Sequence CMS Edit

81411 Aortic Dysfunction/Dilation 81326 PMP22 Gene Known Fam Variant CMS Edit

81411 Aortic Dysfunction/Dilation 81327 SEPT9 Methylation Analysis CMS Edit*81411 Aortic Dysfunction/Dilation 81330 SMPD1 Gene Common Variants CMS Edit

81411 Aortic Dysfunction/Dilation 81331 SNRPN/UBE3A Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81332 SERPINA1 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81340 TRB@ Gene Rearrange Amplify CMS Edit

81411 Aortic Dysfunction/Dilation 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81411 Aortic Dysfunction/Dilation 81342 TRG Gene Rearrangement Anal CMS Edit

81411 Aortic Dysfunction/Dilation 81350 UGT1A1 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81355 VKORC1 Gene CMS Edit

81411 Aortic Dysfunction/Dilation 81400 Mopath Procedure Level 1 CMS Edit

81411 Aortic Dysfunction/Dilation 81401 Mopath Procedure Level 2 CMS Edit

81411 Aortic Dysfunction/Dilation 81402 Mopath Procedure Level 3 CMS Edit

81411 Aortic Dysfunction/Dilation 81403 Mopath Procedure Level 4 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81411 Aortic Dysfunction/Dilation 81404 Mopath Procedure Level 5 CMS Edit

81411 Aortic Dysfunction/Dilation 81405 Mopath Procedure Level 6 CMS Edit

81411 Aortic Dysfunction/Dilation 81406 Mopath Procedure Level 7 CMS Edit

81411 Aortic Dysfunction/Dilation 81407 Mopath Procedure Level 8 CMS Edit

81411 Aortic Dysfunction/Dilation 81408 Mopath Procedure Level 9 CMS Edit

81411 Aortic Dysfunction/Dilation 81493 Cor Artery Disease mRNA CMS Edit

81411 Aortic Dysfunction/Dilation 81504 Oncology Tissue of Origin CMS Edit

81411 Aortic Dysfunction/Dilation 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81411 Aortic Dysfunction/Dilation 81519 Oncology Breast mRNA CMS Edit

81411 Aortic Dysfunction/Dilation 81525 Oncology Colon mRNA CMS Edit

81411 Aortic Dysfunction/Dilation 81528 Oncology Colorectal Scr CMS Edit

81411 Aortic Dysfunction/Dilation 81540 Oncology Tum Unknown Origin CMS Edit

81411 Aortic Dysfunction/Dilation 81545 Oncology Thyroid CMS Edit

81411 Aortic Dysfunction/Dilation 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81411 Aortic Dysfunction/Dilation 88271 Cytogenetics DNA Probe CMS Edit

81411 Aortic Dysfunction/Dilation 88272 Cytogenetics 3-5 CMS Edit

81411 Aortic Dysfunction/Dilation 88273 Cytogenetics 10-30 CMS Edit

81411 Aortic Dysfunction/Dilation 88274 Cytogenetics 25-99 CMS Edit

81411 Aortic Dysfunction/Dilation 88275 Cytogenetics 100-300 CMS Edit

81411 Aortic Dysfunction/Dilation 88291 Cyto/Molecular Report CMS Edit

81411 Aortic Dysfunction/Dilation 88364 Insitu Hybridization (Fish) CMS Edit

81411 Aortic Dysfunction/Dilation 88365 Insitu Hybridization (Fish) CMS Edit

81411 Aortic Dysfunction/Dilation 88366 Insitu Hybridization (Fish) CMS Edit

81411 Aortic Dysfunction/Dilation 88367 Insitu Hybridization Auto CMS Edit

81411 Aortic Dysfunction/Dilation 88368 Insitu Hybridization Manual CMS Edit

81411 Aortic Dysfunction/Dilation 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81411 Aortic Dysfunction/Dilation 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81411 Aortic Dysfunction/Dilation 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81411 Aortic Dysfunction/Dilation 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81411 Aortic Dysfunction/Dilation G0452 Molecular Pathology Interpr CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81161 DMD Dup/Delet Analysis CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81170 ABL1 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81200 ASPA Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81201 APC Gene Full Sequence CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81202 APC Gene Known Fam Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81203 APC Gene Dup/Delet Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81205 BCKDHB Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81206 BCR/ABL1 Gene Major Bp CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81208 BCR/ABL1 Gene Other Bp CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81209 BLM Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81210 BRAF Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81215 BRCA1 Gene Known Fam Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81216 BRCA2 Gene Full Sequence CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81217 BRCA2 Gene Known Fam Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81218 Cebpa Gene Full Sequence CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81219 CALR Gene Com Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81220 CFTR Gene Com Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81221 CFTR Gene Known Fam Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81222 CFTR Gene Dup/Delet Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81223 CFTR Gene Full Sequence CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81224 CFTR Gene Intron Poly T CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81225 CYP2C19 Gene Com Variants CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81412 Ashkenazi Jewish Assoc Dis 81226 CYP2D6 Gene Com Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81227 CYP2C9 Gene Com Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81235 EGFR Gene Com Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81240 F2 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81241 F5 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81242 FANCC Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81243 FMR1 Gene Detection CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81244 FMR1 Gene Characterization CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81245 FLT3 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81246 FLT3 Gene Analysis CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81250 G6PC Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81251 GBA Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81252 GJB2 Gene Full Sequence CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81253 GJB2 Gene Known Fam Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81254 GJB6 Gene Com Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81255 HEXA Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81256 HFE Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81257 HBA1/HBA2 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81260 IKBKAP Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81261 IGH Gene Rearrange Amp Meth CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81262 IGH Gene Rearrang Dir Probe CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81263 IGH Vari Regional Mutation CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81265 STR Markers Specimen Anal CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81266 STR Markers Spec Anal Addl CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81267 Chimerism Anal No Cell Selec CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81268 Chimerism Anal W/Cell Select CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81270 JAK2 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81272 KIT Gene Targeted Seq Analys CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81273 KIT Gene Analys D816 Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81275 KRAS Gene Variants Exon 2 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81276 KRAS Gene Addl Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81287 MGMT Gene Methylation Anal CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81288 MLH1 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81290 MCOLN1 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81291 MTHFR Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81292 MLH1 Gene Full Seq CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81293 MLH1 Gene Known Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81295 MSH2 Gene Full Seq CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81296 MSH2 Gene Known Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81298 MSH6 Gene Full Seq CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81299 MSH6 Gene Known Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81301 Microsatellite Instability CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81302 MECP2 Gene Full Seq CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81303 MECP2 Gene Known Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81310 NPM1 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81313 PCA3/KLK3 Antigen CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81314 PDGFRA Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81315 PML/RARalpha Com Breakpoints CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81316 PML/RARalpha 1 Breakpoint CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81317 PMS2 Gene Full Seq Analysis CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81318 PMS2 Known Familial Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81319 PMS2 Gene Dup/Delet Variants CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81412 Ashkenazi Jewish Assoc Dis 81321 PTEN Gene Full Sequence CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81322 PTEN Gene Known Fam Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81323 PTEN Gene Dup/Delet Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81324 PMP22 Gene Dup/Delet CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81325 PMP22 Gene Full Sequence CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81326 PMP22 Gene Known Fam Variant CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81327 SEPT9 Methylation Analysis CMS Edit*81412 Ashkenazi Jewish Assoc Dis 81330 SMPD1 Gene Common Variants CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81331 SNRPN/UBE3A Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81332 SERPINA1 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81340 TRB@ Gene Rearrange Amplify CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81342 TRG Gene Rearrangement Anal CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81350 UGT1A1 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81355 VKORC1 Gene CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81400 Mopath Procedure Level 1 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81401 Mopath Procedure Level 2 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81402 Mopath Procedure Level 3 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81403 Mopath Procedure Level 4 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81404 Mopath Procedure Level 5 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81405 Mopath Procedure Level 6 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81406 Mopath Procedure Level 7 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81407 Mopath Procedure Level 8 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81408 Mopath Procedure Level 9 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81493 Cor Artery Disease mRNA CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81504 Oncology Tissue of Origin CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81519 Oncology Breast mRNA CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81525 Oncology Colon mRNA CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81528 Oncology Colorectal Scr CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81540 Oncology Tum Unknown Origin CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81545 Oncology Thyroid CMS Edit

81412 Ashkenazi Jewish Assoc Dis 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88271 Cytogenetics DNA Probe CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88272 Cytogenetics 3-5 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88273 Cytogenetics 10-30 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88274 Cytogenetics 25-99 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88275 Cytogenetics 100-300 CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88291 Cyto/Molecular Report CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88364 Insitu Hybridization (Fish) CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88365 Insitu Hybridization (Fish) CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88366 Insitu Hybridization (Fish) CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88367 Insitu Hybridization Auto CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88368 Insitu Hybridization Manual CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81412 Ashkenazi Jewish Assoc Dis 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81412 Ashkenazi Jewish Assoc Dis G0452 Molecular Pathology Interpr CMS Edit

81413 Car Ion Chnnlpath Inc 10 Gns 81161 DMD Dup/Delet Analysis CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81170 ABL1 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81200 ASPA Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81201 APC Gene Full Sequence CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81202 APC Gene Known Fam Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81203 APC Gene Dup/Delet Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81205 BCKDHB Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81206 BCR/ABL1 Gene Major Bp CMS Edit*

Page 234: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81413 Car Ion Chnnlpath Inc 10 Gns 81207 BCR/ABL1 Gene Minor Bp CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81208 BCR/ABL1 Gene Other Bp CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81209 BLM Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81210 BRAF Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81212 BRCA1&2 185&5385&6174 Var CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81215 BRCA1 Gene Known Fam Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81216 BRCA2 Gene Full Sequence CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81217 BRCA2 Gene Known Fam Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81218 Cebpa Gene Full Sequence CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81219 CALR Gene Com Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81220 CFTR Gene Com Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81221 CFTR Gene Known Fam Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81222 CFTR Gene Dup/Delet Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81223 CFTR Gene Full Sequence CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81224 CFTR Gene Intron Poly T CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81225 CYP2C19 Gene Com Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81226 CYP2D6 Gene Com Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81227 CYP2C9 Gene Com Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81228 Cytogen Micrarray Copy Nmbr CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81229 Cytogen M Array Copy No&Snp CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81235 EGFR Gene Com Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81240 F2 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81241 F5 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81242 FANCC Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81243 FMR1 Gene Detection CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81244 FMR1 Gene Characterization CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81245 FLT3 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81246 FLT3 Gene Analysis CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81250 G6PC Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81251 GBA Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81252 GJB2 Gene Full Sequence CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81253 GJB2 Gene Known Fam Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81254 GJB6 Gene Com Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81255 HEXA Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81256 HFE Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81257 HBA1/HBA2 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81260 IKBKAP Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81261 IGH Gene Rearrange Amp Meth CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81262 IGH Gene Rearrang Dir Probe CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81263 IGH Vari Regional Mutation CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81264 IGK Rearrangeabn Clonal Pop CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81265 STR Markers Specimen Anal CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81266 STR Markers Spec Anal Addl CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81267 Chimerism Anal No Cell Selec CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81268 Chimerism Anal W/Cell Select CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81270 JAK2 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81272 KIT Gene Targeted Seq Analys CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81273 KIT Gene Analys D816 Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81275 KRAS Gene Variants Exon 2 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81276 KRAS Gene Addl Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81287 MGMT Gene Methylation Anal CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81288 MLH1 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81290 MCOLN1 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81291 MTHFR Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81292 MLH1 Gene Full Seq CMS Edit*

Page 235: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81413 Car Ion Chnnlpath Inc 10 Gns 81293 MLH1 Gene Known Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81294 MLH1 Gene Dup/Delete Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81295 MSH2 Gene Full Seq CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81296 MSH2 Gene Known Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81297 MSH2 Gene Dup/Delete Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81298 MSH6 Gene Full Seq CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81299 MSH6 Gene Known Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81300 MSH6 Gene Dup/Delete Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81301 Microsatellite Instability CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81302 MECP2 Gene Full Seq CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81303 MECP2 Gene Known Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81304 MECP2 Gene Dup/Delet Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81310 NPM1 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81311 NRAS Gene Variants Exon 2&3 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81313 PCA3/KLK3 Antigen CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81314 PDGFRA Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81315 PML/RARalpha Com Breakpoints CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81316 PML/RARalpha 1 Breakpoint CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81317 PMS2 Gene Full Seq Analysis CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81318 PMS2 Known Familial Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81319 PMS2 Gene Dup/Delet Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81321 PTEN Gene Full Sequence CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81322 PTEN Gene Known Fam Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81323 PTEN Gene Dup/Delet Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81324 PMP22 Gene Dup/Delet CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81325 PMP22 Gene Full Sequence CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81326 PMP22 Gene Known Fam Variant CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81327 SEPT9 Methylation Analysis CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81330 SMPD1 Gene Common Variants CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81331 SNRPN/UBE3A Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81332 SERPINA1 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81340 TRB@ Gene Rearrange Amplify CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81341 TRB@ Gene Rearrange Dirprobe CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81342 TRG Gene Rearrangement Anal CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81350 UGT1A1 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81355 VKORC1 Gene CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81400 Mopath Procedure Level 1 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81401 Mopath Procedure Level 2 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81402 Mopath Procedure Level 3 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81403 Mopath Procedure Level 4 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81404 Mopath Procedure Level 5 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81405 Mopath Procedure Level 6 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81406 Mopath Procedure Level 7 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81407 Mopath Procedure Level 8 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81408 Mopath Procedure Level 9 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81493 Cor Artery Disease mRNA CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81504 Oncology Tissue of Origin CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81507 Fetal Aneuploidy Trisom Risk CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81519 Oncology Breast mRNA CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81525 Oncology Colon mRNA CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81540 Oncology Tum Unknown Origin CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81545 Oncology Thyroid CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 81595 Cardiology Hrt Trnspl mRNA CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88271 Cytogenetics DNA Probe CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88272 Cytogenetics 3-5 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88273 Cytogenetics 10-30 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88274 Cytogenetics 25-99 CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88275 Cytogenetics 100-300 CMS Edit*

Page 236: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81413 Car Ion Chnnlpath Inc 10 Gns 88291 Cyto/Molecular Report CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88364 Insitu Hybridization (Fish) CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88365 Insitu Hybridization (Fish) CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88366 Insitu Hybridization (Fish) CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88367 Insitu Hybridization Auto CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88368 Insitu Hybridization Manual CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88369 M/Phmtrc Alysishquant/Semiq CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81413 Car Ion Chnnlpath Inc 10 Gns G0452 Molecular Pathology Interpr CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81161 DMD Dup/Delet Analysis CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81170 ABL1 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81200 ASPA Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81201 APC Gene Full Sequence CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81202 APC Gene Known Fam Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81203 APC Gene Dup/Delet Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81205 BCKDHB Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81206 BCR/ABL1 Gene Major Bp CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81207 BCR/ABL1 Gene Minor Bp CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81208 BCR/ABL1 Gene Other Bp CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81209 BLM Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81210 BRAF Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81212 BRCA1&2 185&5385&6174 Var CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81215 BRCA1 Gene Known Fam Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81216 BRCA2 Gene Full Sequence CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81217 BRCA2 Gene Known Fam Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81218 Cebpa Gene Full Sequence CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81219 CALR Gene Com Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81220 CFTR Gene Com Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81221 CFTR Gene Known Fam Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81222 CFTR Gene Dup/Delet Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81223 CFTR Gene Full Sequence CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81224 CFTR Gene Intron Poly T CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81225 CYP2C19 Gene Com Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81226 CYP2D6 Gene Com Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81227 CYP2C9 Gene Com Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81228 Cytogen Micrarray Copy Nmbr CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81229 Cytogen M Array Copy No&Snp CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81235 EGFR Gene Com Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81240 F2 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81241 F5 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81242 FANCC Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81243 FMR1 Gene Detection CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81244 FMR1 Gene Characterization CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81245 FLT3 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81246 FLT3 Gene Analysis CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81250 G6PC Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81251 GBA Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81252 GJB2 Gene Full Sequence CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81253 GJB2 Gene Known Fam Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81254 GJB6 Gene Com Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81255 HEXA Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81256 HFE Gene CMS Edit*

Page 237: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81414 Car Ion Chnnlpath Inc 2 Gns 81257 HBA1/HBA2 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81260 IKBKAP Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81261 IGH Gene Rearrange Amp Meth CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81262 IGH Gene Rearrang Dir Probe CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81263 IGH Vari Regional Mutation CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81264 IGK Rearrangeabn Clonal Pop CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81265 STR Markers Specimen Anal CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81266 STR Markers Spec Anal Addl CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81267 Chimerism Anal No Cell Selec CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81268 Chimerism Anal W/Cell Select CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81270 JAK2 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81272 KIT Gene Targeted Seq Analys CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81273 KIT Gene Analys D816 Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81275 KRAS Gene Variants Exon 2 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81276 KRAS Gene Addl Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81287 MGMT Gene Methylation Anal CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81288 MLH1 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81290 MCOLN1 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81291 MTHFR Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81292 MLH1 Gene Full Seq CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81293 MLH1 Gene Known Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81294 MLH1 Gene Dup/Delete Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81295 MSH2 Gene Full Seq CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81296 MSH2 Gene Known Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81297 MSH2 Gene Dup/Delete Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81298 MSH6 Gene Full Seq CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81299 MSH6 Gene Known Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81300 MSH6 Gene Dup/Delete Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81301 Microsatellite Instability CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81302 MECP2 Gene Full Seq CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81303 MECP2 Gene Known Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81304 MECP2 Gene Dup/Delet Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81310 NPM1 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81311 NRAS Gene Variants Exon 2&3 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81313 PCA3/KLK3 Antigen CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81314 PDGFRA Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81315 PML/RARalpha Com Breakpoints CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81316 PML/RARalpha 1 Breakpoint CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81317 PMS2 Gene Full Seq Analysis CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81318 PMS2 Known Familial Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81319 PMS2 Gene Dup/Delet Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81321 PTEN Gene Full Sequence CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81322 PTEN Gene Known Fam Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81323 PTEN Gene Dup/Delet Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81324 PMP22 Gene Dup/Delet CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81325 PMP22 Gene Full Sequence CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81326 PMP22 Gene Known Fam Variant CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81327 SEPT9 Methylation Analysis CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81330 SMPD1 Gene Common Variants CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81331 SNRPN/UBE3A Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81332 SERPINA1 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81340 TRB@ Gene Rearrange Amplify CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81341 TRB@ Gene Rearrange Dirprobe CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81342 TRG Gene Rearrangement Anal CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81350 UGT1A1 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81355 VKORC1 Gene CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81400 Mopath Procedure Level 1 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81401 Mopath Procedure Level 2 CMS Edit*

Page 238: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81414 Car Ion Chnnlpath Inc 2 Gns 81402 Mopath Procedure Level 3 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81403 Mopath Procedure Level 4 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81404 Mopath Procedure Level 5 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81405 Mopath Procedure Level 6 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81406 Mopath Procedure Level 7 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81407 Mopath Procedure Level 8 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81408 Mopath Procedure Level 9 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81493 Cor Artery Disease mRNA CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81504 Oncology Tissue of Origin CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81507 Fetal Aneuploidy Trisom Risk CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81519 Oncology Breast mRNA CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81525 Oncology Colon mRNA CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81540 Oncology Tum Unknown Origin CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81545 Oncology Thyroid CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 81595 Cardiology Hrt Trnspl mRNA CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88271 Cytogenetics DNA Probe CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88272 Cytogenetics 3-5 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88273 Cytogenetics 10-30 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88274 Cytogenetics 25-99 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88275 Cytogenetics 100-300 CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88291 Cyto/Molecular Report CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88364 Insitu Hybridization (Fish) CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88365 Insitu Hybridization (Fish) CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88366 Insitu Hybridization (Fish) CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88367 Insitu Hybridization Auto CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88368 Insitu Hybridization Manual CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88369 M/Phmtrc Alysishquant/Semiq CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81414 Car Ion Chnnlpath Inc 2 Gns G0452 Molecular Pathology Interpr CMS Edit*81415 Exome Sequence Analysis 81161 DMD Dup/Delet Analysis CMS Edit

81415 Exome Sequence Analysis 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81415 Exome Sequence Analysis 81170 ABL1 Gene CMS Edit

81415 Exome Sequence Analysis 81200 ASPA Gene CMS Edit

81415 Exome Sequence Analysis 81201 APC Gene Full Sequence CMS Edit

81415 Exome Sequence Analysis 81202 APC Gene Known Fam Variants CMS Edit

81415 Exome Sequence Analysis 81203 APC Gene Dup/Delet Variants CMS Edit

81415 Exome Sequence Analysis 81205 BCKDHB Gene CMS Edit

81415 Exome Sequence Analysis 81206 BCR/ABL1 Gene Major Bp CMS Edit

81415 Exome Sequence Analysis 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81415 Exome Sequence Analysis 81208 BCR/ABL1 Gene Other Bp CMS Edit

81415 Exome Sequence Analysis 81209 BLM Gene CMS Edit

81415 Exome Sequence Analysis 81210 BRAF Gene CMS Edit

81415 Exome Sequence Analysis 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81415 Exome Sequence Analysis 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81415 Exome Sequence Analysis 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81415 Exome Sequence Analysis 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81415 Exome Sequence Analysis 81215 BRCA1 Gene Known Fam Variant CMS Edit

81415 Exome Sequence Analysis 81216 BRCA2 Gene Full Sequence CMS Edit

81415 Exome Sequence Analysis 81217 BRCA2 Gene Known Fam Variant CMS Edit

81415 Exome Sequence Analysis 81218 Cebpa Gene Full Sequence CMS Edit

81415 Exome Sequence Analysis 81219 CALR Gene Com Variants CMS Edit

81415 Exome Sequence Analysis 81220 CFTR Gene Com Variants CMS Edit

81415 Exome Sequence Analysis 81221 CFTR Gene Known Fam Variants CMS Edit

81415 Exome Sequence Analysis 81222 CFTR Gene Dup/Delet Variants CMS Edit

81415 Exome Sequence Analysis 81223 CFTR Gene Full Sequence CMS Edit

81415 Exome Sequence Analysis 81224 CFTR Gene Intron Poly T CMS Edit

Page 239: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81415 Exome Sequence Analysis 81225 CYP2C19 Gene Com Variants CMS Edit

81415 Exome Sequence Analysis 81226 CYP2D6 Gene Com Variants CMS Edit

81415 Exome Sequence Analysis 81227 CYP2C9 Gene Com Variants CMS Edit

81415 Exome Sequence Analysis 81235 EGFR Gene Com Variants CMS Edit

81415 Exome Sequence Analysis 81240 F2 Gene CMS Edit

81415 Exome Sequence Analysis 81241 F5 Gene CMS Edit

81415 Exome Sequence Analysis 81242 FANCC Gene CMS Edit

81415 Exome Sequence Analysis 81243 FMR1 Gene Detection CMS Edit

81415 Exome Sequence Analysis 81244 FMR1 Gene Characterization CMS Edit

81415 Exome Sequence Analysis 81245 FLT3 Gene CMS Edit

81415 Exome Sequence Analysis 81246 FLT3 Gene Analysis CMS Edit

81415 Exome Sequence Analysis 81250 G6PC Gene CMS Edit

81415 Exome Sequence Analysis 81251 GBA Gene CMS Edit

81415 Exome Sequence Analysis 81252 GJB2 Gene Full Sequence CMS Edit

81415 Exome Sequence Analysis 81253 GJB2 Gene Known Fam Variants CMS Edit

81415 Exome Sequence Analysis 81254 GJB6 Gene Com Variants CMS Edit

81415 Exome Sequence Analysis 81255 HEXA Gene CMS Edit

81415 Exome Sequence Analysis 81256 HFE Gene CMS Edit

81415 Exome Sequence Analysis 81257 HBA1/HBA2 Gene CMS Edit

81415 Exome Sequence Analysis 81260 IKBKAP Gene CMS Edit

81415 Exome Sequence Analysis 81261 IGH Gene Rearrange Amp Meth CMS Edit

81415 Exome Sequence Analysis 81262 IGH Gene Rearrang Dir Probe CMS Edit

81415 Exome Sequence Analysis 81263 IGH Vari Regional Mutation CMS Edit

81415 Exome Sequence Analysis 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81415 Exome Sequence Analysis 81265 STR Markers Specimen Anal CMS Edit

81415 Exome Sequence Analysis 81266 STR Markers Spec Anal Addl CMS Edit

81415 Exome Sequence Analysis 81267 Chimerism Anal No Cell Selec CMS Edit

81415 Exome Sequence Analysis 81268 Chimerism Anal W/Cell Select CMS Edit

81415 Exome Sequence Analysis 81270 JAK2 Gene CMS Edit

81415 Exome Sequence Analysis 81272 KIT Gene Targeted Seq Analys CMS Edit

81415 Exome Sequence Analysis 81273 KIT Gene Analys D816 Variant CMS Edit

81415 Exome Sequence Analysis 81275 KRAS Gene Variants Exon 2 CMS Edit

81415 Exome Sequence Analysis 81276 KRAS Gene Addl Variants CMS Edit

81415 Exome Sequence Analysis 81287 MGMT Gene Methylation Anal CMS Edit

81415 Exome Sequence Analysis 81288 MLH1 Gene CMS Edit

81415 Exome Sequence Analysis 81290 MCOLN1 Gene CMS Edit

81415 Exome Sequence Analysis 81291 MTHFR Gene CMS Edit

81415 Exome Sequence Analysis 81292 MLH1 Gene Full Seq CMS Edit

81415 Exome Sequence Analysis 81293 MLH1 Gene Known Variants CMS Edit

81415 Exome Sequence Analysis 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81415 Exome Sequence Analysis 81295 MSH2 Gene Full Seq CMS Edit

81415 Exome Sequence Analysis 81296 MSH2 Gene Known Variants CMS Edit

81415 Exome Sequence Analysis 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81415 Exome Sequence Analysis 81298 MSH6 Gene Full Seq CMS Edit

81415 Exome Sequence Analysis 81299 MSH6 Gene Known Variants CMS Edit

81415 Exome Sequence Analysis 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81415 Exome Sequence Analysis 81301 Microsatellite Instability CMS Edit

81415 Exome Sequence Analysis 81302 MECP2 Gene Full Seq CMS Edit

81415 Exome Sequence Analysis 81303 MECP2 Gene Known Variant CMS Edit

81415 Exome Sequence Analysis 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81415 Exome Sequence Analysis 81310 NPM1 Gene CMS Edit

81415 Exome Sequence Analysis 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81415 Exome Sequence Analysis 81313 PCA3/KLK3 Antigen CMS Edit

81415 Exome Sequence Analysis 81314 PDGFRA Gene CMS Edit

81415 Exome Sequence Analysis 81315 PML/RARalpha Com Breakpoints CMS Edit

81415 Exome Sequence Analysis 81316 PML/RARalpha 1 Breakpoint CMS Edit

81415 Exome Sequence Analysis 81317 PMS2 Gene Full Seq Analysis CMS Edit

81415 Exome Sequence Analysis 81318 PMS2 Known Familial Variants CMS Edit

Page 240: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81415 Exome Sequence Analysis 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81415 Exome Sequence Analysis 81321 PTEN Gene Full Sequence CMS Edit

81415 Exome Sequence Analysis 81322 PTEN Gene Known Fam Variant CMS Edit

81415 Exome Sequence Analysis 81323 PTEN Gene Dup/Delet Variant CMS Edit

81415 Exome Sequence Analysis 81324 PMP22 Gene Dup/Delet CMS Edit

81415 Exome Sequence Analysis 81325 PMP22 Gene Full Sequence CMS Edit

81415 Exome Sequence Analysis 81326 PMP22 Gene Known Fam Variant CMS Edit

81415 Exome Sequence Analysis 81327 SEPT9 Methylation Analysis CMS Edit*81415 Exome Sequence Analysis 81330 SMPD1 Gene Common Variants CMS Edit

81415 Exome Sequence Analysis 81331 SNRPN/UBE3A Gene CMS Edit

81415 Exome Sequence Analysis 81332 SERPINA1 Gene CMS Edit

81415 Exome Sequence Analysis 81340 TRB@ Gene Rearrange Amplify CMS Edit

81415 Exome Sequence Analysis 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81415 Exome Sequence Analysis 81342 TRG Gene Rearrangement Anal CMS Edit

81415 Exome Sequence Analysis 81350 UGT1A1 Gene CMS Edit

81415 Exome Sequence Analysis 81355 VKORC1 Gene CMS Edit

81415 Exome Sequence Analysis 81400 Mopath Procedure Level 1 CMS Edit

81415 Exome Sequence Analysis 81401 Mopath Procedure Level 2 CMS Edit

81415 Exome Sequence Analysis 81402 Mopath Procedure Level 3 CMS Edit

81415 Exome Sequence Analysis 81403 Mopath Procedure Level 4 CMS Edit

81415 Exome Sequence Analysis 81404 Mopath Procedure Level 5 CMS Edit

81415 Exome Sequence Analysis 81405 Mopath Procedure Level 6 CMS Edit

81415 Exome Sequence Analysis 81406 Mopath Procedure Level 7 CMS Edit

81415 Exome Sequence Analysis 81407 Mopath Procedure Level 8 CMS Edit

81415 Exome Sequence Analysis 81408 Mopath Procedure Level 9 CMS Edit

81415 Exome Sequence Analysis 81493 Cor Artery Disease mRNA CMS Edit

81415 Exome Sequence Analysis 81504 Oncology Tissue of Origin CMS Edit

81415 Exome Sequence Analysis 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81415 Exome Sequence Analysis 81519 Oncology Breast mRNA CMS Edit

81415 Exome Sequence Analysis 81525 Oncology Colon mRNA CMS Edit

81415 Exome Sequence Analysis 81528 Oncology Colorectal Scr CMS Edit

81415 Exome Sequence Analysis 81540 Oncology Tum Unknown Origin CMS Edit

81415 Exome Sequence Analysis 81545 Oncology Thyroid CMS Edit

81415 Exome Sequence Analysis 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81415 Exome Sequence Analysis 88271 Cytogenetics DNA Probe CMS Edit

81415 Exome Sequence Analysis 88272 Cytogenetics 3-5 CMS Edit

81415 Exome Sequence Analysis 88273 Cytogenetics 10-30 CMS Edit

81415 Exome Sequence Analysis 88274 Cytogenetics 25-99 CMS Edit

81415 Exome Sequence Analysis 88275 Cytogenetics 100-300 CMS Edit

81415 Exome Sequence Analysis 88291 Cyto/Molecular Report CMS Edit

81415 Exome Sequence Analysis 88364 Insitu Hybridization (Fish) CMS Edit

81415 Exome Sequence Analysis 88365 Insitu Hybridization (Fish) CMS Edit

81415 Exome Sequence Analysis 88366 Insitu Hybridization (Fish) CMS Edit

81415 Exome Sequence Analysis 88367 Insitu Hybridization Auto CMS Edit

81415 Exome Sequence Analysis 88368 Insitu Hybridization Manual CMS Edit

81415 Exome Sequence Analysis 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81415 Exome Sequence Analysis 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81415 Exome Sequence Analysis 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81415 Exome Sequence Analysis 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81415 Exome Sequence Analysis G0452 Molecular Pathology Interpr CMS Edit

81416 Exome Sequence Analysis 81161 DMD Dup/Delet Analysis CMS Edit

81416 Exome Sequence Analysis 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81416 Exome Sequence Analysis 81170 ABL1 Gene CMS Edit

81416 Exome Sequence Analysis 81200 ASPA Gene CMS Edit

81416 Exome Sequence Analysis 81201 APC Gene Full Sequence CMS Edit

81416 Exome Sequence Analysis 81202 APC Gene Known Fam Variants CMS Edit

81416 Exome Sequence Analysis 81203 APC Gene Dup/Delet Variants CMS Edit

81416 Exome Sequence Analysis 81205 BCKDHB Gene CMS Edit

Page 241: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81416 Exome Sequence Analysis 81206 BCR/ABL1 Gene Major Bp CMS Edit

81416 Exome Sequence Analysis 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81416 Exome Sequence Analysis 81208 BCR/ABL1 Gene Other Bp CMS Edit

81416 Exome Sequence Analysis 81209 BLM Gene CMS Edit

81416 Exome Sequence Analysis 81210 BRAF Gene CMS Edit

81416 Exome Sequence Analysis 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81416 Exome Sequence Analysis 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81416 Exome Sequence Analysis 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81416 Exome Sequence Analysis 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81416 Exome Sequence Analysis 81215 BRCA1 Gene Known Fam Variant CMS Edit

81416 Exome Sequence Analysis 81216 BRCA2 Gene Full Sequence CMS Edit

81416 Exome Sequence Analysis 81217 BRCA2 Gene Known Fam Variant CMS Edit

81416 Exome Sequence Analysis 81218 Cebpa Gene Full Sequence CMS Edit

81416 Exome Sequence Analysis 81219 CALR Gene Com Variants CMS Edit

81416 Exome Sequence Analysis 81220 CFTR Gene Com Variants CMS Edit

81416 Exome Sequence Analysis 81221 CFTR Gene Known Fam Variants CMS Edit

81416 Exome Sequence Analysis 81222 CFTR Gene Dup/Delet Variants CMS Edit

81416 Exome Sequence Analysis 81223 CFTR Gene Full Sequence CMS Edit

81416 Exome Sequence Analysis 81224 CFTR Gene Intron Poly T CMS Edit

81416 Exome Sequence Analysis 81225 CYP2C19 Gene Com Variants CMS Edit

81416 Exome Sequence Analysis 81226 CYP2D6 Gene Com Variants CMS Edit

81416 Exome Sequence Analysis 81227 CYP2C9 Gene Com Variants CMS Edit

81416 Exome Sequence Analysis 81235 EGFR Gene Com Variants CMS Edit

81416 Exome Sequence Analysis 81240 F2 Gene CMS Edit

81416 Exome Sequence Analysis 81241 F5 Gene CMS Edit

81416 Exome Sequence Analysis 81242 FANCC Gene CMS Edit

81416 Exome Sequence Analysis 81243 FMR1 Gene Detection CMS Edit

81416 Exome Sequence Analysis 81244 FMR1 Gene Characterization CMS Edit

81416 Exome Sequence Analysis 81245 FLT3 Gene CMS Edit

81416 Exome Sequence Analysis 81246 FLT3 Gene Analysis CMS Edit

81416 Exome Sequence Analysis 81250 G6PC Gene CMS Edit

81416 Exome Sequence Analysis 81251 GBA Gene CMS Edit

81416 Exome Sequence Analysis 81252 GJB2 Gene Full Sequence CMS Edit

81416 Exome Sequence Analysis 81253 GJB2 Gene Known Fam Variants CMS Edit

81416 Exome Sequence Analysis 81254 GJB6 Gene Com Variants CMS Edit

81416 Exome Sequence Analysis 81255 HEXA Gene CMS Edit

81416 Exome Sequence Analysis 81256 HFE Gene CMS Edit

81416 Exome Sequence Analysis 81257 HBA1/HBA2 Gene CMS Edit

81416 Exome Sequence Analysis 81260 IKBKAP Gene CMS Edit

81416 Exome Sequence Analysis 81261 IGH Gene Rearrange Amp Meth CMS Edit

81416 Exome Sequence Analysis 81262 IGH Gene Rearrang Dir Probe CMS Edit

81416 Exome Sequence Analysis 81263 IGH Vari Regional Mutation CMS Edit

81416 Exome Sequence Analysis 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81416 Exome Sequence Analysis 81265 STR Markers Specimen Anal CMS Edit

81416 Exome Sequence Analysis 81266 STR Markers Spec Anal Addl CMS Edit

81416 Exome Sequence Analysis 81267 Chimerism Anal No Cell Selec CMS Edit

81416 Exome Sequence Analysis 81268 Chimerism Anal W/Cell Select CMS Edit

81416 Exome Sequence Analysis 81270 JAK2 Gene CMS Edit

81416 Exome Sequence Analysis 81272 KIT Gene Targeted Seq Analys CMS Edit

81416 Exome Sequence Analysis 81273 KIT Gene Analys D816 Variant CMS Edit

81416 Exome Sequence Analysis 81275 KRAS Gene Variants Exon 2 CMS Edit

81416 Exome Sequence Analysis 81276 KRAS Gene Addl Variants CMS Edit

81416 Exome Sequence Analysis 81287 MGMT Gene Methylation Anal CMS Edit

81416 Exome Sequence Analysis 81288 MLH1 Gene CMS Edit

81416 Exome Sequence Analysis 81290 MCOLN1 Gene CMS Edit

81416 Exome Sequence Analysis 81291 MTHFR Gene CMS Edit

81416 Exome Sequence Analysis 81292 MLH1 Gene Full Seq CMS Edit

81416 Exome Sequence Analysis 81293 MLH1 Gene Known Variants CMS Edit

Page 242: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81416 Exome Sequence Analysis 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81416 Exome Sequence Analysis 81295 MSH2 Gene Full Seq CMS Edit

81416 Exome Sequence Analysis 81296 MSH2 Gene Known Variants CMS Edit

81416 Exome Sequence Analysis 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81416 Exome Sequence Analysis 81298 MSH6 Gene Full Seq CMS Edit

81416 Exome Sequence Analysis 81299 MSH6 Gene Known Variants CMS Edit

81416 Exome Sequence Analysis 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81416 Exome Sequence Analysis 81301 Microsatellite Instability CMS Edit

81416 Exome Sequence Analysis 81302 MECP2 Gene Full Seq CMS Edit

81416 Exome Sequence Analysis 81303 MECP2 Gene Known Variant CMS Edit

81416 Exome Sequence Analysis 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81416 Exome Sequence Analysis 81310 NPM1 Gene CMS Edit

81416 Exome Sequence Analysis 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81416 Exome Sequence Analysis 81313 PCA3/KLK3 Antigen CMS Edit

81416 Exome Sequence Analysis 81314 PDGFRA Gene CMS Edit

81416 Exome Sequence Analysis 81315 PML/RARalpha Com Breakpoints CMS Edit

81416 Exome Sequence Analysis 81316 PML/RARalpha 1 Breakpoint CMS Edit

81416 Exome Sequence Analysis 81317 PMS2 Gene Full Seq Analysis CMS Edit

81416 Exome Sequence Analysis 81318 PMS2 Known Familial Variants CMS Edit

81416 Exome Sequence Analysis 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81416 Exome Sequence Analysis 81321 PTEN Gene Full Sequence CMS Edit

81416 Exome Sequence Analysis 81322 PTEN Gene Known Fam Variant CMS Edit

81416 Exome Sequence Analysis 81323 PTEN Gene Dup/Delet Variant CMS Edit

81416 Exome Sequence Analysis 81324 PMP22 Gene Dup/Delet CMS Edit

81416 Exome Sequence Analysis 81325 PMP22 Gene Full Sequence CMS Edit

81416 Exome Sequence Analysis 81326 PMP22 Gene Known Fam Variant CMS Edit

81416 Exome Sequence Analysis 81327 SEPT9 Methylation Analysis CMS Edit*81416 Exome Sequence Analysis 81330 SMPD1 Gene Common Variants CMS Edit

81416 Exome Sequence Analysis 81331 SNRPN/UBE3A Gene CMS Edit

81416 Exome Sequence Analysis 81332 SERPINA1 Gene CMS Edit

81416 Exome Sequence Analysis 81340 TRB@ Gene Rearrange Amplify CMS Edit

81416 Exome Sequence Analysis 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81416 Exome Sequence Analysis 81342 TRG Gene Rearrangement Anal CMS Edit

81416 Exome Sequence Analysis 81350 UGT1A1 Gene CMS Edit

81416 Exome Sequence Analysis 81355 VKORC1 Gene CMS Edit

81416 Exome Sequence Analysis 81400 Mopath Procedure Level 1 CMS Edit

81416 Exome Sequence Analysis 81401 Mopath Procedure Level 2 CMS Edit

81416 Exome Sequence Analysis 81402 Mopath Procedure Level 3 CMS Edit

81416 Exome Sequence Analysis 81403 Mopath Procedure Level 4 CMS Edit

81416 Exome Sequence Analysis 81404 Mopath Procedure Level 5 CMS Edit

81416 Exome Sequence Analysis 81405 Mopath Procedure Level 6 CMS Edit

81416 Exome Sequence Analysis 81406 Mopath Procedure Level 7 CMS Edit

81416 Exome Sequence Analysis 81407 Mopath Procedure Level 8 CMS Edit

81416 Exome Sequence Analysis 81408 Mopath Procedure Level 9 CMS Edit

81416 Exome Sequence Analysis 81493 Cor Artery Disease mRNA CMS Edit

81416 Exome Sequence Analysis 81504 Oncology Tissue of Origin CMS Edit

81416 Exome Sequence Analysis 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81416 Exome Sequence Analysis 81519 Oncology Breast mRNA CMS Edit

81416 Exome Sequence Analysis 81525 Oncology Colon mRNA CMS Edit

81416 Exome Sequence Analysis 81528 Oncology Colorectal Scr CMS Edit

81416 Exome Sequence Analysis 81540 Oncology Tum Unknown Origin CMS Edit

81416 Exome Sequence Analysis 81545 Oncology Thyroid CMS Edit

81416 Exome Sequence Analysis 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81416 Exome Sequence Analysis 88271 Cytogenetics DNA Probe CMS Edit

81416 Exome Sequence Analysis 88272 Cytogenetics 3-5 CMS Edit

81416 Exome Sequence Analysis 88273 Cytogenetics 10-30 CMS Edit

81416 Exome Sequence Analysis 88274 Cytogenetics 25-99 CMS Edit

81416 Exome Sequence Analysis 88275 Cytogenetics 100-300 CMS Edit

Page 243: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81416 Exome Sequence Analysis 88291 Cyto/Molecular Report CMS Edit

81416 Exome Sequence Analysis 88364 Insitu Hybridization (Fish) CMS Edit

81416 Exome Sequence Analysis 88365 Insitu Hybridization (Fish) CMS Edit

81416 Exome Sequence Analysis 88366 Insitu Hybridization (Fish) CMS Edit

81416 Exome Sequence Analysis 88367 Insitu Hybridization Auto CMS Edit

81416 Exome Sequence Analysis 88368 Insitu Hybridization Manual CMS Edit

81416 Exome Sequence Analysis 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81416 Exome Sequence Analysis 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81416 Exome Sequence Analysis 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81416 Exome Sequence Analysis 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81416 Exome Sequence Analysis G0452 Molecular Pathology Interpr CMS Edit

81417 Exome Re-Evaluation 81161 DMD Dup/Delet Analysis CMS Edit

81417 Exome Re-Evaluation 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81417 Exome Re-Evaluation 81170 ABL1 Gene CMS Edit

81417 Exome Re-Evaluation 81200 ASPA Gene CMS Edit

81417 Exome Re-Evaluation 81201 APC Gene Full Sequence CMS Edit

81417 Exome Re-Evaluation 81202 APC Gene Known Fam Variants CMS Edit

81417 Exome Re-Evaluation 81203 APC Gene Dup/Delet Variants CMS Edit

81417 Exome Re-Evaluation 81205 BCKDHB Gene CMS Edit

81417 Exome Re-Evaluation 81206 BCR/ABL1 Gene Major Bp CMS Edit

81417 Exome Re-Evaluation 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81417 Exome Re-Evaluation 81208 BCR/ABL1 Gene Other Bp CMS Edit

81417 Exome Re-Evaluation 81209 BLM Gene CMS Edit

81417 Exome Re-Evaluation 81210 BRAF Gene CMS Edit

81417 Exome Re-Evaluation 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81417 Exome Re-Evaluation 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81417 Exome Re-Evaluation 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81417 Exome Re-Evaluation 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81417 Exome Re-Evaluation 81215 BRCA1 Gene Known Fam Variant CMS Edit

81417 Exome Re-Evaluation 81216 BRCA2 Gene Full Sequence CMS Edit

81417 Exome Re-Evaluation 81217 BRCA2 Gene Known Fam Variant CMS Edit

81417 Exome Re-Evaluation 81218 Cebpa Gene Full Sequence CMS Edit

81417 Exome Re-Evaluation 81219 CALR Gene Com Variants CMS Edit

81417 Exome Re-Evaluation 81220 CFTR Gene Com Variants CMS Edit

81417 Exome Re-Evaluation 81221 CFTR Gene Known Fam Variants CMS Edit

81417 Exome Re-Evaluation 81222 CFTR Gene Dup/Delet Variants CMS Edit

81417 Exome Re-Evaluation 81223 CFTR Gene Full Sequence CMS Edit

81417 Exome Re-Evaluation 81224 CFTR Gene Intron Poly T CMS Edit

81417 Exome Re-Evaluation 81225 CYP2C19 Gene Com Variants CMS Edit

81417 Exome Re-Evaluation 81226 CYP2D6 Gene Com Variants CMS Edit

81417 Exome Re-Evaluation 81227 CYP2C9 Gene Com Variants CMS Edit

81417 Exome Re-Evaluation 81235 EGFR Gene Com Variants CMS Edit

81417 Exome Re-Evaluation 81240 F2 Gene CMS Edit

81417 Exome Re-Evaluation 81241 F5 Gene CMS Edit

81417 Exome Re-Evaluation 81242 FANCC Gene CMS Edit

81417 Exome Re-Evaluation 81243 FMR1 Gene Detection CMS Edit

81417 Exome Re-Evaluation 81244 FMR1 Gene Characterization CMS Edit

81417 Exome Re-Evaluation 81245 FLT3 Gene CMS Edit

81417 Exome Re-Evaluation 81246 FLT3 Gene Analysis CMS Edit

81417 Exome Re-Evaluation 81250 G6PC Gene CMS Edit

81417 Exome Re-Evaluation 81251 GBA Gene CMS Edit

81417 Exome Re-Evaluation 81252 GJB2 Gene Full Sequence CMS Edit

81417 Exome Re-Evaluation 81253 GJB2 Gene Known Fam Variants CMS Edit

81417 Exome Re-Evaluation 81254 GJB6 Gene Com Variants CMS Edit

81417 Exome Re-Evaluation 81255 HEXA Gene CMS Edit

81417 Exome Re-Evaluation 81256 HFE Gene CMS Edit

81417 Exome Re-Evaluation 81257 HBA1/HBA2 Gene CMS Edit

81417 Exome Re-Evaluation 81260 IKBKAP Gene CMS Edit

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Code Code Description Code Code Description Source

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81417 Exome Re-Evaluation 81261 IGH Gene Rearrange Amp Meth CMS Edit

81417 Exome Re-Evaluation 81262 IGH Gene Rearrang Dir Probe CMS Edit

81417 Exome Re-Evaluation 81263 IGH Vari Regional Mutation CMS Edit

81417 Exome Re-Evaluation 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81417 Exome Re-Evaluation 81265 STR Markers Specimen Anal CMS Edit

81417 Exome Re-Evaluation 81266 STR Markers Spec Anal Addl CMS Edit

81417 Exome Re-Evaluation 81267 Chimerism Anal No Cell Selec CMS Edit

81417 Exome Re-Evaluation 81268 Chimerism Anal W/Cell Select CMS Edit

81417 Exome Re-Evaluation 81270 JAK2 Gene CMS Edit

81417 Exome Re-Evaluation 81272 KIT Gene Targeted Seq Analys CMS Edit

81417 Exome Re-Evaluation 81273 KIT Gene Analys D816 Variant CMS Edit

81417 Exome Re-Evaluation 81275 KRAS Gene Variants Exon 2 CMS Edit

81417 Exome Re-Evaluation 81276 KRAS Gene Addl Variants CMS Edit

81417 Exome Re-Evaluation 81287 MGMT Gene Methylation Anal CMS Edit

81417 Exome Re-Evaluation 81288 MLH1 Gene CMS Edit

81417 Exome Re-Evaluation 81290 MCOLN1 Gene CMS Edit

81417 Exome Re-Evaluation 81291 MTHFR Gene CMS Edit

81417 Exome Re-Evaluation 81292 MLH1 Gene Full Seq CMS Edit

81417 Exome Re-Evaluation 81293 MLH1 Gene Known Variants CMS Edit

81417 Exome Re-Evaluation 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81417 Exome Re-Evaluation 81295 MSH2 Gene Full Seq CMS Edit

81417 Exome Re-Evaluation 81296 MSH2 Gene Known Variants CMS Edit

81417 Exome Re-Evaluation 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81417 Exome Re-Evaluation 81298 MSH6 Gene Full Seq CMS Edit

81417 Exome Re-Evaluation 81299 MSH6 Gene Known Variants CMS Edit

81417 Exome Re-Evaluation 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81417 Exome Re-Evaluation 81301 Microsatellite Instability CMS Edit

81417 Exome Re-Evaluation 81302 MECP2 Gene Full Seq CMS Edit

81417 Exome Re-Evaluation 81303 MECP2 Gene Known Variant CMS Edit

81417 Exome Re-Evaluation 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81417 Exome Re-Evaluation 81310 NPM1 Gene CMS Edit

81417 Exome Re-Evaluation 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81417 Exome Re-Evaluation 81313 PCA3/KLK3 Antigen CMS Edit

81417 Exome Re-Evaluation 81314 PDGFRA Gene CMS Edit

81417 Exome Re-Evaluation 81315 PML/RARalpha Com Breakpoints CMS Edit

81417 Exome Re-Evaluation 81316 PML/RARalpha 1 Breakpoint CMS Edit

81417 Exome Re-Evaluation 81317 PMS2 Gene Full Seq Analysis CMS Edit

81417 Exome Re-Evaluation 81318 PMS2 Known Familial Variants CMS Edit

81417 Exome Re-Evaluation 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81417 Exome Re-Evaluation 81321 PTEN Gene Full Sequence CMS Edit

81417 Exome Re-Evaluation 81322 PTEN Gene Known Fam Variant CMS Edit

81417 Exome Re-Evaluation 81323 PTEN Gene Dup/Delet Variant CMS Edit

81417 Exome Re-Evaluation 81324 PMP22 Gene Dup/Delet CMS Edit

81417 Exome Re-Evaluation 81325 PMP22 Gene Full Sequence CMS Edit

81417 Exome Re-Evaluation 81326 PMP22 Gene Known Fam Variant CMS Edit

81417 Exome Re-Evaluation 81327 SEPT9 Methylation Analysis CMS Edit*81417 Exome Re-Evaluation 81330 SMPD1 Gene Common Variants CMS Edit

81417 Exome Re-Evaluation 81331 SNRPN/UBE3A Gene CMS Edit

81417 Exome Re-Evaluation 81332 SERPINA1 Gene CMS Edit

81417 Exome Re-Evaluation 81340 TRB@ Gene Rearrange Amplify CMS Edit

81417 Exome Re-Evaluation 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81417 Exome Re-Evaluation 81342 TRG Gene Rearrangement Anal CMS Edit

81417 Exome Re-Evaluation 81350 UGT1A1 Gene CMS Edit

81417 Exome Re-Evaluation 81355 VKORC1 Gene CMS Edit

81417 Exome Re-Evaluation 81400 Mopath Procedure Level 1 CMS Edit

81417 Exome Re-Evaluation 81401 Mopath Procedure Level 2 CMS Edit

81417 Exome Re-Evaluation 81402 Mopath Procedure Level 3 CMS Edit

81417 Exome Re-Evaluation 81403 Mopath Procedure Level 4 CMS Edit

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Code Code Description Code Code Description Source

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81417 Exome Re-Evaluation 81404 Mopath Procedure Level 5 CMS Edit

81417 Exome Re-Evaluation 81405 Mopath Procedure Level 6 CMS Edit

81417 Exome Re-Evaluation 81406 Mopath Procedure Level 7 CMS Edit

81417 Exome Re-Evaluation 81407 Mopath Procedure Level 8 CMS Edit

81417 Exome Re-Evaluation 81408 Mopath Procedure Level 9 CMS Edit

81417 Exome Re-Evaluation 81493 Cor Artery Disease mRNA CMS Edit

81417 Exome Re-Evaluation 81504 Oncology Tissue of Origin CMS Edit

81417 Exome Re-Evaluation 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81417 Exome Re-Evaluation 81519 Oncology Breast mRNA CMS Edit

81417 Exome Re-Evaluation 81525 Oncology Colon mRNA CMS Edit

81417 Exome Re-Evaluation 81528 Oncology Colorectal Scr CMS Edit

81417 Exome Re-Evaluation 81540 Oncology Tum Unknown Origin CMS Edit

81417 Exome Re-Evaluation 81545 Oncology Thyroid CMS Edit

81417 Exome Re-Evaluation 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81417 Exome Re-Evaluation 88271 Cytogenetics DNA Probe CMS Edit

81417 Exome Re-Evaluation 88272 Cytogenetics 3-5 CMS Edit

81417 Exome Re-Evaluation 88273 Cytogenetics 10-30 CMS Edit

81417 Exome Re-Evaluation 88274 Cytogenetics 25-99 CMS Edit

81417 Exome Re-Evaluation 88275 Cytogenetics 100-300 CMS Edit

81417 Exome Re-Evaluation 88291 Cyto/Molecular Report CMS Edit

81417 Exome Re-Evaluation 88364 Insitu Hybridization (Fish) CMS Edit

81417 Exome Re-Evaluation 88365 Insitu Hybridization (Fish) CMS Edit

81417 Exome Re-Evaluation 88366 Insitu Hybridization (Fish) CMS Edit

81417 Exome Re-Evaluation 88367 Insitu Hybridization Auto CMS Edit

81417 Exome Re-Evaluation 88368 Insitu Hybridization Manual CMS Edit

81417 Exome Re-Evaluation 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81417 Exome Re-Evaluation 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81417 Exome Re-Evaluation 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81417 Exome Re-Evaluation 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81417 Exome Re-Evaluation G0452 Molecular Pathology Interpr CMS Edit

81420 Fetal Chrmoml Aneuploidy 81161 DMD Dup/Delet Analysis CMS Edit

81420 Fetal Chrmoml Aneuploidy 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81420 Fetal Chrmoml Aneuploidy 81170 ABL1 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81200 ASPA Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81201 APC Gene Full Sequence CMS Edit

81420 Fetal Chrmoml Aneuploidy 81202 APC Gene Known Fam Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81203 APC Gene Dup/Delet Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81205 BCKDHB Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81206 BCR/ABL1 Gene Major Bp CMS Edit

81420 Fetal Chrmoml Aneuploidy 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81420 Fetal Chrmoml Aneuploidy 81208 BCR/ABL1 Gene Other Bp CMS Edit

81420 Fetal Chrmoml Aneuploidy 81209 BLM Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81210 BRAF Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81420 Fetal Chrmoml Aneuploidy 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81420 Fetal Chrmoml Aneuploidy 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81420 Fetal Chrmoml Aneuploidy 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81420 Fetal Chrmoml Aneuploidy 81215 BRCA1 Gene Known Fam Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81216 BRCA2 Gene Full Sequence CMS Edit

81420 Fetal Chrmoml Aneuploidy 81217 BRCA2 Gene Known Fam Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81218 Cebpa Gene Full Sequence CMS Edit

81420 Fetal Chrmoml Aneuploidy 81219 CALR Gene Com Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81220 CFTR Gene Com Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81221 CFTR Gene Known Fam Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81222 CFTR Gene Dup/Delet Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81223 CFTR Gene Full Sequence CMS Edit

81420 Fetal Chrmoml Aneuploidy 81224 CFTR Gene Intron Poly T CMS Edit

81420 Fetal Chrmoml Aneuploidy 81225 CYP2C19 Gene Com Variants CMS Edit

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Code Code Description Code Code Description Source

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81420 Fetal Chrmoml Aneuploidy 81226 CYP2D6 Gene Com Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81227 CYP2C9 Gene Com Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81235 EGFR Gene Com Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81240 F2 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81241 F5 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81242 FANCC Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81243 FMR1 Gene Detection CMS Edit

81420 Fetal Chrmoml Aneuploidy 81244 FMR1 Gene Characterization CMS Edit

81420 Fetal Chrmoml Aneuploidy 81245 FLT3 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81246 FLT3 Gene Analysis CMS Edit

81420 Fetal Chrmoml Aneuploidy 81250 G6PC Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81251 GBA Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81252 GJB2 Gene Full Sequence CMS Edit

81420 Fetal Chrmoml Aneuploidy 81253 GJB2 Gene Known Fam Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81254 GJB6 Gene Com Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81255 HEXA Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81256 HFE Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81257 HBA1/HBA2 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81260 IKBKAP Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81261 IGH Gene Rearrange Amp Meth CMS Edit

81420 Fetal Chrmoml Aneuploidy 81262 IGH Gene Rearrang Dir Probe CMS Edit

81420 Fetal Chrmoml Aneuploidy 81263 IGH Vari Regional Mutation CMS Edit

81420 Fetal Chrmoml Aneuploidy 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81420 Fetal Chrmoml Aneuploidy 81265 STR Markers Specimen Anal CMS Edit

81420 Fetal Chrmoml Aneuploidy 81266 STR Markers Spec Anal Addl CMS Edit

81420 Fetal Chrmoml Aneuploidy 81267 Chimerism Anal No Cell Selec CMS Edit

81420 Fetal Chrmoml Aneuploidy 81268 Chimerism Anal W/Cell Select CMS Edit

81420 Fetal Chrmoml Aneuploidy 81270 JAK2 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81272 KIT Gene Targeted Seq Analys CMS Edit

81420 Fetal Chrmoml Aneuploidy 81273 KIT Gene Analys D816 Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81275 KRAS Gene Variants Exon 2 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81276 KRAS Gene Addl Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81287 MGMT Gene Methylation Anal CMS Edit

81420 Fetal Chrmoml Aneuploidy 81288 MLH1 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81290 MCOLN1 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81291 MTHFR Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81292 MLH1 Gene Full Seq CMS Edit

81420 Fetal Chrmoml Aneuploidy 81293 MLH1 Gene Known Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81295 MSH2 Gene Full Seq CMS Edit

81420 Fetal Chrmoml Aneuploidy 81296 MSH2 Gene Known Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81298 MSH6 Gene Full Seq CMS Edit

81420 Fetal Chrmoml Aneuploidy 81299 MSH6 Gene Known Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81301 Microsatellite Instability CMS Edit

81420 Fetal Chrmoml Aneuploidy 81302 MECP2 Gene Full Seq CMS Edit

81420 Fetal Chrmoml Aneuploidy 81303 MECP2 Gene Known Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81310 NPM1 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81313 PCA3/KLK3 Antigen CMS Edit

81420 Fetal Chrmoml Aneuploidy 81314 PDGFRA Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81315 PML/RARalpha Com Breakpoints CMS Edit

81420 Fetal Chrmoml Aneuploidy 81316 PML/RARalpha 1 Breakpoint CMS Edit

81420 Fetal Chrmoml Aneuploidy 81317 PMS2 Gene Full Seq Analysis CMS Edit

81420 Fetal Chrmoml Aneuploidy 81318 PMS2 Known Familial Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81319 PMS2 Gene Dup/Delet Variants CMS Edit

Page 247: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81420 Fetal Chrmoml Aneuploidy 81321 PTEN Gene Full Sequence CMS Edit

81420 Fetal Chrmoml Aneuploidy 81322 PTEN Gene Known Fam Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81323 PTEN Gene Dup/Delet Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81324 PMP22 Gene Dup/Delet CMS Edit

81420 Fetal Chrmoml Aneuploidy 81325 PMP22 Gene Full Sequence CMS Edit

81420 Fetal Chrmoml Aneuploidy 81326 PMP22 Gene Known Fam Variant CMS Edit

81420 Fetal Chrmoml Aneuploidy 81327 SEPT9 Methylation Analysis CMS Edit*81420 Fetal Chrmoml Aneuploidy 81330 SMPD1 Gene Common Variants CMS Edit

81420 Fetal Chrmoml Aneuploidy 81331 SNRPN/UBE3A Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81332 SERPINA1 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81340 TRB@ Gene Rearrange Amplify CMS Edit

81420 Fetal Chrmoml Aneuploidy 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81420 Fetal Chrmoml Aneuploidy 81342 TRG Gene Rearrangement Anal CMS Edit

81420 Fetal Chrmoml Aneuploidy 81350 UGT1A1 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81355 VKORC1 Gene CMS Edit

81420 Fetal Chrmoml Aneuploidy 81400 Mopath Procedure Level 1 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81401 Mopath Procedure Level 2 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81402 Mopath Procedure Level 3 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81403 Mopath Procedure Level 4 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81404 Mopath Procedure Level 5 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81405 Mopath Procedure Level 6 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81406 Mopath Procedure Level 7 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81407 Mopath Procedure Level 8 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81408 Mopath Procedure Level 9 CMS Edit

81420 Fetal Chrmoml Aneuploidy 81493 Cor Artery Disease mRNA CMS Edit

81420 Fetal Chrmoml Aneuploidy 81504 Oncology Tissue of Origin CMS Edit

81420 Fetal Chrmoml Aneuploidy 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81420 Fetal Chrmoml Aneuploidy 81519 Oncology Breast mRNA CMS Edit

81420 Fetal Chrmoml Aneuploidy 81525 Oncology Colon mRNA CMS Edit

81420 Fetal Chrmoml Aneuploidy 81528 Oncology Colorectal Scr CMS Edit

81420 Fetal Chrmoml Aneuploidy 81540 Oncology Tum Unknown Origin CMS Edit

81420 Fetal Chrmoml Aneuploidy 81545 Oncology Thyroid CMS Edit

81420 Fetal Chrmoml Aneuploidy 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81420 Fetal Chrmoml Aneuploidy 88271 Cytogenetics DNA Probe CMS Edit

81420 Fetal Chrmoml Aneuploidy 88272 Cytogenetics 3-5 CMS Edit

81420 Fetal Chrmoml Aneuploidy 88273 Cytogenetics 10-30 CMS Edit

81420 Fetal Chrmoml Aneuploidy 88274 Cytogenetics 25-99 CMS Edit

81420 Fetal Chrmoml Aneuploidy 88275 Cytogenetics 100-300 CMS Edit

81420 Fetal Chrmoml Aneuploidy 88291 Cyto/Molecular Report CMS Edit

81420 Fetal Chrmoml Aneuploidy 88364 Insitu Hybridization (Fish) CMS Edit

81420 Fetal Chrmoml Aneuploidy 88365 Insitu Hybridization (Fish) CMS Edit

81420 Fetal Chrmoml Aneuploidy 88366 Insitu Hybridization (Fish) CMS Edit

81420 Fetal Chrmoml Aneuploidy 88367 Insitu Hybridization Auto CMS Edit

81420 Fetal Chrmoml Aneuploidy 88368 Insitu Hybridization Manual CMS Edit

81420 Fetal Chrmoml Aneuploidy 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81420 Fetal Chrmoml Aneuploidy 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81420 Fetal Chrmoml Aneuploidy 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81420 Fetal Chrmoml Aneuploidy 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81420 Fetal Chrmoml Aneuploidy 0009M #N/A eviCore Edit

81420 Fetal Chrmoml Aneuploidy G0452 Molecular Pathology Interpr CMS Edit

81422 Fetal Chrmoml Microdeltj 81161 DMD Dup/Delet Analysis CMS Edit*

81422 Fetal Chrmoml Microdeltj 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit*

81422 Fetal Chrmoml Microdeltj 81170 ABL1 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81200 ASPA Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81201 APC Gene Full Sequence CMS Edit*

81422 Fetal Chrmoml Microdeltj 81202 APC Gene Known Fam Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81203 APC Gene Dup/Delet Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81205 BCKDHB Gene CMS Edit*

Page 248: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81422 Fetal Chrmoml Microdeltj 81206 BCR/ABL1 Gene Major Bp CMS Edit*

81422 Fetal Chrmoml Microdeltj 81207 BCR/ABL1 Gene Minor Bp CMS Edit*

81422 Fetal Chrmoml Microdeltj 81208 BCR/ABL1 Gene Other Bp CMS Edit*

81422 Fetal Chrmoml Microdeltj 81209 BLM Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81210 BRAF Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit*

81422 Fetal Chrmoml Microdeltj 81212 BRCA1&2 185&5385&6174 Var CMS Edit*

81422 Fetal Chrmoml Microdeltj 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit*

81422 Fetal Chrmoml Microdeltj 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit*

81422 Fetal Chrmoml Microdeltj 81215 BRCA1 Gene Known Fam Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81216 BRCA2 Gene Full Sequence CMS Edit*

81422 Fetal Chrmoml Microdeltj 81217 BRCA2 Gene Known Fam Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81218 Cebpa Gene Full Sequence CMS Edit*

81422 Fetal Chrmoml Microdeltj 81219 CALR Gene Com Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81220 CFTR Gene Com Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81221 CFTR Gene Known Fam Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81222 CFTR Gene Dup/Delet Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81223 CFTR Gene Full Sequence CMS Edit*

81422 Fetal Chrmoml Microdeltj 81224 CFTR Gene Intron Poly T CMS Edit*

81422 Fetal Chrmoml Microdeltj 81225 CYP2C19 Gene Com Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81226 CYP2D6 Gene Com Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81227 CYP2C9 Gene Com Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81228 Cytogen Micrarray Copy Nmbr CMS Edit*

81422 Fetal Chrmoml Microdeltj 81229 Cytogen M Array Copy No&Snp CMS Edit*

81422 Fetal Chrmoml Microdeltj 81235 EGFR Gene Com Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81240 F2 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81241 F5 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81242 FANCC Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81243 FMR1 Gene Detection CMS Edit*

81422 Fetal Chrmoml Microdeltj 81244 FMR1 Gene Characterization CMS Edit*

81422 Fetal Chrmoml Microdeltj 81245 FLT3 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81246 FLT3 Gene Analysis CMS Edit*

81422 Fetal Chrmoml Microdeltj 81250 G6PC Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81251 GBA Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81252 GJB2 Gene Full Sequence CMS Edit*

81422 Fetal Chrmoml Microdeltj 81253 GJB2 Gene Known Fam Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81254 GJB6 Gene Com Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81255 HEXA Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81256 HFE Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81257 HBA1/HBA2 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81260 IKBKAP Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81261 IGH Gene Rearrange Amp Meth CMS Edit*

81422 Fetal Chrmoml Microdeltj 81262 IGH Gene Rearrang Dir Probe CMS Edit*

81422 Fetal Chrmoml Microdeltj 81263 IGH Vari Regional Mutation CMS Edit*

81422 Fetal Chrmoml Microdeltj 81264 IGK Rearrangeabn Clonal Pop CMS Edit*

81422 Fetal Chrmoml Microdeltj 81265 STR Markers Specimen Anal CMS Edit*

81422 Fetal Chrmoml Microdeltj 81266 STR Markers Spec Anal Addl CMS Edit*

81422 Fetal Chrmoml Microdeltj 81267 Chimerism Anal No Cell Selec CMS Edit*

81422 Fetal Chrmoml Microdeltj 81268 Chimerism Anal W/Cell Select CMS Edit*

81422 Fetal Chrmoml Microdeltj 81270 JAK2 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81272 KIT Gene Targeted Seq Analys CMS Edit*

81422 Fetal Chrmoml Microdeltj 81273 KIT Gene Analys D816 Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81275 KRAS Gene Variants Exon 2 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81276 KRAS Gene Addl Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81287 MGMT Gene Methylation Anal CMS Edit*

81422 Fetal Chrmoml Microdeltj 81288 MLH1 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81290 MCOLN1 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81291 MTHFR Gene CMS Edit*

Page 249: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81422 Fetal Chrmoml Microdeltj 81292 MLH1 Gene Full Seq CMS Edit*

81422 Fetal Chrmoml Microdeltj 81293 MLH1 Gene Known Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81294 MLH1 Gene Dup/Delete Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81295 MSH2 Gene Full Seq CMS Edit*

81422 Fetal Chrmoml Microdeltj 81296 MSH2 Gene Known Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81297 MSH2 Gene Dup/Delete Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81298 MSH6 Gene Full Seq CMS Edit*

81422 Fetal Chrmoml Microdeltj 81299 MSH6 Gene Known Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81300 MSH6 Gene Dup/Delete Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81301 Microsatellite Instability CMS Edit*

81422 Fetal Chrmoml Microdeltj 81302 MECP2 Gene Full Seq CMS Edit*

81422 Fetal Chrmoml Microdeltj 81303 MECP2 Gene Known Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81304 MECP2 Gene Dup/Delet Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81310 NPM1 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81311 NRAS Gene Variants Exon 2&3 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81313 PCA3/KLK3 Antigen CMS Edit*

81422 Fetal Chrmoml Microdeltj 81314 PDGFRA Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81315 PML/RARalpha Com Breakpoints CMS Edit*

81422 Fetal Chrmoml Microdeltj 81316 PML/RARalpha 1 Breakpoint CMS Edit*

81422 Fetal Chrmoml Microdeltj 81317 PMS2 Gene Full Seq Analysis CMS Edit*

81422 Fetal Chrmoml Microdeltj 81318 PMS2 Known Familial Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81319 PMS2 Gene Dup/Delet Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81321 PTEN Gene Full Sequence CMS Edit*

81422 Fetal Chrmoml Microdeltj 81322 PTEN Gene Known Fam Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81323 PTEN Gene Dup/Delet Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81324 PMP22 Gene Dup/Delet CMS Edit*

81422 Fetal Chrmoml Microdeltj 81325 PMP22 Gene Full Sequence CMS Edit*

81422 Fetal Chrmoml Microdeltj 81326 PMP22 Gene Known Fam Variant CMS Edit*

81422 Fetal Chrmoml Microdeltj 81327 SEPT9 Methylation Analysis CMS Edit*

81422 Fetal Chrmoml Microdeltj 81330 SMPD1 Gene Common Variants CMS Edit*

81422 Fetal Chrmoml Microdeltj 81331 SNRPN/UBE3A Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81332 SERPINA1 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81340 TRB@ Gene Rearrange Amplify CMS Edit*

81422 Fetal Chrmoml Microdeltj 81341 TRB@ Gene Rearrange Dirprobe CMS Edit*

81422 Fetal Chrmoml Microdeltj 81342 TRG Gene Rearrangement Anal CMS Edit*

81422 Fetal Chrmoml Microdeltj 81350 UGT1A1 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81355 VKORC1 Gene CMS Edit*

81422 Fetal Chrmoml Microdeltj 81400 Mopath Procedure Level 1 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81401 Mopath Procedure Level 2 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81402 Mopath Procedure Level 3 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81403 Mopath Procedure Level 4 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81404 Mopath Procedure Level 5 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81405 Mopath Procedure Level 6 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81406 Mopath Procedure Level 7 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81407 Mopath Procedure Level 8 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81408 Mopath Procedure Level 9 CMS Edit*

81422 Fetal Chrmoml Microdeltj 81493 Cor Artery Disease mRNA CMS Edit*

81422 Fetal Chrmoml Microdeltj 81504 Oncology Tissue of Origin CMS Edit*

81422 Fetal Chrmoml Microdeltj 81507 Fetal Aneuploidy Trisom Risk CMS Edit*

81422 Fetal Chrmoml Microdeltj 81519 Oncology Breast mRNA CMS Edit*

81422 Fetal Chrmoml Microdeltj 81525 Oncology Colon mRNA CMS Edit*

81422 Fetal Chrmoml Microdeltj 81540 Oncology Tum Unknown Origin CMS Edit*

81422 Fetal Chrmoml Microdeltj 81545 Oncology Thyroid CMS Edit*

81422 Fetal Chrmoml Microdeltj 81595 Cardiology Hrt Trnspl mRNA CMS Edit*

81422 Fetal Chrmoml Microdeltj 88271 Cytogenetics DNA Probe CMS Edit*

81422 Fetal Chrmoml Microdeltj 88272 Cytogenetics 3-5 CMS Edit*

81422 Fetal Chrmoml Microdeltj 88273 Cytogenetics 10-30 CMS Edit*

81422 Fetal Chrmoml Microdeltj 88274 Cytogenetics 25-99 CMS Edit*

Page 250: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81422 Fetal Chrmoml Microdeltj 88275 Cytogenetics 100-300 CMS Edit*

81422 Fetal Chrmoml Microdeltj 88291 Cyto/Molecular Report CMS Edit*

81422 Fetal Chrmoml Microdeltj 88364 Insitu Hybridization (Fish) CMS Edit*

81422 Fetal Chrmoml Microdeltj 88365 Insitu Hybridization (Fish) CMS Edit*

81422 Fetal Chrmoml Microdeltj 88366 Insitu Hybridization (Fish) CMS Edit*

81422 Fetal Chrmoml Microdeltj 88367 Insitu Hybridization Auto CMS Edit*

81422 Fetal Chrmoml Microdeltj 88368 Insitu Hybridization Manual CMS Edit*

81422 Fetal Chrmoml Microdeltj 88369 M/Phmtrc Alysishquant/Semiq CMS Edit*

81422 Fetal Chrmoml Microdeltj 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81422 Fetal Chrmoml Microdeltj 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81422 Fetal Chrmoml Microdeltj 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81422 Fetal Chrmoml Microdeltj G0452 Molecular Pathology Interpr CMS Edit*81425 Genome Sequence Analysis 81161 DMD Dup/Delet Analysis CMS Edit

81425 Genome Sequence Analysis 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81425 Genome Sequence Analysis 81170 ABL1 Gene CMS Edit

81425 Genome Sequence Analysis 81200 ASPA Gene CMS Edit

81425 Genome Sequence Analysis 81201 APC Gene Full Sequence CMS Edit

81425 Genome Sequence Analysis 81202 APC Gene Known Fam Variants CMS Edit

81425 Genome Sequence Analysis 81203 APC Gene Dup/Delet Variants CMS Edit

81425 Genome Sequence Analysis 81205 BCKDHB Gene CMS Edit

81425 Genome Sequence Analysis 81206 BCR/ABL1 Gene Major Bp CMS Edit

81425 Genome Sequence Analysis 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81425 Genome Sequence Analysis 81208 BCR/ABL1 Gene Other Bp CMS Edit

81425 Genome Sequence Analysis 81209 BLM Gene CMS Edit

81425 Genome Sequence Analysis 81210 BRAF Gene CMS Edit

81425 Genome Sequence Analysis 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81425 Genome Sequence Analysis 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81425 Genome Sequence Analysis 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81425 Genome Sequence Analysis 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81425 Genome Sequence Analysis 81215 BRCA1 Gene Known Fam Variant CMS Edit

81425 Genome Sequence Analysis 81216 BRCA2 Gene Full Sequence CMS Edit

81425 Genome Sequence Analysis 81217 BRCA2 Gene Known Fam Variant CMS Edit

81425 Genome Sequence Analysis 81218 Cebpa Gene Full Sequence CMS Edit

81425 Genome Sequence Analysis 81219 CALR Gene Com Variants CMS Edit

81425 Genome Sequence Analysis 81220 CFTR Gene Com Variants CMS Edit

81425 Genome Sequence Analysis 81221 CFTR Gene Known Fam Variants CMS Edit

81425 Genome Sequence Analysis 81222 CFTR Gene Dup/Delet Variants CMS Edit

81425 Genome Sequence Analysis 81223 CFTR Gene Full Sequence CMS Edit

81425 Genome Sequence Analysis 81224 CFTR Gene Intron Poly T CMS Edit

81425 Genome Sequence Analysis 81225 CYP2C19 Gene Com Variants CMS Edit

81425 Genome Sequence Analysis 81226 CYP2D6 Gene Com Variants CMS Edit

81425 Genome Sequence Analysis 81227 CYP2C9 Gene Com Variants CMS Edit

81425 Genome Sequence Analysis 81235 EGFR Gene Com Variants CMS Edit

81425 Genome Sequence Analysis 81240 F2 Gene CMS Edit

81425 Genome Sequence Analysis 81241 F5 Gene CMS Edit

81425 Genome Sequence Analysis 81242 FANCC Gene CMS Edit

81425 Genome Sequence Analysis 81243 FMR1 Gene Detection CMS Edit

81425 Genome Sequence Analysis 81244 FMR1 Gene Characterization CMS Edit

81425 Genome Sequence Analysis 81245 FLT3 Gene CMS Edit

81425 Genome Sequence Analysis 81246 FLT3 Gene Analysis CMS Edit

81425 Genome Sequence Analysis 81250 G6PC Gene CMS Edit

81425 Genome Sequence Analysis 81251 GBA Gene CMS Edit

81425 Genome Sequence Analysis 81252 GJB2 Gene Full Sequence CMS Edit

81425 Genome Sequence Analysis 81253 GJB2 Gene Known Fam Variants CMS Edit

81425 Genome Sequence Analysis 81254 GJB6 Gene Com Variants CMS Edit

81425 Genome Sequence Analysis 81255 HEXA Gene CMS Edit

81425 Genome Sequence Analysis 81256 HFE Gene CMS Edit

81425 Genome Sequence Analysis 81257 HBA1/HBA2 Gene CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81425 Genome Sequence Analysis 81260 IKBKAP Gene CMS Edit

81425 Genome Sequence Analysis 81261 IGH Gene Rearrange Amp Meth CMS Edit

81425 Genome Sequence Analysis 81262 IGH Gene Rearrang Dir Probe CMS Edit

81425 Genome Sequence Analysis 81263 IGH Vari Regional Mutation CMS Edit

81425 Genome Sequence Analysis 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81425 Genome Sequence Analysis 81265 STR Markers Specimen Anal CMS Edit

81425 Genome Sequence Analysis 81266 STR Markers Spec Anal Addl CMS Edit

81425 Genome Sequence Analysis 81267 Chimerism Anal No Cell Selec CMS Edit

81425 Genome Sequence Analysis 81268 Chimerism Anal W/Cell Select CMS Edit

81425 Genome Sequence Analysis 81270 JAK2 Gene CMS Edit

81425 Genome Sequence Analysis 81272 KIT Gene Targeted Seq Analys CMS Edit

81425 Genome Sequence Analysis 81273 KIT Gene Analys D816 Variant CMS Edit

81425 Genome Sequence Analysis 81275 KRAS Gene Variants Exon 2 CMS Edit

81425 Genome Sequence Analysis 81276 KRAS Gene Addl Variants CMS Edit

81425 Genome Sequence Analysis 81287 MGMT Gene Methylation Anal CMS Edit

81425 Genome Sequence Analysis 81288 MLH1 Gene CMS Edit

81425 Genome Sequence Analysis 81290 MCOLN1 Gene CMS Edit

81425 Genome Sequence Analysis 81291 MTHFR Gene CMS Edit

81425 Genome Sequence Analysis 81292 MLH1 Gene Full Seq CMS Edit

81425 Genome Sequence Analysis 81293 MLH1 Gene Known Variants CMS Edit

81425 Genome Sequence Analysis 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81425 Genome Sequence Analysis 81295 MSH2 Gene Full Seq CMS Edit

81425 Genome Sequence Analysis 81296 MSH2 Gene Known Variants CMS Edit

81425 Genome Sequence Analysis 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81425 Genome Sequence Analysis 81298 MSH6 Gene Full Seq CMS Edit

81425 Genome Sequence Analysis 81299 MSH6 Gene Known Variants CMS Edit

81425 Genome Sequence Analysis 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81425 Genome Sequence Analysis 81301 Microsatellite Instability CMS Edit

81425 Genome Sequence Analysis 81302 MECP2 Gene Full Seq CMS Edit

81425 Genome Sequence Analysis 81303 MECP2 Gene Known Variant CMS Edit

81425 Genome Sequence Analysis 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81425 Genome Sequence Analysis 81310 NPM1 Gene CMS Edit

81425 Genome Sequence Analysis 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81425 Genome Sequence Analysis 81313 PCA3/KLK3 Antigen CMS Edit

81425 Genome Sequence Analysis 81314 PDGFRA Gene CMS Edit

81425 Genome Sequence Analysis 81315 PML/RARalpha Com Breakpoints CMS Edit

81425 Genome Sequence Analysis 81316 PML/RARalpha 1 Breakpoint CMS Edit

81425 Genome Sequence Analysis 81317 PMS2 Gene Full Seq Analysis CMS Edit

81425 Genome Sequence Analysis 81318 PMS2 Known Familial Variants CMS Edit

81425 Genome Sequence Analysis 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81425 Genome Sequence Analysis 81321 PTEN Gene Full Sequence CMS Edit

81425 Genome Sequence Analysis 81322 PTEN Gene Known Fam Variant CMS Edit

81425 Genome Sequence Analysis 81323 PTEN Gene Dup/Delet Variant CMS Edit

81425 Genome Sequence Analysis 81324 PMP22 Gene Dup/Delet CMS Edit

81425 Genome Sequence Analysis 81325 PMP22 Gene Full Sequence CMS Edit

81425 Genome Sequence Analysis 81326 PMP22 Gene Known Fam Variant CMS Edit

81425 Genome Sequence Analysis 81327 SEPT9 Methylation Analysis CMS Edit*81425 Genome Sequence Analysis 81330 SMPD1 Gene Common Variants CMS Edit

81425 Genome Sequence Analysis 81331 SNRPN/UBE3A Gene CMS Edit

81425 Genome Sequence Analysis 81332 SERPINA1 Gene CMS Edit

81425 Genome Sequence Analysis 81340 TRB@ Gene Rearrange Amplify CMS Edit

81425 Genome Sequence Analysis 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81425 Genome Sequence Analysis 81342 TRG Gene Rearrangement Anal CMS Edit

81425 Genome Sequence Analysis 81350 UGT1A1 Gene CMS Edit

81425 Genome Sequence Analysis 81355 VKORC1 Gene CMS Edit

81425 Genome Sequence Analysis 81400 Mopath Procedure Level 1 CMS Edit

81425 Genome Sequence Analysis 81401 Mopath Procedure Level 2 CMS Edit

81425 Genome Sequence Analysis 81402 Mopath Procedure Level 3 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81425 Genome Sequence Analysis 81403 Mopath Procedure Level 4 CMS Edit

81425 Genome Sequence Analysis 81404 Mopath Procedure Level 5 CMS Edit

81425 Genome Sequence Analysis 81405 Mopath Procedure Level 6 CMS Edit

81425 Genome Sequence Analysis 81406 Mopath Procedure Level 7 CMS Edit

81425 Genome Sequence Analysis 81407 Mopath Procedure Level 8 CMS Edit

81425 Genome Sequence Analysis 81408 Mopath Procedure Level 9 CMS Edit

81425 Genome Sequence Analysis 81493 Cor Artery Disease mRNA CMS Edit

81425 Genome Sequence Analysis 81504 Oncology Tissue of Origin CMS Edit

81425 Genome Sequence Analysis 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81425 Genome Sequence Analysis 81519 Oncology Breast mRNA CMS Edit

81425 Genome Sequence Analysis 81525 Oncology Colon mRNA CMS Edit

81425 Genome Sequence Analysis 81528 Oncology Colorectal Scr CMS Edit

81425 Genome Sequence Analysis 81540 Oncology Tum Unknown Origin CMS Edit

81425 Genome Sequence Analysis 81545 Oncology Thyroid CMS Edit

81425 Genome Sequence Analysis 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81425 Genome Sequence Analysis 88271 Cytogenetics DNA Probe CMS Edit

81425 Genome Sequence Analysis 88272 Cytogenetics 3-5 CMS Edit

81425 Genome Sequence Analysis 88273 Cytogenetics 10-30 CMS Edit

81425 Genome Sequence Analysis 88274 Cytogenetics 25-99 CMS Edit

81425 Genome Sequence Analysis 88275 Cytogenetics 100-300 CMS Edit

81425 Genome Sequence Analysis 88291 Cyto/Molecular Report CMS Edit

81425 Genome Sequence Analysis 88364 Insitu Hybridization (Fish) CMS Edit

81425 Genome Sequence Analysis 88365 Insitu Hybridization (Fish) CMS Edit

81425 Genome Sequence Analysis 88366 Insitu Hybridization (Fish) CMS Edit

81425 Genome Sequence Analysis 88367 Insitu Hybridization Auto CMS Edit

81425 Genome Sequence Analysis 88368 Insitu Hybridization Manual CMS Edit

81425 Genome Sequence Analysis 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81425 Genome Sequence Analysis 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81425 Genome Sequence Analysis 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81425 Genome Sequence Analysis 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81425 Genome Sequence Analysis G0452 Molecular Pathology Interpr CMS Edit

81426 Genome Sequence Analysis 81161 DMD Dup/Delet Analysis CMS Edit

81426 Genome Sequence Analysis 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81426 Genome Sequence Analysis 81170 ABL1 Gene CMS Edit

81426 Genome Sequence Analysis 81200 ASPA Gene CMS Edit

81426 Genome Sequence Analysis 81201 APC Gene Full Sequence CMS Edit

81426 Genome Sequence Analysis 81202 APC Gene Known Fam Variants CMS Edit

81426 Genome Sequence Analysis 81203 APC Gene Dup/Delet Variants CMS Edit

81426 Genome Sequence Analysis 81205 BCKDHB Gene CMS Edit

81426 Genome Sequence Analysis 81206 BCR/ABL1 Gene Major Bp CMS Edit

81426 Genome Sequence Analysis 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81426 Genome Sequence Analysis 81208 BCR/ABL1 Gene Other Bp CMS Edit

81426 Genome Sequence Analysis 81209 BLM Gene CMS Edit

81426 Genome Sequence Analysis 81210 BRAF Gene CMS Edit

81426 Genome Sequence Analysis 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81426 Genome Sequence Analysis 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81426 Genome Sequence Analysis 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81426 Genome Sequence Analysis 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81426 Genome Sequence Analysis 81215 BRCA1 Gene Known Fam Variant CMS Edit

81426 Genome Sequence Analysis 81216 BRCA2 Gene Full Sequence CMS Edit

81426 Genome Sequence Analysis 81217 BRCA2 Gene Known Fam Variant CMS Edit

81426 Genome Sequence Analysis 81218 Cebpa Gene Full Sequence CMS Edit

81426 Genome Sequence Analysis 81219 CALR Gene Com Variants CMS Edit

81426 Genome Sequence Analysis 81220 CFTR Gene Com Variants CMS Edit

81426 Genome Sequence Analysis 81221 CFTR Gene Known Fam Variants CMS Edit

81426 Genome Sequence Analysis 81222 CFTR Gene Dup/Delet Variants CMS Edit

81426 Genome Sequence Analysis 81223 CFTR Gene Full Sequence CMS Edit

81426 Genome Sequence Analysis 81224 CFTR Gene Intron Poly T CMS Edit

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Code Code Description Code Code Description Source

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81426 Genome Sequence Analysis 81225 CYP2C19 Gene Com Variants CMS Edit

81426 Genome Sequence Analysis 81226 CYP2D6 Gene Com Variants CMS Edit

81426 Genome Sequence Analysis 81227 CYP2C9 Gene Com Variants CMS Edit

81426 Genome Sequence Analysis 81235 EGFR Gene Com Variants CMS Edit

81426 Genome Sequence Analysis 81240 F2 Gene CMS Edit

81426 Genome Sequence Analysis 81241 F5 Gene CMS Edit

81426 Genome Sequence Analysis 81242 FANCC Gene CMS Edit

81426 Genome Sequence Analysis 81243 FMR1 Gene Detection CMS Edit

81426 Genome Sequence Analysis 81244 FMR1 Gene Characterization CMS Edit

81426 Genome Sequence Analysis 81245 FLT3 Gene CMS Edit

81426 Genome Sequence Analysis 81246 FLT3 Gene Analysis CMS Edit

81426 Genome Sequence Analysis 81250 G6PC Gene CMS Edit

81426 Genome Sequence Analysis 81251 GBA Gene CMS Edit

81426 Genome Sequence Analysis 81252 GJB2 Gene Full Sequence CMS Edit

81426 Genome Sequence Analysis 81253 GJB2 Gene Known Fam Variants CMS Edit

81426 Genome Sequence Analysis 81254 GJB6 Gene Com Variants CMS Edit

81426 Genome Sequence Analysis 81255 HEXA Gene CMS Edit

81426 Genome Sequence Analysis 81256 HFE Gene CMS Edit

81426 Genome Sequence Analysis 81257 HBA1/HBA2 Gene CMS Edit

81426 Genome Sequence Analysis 81260 IKBKAP Gene CMS Edit

81426 Genome Sequence Analysis 81261 IGH Gene Rearrange Amp Meth CMS Edit

81426 Genome Sequence Analysis 81262 IGH Gene Rearrang Dir Probe CMS Edit

81426 Genome Sequence Analysis 81263 IGH Vari Regional Mutation CMS Edit

81426 Genome Sequence Analysis 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81426 Genome Sequence Analysis 81265 STR Markers Specimen Anal CMS Edit

81426 Genome Sequence Analysis 81266 STR Markers Spec Anal Addl CMS Edit

81426 Genome Sequence Analysis 81267 Chimerism Anal No Cell Selec CMS Edit

81426 Genome Sequence Analysis 81268 Chimerism Anal W/Cell Select CMS Edit

81426 Genome Sequence Analysis 81270 JAK2 Gene CMS Edit

81426 Genome Sequence Analysis 81272 KIT Gene Targeted Seq Analys CMS Edit

81426 Genome Sequence Analysis 81273 KIT Gene Analys D816 Variant CMS Edit

81426 Genome Sequence Analysis 81275 KRAS Gene Variants Exon 2 CMS Edit

81426 Genome Sequence Analysis 81276 KRAS Gene Addl Variants CMS Edit

81426 Genome Sequence Analysis 81287 MGMT Gene Methylation Anal CMS Edit

81426 Genome Sequence Analysis 81288 MLH1 Gene CMS Edit

81426 Genome Sequence Analysis 81290 MCOLN1 Gene CMS Edit

81426 Genome Sequence Analysis 81291 MTHFR Gene CMS Edit

81426 Genome Sequence Analysis 81292 MLH1 Gene Full Seq CMS Edit

81426 Genome Sequence Analysis 81293 MLH1 Gene Known Variants CMS Edit

81426 Genome Sequence Analysis 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81426 Genome Sequence Analysis 81295 MSH2 Gene Full Seq CMS Edit

81426 Genome Sequence Analysis 81296 MSH2 Gene Known Variants CMS Edit

81426 Genome Sequence Analysis 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81426 Genome Sequence Analysis 81298 MSH6 Gene Full Seq CMS Edit

81426 Genome Sequence Analysis 81299 MSH6 Gene Known Variants CMS Edit

81426 Genome Sequence Analysis 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81426 Genome Sequence Analysis 81301 Microsatellite Instability CMS Edit

81426 Genome Sequence Analysis 81302 MECP2 Gene Full Seq CMS Edit

81426 Genome Sequence Analysis 81303 MECP2 Gene Known Variant CMS Edit

81426 Genome Sequence Analysis 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81426 Genome Sequence Analysis 81310 NPM1 Gene CMS Edit

81426 Genome Sequence Analysis 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81426 Genome Sequence Analysis 81313 PCA3/KLK3 Antigen CMS Edit

81426 Genome Sequence Analysis 81314 PDGFRA Gene CMS Edit

81426 Genome Sequence Analysis 81315 PML/RARalpha Com Breakpoints CMS Edit

81426 Genome Sequence Analysis 81316 PML/RARalpha 1 Breakpoint CMS Edit

81426 Genome Sequence Analysis 81317 PMS2 Gene Full Seq Analysis CMS Edit

81426 Genome Sequence Analysis 81318 PMS2 Known Familial Variants CMS Edit

Page 254: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81426 Genome Sequence Analysis 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81426 Genome Sequence Analysis 81321 PTEN Gene Full Sequence CMS Edit

81426 Genome Sequence Analysis 81322 PTEN Gene Known Fam Variant CMS Edit

81426 Genome Sequence Analysis 81323 PTEN Gene Dup/Delet Variant CMS Edit

81426 Genome Sequence Analysis 81324 PMP22 Gene Dup/Delet CMS Edit

81426 Genome Sequence Analysis 81325 PMP22 Gene Full Sequence CMS Edit

81426 Genome Sequence Analysis 81326 PMP22 Gene Known Fam Variant CMS Edit

81426 Genome Sequence Analysis 81327 SEPT9 Methylation Analysis CMS Edit*81426 Genome Sequence Analysis 81330 SMPD1 Gene Common Variants CMS Edit

81426 Genome Sequence Analysis 81331 SNRPN/UBE3A Gene CMS Edit

81426 Genome Sequence Analysis 81332 SERPINA1 Gene CMS Edit

81426 Genome Sequence Analysis 81340 TRB@ Gene Rearrange Amplify CMS Edit

81426 Genome Sequence Analysis 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81426 Genome Sequence Analysis 81342 TRG Gene Rearrangement Anal CMS Edit

81426 Genome Sequence Analysis 81350 UGT1A1 Gene CMS Edit

81426 Genome Sequence Analysis 81355 VKORC1 Gene CMS Edit

81426 Genome Sequence Analysis 81400 Mopath Procedure Level 1 CMS Edit

81426 Genome Sequence Analysis 81401 Mopath Procedure Level 2 CMS Edit

81426 Genome Sequence Analysis 81402 Mopath Procedure Level 3 CMS Edit

81426 Genome Sequence Analysis 81403 Mopath Procedure Level 4 CMS Edit

81426 Genome Sequence Analysis 81404 Mopath Procedure Level 5 CMS Edit

81426 Genome Sequence Analysis 81405 Mopath Procedure Level 6 CMS Edit

81426 Genome Sequence Analysis 81406 Mopath Procedure Level 7 CMS Edit

81426 Genome Sequence Analysis 81407 Mopath Procedure Level 8 CMS Edit

81426 Genome Sequence Analysis 81408 Mopath Procedure Level 9 CMS Edit

81426 Genome Sequence Analysis 81493 Cor Artery Disease mRNA CMS Edit

81426 Genome Sequence Analysis 81504 Oncology Tissue of Origin CMS Edit

81426 Genome Sequence Analysis 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81426 Genome Sequence Analysis 81519 Oncology Breast mRNA CMS Edit

81426 Genome Sequence Analysis 81525 Oncology Colon mRNA CMS Edit

81426 Genome Sequence Analysis 81528 Oncology Colorectal Scr CMS Edit

81426 Genome Sequence Analysis 81540 Oncology Tum Unknown Origin CMS Edit

81426 Genome Sequence Analysis 81545 Oncology Thyroid CMS Edit

81426 Genome Sequence Analysis 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81426 Genome Sequence Analysis 88271 Cytogenetics DNA Probe CMS Edit

81426 Genome Sequence Analysis 88272 Cytogenetics 3-5 CMS Edit

81426 Genome Sequence Analysis 88273 Cytogenetics 10-30 CMS Edit

81426 Genome Sequence Analysis 88274 Cytogenetics 25-99 CMS Edit

81426 Genome Sequence Analysis 88275 Cytogenetics 100-300 CMS Edit

81426 Genome Sequence Analysis 88291 Cyto/Molecular Report CMS Edit

81426 Genome Sequence Analysis 88364 Insitu Hybridization (Fish) CMS Edit

81426 Genome Sequence Analysis 88365 Insitu Hybridization (Fish) CMS Edit

81426 Genome Sequence Analysis 88366 Insitu Hybridization (Fish) CMS Edit

81426 Genome Sequence Analysis 88367 Insitu Hybridization Auto CMS Edit

81426 Genome Sequence Analysis 88368 Insitu Hybridization Manual CMS Edit

81426 Genome Sequence Analysis 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81426 Genome Sequence Analysis 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81426 Genome Sequence Analysis 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81426 Genome Sequence Analysis 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81426 Genome Sequence Analysis G0452 Molecular Pathology Interpr CMS Edit

81427 Genome Re-Evaluation 81161 DMD Dup/Delet Analysis CMS Edit

81427 Genome Re-Evaluation 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81427 Genome Re-Evaluation 81170 ABL1 Gene CMS Edit

81427 Genome Re-Evaluation 81200 ASPA Gene CMS Edit

81427 Genome Re-Evaluation 81201 APC Gene Full Sequence CMS Edit

81427 Genome Re-Evaluation 81202 APC Gene Known Fam Variants CMS Edit

81427 Genome Re-Evaluation 81203 APC Gene Dup/Delet Variants CMS Edit

81427 Genome Re-Evaluation 81205 BCKDHB Gene CMS Edit

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Code Code Description Code Code Description Source

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81427 Genome Re-Evaluation 81206 BCR/ABL1 Gene Major Bp CMS Edit

81427 Genome Re-Evaluation 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81427 Genome Re-Evaluation 81208 BCR/ABL1 Gene Other Bp CMS Edit

81427 Genome Re-Evaluation 81209 BLM Gene CMS Edit

81427 Genome Re-Evaluation 81210 BRAF Gene CMS Edit

81427 Genome Re-Evaluation 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81427 Genome Re-Evaluation 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81427 Genome Re-Evaluation 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81427 Genome Re-Evaluation 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81427 Genome Re-Evaluation 81215 BRCA1 Gene Known Fam Variant CMS Edit

81427 Genome Re-Evaluation 81216 BRCA2 Gene Full Sequence CMS Edit

81427 Genome Re-Evaluation 81217 BRCA2 Gene Known Fam Variant CMS Edit

81427 Genome Re-Evaluation 81218 Cebpa Gene Full Sequence CMS Edit

81427 Genome Re-Evaluation 81219 CALR Gene Com Variants CMS Edit

81427 Genome Re-Evaluation 81220 CFTR Gene Com Variants CMS Edit

81427 Genome Re-Evaluation 81221 CFTR Gene Known Fam Variants CMS Edit

81427 Genome Re-Evaluation 81222 CFTR Gene Dup/Delet Variants CMS Edit

81427 Genome Re-Evaluation 81223 CFTR Gene Full Sequence CMS Edit

81427 Genome Re-Evaluation 81224 CFTR Gene Intron Poly T CMS Edit

81427 Genome Re-Evaluation 81225 CYP2C19 Gene Com Variants CMS Edit

81427 Genome Re-Evaluation 81226 CYP2D6 Gene Com Variants CMS Edit

81427 Genome Re-Evaluation 81227 CYP2C9 Gene Com Variants CMS Edit

81427 Genome Re-Evaluation 81235 EGFR Gene Com Variants CMS Edit

81427 Genome Re-Evaluation 81240 F2 Gene CMS Edit

81427 Genome Re-Evaluation 81241 F5 Gene CMS Edit

81427 Genome Re-Evaluation 81242 FANCC Gene CMS Edit

81427 Genome Re-Evaluation 81243 FMR1 Gene Detection CMS Edit

81427 Genome Re-Evaluation 81244 FMR1 Gene Characterization CMS Edit

81427 Genome Re-Evaluation 81245 FLT3 Gene CMS Edit

81427 Genome Re-Evaluation 81246 FLT3 Gene Analysis CMS Edit

81427 Genome Re-Evaluation 81250 G6PC Gene CMS Edit

81427 Genome Re-Evaluation 81251 GBA Gene CMS Edit

81427 Genome Re-Evaluation 81252 GJB2 Gene Full Sequence CMS Edit

81427 Genome Re-Evaluation 81253 GJB2 Gene Known Fam Variants CMS Edit

81427 Genome Re-Evaluation 81254 GJB6 Gene Com Variants CMS Edit

81427 Genome Re-Evaluation 81255 HEXA Gene CMS Edit

81427 Genome Re-Evaluation 81256 HFE Gene CMS Edit

81427 Genome Re-Evaluation 81257 HBA1/HBA2 Gene CMS Edit

81427 Genome Re-Evaluation 81260 IKBKAP Gene CMS Edit

81427 Genome Re-Evaluation 81261 IGH Gene Rearrange Amp Meth CMS Edit

81427 Genome Re-Evaluation 81262 IGH Gene Rearrang Dir Probe CMS Edit

81427 Genome Re-Evaluation 81263 IGH Vari Regional Mutation CMS Edit

81427 Genome Re-Evaluation 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81427 Genome Re-Evaluation 81265 STR Markers Specimen Anal CMS Edit

81427 Genome Re-Evaluation 81266 STR Markers Spec Anal Addl CMS Edit

81427 Genome Re-Evaluation 81267 Chimerism Anal No Cell Selec CMS Edit

81427 Genome Re-Evaluation 81268 Chimerism Anal W/Cell Select CMS Edit

81427 Genome Re-Evaluation 81270 JAK2 Gene CMS Edit

81427 Genome Re-Evaluation 81272 KIT Gene Targeted Seq Analys CMS Edit

81427 Genome Re-Evaluation 81273 KIT Gene Analys D816 Variant CMS Edit

81427 Genome Re-Evaluation 81275 KRAS Gene Variants Exon 2 CMS Edit

81427 Genome Re-Evaluation 81276 KRAS Gene Addl Variants CMS Edit

81427 Genome Re-Evaluation 81287 MGMT Gene Methylation Anal CMS Edit

81427 Genome Re-Evaluation 81288 MLH1 Gene CMS Edit

81427 Genome Re-Evaluation 81290 MCOLN1 Gene CMS Edit

81427 Genome Re-Evaluation 81291 MTHFR Gene CMS Edit

81427 Genome Re-Evaluation 81292 MLH1 Gene Full Seq CMS Edit

81427 Genome Re-Evaluation 81293 MLH1 Gene Known Variants CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81427 Genome Re-Evaluation 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81427 Genome Re-Evaluation 81295 MSH2 Gene Full Seq CMS Edit

81427 Genome Re-Evaluation 81296 MSH2 Gene Known Variants CMS Edit

81427 Genome Re-Evaluation 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81427 Genome Re-Evaluation 81298 MSH6 Gene Full Seq CMS Edit

81427 Genome Re-Evaluation 81299 MSH6 Gene Known Variants CMS Edit

81427 Genome Re-Evaluation 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81427 Genome Re-Evaluation 81301 Microsatellite Instability CMS Edit

81427 Genome Re-Evaluation 81302 MECP2 Gene Full Seq CMS Edit

81427 Genome Re-Evaluation 81303 MECP2 Gene Known Variant CMS Edit

81427 Genome Re-Evaluation 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81427 Genome Re-Evaluation 81310 NPM1 Gene CMS Edit

81427 Genome Re-Evaluation 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81427 Genome Re-Evaluation 81313 PCA3/KLK3 Antigen CMS Edit

81427 Genome Re-Evaluation 81314 PDGFRA Gene CMS Edit

81427 Genome Re-Evaluation 81315 PML/RARalpha Com Breakpoints CMS Edit

81427 Genome Re-Evaluation 81316 PML/RARalpha 1 Breakpoint CMS Edit

81427 Genome Re-Evaluation 81317 PMS2 Gene Full Seq Analysis CMS Edit

81427 Genome Re-Evaluation 81318 PMS2 Known Familial Variants CMS Edit

81427 Genome Re-Evaluation 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81427 Genome Re-Evaluation 81321 PTEN Gene Full Sequence CMS Edit

81427 Genome Re-Evaluation 81322 PTEN Gene Known Fam Variant CMS Edit

81427 Genome Re-Evaluation 81323 PTEN Gene Dup/Delet Variant CMS Edit

81427 Genome Re-Evaluation 81324 PMP22 Gene Dup/Delet CMS Edit

81427 Genome Re-Evaluation 81325 PMP22 Gene Full Sequence CMS Edit

81427 Genome Re-Evaluation 81326 PMP22 Gene Known Fam Variant CMS Edit

81427 Genome Re-Evaluation 81327 SEPT9 Methylation Analysis CMS Edit*81427 Genome Re-Evaluation 81330 SMPD1 Gene Common Variants CMS Edit

81427 Genome Re-Evaluation 81331 SNRPN/UBE3A Gene CMS Edit

81427 Genome Re-Evaluation 81332 SERPINA1 Gene CMS Edit

81427 Genome Re-Evaluation 81340 TRB@ Gene Rearrange Amplify CMS Edit

81427 Genome Re-Evaluation 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81427 Genome Re-Evaluation 81342 TRG Gene Rearrangement Anal CMS Edit

81427 Genome Re-Evaluation 81350 UGT1A1 Gene CMS Edit

81427 Genome Re-Evaluation 81355 VKORC1 Gene CMS Edit

81427 Genome Re-Evaluation 81400 Mopath Procedure Level 1 CMS Edit

81427 Genome Re-Evaluation 81401 Mopath Procedure Level 2 CMS Edit

81427 Genome Re-Evaluation 81402 Mopath Procedure Level 3 CMS Edit

81427 Genome Re-Evaluation 81403 Mopath Procedure Level 4 CMS Edit

81427 Genome Re-Evaluation 81404 Mopath Procedure Level 5 CMS Edit

81427 Genome Re-Evaluation 81405 Mopath Procedure Level 6 CMS Edit

81427 Genome Re-Evaluation 81406 Mopath Procedure Level 7 CMS Edit

81427 Genome Re-Evaluation 81407 Mopath Procedure Level 8 CMS Edit

81427 Genome Re-Evaluation 81408 Mopath Procedure Level 9 CMS Edit

81427 Genome Re-Evaluation 81493 Cor Artery Disease mRNA CMS Edit

81427 Genome Re-Evaluation 81504 Oncology Tissue of Origin CMS Edit

81427 Genome Re-Evaluation 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81427 Genome Re-Evaluation 81519 Oncology Breast mRNA CMS Edit

81427 Genome Re-Evaluation 81525 Oncology Colon mRNA CMS Edit

81427 Genome Re-Evaluation 81528 Oncology Colorectal Scr CMS Edit

81427 Genome Re-Evaluation 81540 Oncology Tum Unknown Origin CMS Edit

81427 Genome Re-Evaluation 81545 Oncology Thyroid CMS Edit

81427 Genome Re-Evaluation 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81427 Genome Re-Evaluation 88271 Cytogenetics DNA Probe CMS Edit

81427 Genome Re-Evaluation 88272 Cytogenetics 3-5 CMS Edit

81427 Genome Re-Evaluation 88273 Cytogenetics 10-30 CMS Edit

81427 Genome Re-Evaluation 88274 Cytogenetics 25-99 CMS Edit

81427 Genome Re-Evaluation 88275 Cytogenetics 100-300 CMS Edit

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Code Code Description Code Code Description Source

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81427 Genome Re-Evaluation 88291 Cyto/Molecular Report CMS Edit

81427 Genome Re-Evaluation 88364 Insitu Hybridization (Fish) CMS Edit

81427 Genome Re-Evaluation 88365 Insitu Hybridization (Fish) CMS Edit

81427 Genome Re-Evaluation 88366 Insitu Hybridization (Fish) CMS Edit

81427 Genome Re-Evaluation 88367 Insitu Hybridization Auto CMS Edit

81427 Genome Re-Evaluation 88368 Insitu Hybridization Manual CMS Edit

81427 Genome Re-Evaluation 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81427 Genome Re-Evaluation 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81427 Genome Re-Evaluation 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81427 Genome Re-Evaluation 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81427 Genome Re-Evaluation G0452 Molecular Pathology Interpr CMS Edit

81430 Hearing Loss Sequence Analys 81161 DMD Dup/Delet Analysis CMS Edit

81430 Hearing Loss Sequence Analys 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81430 Hearing Loss Sequence Analys 81170 ABL1 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81200 ASPA Gene CMS Edit

81430 Hearing Loss Sequence Analys 81201 APC Gene Full Sequence CMS Edit

81430 Hearing Loss Sequence Analys 81202 APC Gene Known Fam Variants CMS Edit

81430 Hearing Loss Sequence Analys 81203 APC Gene Dup/Delet Variants CMS Edit

81430 Hearing Loss Sequence Analys 81205 BCKDHB Gene CMS Edit

81430 Hearing Loss Sequence Analys 81206 BCR/ABL1 Gene Major Bp CMS Edit

81430 Hearing Loss Sequence Analys 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81430 Hearing Loss Sequence Analys 81208 BCR/ABL1 Gene Other Bp CMS Edit

81430 Hearing Loss Sequence Analys 81209 BLM Gene CMS Edit

81430 Hearing Loss Sequence Analys 81210 BRAF Gene CMS Edit

81430 Hearing Loss Sequence Analys 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81430 Hearing Loss Sequence Analys 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81430 Hearing Loss Sequence Analys 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81430 Hearing Loss Sequence Analys 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81430 Hearing Loss Sequence Analys 81215 BRCA1 Gene Known Fam Variant CMS Edit

81430 Hearing Loss Sequence Analys 81216 BRCA2 Gene Full Sequence CMS Edit

81430 Hearing Loss Sequence Analys 81217 BRCA2 Gene Known Fam Variant CMS Edit

81430 Hearing Loss Sequence Analys 81218 Cebpa Gene Full Sequence CMS Edit

81430 Hearing Loss Sequence Analys 81219 CALR Gene Com Variants CMS Edit

81430 Hearing Loss Sequence Analys 81220 CFTR Gene Com Variants CMS Edit

81430 Hearing Loss Sequence Analys 81221 CFTR Gene Known Fam Variants CMS Edit

81430 Hearing Loss Sequence Analys 81222 CFTR Gene Dup/Delet Variants CMS Edit

81430 Hearing Loss Sequence Analys 81223 CFTR Gene Full Sequence CMS Edit

81430 Hearing Loss Sequence Analys 81224 CFTR Gene Intron Poly T CMS Edit

81430 Hearing Loss Sequence Analys 81225 CYP2C19 Gene Com Variants CMS Edit

81430 Hearing Loss Sequence Analys 81226 CYP2D6 Gene Com Variants CMS Edit

81430 Hearing Loss Sequence Analys 81227 CYP2C9 Gene Com Variants CMS Edit

81430 Hearing Loss Sequence Analys 81235 EGFR Gene Com Variants CMS Edit

81430 Hearing Loss Sequence Analys 81240 F2 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81241 F5 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81242 FANCC Gene CMS Edit

81430 Hearing Loss Sequence Analys 81243 FMR1 Gene Detection CMS Edit

81430 Hearing Loss Sequence Analys 81244 FMR1 Gene Characterization CMS Edit

81430 Hearing Loss Sequence Analys 81245 FLT3 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81246 FLT3 Gene Analysis CMS Edit

81430 Hearing Loss Sequence Analys 81250 G6PC Gene CMS Edit

81430 Hearing Loss Sequence Analys 81251 GBA Gene CMS Edit

81430 Hearing Loss Sequence Analys 81252 GJB2 Gene Full Sequence CMS Edit

81430 Hearing Loss Sequence Analys 81253 GJB2 Gene Known Fam Variants CMS Edit

81430 Hearing Loss Sequence Analys 81254 GJB6 Gene Com Variants CMS Edit

81430 Hearing Loss Sequence Analys 81255 HEXA Gene CMS Edit

81430 Hearing Loss Sequence Analys 81256 HFE Gene CMS Edit

81430 Hearing Loss Sequence Analys 81257 HBA1/HBA2 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81260 IKBKAP Gene CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81430 Hearing Loss Sequence Analys 81261 IGH Gene Rearrange Amp Meth CMS Edit

81430 Hearing Loss Sequence Analys 81262 IGH Gene Rearrang Dir Probe CMS Edit

81430 Hearing Loss Sequence Analys 81263 IGH Vari Regional Mutation CMS Edit

81430 Hearing Loss Sequence Analys 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81430 Hearing Loss Sequence Analys 81265 STR Markers Specimen Anal CMS Edit

81430 Hearing Loss Sequence Analys 81266 STR Markers Spec Anal Addl CMS Edit

81430 Hearing Loss Sequence Analys 81267 Chimerism Anal No Cell Selec CMS Edit

81430 Hearing Loss Sequence Analys 81268 Chimerism Anal W/Cell Select CMS Edit

81430 Hearing Loss Sequence Analys 81270 JAK2 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81272 KIT Gene Targeted Seq Analys CMS Edit

81430 Hearing Loss Sequence Analys 81273 KIT Gene Analys D816 Variant CMS Edit

81430 Hearing Loss Sequence Analys 81275 KRAS Gene Variants Exon 2 CMS Edit

81430 Hearing Loss Sequence Analys 81276 KRAS Gene Addl Variants CMS Edit

81430 Hearing Loss Sequence Analys 81287 MGMT Gene Methylation Anal CMS Edit

81430 Hearing Loss Sequence Analys 81288 MLH1 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81290 MCOLN1 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81291 MTHFR Gene CMS Edit

81430 Hearing Loss Sequence Analys 81292 MLH1 Gene Full Seq CMS Edit

81430 Hearing Loss Sequence Analys 81293 MLH1 Gene Known Variants CMS Edit

81430 Hearing Loss Sequence Analys 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81430 Hearing Loss Sequence Analys 81295 MSH2 Gene Full Seq CMS Edit

81430 Hearing Loss Sequence Analys 81296 MSH2 Gene Known Variants CMS Edit

81430 Hearing Loss Sequence Analys 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81430 Hearing Loss Sequence Analys 81298 MSH6 Gene Full Seq CMS Edit

81430 Hearing Loss Sequence Analys 81299 MSH6 Gene Known Variants CMS Edit

81430 Hearing Loss Sequence Analys 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81430 Hearing Loss Sequence Analys 81301 Microsatellite Instability CMS Edit

81430 Hearing Loss Sequence Analys 81302 MECP2 Gene Full Seq CMS Edit

81430 Hearing Loss Sequence Analys 81303 MECP2 Gene Known Variant CMS Edit

81430 Hearing Loss Sequence Analys 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81430 Hearing Loss Sequence Analys 81310 NPM1 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81430 Hearing Loss Sequence Analys 81313 PCA3/KLK3 Antigen CMS Edit

81430 Hearing Loss Sequence Analys 81314 PDGFRA Gene CMS Edit

81430 Hearing Loss Sequence Analys 81315 PML/RARalpha Com Breakpoints CMS Edit

81430 Hearing Loss Sequence Analys 81316 PML/RARalpha 1 Breakpoint CMS Edit

81430 Hearing Loss Sequence Analys 81317 PMS2 Gene Full Seq Analysis CMS Edit

81430 Hearing Loss Sequence Analys 81318 PMS2 Known Familial Variants CMS Edit

81430 Hearing Loss Sequence Analys 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81430 Hearing Loss Sequence Analys 81321 PTEN Gene Full Sequence CMS Edit

81430 Hearing Loss Sequence Analys 81322 PTEN Gene Known Fam Variant CMS Edit

81430 Hearing Loss Sequence Analys 81323 PTEN Gene Dup/Delet Variant CMS Edit

81430 Hearing Loss Sequence Analys 81324 PMP22 Gene Dup/Delet CMS Edit

81430 Hearing Loss Sequence Analys 81325 PMP22 Gene Full Sequence CMS Edit

81430 Hearing Loss Sequence Analys 81326 PMP22 Gene Known Fam Variant CMS Edit

81430 Hearing Loss Sequence Analys 81327 SEPT9 Methylation Analysis CMS Edit*81430 Hearing Loss Sequence Analys 81330 SMPD1 Gene Common Variants CMS Edit

81430 Hearing Loss Sequence Analys 81331 SNRPN/UBE3A Gene CMS Edit

81430 Hearing Loss Sequence Analys 81332 SERPINA1 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81340 TRB@ Gene Rearrange Amplify CMS Edit

81430 Hearing Loss Sequence Analys 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81430 Hearing Loss Sequence Analys 81342 TRG Gene Rearrangement Anal CMS Edit

81430 Hearing Loss Sequence Analys 81350 UGT1A1 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81355 VKORC1 Gene CMS Edit

81430 Hearing Loss Sequence Analys 81400 Mopath Procedure Level 1 CMS Edit

81430 Hearing Loss Sequence Analys 81401 Mopath Procedure Level 2 CMS Edit

81430 Hearing Loss Sequence Analys 81402 Mopath Procedure Level 3 CMS Edit

81430 Hearing Loss Sequence Analys 81403 Mopath Procedure Level 4 CMS Edit

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Code Code Description Code Code Description Source

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81430 Hearing Loss Sequence Analys 81404 Mopath Procedure Level 5 CMS Edit

81430 Hearing Loss Sequence Analys 81405 Mopath Procedure Level 6 CMS Edit

81430 Hearing Loss Sequence Analys 81406 Mopath Procedure Level 7 CMS Edit

81430 Hearing Loss Sequence Analys 81407 Mopath Procedure Level 8 CMS Edit

81430 Hearing Loss Sequence Analys 81408 Mopath Procedure Level 9 CMS Edit

81430 Hearing Loss Sequence Analys 81493 Cor Artery Disease mRNA CMS Edit

81430 Hearing Loss Sequence Analys 81504 Oncology Tissue of Origin CMS Edit

81430 Hearing Loss Sequence Analys 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81430 Hearing Loss Sequence Analys 81519 Oncology Breast mRNA CMS Edit

81430 Hearing Loss Sequence Analys 81525 Oncology Colon mRNA CMS Edit

81430 Hearing Loss Sequence Analys 81528 Oncology Colorectal Scr CMS Edit

81430 Hearing Loss Sequence Analys 81540 Oncology Tum Unknown Origin CMS Edit

81430 Hearing Loss Sequence Analys 81545 Oncology Thyroid CMS Edit

81430 Hearing Loss Sequence Analys 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81430 Hearing Loss Sequence Analys 88271 Cytogenetics DNA Probe CMS Edit

81430 Hearing Loss Sequence Analys 88272 Cytogenetics 3-5 CMS Edit

81430 Hearing Loss Sequence Analys 88273 Cytogenetics 10-30 CMS Edit

81430 Hearing Loss Sequence Analys 88274 Cytogenetics 25-99 CMS Edit

81430 Hearing Loss Sequence Analys 88275 Cytogenetics 100-300 CMS Edit

81430 Hearing Loss Sequence Analys 88291 Cyto/Molecular Report CMS Edit

81430 Hearing Loss Sequence Analys 88364 Insitu Hybridization (Fish) CMS Edit

81430 Hearing Loss Sequence Analys 88365 Insitu Hybridization (Fish) CMS Edit

81430 Hearing Loss Sequence Analys 88366 Insitu Hybridization (Fish) CMS Edit

81430 Hearing Loss Sequence Analys 88367 Insitu Hybridization Auto CMS Edit

81430 Hearing Loss Sequence Analys 88368 Insitu Hybridization Manual CMS Edit

81430 Hearing Loss Sequence Analys 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81430 Hearing Loss Sequence Analys 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81430 Hearing Loss Sequence Analys 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81430 Hearing Loss Sequence Analys 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81430 Hearing Loss Sequence Analys G0452 Molecular Pathology Interpr CMS Edit

81431 Hearing Loss Dup/Del Analys 81161 DMD Dup/Delet Analysis CMS Edit

81431 Hearing Loss Dup/Del Analys 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81431 Hearing Loss Dup/Del Analys 81170 ABL1 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81200 ASPA Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81201 APC Gene Full Sequence CMS Edit

81431 Hearing Loss Dup/Del Analys 81202 APC Gene Known Fam Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81203 APC Gene Dup/Delet Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81205 BCKDHB Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81206 BCR/ABL1 Gene Major Bp CMS Edit

81431 Hearing Loss Dup/Del Analys 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81431 Hearing Loss Dup/Del Analys 81208 BCR/ABL1 Gene Other Bp CMS Edit

81431 Hearing Loss Dup/Del Analys 81209 BLM Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81210 BRAF Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81431 Hearing Loss Dup/Del Analys 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81431 Hearing Loss Dup/Del Analys 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81431 Hearing Loss Dup/Del Analys 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81431 Hearing Loss Dup/Del Analys 81215 BRCA1 Gene Known Fam Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81216 BRCA2 Gene Full Sequence CMS Edit

81431 Hearing Loss Dup/Del Analys 81217 BRCA2 Gene Known Fam Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81218 Cebpa Gene Full Sequence CMS Edit

81431 Hearing Loss Dup/Del Analys 81219 CALR Gene Com Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81220 CFTR Gene Com Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81221 CFTR Gene Known Fam Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81222 CFTR Gene Dup/Delet Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81223 CFTR Gene Full Sequence CMS Edit

81431 Hearing Loss Dup/Del Analys 81224 CFTR Gene Intron Poly T CMS Edit

81431 Hearing Loss Dup/Del Analys 81225 CYP2C19 Gene Com Variants CMS Edit

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Code Code Description Code Code Description Source

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81431 Hearing Loss Dup/Del Analys 81226 CYP2D6 Gene Com Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81227 CYP2C9 Gene Com Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81235 EGFR Gene Com Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81240 F2 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81241 F5 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81242 FANCC Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81243 FMR1 Gene Detection CMS Edit

81431 Hearing Loss Dup/Del Analys 81244 FMR1 Gene Characterization CMS Edit

81431 Hearing Loss Dup/Del Analys 81245 FLT3 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81246 FLT3 Gene Analysis CMS Edit

81431 Hearing Loss Dup/Del Analys 81250 G6PC Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81251 GBA Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81252 GJB2 Gene Full Sequence CMS Edit

81431 Hearing Loss Dup/Del Analys 81253 GJB2 Gene Known Fam Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81254 GJB6 Gene Com Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81255 HEXA Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81256 HFE Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81257 HBA1/HBA2 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81260 IKBKAP Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81261 IGH Gene Rearrange Amp Meth CMS Edit

81431 Hearing Loss Dup/Del Analys 81262 IGH Gene Rearrang Dir Probe CMS Edit

81431 Hearing Loss Dup/Del Analys 81263 IGH Vari Regional Mutation CMS Edit

81431 Hearing Loss Dup/Del Analys 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81431 Hearing Loss Dup/Del Analys 81265 STR Markers Specimen Anal CMS Edit

81431 Hearing Loss Dup/Del Analys 81266 STR Markers Spec Anal Addl CMS Edit

81431 Hearing Loss Dup/Del Analys 81267 Chimerism Anal No Cell Selec CMS Edit

81431 Hearing Loss Dup/Del Analys 81268 Chimerism Anal W/Cell Select CMS Edit

81431 Hearing Loss Dup/Del Analys 81270 JAK2 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81272 KIT Gene Targeted Seq Analys CMS Edit

81431 Hearing Loss Dup/Del Analys 81273 KIT Gene Analys D816 Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81275 KRAS Gene Variants Exon 2 CMS Edit

81431 Hearing Loss Dup/Del Analys 81276 KRAS Gene Addl Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81287 MGMT Gene Methylation Anal CMS Edit

81431 Hearing Loss Dup/Del Analys 81288 MLH1 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81290 MCOLN1 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81291 MTHFR Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81292 MLH1 Gene Full Seq CMS Edit

81431 Hearing Loss Dup/Del Analys 81293 MLH1 Gene Known Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81295 MSH2 Gene Full Seq CMS Edit

81431 Hearing Loss Dup/Del Analys 81296 MSH2 Gene Known Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81298 MSH6 Gene Full Seq CMS Edit

81431 Hearing Loss Dup/Del Analys 81299 MSH6 Gene Known Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81301 Microsatellite Instability CMS Edit

81431 Hearing Loss Dup/Del Analys 81302 MECP2 Gene Full Seq CMS Edit

81431 Hearing Loss Dup/Del Analys 81303 MECP2 Gene Known Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81310 NPM1 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81431 Hearing Loss Dup/Del Analys 81313 PCA3/KLK3 Antigen CMS Edit

81431 Hearing Loss Dup/Del Analys 81314 PDGFRA Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81315 PML/RARalpha Com Breakpoints CMS Edit

81431 Hearing Loss Dup/Del Analys 81316 PML/RARalpha 1 Breakpoint CMS Edit

81431 Hearing Loss Dup/Del Analys 81317 PMS2 Gene Full Seq Analysis CMS Edit

81431 Hearing Loss Dup/Del Analys 81318 PMS2 Known Familial Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81319 PMS2 Gene Dup/Delet Variants CMS Edit

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Code Code Description Code Code Description Source

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81431 Hearing Loss Dup/Del Analys 81321 PTEN Gene Full Sequence CMS Edit

81431 Hearing Loss Dup/Del Analys 81322 PTEN Gene Known Fam Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81323 PTEN Gene Dup/Delet Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81324 PMP22 Gene Dup/Delet CMS Edit

81431 Hearing Loss Dup/Del Analys 81325 PMP22 Gene Full Sequence CMS Edit

81431 Hearing Loss Dup/Del Analys 81326 PMP22 Gene Known Fam Variant CMS Edit

81431 Hearing Loss Dup/Del Analys 81327 SEPT9 Methylation Analysis CMS Edit*81431 Hearing Loss Dup/Del Analys 81330 SMPD1 Gene Common Variants CMS Edit

81431 Hearing Loss Dup/Del Analys 81331 SNRPN/UBE3A Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81332 SERPINA1 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81340 TRB@ Gene Rearrange Amplify CMS Edit

81431 Hearing Loss Dup/Del Analys 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81431 Hearing Loss Dup/Del Analys 81342 TRG Gene Rearrangement Anal CMS Edit

81431 Hearing Loss Dup/Del Analys 81350 UGT1A1 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81355 VKORC1 Gene CMS Edit

81431 Hearing Loss Dup/Del Analys 81400 Mopath Procedure Level 1 CMS Edit

81431 Hearing Loss Dup/Del Analys 81401 Mopath Procedure Level 2 CMS Edit

81431 Hearing Loss Dup/Del Analys 81402 Mopath Procedure Level 3 CMS Edit

81431 Hearing Loss Dup/Del Analys 81403 Mopath Procedure Level 4 CMS Edit

81431 Hearing Loss Dup/Del Analys 81404 Mopath Procedure Level 5 CMS Edit

81431 Hearing Loss Dup/Del Analys 81405 Mopath Procedure Level 6 CMS Edit

81431 Hearing Loss Dup/Del Analys 81406 Mopath Procedure Level 7 CMS Edit

81431 Hearing Loss Dup/Del Analys 81407 Mopath Procedure Level 8 CMS Edit

81431 Hearing Loss Dup/Del Analys 81408 Mopath Procedure Level 9 CMS Edit

81431 Hearing Loss Dup/Del Analys 81493 Cor Artery Disease mRNA CMS Edit

81431 Hearing Loss Dup/Del Analys 81504 Oncology Tissue of Origin CMS Edit

81431 Hearing Loss Dup/Del Analys 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81431 Hearing Loss Dup/Del Analys 81519 Oncology Breast mRNA CMS Edit

81431 Hearing Loss Dup/Del Analys 81525 Oncology Colon mRNA CMS Edit

81431 Hearing Loss Dup/Del Analys 81528 Oncology Colorectal Scr CMS Edit

81431 Hearing Loss Dup/Del Analys 81540 Oncology Tum Unknown Origin CMS Edit

81431 Hearing Loss Dup/Del Analys 81545 Oncology Thyroid CMS Edit

81431 Hearing Loss Dup/Del Analys 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81431 Hearing Loss Dup/Del Analys 88271 Cytogenetics DNA Probe CMS Edit

81431 Hearing Loss Dup/Del Analys 88272 Cytogenetics 3-5 CMS Edit

81431 Hearing Loss Dup/Del Analys 88273 Cytogenetics 10-30 CMS Edit

81431 Hearing Loss Dup/Del Analys 88274 Cytogenetics 25-99 CMS Edit

81431 Hearing Loss Dup/Del Analys 88275 Cytogenetics 100-300 CMS Edit

81431 Hearing Loss Dup/Del Analys 88291 Cyto/Molecular Report CMS Edit

81431 Hearing Loss Dup/Del Analys 88364 Insitu Hybridization (Fish) CMS Edit

81431 Hearing Loss Dup/Del Analys 88365 Insitu Hybridization (Fish) CMS Edit

81431 Hearing Loss Dup/Del Analys 88366 Insitu Hybridization (Fish) CMS Edit

81431 Hearing Loss Dup/Del Analys 88367 Insitu Hybridization Auto CMS Edit

81431 Hearing Loss Dup/Del Analys 88368 Insitu Hybridization Manual CMS Edit

81431 Hearing Loss Dup/Del Analys 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81431 Hearing Loss Dup/Del Analys 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81431 Hearing Loss Dup/Del Analys 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81431 Hearing Loss Dup/Del Analys 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81431 Hearing Loss Dup/Del Analys G0452 Molecular Pathology Interpr CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81161 DMD Dup/Delet Analysis CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81170 ABL1 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81200 ASPA Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81201 APC Gene Full Sequence CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81202 APC Gene Known Fam Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81203 APC Gene Dup/Delet Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81205 BCKDHB Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81206 BCR/ABL1 Gene Major Bp CMS Edit

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Code Code Description Code Code Description Source

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81432 Hrdtry Brst Ca-Rlatd Dsordrs 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81208 BCR/ABL1 Gene Other Bp CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81209 BLM Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81210 BRAF Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81215 BRCA1 Gene Known Fam Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81216 BRCA2 Gene Full Sequence CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81217 BRCA2 Gene Known Fam Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81218 Cebpa Gene Full Sequence CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81219 CALR Gene Com Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81220 CFTR Gene Com Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81221 CFTR Gene Known Fam Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81222 CFTR Gene Dup/Delet Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81223 CFTR Gene Full Sequence CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81224 CFTR Gene Intron Poly T CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81225 CYP2C19 Gene Com Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81226 CYP2D6 Gene Com Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81227 CYP2C9 Gene Com Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81235 EGFR Gene Com Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81240 F2 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81241 F5 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81242 FANCC Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81243 FMR1 Gene Detection CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81244 FMR1 Gene Characterization CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81245 FLT3 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81246 FLT3 Gene Analysis CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81250 G6PC Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81251 GBA Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81252 GJB2 Gene Full Sequence CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81253 GJB2 Gene Known Fam Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81254 GJB6 Gene Com Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81255 HEXA Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81256 HFE Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81257 HBA1/HBA2 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81260 IKBKAP Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81261 IGH Gene Rearrange Amp Meth CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81262 IGH Gene Rearrang Dir Probe CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81263 IGH Vari Regional Mutation CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81265 STR Markers Specimen Anal CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81266 STR Markers Spec Anal Addl CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81267 Chimerism Anal No Cell Selec CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81268 Chimerism Anal W/Cell Select CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81270 JAK2 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81272 KIT Gene Targeted Seq Analys CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81273 KIT Gene Analys D816 Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81275 KRAS Gene Variants Exon 2 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81276 KRAS Gene Addl Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81287 MGMT Gene Methylation Anal CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81288 MLH1 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81290 MCOLN1 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81291 MTHFR Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81292 MLH1 Gene Full Seq CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81293 MLH1 Gene Known Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81294 MLH1 Gene Dup/Delete Variant CMS Edit

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Code Code Description Code Code Description Source

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81432 Hrdtry Brst Ca-Rlatd Dsordrs 81295 MSH2 Gene Full Seq CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81296 MSH2 Gene Known Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81298 MSH6 Gene Full Seq CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81299 MSH6 Gene Known Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81301 Microsatellite Instability CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81302 MECP2 Gene Full Seq CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81303 MECP2 Gene Known Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81310 NPM1 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81313 PCA3/KLK3 Antigen CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81314 PDGFRA Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81315 PML/RARalpha Com Breakpoints CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81316 PML/RARalpha 1 Breakpoint CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81317 PMS2 Gene Full Seq Analysis CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81318 PMS2 Known Familial Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81321 PTEN Gene Full Sequence CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81322 PTEN Gene Known Fam Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81323 PTEN Gene Dup/Delet Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81324 PMP22 Gene Dup/Delet CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81325 PMP22 Gene Full Sequence CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81326 PMP22 Gene Known Fam Variant CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81327 SEPT9 Methylation Analysis CMS Edit*81432 Hrdtry Brst Ca-Rlatd Dsordrs 81330 SMPD1 Gene Common Variants CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81331 SNRPN/UBE3A Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81332 SERPINA1 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81340 TRB@ Gene Rearrange Amplify CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81342 TRG Gene Rearrangement Anal CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81350 UGT1A1 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81355 VKORC1 Gene CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81400 Mopath Procedure Level 1 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81401 Mopath Procedure Level 2 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81402 Mopath Procedure Level 3 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81403 Mopath Procedure Level 4 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81404 Mopath Procedure Level 5 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81405 Mopath Procedure Level 6 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81406 Mopath Procedure Level 7 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81407 Mopath Procedure Level 8 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81408 Mopath Procedure Level 9 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81493 Cor Artery Disease mRNA CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81504 Oncology Tissue of Origin CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81519 Oncology Breast mRNA CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81525 Oncology Colon mRNA CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81528 Oncology Colorectal Scr CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81540 Oncology Tum Unknown Origin CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81545 Oncology Thyroid CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88271 Cytogenetics DNA Probe CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88272 Cytogenetics 3-5 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88273 Cytogenetics 10-30 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88274 Cytogenetics 25-99 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88275 Cytogenetics 100-300 CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88291 Cyto/Molecular Report CMS Edit

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Code Code Description Code Code Description Source

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81432 Hrdtry Brst Ca-Rlatd Dsordrs 88364 Insitu Hybridization (Fish) CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88365 Insitu Hybridization (Fish) CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88366 Insitu Hybridization (Fish) CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88367 Insitu Hybridization Auto CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88368 Insitu Hybridization Manual CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81432 Hrdtry Brst Ca-Rlatd Dsordrs G0452 Molecular Pathology Interpr CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81161 DMD Dup/Delet Analysis CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81170 ABL1 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81200 ASPA Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81201 APC Gene Full Sequence CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81202 APC Gene Known Fam Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81203 APC Gene Dup/Delet Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81205 BCKDHB Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81206 BCR/ABL1 Gene Major Bp CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81208 BCR/ABL1 Gene Other Bp CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81209 BLM Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81210 BRAF Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81215 BRCA1 Gene Known Fam Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81216 BRCA2 Gene Full Sequence CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81217 BRCA2 Gene Known Fam Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81218 Cebpa Gene Full Sequence CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81219 CALR Gene Com Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81220 CFTR Gene Com Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81221 CFTR Gene Known Fam Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81222 CFTR Gene Dup/Delet Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81223 CFTR Gene Full Sequence CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81224 CFTR Gene Intron Poly T CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81225 CYP2C19 Gene Com Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81226 CYP2D6 Gene Com Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81227 CYP2C9 Gene Com Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81235 EGFR Gene Com Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81240 F2 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81241 F5 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81242 FANCC Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81243 FMR1 Gene Detection CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81244 FMR1 Gene Characterization CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81245 FLT3 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81246 FLT3 Gene Analysis CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81250 G6PC Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81251 GBA Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81252 GJB2 Gene Full Sequence CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81253 GJB2 Gene Known Fam Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81254 GJB6 Gene Com Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81255 HEXA Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81256 HFE Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81257 HBA1/HBA2 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81260 IKBKAP Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81261 IGH Gene Rearrange Amp Meth CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81262 IGH Gene Rearrang Dir Probe CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81263 IGH Vari Regional Mutation CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81265 STR Markers Specimen Anal CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81266 STR Markers Spec Anal Addl CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81267 Chimerism Anal No Cell Selec CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81268 Chimerism Anal W/Cell Select CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81270 JAK2 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81272 KIT Gene Targeted Seq Analys CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81273 KIT Gene Analys D816 Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81275 KRAS Gene Variants Exon 2 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81276 KRAS Gene Addl Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81287 MGMT Gene Methylation Anal CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81288 MLH1 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81290 MCOLN1 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81291 MTHFR Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81292 MLH1 Gene Full Seq CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81293 MLH1 Gene Known Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81295 MSH2 Gene Full Seq CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81296 MSH2 Gene Known Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81298 MSH6 Gene Full Seq CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81299 MSH6 Gene Known Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81301 Microsatellite Instability CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81302 MECP2 Gene Full Seq CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81303 MECP2 Gene Known Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81310 NPM1 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81313 PCA3/KLK3 Antigen CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81314 PDGFRA Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81315 PML/RARalpha Com Breakpoints CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81316 PML/RARalpha 1 Breakpoint CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81317 PMS2 Gene Full Seq Analysis CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81318 PMS2 Known Familial Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81321 PTEN Gene Full Sequence CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81322 PTEN Gene Known Fam Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81323 PTEN Gene Dup/Delet Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81324 PMP22 Gene Dup/Delet CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81325 PMP22 Gene Full Sequence CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81326 PMP22 Gene Known Fam Variant CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81327 SEPT9 Methylation Analysis CMS Edit*81433 Hrdtry Brst Ca-Rlatd Dsordrs 81330 SMPD1 Gene Common Variants CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81331 SNRPN/UBE3A Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81332 SERPINA1 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81340 TRB@ Gene Rearrange Amplify CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81342 TRG Gene Rearrangement Anal CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81350 UGT1A1 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81355 VKORC1 Gene CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81400 Mopath Procedure Level 1 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81401 Mopath Procedure Level 2 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81402 Mopath Procedure Level 3 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81403 Mopath Procedure Level 4 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81404 Mopath Procedure Level 5 CMS Edit

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Code Code Description Code Code Description Source

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81433 Hrdtry Brst Ca-Rlatd Dsordrs 81405 Mopath Procedure Level 6 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81406 Mopath Procedure Level 7 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81407 Mopath Procedure Level 8 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81408 Mopath Procedure Level 9 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81493 Cor Artery Disease mRNA CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81504 Oncology Tissue of Origin CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81519 Oncology Breast mRNA CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81525 Oncology Colon mRNA CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81528 Oncology Colorectal Scr CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81540 Oncology Tum Unknown Origin CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81545 Oncology Thyroid CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88271 Cytogenetics DNA Probe CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88272 Cytogenetics 3-5 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88273 Cytogenetics 10-30 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88274 Cytogenetics 25-99 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88275 Cytogenetics 100-300 CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88291 Cyto/Molecular Report CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88364 Insitu Hybridization (Fish) CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88365 Insitu Hybridization (Fish) CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88366 Insitu Hybridization (Fish) CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88367 Insitu Hybridization Auto CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88368 Insitu Hybridization Manual CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81433 Hrdtry Brst Ca-Rlatd Dsordrs G0452 Molecular Pathology Interpr CMS Edit

81434 Hrdtry Retinal Disorders 81161 DMD Dup/Delet Analysis CMS Edit

81434 Hrdtry Retinal Disorders 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81434 Hrdtry Retinal Disorders 81170 ABL1 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81200 ASPA Gene CMS Edit

81434 Hrdtry Retinal Disorders 81201 APC Gene Full Sequence CMS Edit

81434 Hrdtry Retinal Disorders 81202 APC Gene Known Fam Variants CMS Edit

81434 Hrdtry Retinal Disorders 81203 APC Gene Dup/Delet Variants CMS Edit

81434 Hrdtry Retinal Disorders 81205 BCKDHB Gene CMS Edit

81434 Hrdtry Retinal Disorders 81206 BCR/ABL1 Gene Major Bp CMS Edit

81434 Hrdtry Retinal Disorders 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81434 Hrdtry Retinal Disorders 81208 BCR/ABL1 Gene Other Bp CMS Edit

81434 Hrdtry Retinal Disorders 81209 BLM Gene CMS Edit

81434 Hrdtry Retinal Disorders 81210 BRAF Gene CMS Edit

81434 Hrdtry Retinal Disorders 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81434 Hrdtry Retinal Disorders 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81434 Hrdtry Retinal Disorders 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81434 Hrdtry Retinal Disorders 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81434 Hrdtry Retinal Disorders 81215 BRCA1 Gene Known Fam Variant CMS Edit

81434 Hrdtry Retinal Disorders 81216 BRCA2 Gene Full Sequence CMS Edit

81434 Hrdtry Retinal Disorders 81217 BRCA2 Gene Known Fam Variant CMS Edit

81434 Hrdtry Retinal Disorders 81218 Cebpa Gene Full Sequence CMS Edit

81434 Hrdtry Retinal Disorders 81219 CALR Gene Com Variants CMS Edit

81434 Hrdtry Retinal Disorders 81220 CFTR Gene Com Variants CMS Edit

81434 Hrdtry Retinal Disorders 81221 CFTR Gene Known Fam Variants CMS Edit

81434 Hrdtry Retinal Disorders 81222 CFTR Gene Dup/Delet Variants CMS Edit

81434 Hrdtry Retinal Disorders 81223 CFTR Gene Full Sequence CMS Edit

81434 Hrdtry Retinal Disorders 81224 CFTR Gene Intron Poly T CMS Edit

81434 Hrdtry Retinal Disorders 81225 CYP2C19 Gene Com Variants CMS Edit

81434 Hrdtry Retinal Disorders 81226 CYP2D6 Gene Com Variants CMS Edit

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Code Code Description Code Code Description Source

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81434 Hrdtry Retinal Disorders 81227 CYP2C9 Gene Com Variants CMS Edit

81434 Hrdtry Retinal Disorders 81235 EGFR Gene Com Variants CMS Edit

81434 Hrdtry Retinal Disorders 81240 F2 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81241 F5 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81242 FANCC Gene CMS Edit

81434 Hrdtry Retinal Disorders 81243 FMR1 Gene Detection CMS Edit

81434 Hrdtry Retinal Disorders 81244 FMR1 Gene Characterization CMS Edit

81434 Hrdtry Retinal Disorders 81245 FLT3 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81246 FLT3 Gene Analysis CMS Edit

81434 Hrdtry Retinal Disorders 81250 G6PC Gene CMS Edit

81434 Hrdtry Retinal Disorders 81251 GBA Gene CMS Edit

81434 Hrdtry Retinal Disorders 81252 GJB2 Gene Full Sequence CMS Edit

81434 Hrdtry Retinal Disorders 81253 GJB2 Gene Known Fam Variants CMS Edit

81434 Hrdtry Retinal Disorders 81254 GJB6 Gene Com Variants CMS Edit

81434 Hrdtry Retinal Disorders 81255 HEXA Gene CMS Edit

81434 Hrdtry Retinal Disorders 81256 HFE Gene CMS Edit

81434 Hrdtry Retinal Disorders 81257 HBA1/HBA2 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81260 IKBKAP Gene CMS Edit

81434 Hrdtry Retinal Disorders 81261 IGH Gene Rearrange Amp Meth CMS Edit

81434 Hrdtry Retinal Disorders 81262 IGH Gene Rearrang Dir Probe CMS Edit

81434 Hrdtry Retinal Disorders 81263 IGH Vari Regional Mutation CMS Edit

81434 Hrdtry Retinal Disorders 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81434 Hrdtry Retinal Disorders 81265 STR Markers Specimen Anal CMS Edit

81434 Hrdtry Retinal Disorders 81266 STR Markers Spec Anal Addl CMS Edit

81434 Hrdtry Retinal Disorders 81267 Chimerism Anal No Cell Selec CMS Edit

81434 Hrdtry Retinal Disorders 81268 Chimerism Anal W/Cell Select CMS Edit

81434 Hrdtry Retinal Disorders 81270 JAK2 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81272 KIT Gene Targeted Seq Analys CMS Edit

81434 Hrdtry Retinal Disorders 81273 KIT Gene Analys D816 Variant CMS Edit

81434 Hrdtry Retinal Disorders 81275 KRAS Gene Variants Exon 2 CMS Edit

81434 Hrdtry Retinal Disorders 81276 KRAS Gene Addl Variants CMS Edit

81434 Hrdtry Retinal Disorders 81287 MGMT Gene Methylation Anal CMS Edit

81434 Hrdtry Retinal Disorders 81288 MLH1 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81290 MCOLN1 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81291 MTHFR Gene CMS Edit

81434 Hrdtry Retinal Disorders 81292 MLH1 Gene Full Seq CMS Edit

81434 Hrdtry Retinal Disorders 81293 MLH1 Gene Known Variants CMS Edit

81434 Hrdtry Retinal Disorders 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81434 Hrdtry Retinal Disorders 81295 MSH2 Gene Full Seq CMS Edit

81434 Hrdtry Retinal Disorders 81296 MSH2 Gene Known Variants CMS Edit

81434 Hrdtry Retinal Disorders 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81434 Hrdtry Retinal Disorders 81298 MSH6 Gene Full Seq CMS Edit

81434 Hrdtry Retinal Disorders 81299 MSH6 Gene Known Variants CMS Edit

81434 Hrdtry Retinal Disorders 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81434 Hrdtry Retinal Disorders 81301 Microsatellite Instability CMS Edit

81434 Hrdtry Retinal Disorders 81302 MECP2 Gene Full Seq CMS Edit

81434 Hrdtry Retinal Disorders 81303 MECP2 Gene Known Variant CMS Edit

81434 Hrdtry Retinal Disorders 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81434 Hrdtry Retinal Disorders 81310 NPM1 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81434 Hrdtry Retinal Disorders 81313 PCA3/KLK3 Antigen CMS Edit

81434 Hrdtry Retinal Disorders 81314 PDGFRA Gene CMS Edit

81434 Hrdtry Retinal Disorders 81315 PML/RARalpha Com Breakpoints CMS Edit

81434 Hrdtry Retinal Disorders 81316 PML/RARalpha 1 Breakpoint CMS Edit

81434 Hrdtry Retinal Disorders 81317 PMS2 Gene Full Seq Analysis CMS Edit

81434 Hrdtry Retinal Disorders 81318 PMS2 Known Familial Variants CMS Edit

81434 Hrdtry Retinal Disorders 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81434 Hrdtry Retinal Disorders 81321 PTEN Gene Full Sequence CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81434 Hrdtry Retinal Disorders 81322 PTEN Gene Known Fam Variant CMS Edit

81434 Hrdtry Retinal Disorders 81323 PTEN Gene Dup/Delet Variant CMS Edit

81434 Hrdtry Retinal Disorders 81324 PMP22 Gene Dup/Delet CMS Edit

81434 Hrdtry Retinal Disorders 81325 PMP22 Gene Full Sequence CMS Edit

81434 Hrdtry Retinal Disorders 81326 PMP22 Gene Known Fam Variant CMS Edit

81434 Hrdtry Retinal Disorders 81327 SEPT9 Methylation Analysis CMS Edit*81434 Hrdtry Retinal Disorders 81330 SMPD1 Gene Common Variants CMS Edit

81434 Hrdtry Retinal Disorders 81331 SNRPN/UBE3A Gene CMS Edit

81434 Hrdtry Retinal Disorders 81332 SERPINA1 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81340 TRB@ Gene Rearrange Amplify CMS Edit

81434 Hrdtry Retinal Disorders 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81434 Hrdtry Retinal Disorders 81342 TRG Gene Rearrangement Anal CMS Edit

81434 Hrdtry Retinal Disorders 81350 UGT1A1 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81355 VKORC1 Gene CMS Edit

81434 Hrdtry Retinal Disorders 81400 Mopath Procedure Level 1 CMS Edit

81434 Hrdtry Retinal Disorders 81401 Mopath Procedure Level 2 CMS Edit

81434 Hrdtry Retinal Disorders 81402 Mopath Procedure Level 3 CMS Edit

81434 Hrdtry Retinal Disorders 81403 Mopath Procedure Level 4 CMS Edit

81434 Hrdtry Retinal Disorders 81404 Mopath Procedure Level 5 CMS Edit

81434 Hrdtry Retinal Disorders 81405 Mopath Procedure Level 6 CMS Edit

81434 Hrdtry Retinal Disorders 81406 Mopath Procedure Level 7 CMS Edit

81434 Hrdtry Retinal Disorders 81407 Mopath Procedure Level 8 CMS Edit

81434 Hrdtry Retinal Disorders 81408 Mopath Procedure Level 9 CMS Edit

81434 Hrdtry Retinal Disorders 81493 Cor Artery Disease mRNA CMS Edit

81434 Hrdtry Retinal Disorders 81504 Oncology Tissue of Origin CMS Edit

81434 Hrdtry Retinal Disorders 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81434 Hrdtry Retinal Disorders 81519 Oncology Breast mRNA CMS Edit

81434 Hrdtry Retinal Disorders 81525 Oncology Colon mRNA CMS Edit

81434 Hrdtry Retinal Disorders 81528 Oncology Colorectal Scr CMS Edit

81434 Hrdtry Retinal Disorders 81540 Oncology Tum Unknown Origin CMS Edit

81434 Hrdtry Retinal Disorders 81545 Oncology Thyroid CMS Edit

81434 Hrdtry Retinal Disorders 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81434 Hrdtry Retinal Disorders 88271 Cytogenetics DNA Probe CMS Edit

81434 Hrdtry Retinal Disorders 88272 Cytogenetics 3-5 CMS Edit

81434 Hrdtry Retinal Disorders 88273 Cytogenetics 10-30 CMS Edit

81434 Hrdtry Retinal Disorders 88274 Cytogenetics 25-99 CMS Edit

81434 Hrdtry Retinal Disorders 88275 Cytogenetics 100-300 CMS Edit

81434 Hrdtry Retinal Disorders 88291 Cyto/Molecular Report CMS Edit

81434 Hrdtry Retinal Disorders 88364 Insitu Hybridization (Fish) CMS Edit

81434 Hrdtry Retinal Disorders 88365 Insitu Hybridization (Fish) CMS Edit

81434 Hrdtry Retinal Disorders 88366 Insitu Hybridization (Fish) CMS Edit

81434 Hrdtry Retinal Disorders 88367 Insitu Hybridization Auto CMS Edit

81434 Hrdtry Retinal Disorders 88368 Insitu Hybridization Manual CMS Edit

81434 Hrdtry Retinal Disorders 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81434 Hrdtry Retinal Disorders 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81434 Hrdtry Retinal Disorders 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81434 Hrdtry Retinal Disorders 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81434 Hrdtry Retinal Disorders G0452 Molecular Pathology Interpr CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81161 DMD Dup/Delet Analysis CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81170 ABL1 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81200 ASPA Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81201 APC Gene Full Sequence CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81202 APC Gene Known Fam Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81203 APC Gene Dup/Delet Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81205 BCKDHB Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81206 BCR/ABL1 Gene Major Bp CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81207 BCR/ABL1 Gene Minor Bp CMS Edit

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Code Code Description Code Code Description Source

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81435 Hrdtry Colon Ca Dsordrs 81208 BCR/ABL1 Gene Other Bp CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81209 BLM Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81210 BRAF Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81215 BRCA1 Gene Known Fam Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81216 BRCA2 Gene Full Sequence CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81217 BRCA2 Gene Known Fam Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81218 Cebpa Gene Full Sequence CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81219 CALR Gene Com Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81220 CFTR Gene Com Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81221 CFTR Gene Known Fam Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81222 CFTR Gene Dup/Delet Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81223 CFTR Gene Full Sequence CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81224 CFTR Gene Intron Poly T CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81225 CYP2C19 Gene Com Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81226 CYP2D6 Gene Com Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81227 CYP2C9 Gene Com Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81235 EGFR Gene Com Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81240 F2 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81241 F5 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81242 FANCC Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81243 FMR1 Gene Detection CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81244 FMR1 Gene Characterization CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81245 FLT3 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81246 FLT3 Gene Analysis CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81250 G6PC Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81251 GBA Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81252 GJB2 Gene Full Sequence CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81253 GJB2 Gene Known Fam Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81254 GJB6 Gene Com Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81255 HEXA Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81256 HFE Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81257 HBA1/HBA2 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81260 IKBKAP Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81261 IGH Gene Rearrange Amp Meth CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81262 IGH Gene Rearrang Dir Probe CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81263 IGH Vari Regional Mutation CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81265 STR Markers Specimen Anal CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81266 STR Markers Spec Anal Addl CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81267 Chimerism Anal No Cell Selec CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81268 Chimerism Anal W/Cell Select CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81270 JAK2 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81272 KIT Gene Targeted Seq Analys CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81273 KIT Gene Analys D816 Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81275 KRAS Gene Variants Exon 2 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81276 KRAS Gene Addl Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81287 MGMT Gene Methylation Anal CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81288 MLH1 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81290 MCOLN1 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81291 MTHFR Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81292 MLH1 Gene Full Seq CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81293 MLH1 Gene Known Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81295 MSH2 Gene Full Seq CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81435 Hrdtry Colon Ca Dsordrs 81296 MSH2 Gene Known Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81298 MSH6 Gene Full Seq CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81299 MSH6 Gene Known Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81301 Microsatellite Instability CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81302 MECP2 Gene Full Seq CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81303 MECP2 Gene Known Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81310 NPM1 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81313 PCA3/KLK3 Antigen CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81314 PDGFRA Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81315 PML/RARalpha Com Breakpoints CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81316 PML/RARalpha 1 Breakpoint CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81317 PMS2 Gene Full Seq Analysis CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81318 PMS2 Known Familial Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81321 PTEN Gene Full Sequence CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81322 PTEN Gene Known Fam Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81323 PTEN Gene Dup/Delet Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81324 PMP22 Gene Dup/Delet CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81325 PMP22 Gene Full Sequence CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81326 PMP22 Gene Known Fam Variant CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81327 SEPT9 Methylation Analysis CMS Edit*81435 Hrdtry Colon Ca Dsordrs 81330 SMPD1 Gene Common Variants CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81331 SNRPN/UBE3A Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81332 SERPINA1 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81340 TRB@ Gene Rearrange Amplify CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81342 TRG Gene Rearrangement Anal CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81350 UGT1A1 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81355 VKORC1 Gene CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81400 Mopath Procedure Level 1 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81401 Mopath Procedure Level 2 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81402 Mopath Procedure Level 3 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81403 Mopath Procedure Level 4 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81404 Mopath Procedure Level 5 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81405 Mopath Procedure Level 6 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81406 Mopath Procedure Level 7 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81407 Mopath Procedure Level 8 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81408 Mopath Procedure Level 9 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81493 Cor Artery Disease mRNA CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81504 Oncology Tissue of Origin CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81519 Oncology Breast mRNA CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81525 Oncology Colon mRNA CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81528 Oncology Colorectal Scr CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81540 Oncology Tum Unknown Origin CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81545 Oncology Thyroid CMS Edit

81435 Hrdtry Colon Ca Dsordrs 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88271 Cytogenetics DNA Probe CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88272 Cytogenetics 3-5 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88273 Cytogenetics 10-30 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88274 Cytogenetics 25-99 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88275 Cytogenetics 100-300 CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88291 Cyto/Molecular Report CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88364 Insitu Hybridization (Fish) CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81435 Hrdtry Colon Ca Dsordrs 88365 Insitu Hybridization (Fish) CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88366 Insitu Hybridization (Fish) CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88367 Insitu Hybridization Auto CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88368 Insitu Hybridization Manual CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81435 Hrdtry Colon Ca Dsordrs 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81435 Hrdtry Colon Ca Dsordrs G0452 Molecular Pathology Interpr CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81161 DMD Dup/Delet Analysis CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81170 ABL1 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81200 ASPA Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81201 APC Gene Full Sequence CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81202 APC Gene Known Fam Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81203 APC Gene Dup/Delet Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81205 BCKDHB Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81206 BCR/ABL1 Gene Major Bp CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81208 BCR/ABL1 Gene Other Bp CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81209 BLM Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81210 BRAF Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81215 BRCA1 Gene Known Fam Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81216 BRCA2 Gene Full Sequence CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81217 BRCA2 Gene Known Fam Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81218 Cebpa Gene Full Sequence CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81219 CALR Gene Com Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81220 CFTR Gene Com Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81221 CFTR Gene Known Fam Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81222 CFTR Gene Dup/Delet Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81223 CFTR Gene Full Sequence CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81224 CFTR Gene Intron Poly T CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81225 CYP2C19 Gene Com Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81226 CYP2D6 Gene Com Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81227 CYP2C9 Gene Com Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81235 EGFR Gene Com Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81240 F2 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81241 F5 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81242 FANCC Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81243 FMR1 Gene Detection CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81244 FMR1 Gene Characterization CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81245 FLT3 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81246 FLT3 Gene Analysis CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81250 G6PC Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81251 GBA Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81252 GJB2 Gene Full Sequence CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81253 GJB2 Gene Known Fam Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81254 GJB6 Gene Com Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81255 HEXA Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81256 HFE Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81257 HBA1/HBA2 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81260 IKBKAP Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81261 IGH Gene Rearrange Amp Meth CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81262 IGH Gene Rearrang Dir Probe CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81436 Hrdtry Colon Ca Dsordrs 81263 IGH Vari Regional Mutation CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81265 STR Markers Specimen Anal CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81266 STR Markers Spec Anal Addl CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81267 Chimerism Anal No Cell Selec CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81268 Chimerism Anal W/Cell Select CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81270 JAK2 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81272 KIT Gene Targeted Seq Analys CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81273 KIT Gene Analys D816 Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81275 KRAS Gene Variants Exon 2 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81276 KRAS Gene Addl Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81287 MGMT Gene Methylation Anal CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81288 MLH1 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81290 MCOLN1 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81291 MTHFR Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81292 MLH1 Gene Full Seq CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81293 MLH1 Gene Known Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81295 MSH2 Gene Full Seq CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81296 MSH2 Gene Known Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81298 MSH6 Gene Full Seq CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81299 MSH6 Gene Known Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81301 Microsatellite Instability CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81302 MECP2 Gene Full Seq CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81303 MECP2 Gene Known Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81310 NPM1 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81313 PCA3/KLK3 Antigen CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81314 PDGFRA Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81315 PML/RARalpha Com Breakpoints CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81316 PML/RARalpha 1 Breakpoint CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81317 PMS2 Gene Full Seq Analysis CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81318 PMS2 Known Familial Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81321 PTEN Gene Full Sequence CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81322 PTEN Gene Known Fam Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81323 PTEN Gene Dup/Delet Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81324 PMP22 Gene Dup/Delet CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81325 PMP22 Gene Full Sequence CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81326 PMP22 Gene Known Fam Variant CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81327 SEPT9 Methylation Analysis CMS Edit*81436 Hrdtry Colon Ca Dsordrs 81330 SMPD1 Gene Common Variants CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81331 SNRPN/UBE3A Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81332 SERPINA1 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81340 TRB@ Gene Rearrange Amplify CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81342 TRG Gene Rearrangement Anal CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81350 UGT1A1 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81355 VKORC1 Gene CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81400 Mopath Procedure Level 1 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81401 Mopath Procedure Level 2 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81402 Mopath Procedure Level 3 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81403 Mopath Procedure Level 4 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81404 Mopath Procedure Level 5 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81405 Mopath Procedure Level 6 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81436 Hrdtry Colon Ca Dsordrs 81406 Mopath Procedure Level 7 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81407 Mopath Procedure Level 8 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81408 Mopath Procedure Level 9 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81493 Cor Artery Disease mRNA CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81504 Oncology Tissue of Origin CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81519 Oncology Breast mRNA CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81525 Oncology Colon mRNA CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81528 Oncology Colorectal Scr CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81540 Oncology Tum Unknown Origin CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81545 Oncology Thyroid CMS Edit

81436 Hrdtry Colon Ca Dsordrs 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88271 Cytogenetics DNA Probe CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88272 Cytogenetics 3-5 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88273 Cytogenetics 10-30 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88274 Cytogenetics 25-99 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88275 Cytogenetics 100-300 CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88291 Cyto/Molecular Report CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88364 Insitu Hybridization (Fish) CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88365 Insitu Hybridization (Fish) CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88366 Insitu Hybridization (Fish) CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88367 Insitu Hybridization Auto CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88368 Insitu Hybridization Manual CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81436 Hrdtry Colon Ca Dsordrs 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81436 Hrdtry Colon Ca Dsordrs G0452 Molecular Pathology Interpr CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81161 DMD Dup/Delet Analysis CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81170 ABL1 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81200 ASPA Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81201 APC Gene Full Sequence CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81202 APC Gene Known Fam Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81203 APC Gene Dup/Delet Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81205 BCKDHB Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81206 BCR/ABL1 Gene Major Bp CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81208 BCR/ABL1 Gene Other Bp CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81209 BLM Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81210 BRAF Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81215 BRCA1 Gene Known Fam Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81216 BRCA2 Gene Full Sequence CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81217 BRCA2 Gene Known Fam Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81218 Cebpa Gene Full Sequence CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81219 CALR Gene Com Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81220 CFTR Gene Com Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81221 CFTR Gene Known Fam Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81222 CFTR Gene Dup/Delet Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81223 CFTR Gene Full Sequence CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81224 CFTR Gene Intron Poly T CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81225 CYP2C19 Gene Com Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81226 CYP2D6 Gene Com Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81227 CYP2C9 Gene Com Variants CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81437 Hrdtry Nurondcrn Tum Dsrdr 81235 EGFR Gene Com Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81240 F2 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81241 F5 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81242 FANCC Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81243 FMR1 Gene Detection CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81244 FMR1 Gene Characterization CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81245 FLT3 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81246 FLT3 Gene Analysis CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81250 G6PC Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81251 GBA Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81252 GJB2 Gene Full Sequence CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81253 GJB2 Gene Known Fam Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81254 GJB6 Gene Com Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81255 HEXA Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81256 HFE Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81257 HBA1/HBA2 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81260 IKBKAP Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81261 IGH Gene Rearrange Amp Meth CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81262 IGH Gene Rearrang Dir Probe CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81263 IGH Vari Regional Mutation CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81265 STR Markers Specimen Anal CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81266 STR Markers Spec Anal Addl CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81267 Chimerism Anal No Cell Selec CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81268 Chimerism Anal W/Cell Select CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81270 JAK2 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81272 KIT Gene Targeted Seq Analys CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81273 KIT Gene Analys D816 Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81275 KRAS Gene Variants Exon 2 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81276 KRAS Gene Addl Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81287 MGMT Gene Methylation Anal CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81288 MLH1 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81290 MCOLN1 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81291 MTHFR Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81292 MLH1 Gene Full Seq CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81293 MLH1 Gene Known Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81295 MSH2 Gene Full Seq CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81296 MSH2 Gene Known Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81298 MSH6 Gene Full Seq CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81299 MSH6 Gene Known Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81301 Microsatellite Instability CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81302 MECP2 Gene Full Seq CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81303 MECP2 Gene Known Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81310 NPM1 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81313 PCA3/KLK3 Antigen CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81314 PDGFRA Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81315 PML/RARalpha Com Breakpoints CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81316 PML/RARalpha 1 Breakpoint CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81317 PMS2 Gene Full Seq Analysis CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81318 PMS2 Known Familial Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81321 PTEN Gene Full Sequence CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81322 PTEN Gene Known Fam Variant CMS Edit

Page 275: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81437 Hrdtry Nurondcrn Tum Dsrdr 81323 PTEN Gene Dup/Delet Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81324 PMP22 Gene Dup/Delet CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81325 PMP22 Gene Full Sequence CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81326 PMP22 Gene Known Fam Variant CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81327 SEPT9 Methylation Analysis CMS Edit*81437 Hrdtry Nurondcrn Tum Dsrdr 81330 SMPD1 Gene Common Variants CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81331 SNRPN/UBE3A Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81332 SERPINA1 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81340 TRB@ Gene Rearrange Amplify CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81342 TRG Gene Rearrangement Anal CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81350 UGT1A1 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81355 VKORC1 Gene CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81400 Mopath Procedure Level 1 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81401 Mopath Procedure Level 2 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81402 Mopath Procedure Level 3 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81403 Mopath Procedure Level 4 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81404 Mopath Procedure Level 5 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81405 Mopath Procedure Level 6 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81406 Mopath Procedure Level 7 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81407 Mopath Procedure Level 8 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81408 Mopath Procedure Level 9 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81493 Cor Artery Disease mRNA CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81504 Oncology Tissue of Origin CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81519 Oncology Breast mRNA CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81525 Oncology Colon mRNA CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81528 Oncology Colorectal Scr CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81540 Oncology Tum Unknown Origin CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81545 Oncology Thyroid CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88271 Cytogenetics DNA Probe CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88272 Cytogenetics 3-5 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88273 Cytogenetics 10-30 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88274 Cytogenetics 25-99 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88275 Cytogenetics 100-300 CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88291 Cyto/Molecular Report CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88364 Insitu Hybridization (Fish) CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88365 Insitu Hybridization (Fish) CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88366 Insitu Hybridization (Fish) CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88367 Insitu Hybridization Auto CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88368 Insitu Hybridization Manual CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81437 Hrdtry Nurondcrn Tum Dsrdr G0452 Molecular Pathology Interpr CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81161 DMD Dup/Delet Analysis CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81170 ABL1 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81200 ASPA Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81201 APC Gene Full Sequence CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81202 APC Gene Known Fam Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81203 APC Gene Dup/Delet Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81205 BCKDHB Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81206 BCR/ABL1 Gene Major Bp CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81208 BCR/ABL1 Gene Other Bp CMS Edit

Page 276: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81438 Hrdtry Nurondcrn Tum Dsrdr 81209 BLM Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81210 BRAF Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81215 BRCA1 Gene Known Fam Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81216 BRCA2 Gene Full Sequence CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81217 BRCA2 Gene Known Fam Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81218 Cebpa Gene Full Sequence CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81219 CALR Gene Com Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81220 CFTR Gene Com Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81221 CFTR Gene Known Fam Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81222 CFTR Gene Dup/Delet Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81223 CFTR Gene Full Sequence CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81224 CFTR Gene Intron Poly T CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81225 CYP2C19 Gene Com Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81226 CYP2D6 Gene Com Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81227 CYP2C9 Gene Com Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81235 EGFR Gene Com Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81240 F2 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81241 F5 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81242 FANCC Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81243 FMR1 Gene Detection CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81244 FMR1 Gene Characterization CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81245 FLT3 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81246 FLT3 Gene Analysis CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81250 G6PC Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81251 GBA Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81252 GJB2 Gene Full Sequence CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81253 GJB2 Gene Known Fam Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81254 GJB6 Gene Com Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81255 HEXA Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81256 HFE Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81257 HBA1/HBA2 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81260 IKBKAP Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81261 IGH Gene Rearrange Amp Meth CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81262 IGH Gene Rearrang Dir Probe CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81263 IGH Vari Regional Mutation CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81265 STR Markers Specimen Anal CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81266 STR Markers Spec Anal Addl CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81267 Chimerism Anal No Cell Selec CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81268 Chimerism Anal W/Cell Select CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81270 JAK2 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81272 KIT Gene Targeted Seq Analys CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81273 KIT Gene Analys D816 Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81275 KRAS Gene Variants Exon 2 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81276 KRAS Gene Addl Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81287 MGMT Gene Methylation Anal CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81288 MLH1 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81290 MCOLN1 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81291 MTHFR Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81292 MLH1 Gene Full Seq CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81293 MLH1 Gene Known Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81295 MSH2 Gene Full Seq CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81296 MSH2 Gene Known Variants CMS Edit

Page 277: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81438 Hrdtry Nurondcrn Tum Dsrdr 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81298 MSH6 Gene Full Seq CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81299 MSH6 Gene Known Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81301 Microsatellite Instability CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81302 MECP2 Gene Full Seq CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81303 MECP2 Gene Known Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81310 NPM1 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81313 PCA3/KLK3 Antigen CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81314 PDGFRA Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81315 PML/RARalpha Com Breakpoints CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81316 PML/RARalpha 1 Breakpoint CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81317 PMS2 Gene Full Seq Analysis CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81318 PMS2 Known Familial Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81321 PTEN Gene Full Sequence CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81322 PTEN Gene Known Fam Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81323 PTEN Gene Dup/Delet Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81324 PMP22 Gene Dup/Delet CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81325 PMP22 Gene Full Sequence CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81326 PMP22 Gene Known Fam Variant CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81327 SEPT9 Methylation Analysis CMS Edit*81438 Hrdtry Nurondcrn Tum Dsrdr 81330 SMPD1 Gene Common Variants CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81331 SNRPN/UBE3A Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81332 SERPINA1 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81340 TRB@ Gene Rearrange Amplify CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81342 TRG Gene Rearrangement Anal CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81350 UGT1A1 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81355 VKORC1 Gene CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81400 Mopath Procedure Level 1 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81401 Mopath Procedure Level 2 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81402 Mopath Procedure Level 3 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81403 Mopath Procedure Level 4 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81404 Mopath Procedure Level 5 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81405 Mopath Procedure Level 6 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81406 Mopath Procedure Level 7 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81407 Mopath Procedure Level 8 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81408 Mopath Procedure Level 9 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81493 Cor Artery Disease mRNA CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81504 Oncology Tissue of Origin CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81519 Oncology Breast mRNA CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81525 Oncology Colon mRNA CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81528 Oncology Colorectal Scr CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81540 Oncology Tum Unknown Origin CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81545 Oncology Thyroid CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88271 Cytogenetics DNA Probe CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88272 Cytogenetics 3-5 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88273 Cytogenetics 10-30 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88274 Cytogenetics 25-99 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88275 Cytogenetics 100-300 CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88291 Cyto/Molecular Report CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88364 Insitu Hybridization (Fish) CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88365 Insitu Hybridization (Fish) CMS Edit

Page 278: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81438 Hrdtry Nurondcrn Tum Dsrdr 88366 Insitu Hybridization (Fish) CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88367 Insitu Hybridization Auto CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88368 Insitu Hybridization Manual CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81438 Hrdtry Nurondcrn Tum Dsrdr G0452 Molecular Pathology Interpr CMS Edit

81439 Inherited Cardmypthy 5 Gns 81161 DMD Dup/Delet Analysis CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81170 ABL1 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81200 ASPA Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81201 APC Gene Full Sequence CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81202 APC Gene Known Fam Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81203 APC Gene Dup/Delet Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81205 BCKDHB Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81206 BCR/ABL1 Gene Major Bp CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81207 BCR/ABL1 Gene Minor Bp CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81208 BCR/ABL1 Gene Other Bp CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81209 BLM Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81210 BRAF Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81212 BRCA1&2 185&5385&6174 Var CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81215 BRCA1 Gene Known Fam Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81216 BRCA2 Gene Full Sequence CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81217 BRCA2 Gene Known Fam Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81218 Cebpa Gene Full Sequence CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81219 CALR Gene Com Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81220 CFTR Gene Com Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81221 CFTR Gene Known Fam Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81222 CFTR Gene Dup/Delet Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81223 CFTR Gene Full Sequence CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81224 CFTR Gene Intron Poly T CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81225 CYP2C19 Gene Com Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81226 CYP2D6 Gene Com Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81227 CYP2C9 Gene Com Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81228 Cytogen Micrarray Copy Nmbr CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81229 Cytogen M Array Copy No&Snp CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81235 EGFR Gene Com Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81240 F2 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81241 F5 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81242 FANCC Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81243 FMR1 Gene Detection CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81244 FMR1 Gene Characterization CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81245 FLT3 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81246 FLT3 Gene Analysis CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81250 G6PC Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81251 GBA Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81252 GJB2 Gene Full Sequence CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81253 GJB2 Gene Known Fam Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81254 GJB6 Gene Com Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81255 HEXA Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81256 HFE Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81257 HBA1/HBA2 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81260 IKBKAP Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81261 IGH Gene Rearrange Amp Meth CMS Edit*

Page 279: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81439 Inherited Cardmypthy 5 Gns 81262 IGH Gene Rearrang Dir Probe CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81263 IGH Vari Regional Mutation CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81264 IGK Rearrangeabn Clonal Pop CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81265 STR Markers Specimen Anal CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81266 STR Markers Spec Anal Addl CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81267 Chimerism Anal No Cell Selec CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81268 Chimerism Anal W/Cell Select CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81270 JAK2 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81272 KIT Gene Targeted Seq Analys CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81273 KIT Gene Analys D816 Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81275 KRAS Gene Variants Exon 2 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81276 KRAS Gene Addl Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81287 MGMT Gene Methylation Anal CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81288 MLH1 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81290 MCOLN1 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81291 MTHFR Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81292 MLH1 Gene Full Seq CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81293 MLH1 Gene Known Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81294 MLH1 Gene Dup/Delete Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81295 MSH2 Gene Full Seq CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81296 MSH2 Gene Known Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81297 MSH2 Gene Dup/Delete Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81298 MSH6 Gene Full Seq CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81299 MSH6 Gene Known Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81300 MSH6 Gene Dup/Delete Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81301 Microsatellite Instability CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81302 MECP2 Gene Full Seq CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81303 MECP2 Gene Known Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81304 MECP2 Gene Dup/Delet Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81310 NPM1 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81311 NRAS Gene Variants Exon 2&3 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81313 PCA3/KLK3 Antigen CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81314 PDGFRA Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81315 PML/RARalpha Com Breakpoints CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81316 PML/RARalpha 1 Breakpoint CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81317 PMS2 Gene Full Seq Analysis CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81318 PMS2 Known Familial Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81319 PMS2 Gene Dup/Delet Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81321 PTEN Gene Full Sequence CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81322 PTEN Gene Known Fam Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81323 PTEN Gene Dup/Delet Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81324 PMP22 Gene Dup/Delet CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81325 PMP22 Gene Full Sequence CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81326 PMP22 Gene Known Fam Variant CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81327 SEPT9 Methylation Analysis CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81330 SMPD1 Gene Common Variants CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81331 SNRPN/UBE3A Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81332 SERPINA1 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81340 TRB@ Gene Rearrange Amplify CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81341 TRB@ Gene Rearrange Dirprobe CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81342 TRG Gene Rearrangement Anal CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81350 UGT1A1 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81355 VKORC1 Gene CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81400 Mopath Procedure Level 1 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81401 Mopath Procedure Level 2 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81402 Mopath Procedure Level 3 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81403 Mopath Procedure Level 4 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81404 Mopath Procedure Level 5 CMS Edit*

Page 280: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81439 Inherited Cardmypthy 5 Gns 81405 Mopath Procedure Level 6 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81406 Mopath Procedure Level 7 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81407 Mopath Procedure Level 8 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81408 Mopath Procedure Level 9 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81413 Car Ion Chnnlpath Inc 10 Gns CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81414 Car Ion Chnnlpath Inc 2 Gns CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81493 Cor Artery Disease mRNA CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81504 Oncology Tissue of Origin CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81507 Fetal Aneuploidy Trisom Risk CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81519 Oncology Breast mRNA CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81525 Oncology Colon mRNA CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81540 Oncology Tum Unknown Origin CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81545 Oncology Thyroid CMS Edit*

81439 Inherited Cardmypthy 5 Gns 81595 Cardiology Hrt Trnspl mRNA CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88271 Cytogenetics DNA Probe CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88272 Cytogenetics 3-5 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88273 Cytogenetics 10-30 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88274 Cytogenetics 25-99 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88275 Cytogenetics 100-300 CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88291 Cyto/Molecular Report CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88364 Insitu Hybridization (Fish) CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88365 Insitu Hybridization (Fish) CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88366 Insitu Hybridization (Fish) CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88367 Insitu Hybridization Auto CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88368 Insitu Hybridization Manual CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88369 M/Phmtrc Alysishquant/Semiq CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81439 Inherited Cardmypthy 5 Gns 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit*

81439 Inherited Cardmypthy 5 Gns G0452 Molecular Pathology Interpr CMS Edit*81440 Mitochondrial Gene 81161 DMD Dup/Delet Analysis CMS Edit

81440 Mitochondrial Gene 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81440 Mitochondrial Gene 81170 ABL1 Gene CMS Edit

81440 Mitochondrial Gene 81200 ASPA Gene CMS Edit

81440 Mitochondrial Gene 81201 APC Gene Full Sequence CMS Edit

81440 Mitochondrial Gene 81202 APC Gene Known Fam Variants CMS Edit

81440 Mitochondrial Gene 81203 APC Gene Dup/Delet Variants CMS Edit

81440 Mitochondrial Gene 81205 BCKDHB Gene CMS Edit

81440 Mitochondrial Gene 81206 BCR/ABL1 Gene Major Bp CMS Edit

81440 Mitochondrial Gene 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81440 Mitochondrial Gene 81208 BCR/ABL1 Gene Other Bp CMS Edit

81440 Mitochondrial Gene 81209 BLM Gene CMS Edit

81440 Mitochondrial Gene 81210 BRAF Gene CMS Edit

81440 Mitochondrial Gene 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81440 Mitochondrial Gene 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81440 Mitochondrial Gene 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81440 Mitochondrial Gene 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81440 Mitochondrial Gene 81215 BRCA1 Gene Known Fam Variant CMS Edit

81440 Mitochondrial Gene 81216 BRCA2 Gene Full Sequence CMS Edit

81440 Mitochondrial Gene 81217 BRCA2 Gene Known Fam Variant CMS Edit

81440 Mitochondrial Gene 81218 Cebpa Gene Full Sequence CMS Edit

81440 Mitochondrial Gene 81219 CALR Gene Com Variants CMS Edit

81440 Mitochondrial Gene 81220 CFTR Gene Com Variants CMS Edit

81440 Mitochondrial Gene 81221 CFTR Gene Known Fam Variants CMS Edit

81440 Mitochondrial Gene 81222 CFTR Gene Dup/Delet Variants CMS Edit

81440 Mitochondrial Gene 81223 CFTR Gene Full Sequence CMS Edit

81440 Mitochondrial Gene 81224 CFTR Gene Intron Poly T CMS Edit

81440 Mitochondrial Gene 81225 CYP2C19 Gene Com Variants CMS Edit

Page 281: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81440 Mitochondrial Gene 81226 CYP2D6 Gene Com Variants CMS Edit

81440 Mitochondrial Gene 81227 CYP2C9 Gene Com Variants CMS Edit

81440 Mitochondrial Gene 81235 EGFR Gene Com Variants CMS Edit

81440 Mitochondrial Gene 81240 F2 Gene CMS Edit

81440 Mitochondrial Gene 81241 F5 Gene CMS Edit

81440 Mitochondrial Gene 81242 FANCC Gene CMS Edit

81440 Mitochondrial Gene 81243 FMR1 Gene Detection CMS Edit

81440 Mitochondrial Gene 81244 FMR1 Gene Characterization CMS Edit

81440 Mitochondrial Gene 81245 FLT3 Gene CMS Edit

81440 Mitochondrial Gene 81246 FLT3 Gene Analysis CMS Edit

81440 Mitochondrial Gene 81250 G6PC Gene CMS Edit

81440 Mitochondrial Gene 81251 GBA Gene CMS Edit

81440 Mitochondrial Gene 81252 GJB2 Gene Full Sequence CMS Edit

81440 Mitochondrial Gene 81253 GJB2 Gene Known Fam Variants CMS Edit

81440 Mitochondrial Gene 81254 GJB6 Gene Com Variants CMS Edit

81440 Mitochondrial Gene 81255 HEXA Gene CMS Edit

81440 Mitochondrial Gene 81256 HFE Gene CMS Edit

81440 Mitochondrial Gene 81257 HBA1/HBA2 Gene CMS Edit

81440 Mitochondrial Gene 81260 IKBKAP Gene CMS Edit

81440 Mitochondrial Gene 81261 IGH Gene Rearrange Amp Meth CMS Edit

81440 Mitochondrial Gene 81262 IGH Gene Rearrang Dir Probe CMS Edit

81440 Mitochondrial Gene 81263 IGH Vari Regional Mutation CMS Edit

81440 Mitochondrial Gene 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81440 Mitochondrial Gene 81265 STR Markers Specimen Anal CMS Edit

81440 Mitochondrial Gene 81266 STR Markers Spec Anal Addl CMS Edit

81440 Mitochondrial Gene 81267 Chimerism Anal No Cell Selec CMS Edit

81440 Mitochondrial Gene 81268 Chimerism Anal W/Cell Select CMS Edit

81440 Mitochondrial Gene 81270 JAK2 Gene CMS Edit

81440 Mitochondrial Gene 81272 KIT Gene Targeted Seq Analys CMS Edit

81440 Mitochondrial Gene 81273 KIT Gene Analys D816 Variant CMS Edit

81440 Mitochondrial Gene 81275 KRAS Gene Variants Exon 2 CMS Edit

81440 Mitochondrial Gene 81276 KRAS Gene Addl Variants CMS Edit

81440 Mitochondrial Gene 81287 MGMT Gene Methylation Anal CMS Edit

81440 Mitochondrial Gene 81288 MLH1 Gene CMS Edit

81440 Mitochondrial Gene 81290 MCOLN1 Gene CMS Edit

81440 Mitochondrial Gene 81291 MTHFR Gene CMS Edit

81440 Mitochondrial Gene 81292 MLH1 Gene Full Seq CMS Edit

81440 Mitochondrial Gene 81293 MLH1 Gene Known Variants CMS Edit

81440 Mitochondrial Gene 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81440 Mitochondrial Gene 81295 MSH2 Gene Full Seq CMS Edit

81440 Mitochondrial Gene 81296 MSH2 Gene Known Variants CMS Edit

81440 Mitochondrial Gene 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81440 Mitochondrial Gene 81298 MSH6 Gene Full Seq CMS Edit

81440 Mitochondrial Gene 81299 MSH6 Gene Known Variants CMS Edit

81440 Mitochondrial Gene 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81440 Mitochondrial Gene 81301 Microsatellite Instability CMS Edit

81440 Mitochondrial Gene 81302 MECP2 Gene Full Seq CMS Edit

81440 Mitochondrial Gene 81303 MECP2 Gene Known Variant CMS Edit

81440 Mitochondrial Gene 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81440 Mitochondrial Gene 81310 NPM1 Gene CMS Edit

81440 Mitochondrial Gene 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81440 Mitochondrial Gene 81313 PCA3/KLK3 Antigen CMS Edit

81440 Mitochondrial Gene 81314 PDGFRA Gene CMS Edit

81440 Mitochondrial Gene 81315 PML/RARalpha Com Breakpoints CMS Edit

81440 Mitochondrial Gene 81316 PML/RARalpha 1 Breakpoint CMS Edit

81440 Mitochondrial Gene 81317 PMS2 Gene Full Seq Analysis CMS Edit

81440 Mitochondrial Gene 81318 PMS2 Known Familial Variants CMS Edit

81440 Mitochondrial Gene 81319 PMS2 Gene Dup/Delet Variants CMS Edit

Page 282: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81440 Mitochondrial Gene 81321 PTEN Gene Full Sequence CMS Edit

81440 Mitochondrial Gene 81322 PTEN Gene Known Fam Variant CMS Edit

81440 Mitochondrial Gene 81323 PTEN Gene Dup/Delet Variant CMS Edit

81440 Mitochondrial Gene 81324 PMP22 Gene Dup/Delet CMS Edit

81440 Mitochondrial Gene 81325 PMP22 Gene Full Sequence CMS Edit

81440 Mitochondrial Gene 81326 PMP22 Gene Known Fam Variant CMS Edit

81440 Mitochondrial Gene 81327 SEPT9 Methylation Analysis CMS Edit*81440 Mitochondrial Gene 81330 SMPD1 Gene Common Variants CMS Edit

81440 Mitochondrial Gene 81331 SNRPN/UBE3A Gene CMS Edit

81440 Mitochondrial Gene 81332 SERPINA1 Gene CMS Edit

81440 Mitochondrial Gene 81340 TRB@ Gene Rearrange Amplify CMS Edit

81440 Mitochondrial Gene 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81440 Mitochondrial Gene 81342 TRG Gene Rearrangement Anal CMS Edit

81440 Mitochondrial Gene 81350 UGT1A1 Gene CMS Edit

81440 Mitochondrial Gene 81355 VKORC1 Gene CMS Edit

81440 Mitochondrial Gene 81400 Mopath Procedure Level 1 CMS Edit

81440 Mitochondrial Gene 81401 Mopath Procedure Level 2 CMS Edit

81440 Mitochondrial Gene 81402 Mopath Procedure Level 3 CMS Edit

81440 Mitochondrial Gene 81403 Mopath Procedure Level 4 CMS Edit

81440 Mitochondrial Gene 81404 Mopath Procedure Level 5 CMS Edit

81440 Mitochondrial Gene 81405 Mopath Procedure Level 6 CMS Edit

81440 Mitochondrial Gene 81406 Mopath Procedure Level 7 CMS Edit

81440 Mitochondrial Gene 81407 Mopath Procedure Level 8 CMS Edit

81440 Mitochondrial Gene 81408 Mopath Procedure Level 9 CMS Edit

81440 Mitochondrial Gene 81493 Cor Artery Disease mRNA CMS Edit

81440 Mitochondrial Gene 81504 Oncology Tissue of Origin CMS Edit

81440 Mitochondrial Gene 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81440 Mitochondrial Gene 81519 Oncology Breast mRNA CMS Edit

81440 Mitochondrial Gene 81525 Oncology Colon mRNA CMS Edit

81440 Mitochondrial Gene 81528 Oncology Colorectal Scr CMS Edit

81440 Mitochondrial Gene 81540 Oncology Tum Unknown Origin CMS Edit

81440 Mitochondrial Gene 81545 Oncology Thyroid CMS Edit

81440 Mitochondrial Gene 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81440 Mitochondrial Gene 88271 Cytogenetics DNA Probe CMS Edit

81440 Mitochondrial Gene 88272 Cytogenetics 3-5 CMS Edit

81440 Mitochondrial Gene 88273 Cytogenetics 10-30 CMS Edit

81440 Mitochondrial Gene 88274 Cytogenetics 25-99 CMS Edit

81440 Mitochondrial Gene 88275 Cytogenetics 100-300 CMS Edit

81440 Mitochondrial Gene 88291 Cyto/Molecular Report CMS Edit

81440 Mitochondrial Gene 88364 Insitu Hybridization (Fish) CMS Edit

81440 Mitochondrial Gene 88365 Insitu Hybridization (Fish) CMS Edit

81440 Mitochondrial Gene 88366 Insitu Hybridization (Fish) CMS Edit

81440 Mitochondrial Gene 88367 Insitu Hybridization Auto CMS Edit

81440 Mitochondrial Gene 88368 Insitu Hybridization Manual CMS Edit

81440 Mitochondrial Gene 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81440 Mitochondrial Gene 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81440 Mitochondrial Gene 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81440 Mitochondrial Gene 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81440 Mitochondrial Gene G0452 Molecular Pathology Interpr CMS Edit

81442 Noonan Spectrum Disorders 81161 DMD Dup/Delet Analysis CMS Edit

81442 Noonan Spectrum Disorders 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81442 Noonan Spectrum Disorders 81170 ABL1 Gene CMS Edit

81442 Noonan Spectrum Disorders 81200 ASPA Gene CMS Edit

81442 Noonan Spectrum Disorders 81201 APC Gene Full Sequence CMS Edit

81442 Noonan Spectrum Disorders 81202 APC Gene Known Fam Variants CMS Edit

81442 Noonan Spectrum Disorders 81203 APC Gene Dup/Delet Variants CMS Edit

81442 Noonan Spectrum Disorders 81205 BCKDHB Gene CMS Edit

81442 Noonan Spectrum Disorders 81206 BCR/ABL1 Gene Major Bp CMS Edit

Page 283: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81442 Noonan Spectrum Disorders 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81442 Noonan Spectrum Disorders 81208 BCR/ABL1 Gene Other Bp CMS Edit

81442 Noonan Spectrum Disorders 81209 BLM Gene CMS Edit

81442 Noonan Spectrum Disorders 81210 BRAF Gene CMS Edit

81442 Noonan Spectrum Disorders 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81442 Noonan Spectrum Disorders 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81442 Noonan Spectrum Disorders 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81442 Noonan Spectrum Disorders 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81442 Noonan Spectrum Disorders 81215 BRCA1 Gene Known Fam Variant CMS Edit

81442 Noonan Spectrum Disorders 81216 BRCA2 Gene Full Sequence CMS Edit

81442 Noonan Spectrum Disorders 81217 BRCA2 Gene Known Fam Variant CMS Edit

81442 Noonan Spectrum Disorders 81218 Cebpa Gene Full Sequence CMS Edit

81442 Noonan Spectrum Disorders 81219 CALR Gene Com Variants CMS Edit

81442 Noonan Spectrum Disorders 81220 CFTR Gene Com Variants CMS Edit

81442 Noonan Spectrum Disorders 81221 CFTR Gene Known Fam Variants CMS Edit

81442 Noonan Spectrum Disorders 81222 CFTR Gene Dup/Delet Variants CMS Edit

81442 Noonan Spectrum Disorders 81223 CFTR Gene Full Sequence CMS Edit

81442 Noonan Spectrum Disorders 81224 CFTR Gene Intron Poly T CMS Edit

81442 Noonan Spectrum Disorders 81225 CYP2C19 Gene Com Variants CMS Edit

81442 Noonan Spectrum Disorders 81226 CYP2D6 Gene Com Variants CMS Edit

81442 Noonan Spectrum Disorders 81227 CYP2C9 Gene Com Variants CMS Edit

81442 Noonan Spectrum Disorders 81235 EGFR Gene Com Variants CMS Edit

81442 Noonan Spectrum Disorders 81240 F2 Gene CMS Edit

81442 Noonan Spectrum Disorders 81241 F5 Gene CMS Edit

81442 Noonan Spectrum Disorders 81242 FANCC Gene CMS Edit

81442 Noonan Spectrum Disorders 81243 FMR1 Gene Detection CMS Edit

81442 Noonan Spectrum Disorders 81244 FMR1 Gene Characterization CMS Edit

81442 Noonan Spectrum Disorders 81245 FLT3 Gene CMS Edit

81442 Noonan Spectrum Disorders 81246 FLT3 Gene Analysis CMS Edit

81442 Noonan Spectrum Disorders 81250 G6PC Gene CMS Edit

81442 Noonan Spectrum Disorders 81251 GBA Gene CMS Edit

81442 Noonan Spectrum Disorders 81252 GJB2 Gene Full Sequence CMS Edit

81442 Noonan Spectrum Disorders 81253 GJB2 Gene Known Fam Variants CMS Edit

81442 Noonan Spectrum Disorders 81254 GJB6 Gene Com Variants CMS Edit

81442 Noonan Spectrum Disorders 81255 HEXA Gene CMS Edit

81442 Noonan Spectrum Disorders 81256 HFE Gene CMS Edit

81442 Noonan Spectrum Disorders 81257 HBA1/HBA2 Gene CMS Edit

81442 Noonan Spectrum Disorders 81260 IKBKAP Gene CMS Edit

81442 Noonan Spectrum Disorders 81261 IGH Gene Rearrange Amp Meth CMS Edit

81442 Noonan Spectrum Disorders 81262 IGH Gene Rearrang Dir Probe CMS Edit

81442 Noonan Spectrum Disorders 81263 IGH Vari Regional Mutation CMS Edit

81442 Noonan Spectrum Disorders 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81442 Noonan Spectrum Disorders 81265 STR Markers Specimen Anal CMS Edit

81442 Noonan Spectrum Disorders 81266 STR Markers Spec Anal Addl CMS Edit

81442 Noonan Spectrum Disorders 81267 Chimerism Anal No Cell Selec CMS Edit

81442 Noonan Spectrum Disorders 81268 Chimerism Anal W/Cell Select CMS Edit

81442 Noonan Spectrum Disorders 81270 JAK2 Gene CMS Edit

81442 Noonan Spectrum Disorders 81272 KIT Gene Targeted Seq Analys CMS Edit

81442 Noonan Spectrum Disorders 81273 KIT Gene Analys D816 Variant CMS Edit

81442 Noonan Spectrum Disorders 81275 KRAS Gene Variants Exon 2 CMS Edit

81442 Noonan Spectrum Disorders 81276 KRAS Gene Addl Variants CMS Edit

81442 Noonan Spectrum Disorders 81287 MGMT Gene Methylation Anal CMS Edit

81442 Noonan Spectrum Disorders 81288 MLH1 Gene CMS Edit

81442 Noonan Spectrum Disorders 81290 MCOLN1 Gene CMS Edit

81442 Noonan Spectrum Disorders 81291 MTHFR Gene CMS Edit

81442 Noonan Spectrum Disorders 81292 MLH1 Gene Full Seq CMS Edit

81442 Noonan Spectrum Disorders 81293 MLH1 Gene Known Variants CMS Edit

81442 Noonan Spectrum Disorders 81294 MLH1 Gene Dup/Delete Variant CMS Edit

Page 284: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81442 Noonan Spectrum Disorders 81295 MSH2 Gene Full Seq CMS Edit

81442 Noonan Spectrum Disorders 81296 MSH2 Gene Known Variants CMS Edit

81442 Noonan Spectrum Disorders 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81442 Noonan Spectrum Disorders 81298 MSH6 Gene Full Seq CMS Edit

81442 Noonan Spectrum Disorders 81299 MSH6 Gene Known Variants CMS Edit

81442 Noonan Spectrum Disorders 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81442 Noonan Spectrum Disorders 81301 Microsatellite Instability CMS Edit

81442 Noonan Spectrum Disorders 81302 MECP2 Gene Full Seq CMS Edit

81442 Noonan Spectrum Disorders 81303 MECP2 Gene Known Variant CMS Edit

81442 Noonan Spectrum Disorders 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81442 Noonan Spectrum Disorders 81310 NPM1 Gene CMS Edit

81442 Noonan Spectrum Disorders 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81442 Noonan Spectrum Disorders 81313 PCA3/KLK3 Antigen CMS Edit

81442 Noonan Spectrum Disorders 81314 PDGFRA Gene CMS Edit

81442 Noonan Spectrum Disorders 81315 PML/RARalpha Com Breakpoints CMS Edit

81442 Noonan Spectrum Disorders 81316 PML/RARalpha 1 Breakpoint CMS Edit

81442 Noonan Spectrum Disorders 81317 PMS2 Gene Full Seq Analysis CMS Edit

81442 Noonan Spectrum Disorders 81318 PMS2 Known Familial Variants CMS Edit

81442 Noonan Spectrum Disorders 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81442 Noonan Spectrum Disorders 81321 PTEN Gene Full Sequence CMS Edit

81442 Noonan Spectrum Disorders 81322 PTEN Gene Known Fam Variant CMS Edit

81442 Noonan Spectrum Disorders 81323 PTEN Gene Dup/Delet Variant CMS Edit

81442 Noonan Spectrum Disorders 81324 PMP22 Gene Dup/Delet CMS Edit

81442 Noonan Spectrum Disorders 81325 PMP22 Gene Full Sequence CMS Edit

81442 Noonan Spectrum Disorders 81326 PMP22 Gene Known Fam Variant CMS Edit

81442 Noonan Spectrum Disorders 81327 SEPT9 Methylation Analysis CMS Edit*81442 Noonan Spectrum Disorders 81330 SMPD1 Gene Common Variants CMS Edit

81442 Noonan Spectrum Disorders 81331 SNRPN/UBE3A Gene CMS Edit

81442 Noonan Spectrum Disorders 81332 SERPINA1 Gene CMS Edit

81442 Noonan Spectrum Disorders 81340 TRB@ Gene Rearrange Amplify CMS Edit

81442 Noonan Spectrum Disorders 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81442 Noonan Spectrum Disorders 81342 TRG Gene Rearrangement Anal CMS Edit

81442 Noonan Spectrum Disorders 81350 UGT1A1 Gene CMS Edit

81442 Noonan Spectrum Disorders 81355 VKORC1 Gene CMS Edit

81442 Noonan Spectrum Disorders 81400 Mopath Procedure Level 1 CMS Edit

81442 Noonan Spectrum Disorders 81401 Mopath Procedure Level 2 CMS Edit

81442 Noonan Spectrum Disorders 81402 Mopath Procedure Level 3 CMS Edit

81442 Noonan Spectrum Disorders 81403 Mopath Procedure Level 4 CMS Edit

81442 Noonan Spectrum Disorders 81404 Mopath Procedure Level 5 CMS Edit

81442 Noonan Spectrum Disorders 81405 Mopath Procedure Level 6 CMS Edit

81442 Noonan Spectrum Disorders 81406 Mopath Procedure Level 7 CMS Edit

81442 Noonan Spectrum Disorders 81407 Mopath Procedure Level 8 CMS Edit

81442 Noonan Spectrum Disorders 81408 Mopath Procedure Level 9 CMS Edit

81442 Noonan Spectrum Disorders 81493 Cor Artery Disease mRNA CMS Edit

81442 Noonan Spectrum Disorders 81504 Oncology Tissue of Origin CMS Edit

81442 Noonan Spectrum Disorders 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81442 Noonan Spectrum Disorders 81519 Oncology Breast mRNA CMS Edit

81442 Noonan Spectrum Disorders 81525 Oncology Colon mRNA CMS Edit

81442 Noonan Spectrum Disorders 81528 Oncology Colorectal Scr CMS Edit

81442 Noonan Spectrum Disorders 81540 Oncology Tum Unknown Origin CMS Edit

81442 Noonan Spectrum Disorders 81545 Oncology Thyroid CMS Edit

81442 Noonan Spectrum Disorders 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81442 Noonan Spectrum Disorders 88271 Cytogenetics DNA Probe CMS Edit

81442 Noonan Spectrum Disorders 88272 Cytogenetics 3-5 CMS Edit

81442 Noonan Spectrum Disorders 88273 Cytogenetics 10-30 CMS Edit

81442 Noonan Spectrum Disorders 88274 Cytogenetics 25-99 CMS Edit

81442 Noonan Spectrum Disorders 88275 Cytogenetics 100-300 CMS Edit

81442 Noonan Spectrum Disorders 88291 Cyto/Molecular Report CMS Edit

Page 285: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81442 Noonan Spectrum Disorders 88364 Insitu Hybridization (Fish) CMS Edit

81442 Noonan Spectrum Disorders 88365 Insitu Hybridization (Fish) CMS Edit

81442 Noonan Spectrum Disorders 88366 Insitu Hybridization (Fish) CMS Edit

81442 Noonan Spectrum Disorders 88367 Insitu Hybridization Auto CMS Edit

81442 Noonan Spectrum Disorders 88368 Insitu Hybridization Manual CMS Edit

81442 Noonan Spectrum Disorders 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81442 Noonan Spectrum Disorders 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81442 Noonan Spectrum Disorders 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81442 Noonan Spectrum Disorders 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81442 Noonan Spectrum Disorders G0452 Molecular Pathology Interpr CMS Edit

81445 Targeted Genomic Seq Analys 81161 DMD Dup/Delet Analysis CMS Edit

81445 Targeted Genomic Seq Analys 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81445 Targeted Genomic Seq Analys 81170 ABL1 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81200 ASPA Gene CMS Edit

81445 Targeted Genomic Seq Analys 81201 APC Gene Full Sequence CMS Edit

81445 Targeted Genomic Seq Analys 81202 APC Gene Known Fam Variants CMS Edit

81445 Targeted Genomic Seq Analys 81203 APC Gene Dup/Delet Variants CMS Edit

81445 Targeted Genomic Seq Analys 81205 BCKDHB Gene CMS Edit

81445 Targeted Genomic Seq Analys 81206 BCR/ABL1 Gene Major Bp CMS Edit

81445 Targeted Genomic Seq Analys 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81445 Targeted Genomic Seq Analys 81208 BCR/ABL1 Gene Other Bp CMS Edit

81445 Targeted Genomic Seq Analys 81209 BLM Gene CMS Edit

81445 Targeted Genomic Seq Analys 81210 BRAF Gene CMS Edit

81445 Targeted Genomic Seq Analys 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81445 Targeted Genomic Seq Analys 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81445 Targeted Genomic Seq Analys 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81445 Targeted Genomic Seq Analys 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81445 Targeted Genomic Seq Analys 81215 BRCA1 Gene Known Fam Variant CMS Edit

81445 Targeted Genomic Seq Analys 81216 BRCA2 Gene Full Sequence CMS Edit

81445 Targeted Genomic Seq Analys 81217 BRCA2 Gene Known Fam Variant CMS Edit

81445 Targeted Genomic Seq Analys 81218 Cebpa Gene Full Sequence CMS Edit

81445 Targeted Genomic Seq Analys 81219 CALR Gene Com Variants CMS Edit

81445 Targeted Genomic Seq Analys 81220 CFTR Gene Com Variants CMS Edit

81445 Targeted Genomic Seq Analys 81221 CFTR Gene Known Fam Variants CMS Edit

81445 Targeted Genomic Seq Analys 81222 CFTR Gene Dup/Delet Variants CMS Edit

81445 Targeted Genomic Seq Analys 81223 CFTR Gene Full Sequence CMS Edit

81445 Targeted Genomic Seq Analys 81224 CFTR Gene Intron Poly T CMS Edit

81445 Targeted Genomic Seq Analys 81225 CYP2C19 Gene Com Variants CMS Edit

81445 Targeted Genomic Seq Analys 81226 CYP2D6 Gene Com Variants CMS Edit

81445 Targeted Genomic Seq Analys 81227 CYP2C9 Gene Com Variants CMS Edit

81445 Targeted Genomic Seq Analys 81235 EGFR Gene Com Variants CMS Edit

81445 Targeted Genomic Seq Analys 81240 F2 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81241 F5 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81242 FANCC Gene CMS Edit

81445 Targeted Genomic Seq Analys 81243 FMR1 Gene Detection CMS Edit

81445 Targeted Genomic Seq Analys 81244 FMR1 Gene Characterization CMS Edit

81445 Targeted Genomic Seq Analys 81245 FLT3 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81246 FLT3 Gene Analysis CMS Edit

81445 Targeted Genomic Seq Analys 81250 G6PC Gene CMS Edit

81445 Targeted Genomic Seq Analys 81251 GBA Gene CMS Edit

81445 Targeted Genomic Seq Analys 81252 GJB2 Gene Full Sequence CMS Edit

81445 Targeted Genomic Seq Analys 81253 GJB2 Gene Known Fam Variants CMS Edit

81445 Targeted Genomic Seq Analys 81254 GJB6 Gene Com Variants CMS Edit

81445 Targeted Genomic Seq Analys 81255 HEXA Gene CMS Edit

81445 Targeted Genomic Seq Analys 81256 HFE Gene CMS Edit

81445 Targeted Genomic Seq Analys 81257 HBA1/HBA2 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81260 IKBKAP Gene CMS Edit

81445 Targeted Genomic Seq Analys 81261 IGH Gene Rearrange Amp Meth CMS Edit

Page 286: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81445 Targeted Genomic Seq Analys 81262 IGH Gene Rearrang Dir Probe CMS Edit

81445 Targeted Genomic Seq Analys 81263 IGH Vari Regional Mutation CMS Edit

81445 Targeted Genomic Seq Analys 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81445 Targeted Genomic Seq Analys 81265 STR Markers Specimen Anal CMS Edit

81445 Targeted Genomic Seq Analys 81266 STR Markers Spec Anal Addl CMS Edit

81445 Targeted Genomic Seq Analys 81267 Chimerism Anal No Cell Selec CMS Edit

81445 Targeted Genomic Seq Analys 81268 Chimerism Anal W/Cell Select CMS Edit

81445 Targeted Genomic Seq Analys 81270 JAK2 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81272 KIT Gene Targeted Seq Analys CMS Edit

81445 Targeted Genomic Seq Analys 81273 KIT Gene Analys D816 Variant CMS Edit

81445 Targeted Genomic Seq Analys 81275 KRAS Gene Variants Exon 2 CMS Edit

81445 Targeted Genomic Seq Analys 81276 KRAS Gene Addl Variants CMS Edit

81445 Targeted Genomic Seq Analys 81287 MGMT Gene Methylation Anal CMS Edit

81445 Targeted Genomic Seq Analys 81288 MLH1 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81290 MCOLN1 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81291 MTHFR Gene CMS Edit

81445 Targeted Genomic Seq Analys 81292 MLH1 Gene Full Seq CMS Edit

81445 Targeted Genomic Seq Analys 81293 MLH1 Gene Known Variants CMS Edit

81445 Targeted Genomic Seq Analys 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81445 Targeted Genomic Seq Analys 81295 MSH2 Gene Full Seq CMS Edit

81445 Targeted Genomic Seq Analys 81296 MSH2 Gene Known Variants CMS Edit

81445 Targeted Genomic Seq Analys 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81445 Targeted Genomic Seq Analys 81298 MSH6 Gene Full Seq CMS Edit

81445 Targeted Genomic Seq Analys 81299 MSH6 Gene Known Variants CMS Edit

81445 Targeted Genomic Seq Analys 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81445 Targeted Genomic Seq Analys 81301 Microsatellite Instability CMS Edit

81445 Targeted Genomic Seq Analys 81302 MECP2 Gene Full Seq CMS Edit

81445 Targeted Genomic Seq Analys 81303 MECP2 Gene Known Variant CMS Edit

81445 Targeted Genomic Seq Analys 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81445 Targeted Genomic Seq Analys 81310 NPM1 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81445 Targeted Genomic Seq Analys 81313 PCA3/KLK3 Antigen CMS Edit

81445 Targeted Genomic Seq Analys 81314 PDGFRA Gene CMS Edit

81445 Targeted Genomic Seq Analys 81315 PML/RARalpha Com Breakpoints CMS Edit

81445 Targeted Genomic Seq Analys 81316 PML/RARalpha 1 Breakpoint CMS Edit

81445 Targeted Genomic Seq Analys 81317 PMS2 Gene Full Seq Analysis CMS Edit

81445 Targeted Genomic Seq Analys 81318 PMS2 Known Familial Variants CMS Edit

81445 Targeted Genomic Seq Analys 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81445 Targeted Genomic Seq Analys 81321 PTEN Gene Full Sequence CMS Edit

81445 Targeted Genomic Seq Analys 81322 PTEN Gene Known Fam Variant CMS Edit

81445 Targeted Genomic Seq Analys 81323 PTEN Gene Dup/Delet Variant CMS Edit

81445 Targeted Genomic Seq Analys 81324 PMP22 Gene Dup/Delet CMS Edit

81445 Targeted Genomic Seq Analys 81325 PMP22 Gene Full Sequence CMS Edit

81445 Targeted Genomic Seq Analys 81326 PMP22 Gene Known Fam Variant CMS Edit

81445 Targeted Genomic Seq Analys 81327 SEPT9 Methylation Analysis CMS Edit*81445 Targeted Genomic Seq Analys 81330 SMPD1 Gene Common Variants CMS Edit

81445 Targeted Genomic Seq Analys 81331 SNRPN/UBE3A Gene CMS Edit

81445 Targeted Genomic Seq Analys 81332 SERPINA1 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81340 TRB@ Gene Rearrange Amplify CMS Edit

81445 Targeted Genomic Seq Analys 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81445 Targeted Genomic Seq Analys 81342 TRG Gene Rearrangement Anal CMS Edit

81445 Targeted Genomic Seq Analys 81350 UGT1A1 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81355 VKORC1 Gene CMS Edit

81445 Targeted Genomic Seq Analys 81400 Mopath Procedure Level 1 CMS Edit

81445 Targeted Genomic Seq Analys 81401 Mopath Procedure Level 2 CMS Edit

81445 Targeted Genomic Seq Analys 81402 Mopath Procedure Level 3 CMS Edit

81445 Targeted Genomic Seq Analys 81403 Mopath Procedure Level 4 CMS Edit

81445 Targeted Genomic Seq Analys 81404 Mopath Procedure Level 5 CMS Edit

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Code Code Description Code Code Description Source

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81445 Targeted Genomic Seq Analys 81405 Mopath Procedure Level 6 CMS Edit

81445 Targeted Genomic Seq Analys 81406 Mopath Procedure Level 7 CMS Edit

81445 Targeted Genomic Seq Analys 81407 Mopath Procedure Level 8 CMS Edit

81445 Targeted Genomic Seq Analys 81408 Mopath Procedure Level 9 CMS Edit

81445 Targeted Genomic Seq Analys 81493 Cor Artery Disease mRNA CMS Edit

81445 Targeted Genomic Seq Analys 81504 Oncology Tissue of Origin CMS Edit

81445 Targeted Genomic Seq Analys 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81445 Targeted Genomic Seq Analys 81519 Oncology Breast mRNA CMS Edit

81445 Targeted Genomic Seq Analys 81525 Oncology Colon mRNA CMS Edit

81445 Targeted Genomic Seq Analys 81528 Oncology Colorectal Scr CMS Edit

81445 Targeted Genomic Seq Analys 81540 Oncology Tum Unknown Origin CMS Edit

81445 Targeted Genomic Seq Analys 81545 Oncology Thyroid CMS Edit

81445 Targeted Genomic Seq Analys 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81445 Targeted Genomic Seq Analys 88271 Cytogenetics DNA Probe CMS Edit

81445 Targeted Genomic Seq Analys 88272 Cytogenetics 3-5 CMS Edit

81445 Targeted Genomic Seq Analys 88273 Cytogenetics 10-30 CMS Edit

81445 Targeted Genomic Seq Analys 88274 Cytogenetics 25-99 CMS Edit

81445 Targeted Genomic Seq Analys 88275 Cytogenetics 100-300 CMS Edit

81445 Targeted Genomic Seq Analys 88291 Cyto/Molecular Report CMS Edit

81445 Targeted Genomic Seq Analys 88364 Insitu Hybridization (Fish) CMS Edit

81445 Targeted Genomic Seq Analys 88365 Insitu Hybridization (Fish) CMS Edit

81445 Targeted Genomic Seq Analys 88366 Insitu Hybridization (Fish) CMS Edit

81445 Targeted Genomic Seq Analys 88367 Insitu Hybridization Auto CMS Edit

81445 Targeted Genomic Seq Analys 88368 Insitu Hybridization Manual CMS Edit

81445 Targeted Genomic Seq Analys 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81445 Targeted Genomic Seq Analys 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81445 Targeted Genomic Seq Analys 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81445 Targeted Genomic Seq Analys 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81445 Targeted Genomic Seq Analys G0452 Molecular Pathology Interpr CMS Edit

81450 Targeted Genomic Seq Analys 81161 DMD Dup/Delet Analysis CMS Edit

81450 Targeted Genomic Seq Analys 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81450 Targeted Genomic Seq Analys 81170 ABL1 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81200 ASPA Gene CMS Edit

81450 Targeted Genomic Seq Analys 81201 APC Gene Full Sequence CMS Edit

81450 Targeted Genomic Seq Analys 81202 APC Gene Known Fam Variants CMS Edit

81450 Targeted Genomic Seq Analys 81203 APC Gene Dup/Delet Variants CMS Edit

81450 Targeted Genomic Seq Analys 81205 BCKDHB Gene CMS Edit

81450 Targeted Genomic Seq Analys 81206 BCR/ABL1 Gene Major Bp CMS Edit

81450 Targeted Genomic Seq Analys 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81450 Targeted Genomic Seq Analys 81208 BCR/ABL1 Gene Other Bp CMS Edit

81450 Targeted Genomic Seq Analys 81209 BLM Gene CMS Edit

81450 Targeted Genomic Seq Analys 81210 BRAF Gene CMS Edit

81450 Targeted Genomic Seq Analys 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81450 Targeted Genomic Seq Analys 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81450 Targeted Genomic Seq Analys 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81450 Targeted Genomic Seq Analys 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81450 Targeted Genomic Seq Analys 81215 BRCA1 Gene Known Fam Variant CMS Edit

81450 Targeted Genomic Seq Analys 81216 BRCA2 Gene Full Sequence CMS Edit

81450 Targeted Genomic Seq Analys 81217 BRCA2 Gene Known Fam Variant CMS Edit

81450 Targeted Genomic Seq Analys 81218 Cebpa Gene Full Sequence CMS Edit

81450 Targeted Genomic Seq Analys 81219 CALR Gene Com Variants CMS Edit

81450 Targeted Genomic Seq Analys 81220 CFTR Gene Com Variants CMS Edit

81450 Targeted Genomic Seq Analys 81221 CFTR Gene Known Fam Variants CMS Edit

81450 Targeted Genomic Seq Analys 81222 CFTR Gene Dup/Delet Variants CMS Edit

81450 Targeted Genomic Seq Analys 81223 CFTR Gene Full Sequence CMS Edit

81450 Targeted Genomic Seq Analys 81224 CFTR Gene Intron Poly T CMS Edit

81450 Targeted Genomic Seq Analys 81225 CYP2C19 Gene Com Variants CMS Edit

81450 Targeted Genomic Seq Analys 81226 CYP2D6 Gene Com Variants CMS Edit

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Code Code Description Code Code Description Source

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81450 Targeted Genomic Seq Analys 81227 CYP2C9 Gene Com Variants CMS Edit

81450 Targeted Genomic Seq Analys 81235 EGFR Gene Com Variants CMS Edit

81450 Targeted Genomic Seq Analys 81240 F2 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81241 F5 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81242 FANCC Gene CMS Edit

81450 Targeted Genomic Seq Analys 81243 FMR1 Gene Detection CMS Edit

81450 Targeted Genomic Seq Analys 81244 FMR1 Gene Characterization CMS Edit

81450 Targeted Genomic Seq Analys 81245 FLT3 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81246 FLT3 Gene Analysis CMS Edit

81450 Targeted Genomic Seq Analys 81250 G6PC Gene CMS Edit

81450 Targeted Genomic Seq Analys 81251 GBA Gene CMS Edit

81450 Targeted Genomic Seq Analys 81252 GJB2 Gene Full Sequence CMS Edit

81450 Targeted Genomic Seq Analys 81253 GJB2 Gene Known Fam Variants CMS Edit

81450 Targeted Genomic Seq Analys 81254 GJB6 Gene Com Variants CMS Edit

81450 Targeted Genomic Seq Analys 81255 HEXA Gene CMS Edit

81450 Targeted Genomic Seq Analys 81256 HFE Gene CMS Edit

81450 Targeted Genomic Seq Analys 81257 HBA1/HBA2 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81260 IKBKAP Gene CMS Edit

81450 Targeted Genomic Seq Analys 81261 IGH Gene Rearrange Amp Meth CMS Edit

81450 Targeted Genomic Seq Analys 81262 IGH Gene Rearrang Dir Probe CMS Edit

81450 Targeted Genomic Seq Analys 81263 IGH Vari Regional Mutation CMS Edit

81450 Targeted Genomic Seq Analys 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81450 Targeted Genomic Seq Analys 81265 STR Markers Specimen Anal CMS Edit

81450 Targeted Genomic Seq Analys 81266 STR Markers Spec Anal Addl CMS Edit

81450 Targeted Genomic Seq Analys 81267 Chimerism Anal No Cell Selec CMS Edit

81450 Targeted Genomic Seq Analys 81268 Chimerism Anal W/Cell Select CMS Edit

81450 Targeted Genomic Seq Analys 81270 JAK2 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81272 KIT Gene Targeted Seq Analys CMS Edit

81450 Targeted Genomic Seq Analys 81273 KIT Gene Analys D816 Variant CMS Edit

81450 Targeted Genomic Seq Analys 81275 KRAS Gene Variants Exon 2 CMS Edit

81450 Targeted Genomic Seq Analys 81276 KRAS Gene Addl Variants CMS Edit

81450 Targeted Genomic Seq Analys 81287 MGMT Gene Methylation Anal CMS Edit

81450 Targeted Genomic Seq Analys 81288 MLH1 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81290 MCOLN1 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81291 MTHFR Gene CMS Edit

81450 Targeted Genomic Seq Analys 81292 MLH1 Gene Full Seq CMS Edit

81450 Targeted Genomic Seq Analys 81293 MLH1 Gene Known Variants CMS Edit

81450 Targeted Genomic Seq Analys 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81450 Targeted Genomic Seq Analys 81295 MSH2 Gene Full Seq CMS Edit

81450 Targeted Genomic Seq Analys 81296 MSH2 Gene Known Variants CMS Edit

81450 Targeted Genomic Seq Analys 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81450 Targeted Genomic Seq Analys 81298 MSH6 Gene Full Seq CMS Edit

81450 Targeted Genomic Seq Analys 81299 MSH6 Gene Known Variants CMS Edit

81450 Targeted Genomic Seq Analys 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81450 Targeted Genomic Seq Analys 81301 Microsatellite Instability CMS Edit

81450 Targeted Genomic Seq Analys 81302 MECP2 Gene Full Seq CMS Edit

81450 Targeted Genomic Seq Analys 81303 MECP2 Gene Known Variant CMS Edit

81450 Targeted Genomic Seq Analys 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81450 Targeted Genomic Seq Analys 81310 NPM1 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81450 Targeted Genomic Seq Analys 81313 PCA3/KLK3 Antigen CMS Edit

81450 Targeted Genomic Seq Analys 81314 PDGFRA Gene CMS Edit

81450 Targeted Genomic Seq Analys 81315 PML/RARalpha Com Breakpoints CMS Edit

81450 Targeted Genomic Seq Analys 81316 PML/RARalpha 1 Breakpoint CMS Edit

81450 Targeted Genomic Seq Analys 81317 PMS2 Gene Full Seq Analysis CMS Edit

81450 Targeted Genomic Seq Analys 81318 PMS2 Known Familial Variants CMS Edit

81450 Targeted Genomic Seq Analys 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81450 Targeted Genomic Seq Analys 81321 PTEN Gene Full Sequence CMS Edit

Page 289: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

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81450 Targeted Genomic Seq Analys 81322 PTEN Gene Known Fam Variant CMS Edit

81450 Targeted Genomic Seq Analys 81323 PTEN Gene Dup/Delet Variant CMS Edit

81450 Targeted Genomic Seq Analys 81324 PMP22 Gene Dup/Delet CMS Edit

81450 Targeted Genomic Seq Analys 81325 PMP22 Gene Full Sequence CMS Edit

81450 Targeted Genomic Seq Analys 81326 PMP22 Gene Known Fam Variant CMS Edit

81450 Targeted Genomic Seq Analys 81327 SEPT9 Methylation Analysis CMS Edit*81450 Targeted Genomic Seq Analys 81330 SMPD1 Gene Common Variants CMS Edit

81450 Targeted Genomic Seq Analys 81331 SNRPN/UBE3A Gene CMS Edit

81450 Targeted Genomic Seq Analys 81332 SERPINA1 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81340 TRB@ Gene Rearrange Amplify CMS Edit

81450 Targeted Genomic Seq Analys 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81450 Targeted Genomic Seq Analys 81342 TRG Gene Rearrangement Anal CMS Edit

81450 Targeted Genomic Seq Analys 81350 UGT1A1 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81355 VKORC1 Gene CMS Edit

81450 Targeted Genomic Seq Analys 81400 Mopath Procedure Level 1 CMS Edit

81450 Targeted Genomic Seq Analys 81401 Mopath Procedure Level 2 CMS Edit

81450 Targeted Genomic Seq Analys 81402 Mopath Procedure Level 3 CMS Edit

81450 Targeted Genomic Seq Analys 81403 Mopath Procedure Level 4 CMS Edit

81450 Targeted Genomic Seq Analys 81404 Mopath Procedure Level 5 CMS Edit

81450 Targeted Genomic Seq Analys 81405 Mopath Procedure Level 6 CMS Edit

81450 Targeted Genomic Seq Analys 81406 Mopath Procedure Level 7 CMS Edit

81450 Targeted Genomic Seq Analys 81407 Mopath Procedure Level 8 CMS Edit

81450 Targeted Genomic Seq Analys 81408 Mopath Procedure Level 9 CMS Edit

81450 Targeted Genomic Seq Analys 81493 Cor Artery Disease mRNA CMS Edit

81450 Targeted Genomic Seq Analys 81504 Oncology Tissue of Origin CMS Edit

81450 Targeted Genomic Seq Analys 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81450 Targeted Genomic Seq Analys 81519 Oncology Breast mRNA CMS Edit

81450 Targeted Genomic Seq Analys 81525 Oncology Colon mRNA CMS Edit

81450 Targeted Genomic Seq Analys 81528 Oncology Colorectal Scr CMS Edit

81450 Targeted Genomic Seq Analys 81540 Oncology Tum Unknown Origin CMS Edit

81450 Targeted Genomic Seq Analys 81545 Oncology Thyroid CMS Edit

81450 Targeted Genomic Seq Analys 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81450 Targeted Genomic Seq Analys 88271 Cytogenetics DNA Probe CMS Edit

81450 Targeted Genomic Seq Analys 88272 Cytogenetics 3-5 CMS Edit

81450 Targeted Genomic Seq Analys 88273 Cytogenetics 10-30 CMS Edit

81450 Targeted Genomic Seq Analys 88274 Cytogenetics 25-99 CMS Edit

81450 Targeted Genomic Seq Analys 88275 Cytogenetics 100-300 CMS Edit

81450 Targeted Genomic Seq Analys 88291 Cyto/Molecular Report CMS Edit

81450 Targeted Genomic Seq Analys 88364 Insitu Hybridization (Fish) CMS Edit

81450 Targeted Genomic Seq Analys 88365 Insitu Hybridization (Fish) CMS Edit

81450 Targeted Genomic Seq Analys 88366 Insitu Hybridization (Fish) CMS Edit

81450 Targeted Genomic Seq Analys 88367 Insitu Hybridization Auto CMS Edit

81450 Targeted Genomic Seq Analys 88368 Insitu Hybridization Manual CMS Edit

81450 Targeted Genomic Seq Analys 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81450 Targeted Genomic Seq Analys 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81450 Targeted Genomic Seq Analys 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81450 Targeted Genomic Seq Analys 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81450 Targeted Genomic Seq Analys G0452 Molecular Pathology Interpr CMS Edit

81455 Targeted Genomic Seq Analys 81161 DMD Dup/Delet Analysis CMS Edit

81455 Targeted Genomic Seq Analys 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81455 Targeted Genomic Seq Analys 81170 ABL1 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81200 ASPA Gene CMS Edit

81455 Targeted Genomic Seq Analys 81201 APC Gene Full Sequence CMS Edit

81455 Targeted Genomic Seq Analys 81202 APC Gene Known Fam Variants CMS Edit

81455 Targeted Genomic Seq Analys 81203 APC Gene Dup/Delet Variants CMS Edit

81455 Targeted Genomic Seq Analys 81205 BCKDHB Gene CMS Edit

81455 Targeted Genomic Seq Analys 81206 BCR/ABL1 Gene Major Bp CMS Edit

81455 Targeted Genomic Seq Analys 81207 BCR/ABL1 Gene Minor Bp CMS Edit

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Code Code Description Code Code Description Source

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81455 Targeted Genomic Seq Analys 81208 BCR/ABL1 Gene Other Bp CMS Edit

81455 Targeted Genomic Seq Analys 81209 BLM Gene CMS Edit

81455 Targeted Genomic Seq Analys 81210 BRAF Gene CMS Edit

81455 Targeted Genomic Seq Analys 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81455 Targeted Genomic Seq Analys 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81455 Targeted Genomic Seq Analys 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81455 Targeted Genomic Seq Analys 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81455 Targeted Genomic Seq Analys 81215 BRCA1 Gene Known Fam Variant CMS Edit

81455 Targeted Genomic Seq Analys 81216 BRCA2 Gene Full Sequence CMS Edit

81455 Targeted Genomic Seq Analys 81217 BRCA2 Gene Known Fam Variant CMS Edit

81455 Targeted Genomic Seq Analys 81218 Cebpa Gene Full Sequence CMS Edit

81455 Targeted Genomic Seq Analys 81219 CALR Gene Com Variants CMS Edit

81455 Targeted Genomic Seq Analys 81220 CFTR Gene Com Variants CMS Edit

81455 Targeted Genomic Seq Analys 81221 CFTR Gene Known Fam Variants CMS Edit

81455 Targeted Genomic Seq Analys 81222 CFTR Gene Dup/Delet Variants CMS Edit

81455 Targeted Genomic Seq Analys 81223 CFTR Gene Full Sequence CMS Edit

81455 Targeted Genomic Seq Analys 81224 CFTR Gene Intron Poly T CMS Edit

81455 Targeted Genomic Seq Analys 81225 CYP2C19 Gene Com Variants CMS Edit

81455 Targeted Genomic Seq Analys 81226 CYP2D6 Gene Com Variants CMS Edit

81455 Targeted Genomic Seq Analys 81227 CYP2C9 Gene Com Variants CMS Edit

81455 Targeted Genomic Seq Analys 81235 EGFR Gene Com Variants CMS Edit

81455 Targeted Genomic Seq Analys 81240 F2 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81241 F5 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81242 FANCC Gene CMS Edit

81455 Targeted Genomic Seq Analys 81243 FMR1 Gene Detection CMS Edit

81455 Targeted Genomic Seq Analys 81244 FMR1 Gene Characterization CMS Edit

81455 Targeted Genomic Seq Analys 81245 FLT3 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81246 FLT3 Gene Analysis CMS Edit

81455 Targeted Genomic Seq Analys 81250 G6PC Gene CMS Edit

81455 Targeted Genomic Seq Analys 81251 GBA Gene CMS Edit

81455 Targeted Genomic Seq Analys 81252 GJB2 Gene Full Sequence CMS Edit

81455 Targeted Genomic Seq Analys 81253 GJB2 Gene Known Fam Variants CMS Edit

81455 Targeted Genomic Seq Analys 81254 GJB6 Gene Com Variants CMS Edit

81455 Targeted Genomic Seq Analys 81255 HEXA Gene CMS Edit

81455 Targeted Genomic Seq Analys 81256 HFE Gene CMS Edit

81455 Targeted Genomic Seq Analys 81257 HBA1/HBA2 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81260 IKBKAP Gene CMS Edit

81455 Targeted Genomic Seq Analys 81261 IGH Gene Rearrange Amp Meth CMS Edit

81455 Targeted Genomic Seq Analys 81262 IGH Gene Rearrang Dir Probe CMS Edit

81455 Targeted Genomic Seq Analys 81263 IGH Vari Regional Mutation CMS Edit

81455 Targeted Genomic Seq Analys 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81455 Targeted Genomic Seq Analys 81265 STR Markers Specimen Anal CMS Edit

81455 Targeted Genomic Seq Analys 81266 STR Markers Spec Anal Addl CMS Edit

81455 Targeted Genomic Seq Analys 81267 Chimerism Anal No Cell Selec CMS Edit

81455 Targeted Genomic Seq Analys 81268 Chimerism Anal W/Cell Select CMS Edit

81455 Targeted Genomic Seq Analys 81270 JAK2 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81272 KIT Gene Targeted Seq Analys CMS Edit

81455 Targeted Genomic Seq Analys 81273 KIT Gene Analys D816 Variant CMS Edit

81455 Targeted Genomic Seq Analys 81275 KRAS Gene Variants Exon 2 CMS Edit

81455 Targeted Genomic Seq Analys 81276 KRAS Gene Addl Variants CMS Edit

81455 Targeted Genomic Seq Analys 81287 MGMT Gene Methylation Anal CMS Edit

81455 Targeted Genomic Seq Analys 81288 MLH1 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81290 MCOLN1 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81291 MTHFR Gene CMS Edit

81455 Targeted Genomic Seq Analys 81292 MLH1 Gene Full Seq CMS Edit

81455 Targeted Genomic Seq Analys 81293 MLH1 Gene Known Variants CMS Edit

81455 Targeted Genomic Seq Analys 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81455 Targeted Genomic Seq Analys 81295 MSH2 Gene Full Seq CMS Edit

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Code Code Description Code Code Description Source

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81455 Targeted Genomic Seq Analys 81296 MSH2 Gene Known Variants CMS Edit

81455 Targeted Genomic Seq Analys 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81455 Targeted Genomic Seq Analys 81298 MSH6 Gene Full Seq CMS Edit

81455 Targeted Genomic Seq Analys 81299 MSH6 Gene Known Variants CMS Edit

81455 Targeted Genomic Seq Analys 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81455 Targeted Genomic Seq Analys 81301 Microsatellite Instability CMS Edit

81455 Targeted Genomic Seq Analys 81302 MECP2 Gene Full Seq CMS Edit

81455 Targeted Genomic Seq Analys 81303 MECP2 Gene Known Variant CMS Edit

81455 Targeted Genomic Seq Analys 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81455 Targeted Genomic Seq Analys 81310 NPM1 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81455 Targeted Genomic Seq Analys 81313 PCA3/KLK3 Antigen CMS Edit

81455 Targeted Genomic Seq Analys 81314 PDGFRA Gene CMS Edit

81455 Targeted Genomic Seq Analys 81315 PML/RARalpha Com Breakpoints CMS Edit

81455 Targeted Genomic Seq Analys 81316 PML/RARalpha 1 Breakpoint CMS Edit

81455 Targeted Genomic Seq Analys 81317 PMS2 Gene Full Seq Analysis CMS Edit

81455 Targeted Genomic Seq Analys 81318 PMS2 Known Familial Variants CMS Edit

81455 Targeted Genomic Seq Analys 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81455 Targeted Genomic Seq Analys 81321 PTEN Gene Full Sequence CMS Edit

81455 Targeted Genomic Seq Analys 81322 PTEN Gene Known Fam Variant CMS Edit

81455 Targeted Genomic Seq Analys 81323 PTEN Gene Dup/Delet Variant CMS Edit

81455 Targeted Genomic Seq Analys 81324 PMP22 Gene Dup/Delet CMS Edit

81455 Targeted Genomic Seq Analys 81325 PMP22 Gene Full Sequence CMS Edit

81455 Targeted Genomic Seq Analys 81326 PMP22 Gene Known Fam Variant CMS Edit

81455 Targeted Genomic Seq Analys 81327 SEPT9 Methylation Analysis CMS Edit*81455 Targeted Genomic Seq Analys 81330 SMPD1 Gene Common Variants CMS Edit

81455 Targeted Genomic Seq Analys 81331 SNRPN/UBE3A Gene CMS Edit

81455 Targeted Genomic Seq Analys 81332 SERPINA1 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81340 TRB@ Gene Rearrange Amplify CMS Edit

81455 Targeted Genomic Seq Analys 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81455 Targeted Genomic Seq Analys 81342 TRG Gene Rearrangement Anal CMS Edit

81455 Targeted Genomic Seq Analys 81350 UGT1A1 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81355 VKORC1 Gene CMS Edit

81455 Targeted Genomic Seq Analys 81400 Mopath Procedure Level 1 CMS Edit

81455 Targeted Genomic Seq Analys 81401 Mopath Procedure Level 2 CMS Edit

81455 Targeted Genomic Seq Analys 81402 Mopath Procedure Level 3 CMS Edit

81455 Targeted Genomic Seq Analys 81403 Mopath Procedure Level 4 CMS Edit

81455 Targeted Genomic Seq Analys 81404 Mopath Procedure Level 5 CMS Edit

81455 Targeted Genomic Seq Analys 81405 Mopath Procedure Level 6 CMS Edit

81455 Targeted Genomic Seq Analys 81406 Mopath Procedure Level 7 CMS Edit

81455 Targeted Genomic Seq Analys 81407 Mopath Procedure Level 8 CMS Edit

81455 Targeted Genomic Seq Analys 81408 Mopath Procedure Level 9 CMS Edit

81455 Targeted Genomic Seq Analys 81493 Cor Artery Disease mRNA CMS Edit

81455 Targeted Genomic Seq Analys 81504 Oncology Tissue of Origin CMS Edit

81455 Targeted Genomic Seq Analys 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81455 Targeted Genomic Seq Analys 81519 Oncology Breast mRNA CMS Edit

81455 Targeted Genomic Seq Analys 81525 Oncology Colon mRNA CMS Edit

81455 Targeted Genomic Seq Analys 81528 Oncology Colorectal Scr CMS Edit

81455 Targeted Genomic Seq Analys 81540 Oncology Tum Unknown Origin CMS Edit

81455 Targeted Genomic Seq Analys 81545 Oncology Thyroid CMS Edit

81455 Targeted Genomic Seq Analys 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81455 Targeted Genomic Seq Analys 88271 Cytogenetics DNA Probe CMS Edit

81455 Targeted Genomic Seq Analys 88272 Cytogenetics 3-5 CMS Edit

81455 Targeted Genomic Seq Analys 88273 Cytogenetics 10-30 CMS Edit

81455 Targeted Genomic Seq Analys 88274 Cytogenetics 25-99 CMS Edit

81455 Targeted Genomic Seq Analys 88275 Cytogenetics 100-300 CMS Edit

81455 Targeted Genomic Seq Analys 88291 Cyto/Molecular Report CMS Edit

81455 Targeted Genomic Seq Analys 88364 Insitu Hybridization (Fish) CMS Edit

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Code Code Description Code Code Description Source

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81455 Targeted Genomic Seq Analys 88365 Insitu Hybridization (Fish) CMS Edit

81455 Targeted Genomic Seq Analys 88366 Insitu Hybridization (Fish) CMS Edit

81455 Targeted Genomic Seq Analys 88367 Insitu Hybridization Auto CMS Edit

81455 Targeted Genomic Seq Analys 88368 Insitu Hybridization Manual CMS Edit

81455 Targeted Genomic Seq Analys 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81455 Targeted Genomic Seq Analys 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81455 Targeted Genomic Seq Analys 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81455 Targeted Genomic Seq Analys 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81455 Targeted Genomic Seq Analys G0452 Molecular Pathology Interpr CMS Edit

81460 Whole Mitochondrial Genome 81161 DMD Dup/Delet Analysis CMS Edit

81460 Whole Mitochondrial Genome 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81460 Whole Mitochondrial Genome 81170 ABL1 Gene CMS Edit

81460 Whole Mitochondrial Genome 81200 ASPA Gene CMS Edit

81460 Whole Mitochondrial Genome 81201 APC Gene Full Sequence CMS Edit

81460 Whole Mitochondrial Genome 81202 APC Gene Known Fam Variants CMS Edit

81460 Whole Mitochondrial Genome 81203 APC Gene Dup/Delet Variants CMS Edit

81460 Whole Mitochondrial Genome 81205 BCKDHB Gene CMS Edit

81460 Whole Mitochondrial Genome 81206 BCR/ABL1 Gene Major Bp CMS Edit

81460 Whole Mitochondrial Genome 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81460 Whole Mitochondrial Genome 81208 BCR/ABL1 Gene Other Bp CMS Edit

81460 Whole Mitochondrial Genome 81209 BLM Gene CMS Edit

81460 Whole Mitochondrial Genome 81210 BRAF Gene CMS Edit

81460 Whole Mitochondrial Genome 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81460 Whole Mitochondrial Genome 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81460 Whole Mitochondrial Genome 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81460 Whole Mitochondrial Genome 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81460 Whole Mitochondrial Genome 81215 BRCA1 Gene Known Fam Variant CMS Edit

81460 Whole Mitochondrial Genome 81216 BRCA2 Gene Full Sequence CMS Edit

81460 Whole Mitochondrial Genome 81217 BRCA2 Gene Known Fam Variant CMS Edit

81460 Whole Mitochondrial Genome 81218 Cebpa Gene Full Sequence CMS Edit

81460 Whole Mitochondrial Genome 81219 CALR Gene Com Variants CMS Edit

81460 Whole Mitochondrial Genome 81220 CFTR Gene Com Variants CMS Edit

81460 Whole Mitochondrial Genome 81221 CFTR Gene Known Fam Variants CMS Edit

81460 Whole Mitochondrial Genome 81222 CFTR Gene Dup/Delet Variants CMS Edit

81460 Whole Mitochondrial Genome 81223 CFTR Gene Full Sequence CMS Edit

81460 Whole Mitochondrial Genome 81224 CFTR Gene Intron Poly T CMS Edit

81460 Whole Mitochondrial Genome 81225 CYP2C19 Gene Com Variants CMS Edit

81460 Whole Mitochondrial Genome 81226 CYP2D6 Gene Com Variants CMS Edit

81460 Whole Mitochondrial Genome 81227 CYP2C9 Gene Com Variants CMS Edit

81460 Whole Mitochondrial Genome 81235 EGFR Gene Com Variants CMS Edit

81460 Whole Mitochondrial Genome 81240 F2 Gene CMS Edit

81460 Whole Mitochondrial Genome 81241 F5 Gene CMS Edit

81460 Whole Mitochondrial Genome 81242 FANCC Gene CMS Edit

81460 Whole Mitochondrial Genome 81243 FMR1 Gene Detection CMS Edit

81460 Whole Mitochondrial Genome 81244 FMR1 Gene Characterization CMS Edit

81460 Whole Mitochondrial Genome 81245 FLT3 Gene CMS Edit

81460 Whole Mitochondrial Genome 81246 FLT3 Gene Analysis CMS Edit

81460 Whole Mitochondrial Genome 81250 G6PC Gene CMS Edit

81460 Whole Mitochondrial Genome 81251 GBA Gene CMS Edit

81460 Whole Mitochondrial Genome 81252 GJB2 Gene Full Sequence CMS Edit

81460 Whole Mitochondrial Genome 81253 GJB2 Gene Known Fam Variants CMS Edit

81460 Whole Mitochondrial Genome 81254 GJB6 Gene Com Variants CMS Edit

81460 Whole Mitochondrial Genome 81255 HEXA Gene CMS Edit

81460 Whole Mitochondrial Genome 81256 HFE Gene CMS Edit

81460 Whole Mitochondrial Genome 81257 HBA1/HBA2 Gene CMS Edit

81460 Whole Mitochondrial Genome 81260 IKBKAP Gene CMS Edit

81460 Whole Mitochondrial Genome 81261 IGH Gene Rearrange Amp Meth CMS Edit

81460 Whole Mitochondrial Genome 81262 IGH Gene Rearrang Dir Probe CMS Edit

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Code Code Description Code Code Description Source

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81460 Whole Mitochondrial Genome 81263 IGH Vari Regional Mutation CMS Edit

81460 Whole Mitochondrial Genome 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81460 Whole Mitochondrial Genome 81265 STR Markers Specimen Anal CMS Edit

81460 Whole Mitochondrial Genome 81266 STR Markers Spec Anal Addl CMS Edit

81460 Whole Mitochondrial Genome 81267 Chimerism Anal No Cell Selec CMS Edit

81460 Whole Mitochondrial Genome 81268 Chimerism Anal W/Cell Select CMS Edit

81460 Whole Mitochondrial Genome 81270 JAK2 Gene CMS Edit

81460 Whole Mitochondrial Genome 81272 KIT Gene Targeted Seq Analys CMS Edit

81460 Whole Mitochondrial Genome 81273 KIT Gene Analys D816 Variant CMS Edit

81460 Whole Mitochondrial Genome 81275 KRAS Gene Variants Exon 2 CMS Edit

81460 Whole Mitochondrial Genome 81276 KRAS Gene Addl Variants CMS Edit

81460 Whole Mitochondrial Genome 81287 MGMT Gene Methylation Anal CMS Edit

81460 Whole Mitochondrial Genome 81288 MLH1 Gene CMS Edit

81460 Whole Mitochondrial Genome 81290 MCOLN1 Gene CMS Edit

81460 Whole Mitochondrial Genome 81291 MTHFR Gene CMS Edit

81460 Whole Mitochondrial Genome 81292 MLH1 Gene Full Seq CMS Edit

81460 Whole Mitochondrial Genome 81293 MLH1 Gene Known Variants CMS Edit

81460 Whole Mitochondrial Genome 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81460 Whole Mitochondrial Genome 81295 MSH2 Gene Full Seq CMS Edit

81460 Whole Mitochondrial Genome 81296 MSH2 Gene Known Variants CMS Edit

81460 Whole Mitochondrial Genome 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81460 Whole Mitochondrial Genome 81298 MSH6 Gene Full Seq CMS Edit

81460 Whole Mitochondrial Genome 81299 MSH6 Gene Known Variants CMS Edit

81460 Whole Mitochondrial Genome 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81460 Whole Mitochondrial Genome 81301 Microsatellite Instability CMS Edit

81460 Whole Mitochondrial Genome 81302 MECP2 Gene Full Seq CMS Edit

81460 Whole Mitochondrial Genome 81303 MECP2 Gene Known Variant CMS Edit

81460 Whole Mitochondrial Genome 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81460 Whole Mitochondrial Genome 81310 NPM1 Gene CMS Edit

81460 Whole Mitochondrial Genome 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81460 Whole Mitochondrial Genome 81313 PCA3/KLK3 Antigen CMS Edit

81460 Whole Mitochondrial Genome 81314 PDGFRA Gene CMS Edit

81460 Whole Mitochondrial Genome 81315 PML/RARalpha Com Breakpoints CMS Edit

81460 Whole Mitochondrial Genome 81316 PML/RARalpha 1 Breakpoint CMS Edit

81460 Whole Mitochondrial Genome 81317 PMS2 Gene Full Seq Analysis CMS Edit

81460 Whole Mitochondrial Genome 81318 PMS2 Known Familial Variants CMS Edit

81460 Whole Mitochondrial Genome 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81460 Whole Mitochondrial Genome 81321 PTEN Gene Full Sequence CMS Edit

81460 Whole Mitochondrial Genome 81322 PTEN Gene Known Fam Variant CMS Edit

81460 Whole Mitochondrial Genome 81323 PTEN Gene Dup/Delet Variant CMS Edit

81460 Whole Mitochondrial Genome 81324 PMP22 Gene Dup/Delet CMS Edit

81460 Whole Mitochondrial Genome 81325 PMP22 Gene Full Sequence CMS Edit

81460 Whole Mitochondrial Genome 81326 PMP22 Gene Known Fam Variant CMS Edit

81460 Whole Mitochondrial Genome 81327 SEPT9 Methylation Analysis CMS Edit*81460 Whole Mitochondrial Genome 81330 SMPD1 Gene Common Variants CMS Edit

81460 Whole Mitochondrial Genome 81331 SNRPN/UBE3A Gene CMS Edit

81460 Whole Mitochondrial Genome 81332 SERPINA1 Gene CMS Edit

81460 Whole Mitochondrial Genome 81340 TRB@ Gene Rearrange Amplify CMS Edit

81460 Whole Mitochondrial Genome 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81460 Whole Mitochondrial Genome 81342 TRG Gene Rearrangement Anal CMS Edit

81460 Whole Mitochondrial Genome 81350 UGT1A1 Gene CMS Edit

81460 Whole Mitochondrial Genome 81355 VKORC1 Gene CMS Edit

81460 Whole Mitochondrial Genome 81400 Mopath Procedure Level 1 CMS Edit

81460 Whole Mitochondrial Genome 81401 Mopath Procedure Level 2 CMS Edit

81460 Whole Mitochondrial Genome 81402 Mopath Procedure Level 3 CMS Edit

81460 Whole Mitochondrial Genome 81403 Mopath Procedure Level 4 CMS Edit

81460 Whole Mitochondrial Genome 81404 Mopath Procedure Level 5 CMS Edit

81460 Whole Mitochondrial Genome 81405 Mopath Procedure Level 6 CMS Edit

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Code Code Description Code Code Description Source

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81460 Whole Mitochondrial Genome 81406 Mopath Procedure Level 7 CMS Edit

81460 Whole Mitochondrial Genome 81407 Mopath Procedure Level 8 CMS Edit

81460 Whole Mitochondrial Genome 81408 Mopath Procedure Level 9 CMS Edit

81460 Whole Mitochondrial Genome 81493 Cor Artery Disease mRNA CMS Edit

81460 Whole Mitochondrial Genome 81504 Oncology Tissue of Origin CMS Edit

81460 Whole Mitochondrial Genome 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81460 Whole Mitochondrial Genome 81519 Oncology Breast mRNA CMS Edit

81460 Whole Mitochondrial Genome 81525 Oncology Colon mRNA CMS Edit

81460 Whole Mitochondrial Genome 81528 Oncology Colorectal Scr CMS Edit

81460 Whole Mitochondrial Genome 81540 Oncology Tum Unknown Origin CMS Edit

81460 Whole Mitochondrial Genome 81545 Oncology Thyroid CMS Edit

81460 Whole Mitochondrial Genome 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81460 Whole Mitochondrial Genome 88271 Cytogenetics DNA Probe CMS Edit

81460 Whole Mitochondrial Genome 88272 Cytogenetics 3-5 CMS Edit

81460 Whole Mitochondrial Genome 88273 Cytogenetics 10-30 CMS Edit

81460 Whole Mitochondrial Genome 88274 Cytogenetics 25-99 CMS Edit

81460 Whole Mitochondrial Genome 88275 Cytogenetics 100-300 CMS Edit

81460 Whole Mitochondrial Genome 88291 Cyto/Molecular Report CMS Edit

81460 Whole Mitochondrial Genome 88364 Insitu Hybridization (Fish) CMS Edit

81460 Whole Mitochondrial Genome 88365 Insitu Hybridization (Fish) CMS Edit

81460 Whole Mitochondrial Genome 88366 Insitu Hybridization (Fish) CMS Edit

81460 Whole Mitochondrial Genome 88367 Insitu Hybridization Auto CMS Edit

81460 Whole Mitochondrial Genome 88368 Insitu Hybridization Manual CMS Edit

81460 Whole Mitochondrial Genome 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81460 Whole Mitochondrial Genome 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81460 Whole Mitochondrial Genome 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81460 Whole Mitochondrial Genome 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81460 Whole Mitochondrial Genome G0452 Molecular Pathology Interpr CMS Edit

81465 Whole Mitochondrial Genome 81161 DMD Dup/Delet Analysis CMS Edit

81465 Whole Mitochondrial Genome 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81465 Whole Mitochondrial Genome 81170 ABL1 Gene CMS Edit

81465 Whole Mitochondrial Genome 81200 ASPA Gene CMS Edit

81465 Whole Mitochondrial Genome 81201 APC Gene Full Sequence CMS Edit

81465 Whole Mitochondrial Genome 81202 APC Gene Known Fam Variants CMS Edit

81465 Whole Mitochondrial Genome 81203 APC Gene Dup/Delet Variants CMS Edit

81465 Whole Mitochondrial Genome 81205 BCKDHB Gene CMS Edit

81465 Whole Mitochondrial Genome 81206 BCR/ABL1 Gene Major Bp CMS Edit

81465 Whole Mitochondrial Genome 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81465 Whole Mitochondrial Genome 81208 BCR/ABL1 Gene Other Bp CMS Edit

81465 Whole Mitochondrial Genome 81209 BLM Gene CMS Edit

81465 Whole Mitochondrial Genome 81210 BRAF Gene CMS Edit

81465 Whole Mitochondrial Genome 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81465 Whole Mitochondrial Genome 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81465 Whole Mitochondrial Genome 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81465 Whole Mitochondrial Genome 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81465 Whole Mitochondrial Genome 81215 BRCA1 Gene Known Fam Variant CMS Edit

81465 Whole Mitochondrial Genome 81216 BRCA2 Gene Full Sequence CMS Edit

81465 Whole Mitochondrial Genome 81217 BRCA2 Gene Known Fam Variant CMS Edit

81465 Whole Mitochondrial Genome 81218 Cebpa Gene Full Sequence CMS Edit

81465 Whole Mitochondrial Genome 81219 CALR Gene Com Variants CMS Edit

81465 Whole Mitochondrial Genome 81220 CFTR Gene Com Variants CMS Edit

81465 Whole Mitochondrial Genome 81221 CFTR Gene Known Fam Variants CMS Edit

81465 Whole Mitochondrial Genome 81222 CFTR Gene Dup/Delet Variants CMS Edit

81465 Whole Mitochondrial Genome 81223 CFTR Gene Full Sequence CMS Edit

81465 Whole Mitochondrial Genome 81224 CFTR Gene Intron Poly T CMS Edit

81465 Whole Mitochondrial Genome 81225 CYP2C19 Gene Com Variants CMS Edit

81465 Whole Mitochondrial Genome 81226 CYP2D6 Gene Com Variants CMS Edit

81465 Whole Mitochondrial Genome 81227 CYP2C9 Gene Com Variants CMS Edit

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Code Code Description Code Code Description Source

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81465 Whole Mitochondrial Genome 81235 EGFR Gene Com Variants CMS Edit

81465 Whole Mitochondrial Genome 81240 F2 Gene CMS Edit

81465 Whole Mitochondrial Genome 81241 F5 Gene CMS Edit

81465 Whole Mitochondrial Genome 81242 FANCC Gene CMS Edit

81465 Whole Mitochondrial Genome 81243 FMR1 Gene Detection CMS Edit

81465 Whole Mitochondrial Genome 81244 FMR1 Gene Characterization CMS Edit

81465 Whole Mitochondrial Genome 81245 FLT3 Gene CMS Edit

81465 Whole Mitochondrial Genome 81246 FLT3 Gene Analysis CMS Edit

81465 Whole Mitochondrial Genome 81250 G6PC Gene CMS Edit

81465 Whole Mitochondrial Genome 81251 GBA Gene CMS Edit

81465 Whole Mitochondrial Genome 81252 GJB2 Gene Full Sequence CMS Edit

81465 Whole Mitochondrial Genome 81253 GJB2 Gene Known Fam Variants CMS Edit

81465 Whole Mitochondrial Genome 81254 GJB6 Gene Com Variants CMS Edit

81465 Whole Mitochondrial Genome 81255 HEXA Gene CMS Edit

81465 Whole Mitochondrial Genome 81256 HFE Gene CMS Edit

81465 Whole Mitochondrial Genome 81257 HBA1/HBA2 Gene CMS Edit

81465 Whole Mitochondrial Genome 81260 IKBKAP Gene CMS Edit

81465 Whole Mitochondrial Genome 81261 IGH Gene Rearrange Amp Meth CMS Edit

81465 Whole Mitochondrial Genome 81262 IGH Gene Rearrang Dir Probe CMS Edit

81465 Whole Mitochondrial Genome 81263 IGH Vari Regional Mutation CMS Edit

81465 Whole Mitochondrial Genome 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81465 Whole Mitochondrial Genome 81265 STR Markers Specimen Anal CMS Edit

81465 Whole Mitochondrial Genome 81266 STR Markers Spec Anal Addl CMS Edit

81465 Whole Mitochondrial Genome 81267 Chimerism Anal No Cell Selec CMS Edit

81465 Whole Mitochondrial Genome 81268 Chimerism Anal W/Cell Select CMS Edit

81465 Whole Mitochondrial Genome 81270 JAK2 Gene CMS Edit

81465 Whole Mitochondrial Genome 81272 KIT Gene Targeted Seq Analys CMS Edit

81465 Whole Mitochondrial Genome 81273 KIT Gene Analys D816 Variant CMS Edit

81465 Whole Mitochondrial Genome 81275 KRAS Gene Variants Exon 2 CMS Edit

81465 Whole Mitochondrial Genome 81276 KRAS Gene Addl Variants CMS Edit

81465 Whole Mitochondrial Genome 81287 MGMT Gene Methylation Anal CMS Edit

81465 Whole Mitochondrial Genome 81288 MLH1 Gene CMS Edit

81465 Whole Mitochondrial Genome 81290 MCOLN1 Gene CMS Edit

81465 Whole Mitochondrial Genome 81291 MTHFR Gene CMS Edit

81465 Whole Mitochondrial Genome 81292 MLH1 Gene Full Seq CMS Edit

81465 Whole Mitochondrial Genome 81293 MLH1 Gene Known Variants CMS Edit

81465 Whole Mitochondrial Genome 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81465 Whole Mitochondrial Genome 81295 MSH2 Gene Full Seq CMS Edit

81465 Whole Mitochondrial Genome 81296 MSH2 Gene Known Variants CMS Edit

81465 Whole Mitochondrial Genome 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81465 Whole Mitochondrial Genome 81298 MSH6 Gene Full Seq CMS Edit

81465 Whole Mitochondrial Genome 81299 MSH6 Gene Known Variants CMS Edit

81465 Whole Mitochondrial Genome 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81465 Whole Mitochondrial Genome 81301 Microsatellite Instability CMS Edit

81465 Whole Mitochondrial Genome 81302 MECP2 Gene Full Seq CMS Edit

81465 Whole Mitochondrial Genome 81303 MECP2 Gene Known Variant CMS Edit

81465 Whole Mitochondrial Genome 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81465 Whole Mitochondrial Genome 81310 NPM1 Gene CMS Edit

81465 Whole Mitochondrial Genome 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81465 Whole Mitochondrial Genome 81313 PCA3/KLK3 Antigen CMS Edit

81465 Whole Mitochondrial Genome 81314 PDGFRA Gene CMS Edit

81465 Whole Mitochondrial Genome 81315 PML/RARalpha Com Breakpoints CMS Edit

81465 Whole Mitochondrial Genome 81316 PML/RARalpha 1 Breakpoint CMS Edit

81465 Whole Mitochondrial Genome 81317 PMS2 Gene Full Seq Analysis CMS Edit

81465 Whole Mitochondrial Genome 81318 PMS2 Known Familial Variants CMS Edit

81465 Whole Mitochondrial Genome 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81465 Whole Mitochondrial Genome 81321 PTEN Gene Full Sequence CMS Edit

81465 Whole Mitochondrial Genome 81322 PTEN Gene Known Fam Variant CMS Edit

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Code Code Description Code Code Description Source

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81465 Whole Mitochondrial Genome 81323 PTEN Gene Dup/Delet Variant CMS Edit

81465 Whole Mitochondrial Genome 81324 PMP22 Gene Dup/Delet CMS Edit

81465 Whole Mitochondrial Genome 81325 PMP22 Gene Full Sequence CMS Edit

81465 Whole Mitochondrial Genome 81326 PMP22 Gene Known Fam Variant CMS Edit

81465 Whole Mitochondrial Genome 81327 SEPT9 Methylation Analysis CMS Edit*81465 Whole Mitochondrial Genome 81330 SMPD1 Gene Common Variants CMS Edit

81465 Whole Mitochondrial Genome 81331 SNRPN/UBE3A Gene CMS Edit

81465 Whole Mitochondrial Genome 81332 SERPINA1 Gene CMS Edit

81465 Whole Mitochondrial Genome 81340 TRB@ Gene Rearrange Amplify CMS Edit

81465 Whole Mitochondrial Genome 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81465 Whole Mitochondrial Genome 81342 TRG Gene Rearrangement Anal CMS Edit

81465 Whole Mitochondrial Genome 81350 UGT1A1 Gene CMS Edit

81465 Whole Mitochondrial Genome 81355 VKORC1 Gene CMS Edit

81465 Whole Mitochondrial Genome 81400 Mopath Procedure Level 1 CMS Edit

81465 Whole Mitochondrial Genome 81401 Mopath Procedure Level 2 CMS Edit

81465 Whole Mitochondrial Genome 81402 Mopath Procedure Level 3 CMS Edit

81465 Whole Mitochondrial Genome 81403 Mopath Procedure Level 4 CMS Edit

81465 Whole Mitochondrial Genome 81404 Mopath Procedure Level 5 CMS Edit

81465 Whole Mitochondrial Genome 81405 Mopath Procedure Level 6 CMS Edit

81465 Whole Mitochondrial Genome 81406 Mopath Procedure Level 7 CMS Edit

81465 Whole Mitochondrial Genome 81407 Mopath Procedure Level 8 CMS Edit

81465 Whole Mitochondrial Genome 81408 Mopath Procedure Level 9 CMS Edit

81465 Whole Mitochondrial Genome 81493 Cor Artery Disease mRNA CMS Edit

81465 Whole Mitochondrial Genome 81504 Oncology Tissue of Origin CMS Edit

81465 Whole Mitochondrial Genome 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81465 Whole Mitochondrial Genome 81519 Oncology Breast mRNA CMS Edit

81465 Whole Mitochondrial Genome 81525 Oncology Colon mRNA CMS Edit

81465 Whole Mitochondrial Genome 81528 Oncology Colorectal Scr CMS Edit

81465 Whole Mitochondrial Genome 81540 Oncology Tum Unknown Origin CMS Edit

81465 Whole Mitochondrial Genome 81545 Oncology Thyroid CMS Edit

81465 Whole Mitochondrial Genome 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81465 Whole Mitochondrial Genome 88271 Cytogenetics DNA Probe CMS Edit

81465 Whole Mitochondrial Genome 88272 Cytogenetics 3-5 CMS Edit

81465 Whole Mitochondrial Genome 88273 Cytogenetics 10-30 CMS Edit

81465 Whole Mitochondrial Genome 88274 Cytogenetics 25-99 CMS Edit

81465 Whole Mitochondrial Genome 88275 Cytogenetics 100-300 CMS Edit

81465 Whole Mitochondrial Genome 88291 Cyto/Molecular Report CMS Edit

81465 Whole Mitochondrial Genome 88364 Insitu Hybridization (Fish) CMS Edit

81465 Whole Mitochondrial Genome 88365 Insitu Hybridization (Fish) CMS Edit

81465 Whole Mitochondrial Genome 88366 Insitu Hybridization (Fish) CMS Edit

81465 Whole Mitochondrial Genome 88367 Insitu Hybridization Auto CMS Edit

81465 Whole Mitochondrial Genome 88368 Insitu Hybridization Manual CMS Edit

81465 Whole Mitochondrial Genome 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81465 Whole Mitochondrial Genome 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81465 Whole Mitochondrial Genome 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81465 Whole Mitochondrial Genome 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81465 Whole Mitochondrial Genome G0452 Molecular Pathology Interpr CMS Edit

81470 X-Linked Intellectual Dblt 81161 DMD Dup/Delet Analysis CMS Edit

81470 X-Linked Intellectual Dblt 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81470 X-Linked Intellectual Dblt 81170 ABL1 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81200 ASPA Gene CMS Edit

81470 X-Linked Intellectual Dblt 81201 APC Gene Full Sequence CMS Edit

81470 X-Linked Intellectual Dblt 81202 APC Gene Known Fam Variants CMS Edit

81470 X-Linked Intellectual Dblt 81203 APC Gene Dup/Delet Variants CMS Edit

81470 X-Linked Intellectual Dblt 81205 BCKDHB Gene CMS Edit

81470 X-Linked Intellectual Dblt 81206 BCR/ABL1 Gene Major Bp CMS Edit

81470 X-Linked Intellectual Dblt 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81470 X-Linked Intellectual Dblt 81208 BCR/ABL1 Gene Other Bp CMS Edit

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Code Code Description Code Code Description Source

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81470 X-Linked Intellectual Dblt 81209 BLM Gene CMS Edit

81470 X-Linked Intellectual Dblt 81210 BRAF Gene CMS Edit

81470 X-Linked Intellectual Dblt 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81470 X-Linked Intellectual Dblt 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81470 X-Linked Intellectual Dblt 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81470 X-Linked Intellectual Dblt 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81470 X-Linked Intellectual Dblt 81215 BRCA1 Gene Known Fam Variant CMS Edit

81470 X-Linked Intellectual Dblt 81216 BRCA2 Gene Full Sequence CMS Edit

81470 X-Linked Intellectual Dblt 81217 BRCA2 Gene Known Fam Variant CMS Edit

81470 X-Linked Intellectual Dblt 81218 Cebpa Gene Full Sequence CMS Edit

81470 X-Linked Intellectual Dblt 81219 CALR Gene Com Variants CMS Edit

81470 X-Linked Intellectual Dblt 81220 CFTR Gene Com Variants CMS Edit

81470 X-Linked Intellectual Dblt 81221 CFTR Gene Known Fam Variants CMS Edit

81470 X-Linked Intellectual Dblt 81222 CFTR Gene Dup/Delet Variants CMS Edit

81470 X-Linked Intellectual Dblt 81223 CFTR Gene Full Sequence CMS Edit

81470 X-Linked Intellectual Dblt 81224 CFTR Gene Intron Poly T CMS Edit

81470 X-Linked Intellectual Dblt 81225 CYP2C19 Gene Com Variants CMS Edit

81470 X-Linked Intellectual Dblt 81226 CYP2D6 Gene Com Variants CMS Edit

81470 X-Linked Intellectual Dblt 81227 CYP2C9 Gene Com Variants CMS Edit

81470 X-Linked Intellectual Dblt 81235 EGFR Gene Com Variants CMS Edit

81470 X-Linked Intellectual Dblt 81240 F2 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81241 F5 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81242 FANCC Gene CMS Edit

81470 X-Linked Intellectual Dblt 81243 FMR1 Gene Detection CMS Edit

81470 X-Linked Intellectual Dblt 81244 FMR1 Gene Characterization CMS Edit

81470 X-Linked Intellectual Dblt 81245 FLT3 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81246 FLT3 Gene Analysis CMS Edit

81470 X-Linked Intellectual Dblt 81250 G6PC Gene CMS Edit

81470 X-Linked Intellectual Dblt 81251 GBA Gene CMS Edit

81470 X-Linked Intellectual Dblt 81252 GJB2 Gene Full Sequence CMS Edit

81470 X-Linked Intellectual Dblt 81253 GJB2 Gene Known Fam Variants CMS Edit

81470 X-Linked Intellectual Dblt 81254 GJB6 Gene Com Variants CMS Edit

81470 X-Linked Intellectual Dblt 81255 HEXA Gene CMS Edit

81470 X-Linked Intellectual Dblt 81256 HFE Gene CMS Edit

81470 X-Linked Intellectual Dblt 81257 HBA1/HBA2 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81260 IKBKAP Gene CMS Edit

81470 X-Linked Intellectual Dblt 81261 IGH Gene Rearrange Amp Meth CMS Edit

81470 X-Linked Intellectual Dblt 81262 IGH Gene Rearrang Dir Probe CMS Edit

81470 X-Linked Intellectual Dblt 81263 IGH Vari Regional Mutation CMS Edit

81470 X-Linked Intellectual Dblt 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81470 X-Linked Intellectual Dblt 81265 STR Markers Specimen Anal CMS Edit

81470 X-Linked Intellectual Dblt 81266 STR Markers Spec Anal Addl CMS Edit

81470 X-Linked Intellectual Dblt 81267 Chimerism Anal No Cell Selec CMS Edit

81470 X-Linked Intellectual Dblt 81268 Chimerism Anal W/Cell Select CMS Edit

81470 X-Linked Intellectual Dblt 81270 JAK2 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81272 KIT Gene Targeted Seq Analys CMS Edit

81470 X-Linked Intellectual Dblt 81273 KIT Gene Analys D816 Variant CMS Edit

81470 X-Linked Intellectual Dblt 81275 KRAS Gene Variants Exon 2 CMS Edit

81470 X-Linked Intellectual Dblt 81276 KRAS Gene Addl Variants CMS Edit

81470 X-Linked Intellectual Dblt 81287 MGMT Gene Methylation Anal CMS Edit

81470 X-Linked Intellectual Dblt 81288 MLH1 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81290 MCOLN1 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81291 MTHFR Gene CMS Edit

81470 X-Linked Intellectual Dblt 81292 MLH1 Gene Full Seq CMS Edit

81470 X-Linked Intellectual Dblt 81293 MLH1 Gene Known Variants CMS Edit

81470 X-Linked Intellectual Dblt 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81470 X-Linked Intellectual Dblt 81295 MSH2 Gene Full Seq CMS Edit

81470 X-Linked Intellectual Dblt 81296 MSH2 Gene Known Variants CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81470 X-Linked Intellectual Dblt 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81470 X-Linked Intellectual Dblt 81298 MSH6 Gene Full Seq CMS Edit

81470 X-Linked Intellectual Dblt 81299 MSH6 Gene Known Variants CMS Edit

81470 X-Linked Intellectual Dblt 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81470 X-Linked Intellectual Dblt 81301 Microsatellite Instability CMS Edit

81470 X-Linked Intellectual Dblt 81302 MECP2 Gene Full Seq CMS Edit

81470 X-Linked Intellectual Dblt 81303 MECP2 Gene Known Variant CMS Edit

81470 X-Linked Intellectual Dblt 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81470 X-Linked Intellectual Dblt 81310 NPM1 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81470 X-Linked Intellectual Dblt 81313 PCA3/KLK3 Antigen CMS Edit

81470 X-Linked Intellectual Dblt 81314 PDGFRA Gene CMS Edit

81470 X-Linked Intellectual Dblt 81315 PML/RARalpha Com Breakpoints CMS Edit

81470 X-Linked Intellectual Dblt 81316 PML/RARalpha 1 Breakpoint CMS Edit

81470 X-Linked Intellectual Dblt 81317 PMS2 Gene Full Seq Analysis CMS Edit

81470 X-Linked Intellectual Dblt 81318 PMS2 Known Familial Variants CMS Edit

81470 X-Linked Intellectual Dblt 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81470 X-Linked Intellectual Dblt 81321 PTEN Gene Full Sequence CMS Edit

81470 X-Linked Intellectual Dblt 81322 PTEN Gene Known Fam Variant CMS Edit

81470 X-Linked Intellectual Dblt 81323 PTEN Gene Dup/Delet Variant CMS Edit

81470 X-Linked Intellectual Dblt 81324 PMP22 Gene Dup/Delet CMS Edit

81470 X-Linked Intellectual Dblt 81325 PMP22 Gene Full Sequence CMS Edit

81470 X-Linked Intellectual Dblt 81326 PMP22 Gene Known Fam Variant CMS Edit

81470 X-Linked Intellectual Dblt 81327 SEPT9 Methylation Analysis CMS Edit*81470 X-Linked Intellectual Dblt 81330 SMPD1 Gene Common Variants CMS Edit

81470 X-Linked Intellectual Dblt 81331 SNRPN/UBE3A Gene CMS Edit

81470 X-Linked Intellectual Dblt 81332 SERPINA1 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81340 TRB@ Gene Rearrange Amplify CMS Edit

81470 X-Linked Intellectual Dblt 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81470 X-Linked Intellectual Dblt 81342 TRG Gene Rearrangement Anal CMS Edit

81470 X-Linked Intellectual Dblt 81350 UGT1A1 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81355 VKORC1 Gene CMS Edit

81470 X-Linked Intellectual Dblt 81400 Mopath Procedure Level 1 CMS Edit

81470 X-Linked Intellectual Dblt 81401 Mopath Procedure Level 2 CMS Edit

81470 X-Linked Intellectual Dblt 81402 Mopath Procedure Level 3 CMS Edit

81470 X-Linked Intellectual Dblt 81403 Mopath Procedure Level 4 CMS Edit

81470 X-Linked Intellectual Dblt 81404 Mopath Procedure Level 5 CMS Edit

81470 X-Linked Intellectual Dblt 81405 Mopath Procedure Level 6 CMS Edit

81470 X-Linked Intellectual Dblt 81406 Mopath Procedure Level 7 CMS Edit

81470 X-Linked Intellectual Dblt 81407 Mopath Procedure Level 8 CMS Edit

81470 X-Linked Intellectual Dblt 81408 Mopath Procedure Level 9 CMS Edit

81470 X-Linked Intellectual Dblt 81493 Cor Artery Disease mRNA CMS Edit

81470 X-Linked Intellectual Dblt 81504 Oncology Tissue of Origin CMS Edit

81470 X-Linked Intellectual Dblt 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81470 X-Linked Intellectual Dblt 81519 Oncology Breast mRNA CMS Edit

81470 X-Linked Intellectual Dblt 81525 Oncology Colon mRNA CMS Edit

81470 X-Linked Intellectual Dblt 81528 Oncology Colorectal Scr CMS Edit

81470 X-Linked Intellectual Dblt 81540 Oncology Tum Unknown Origin CMS Edit

81470 X-Linked Intellectual Dblt 81545 Oncology Thyroid CMS Edit

81470 X-Linked Intellectual Dblt 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81470 X-Linked Intellectual Dblt 88271 Cytogenetics DNA Probe CMS Edit

81470 X-Linked Intellectual Dblt 88272 Cytogenetics 3-5 CMS Edit

81470 X-Linked Intellectual Dblt 88273 Cytogenetics 10-30 CMS Edit

81470 X-Linked Intellectual Dblt 88274 Cytogenetics 25-99 CMS Edit

81470 X-Linked Intellectual Dblt 88275 Cytogenetics 100-300 CMS Edit

81470 X-Linked Intellectual Dblt 88291 Cyto/Molecular Report CMS Edit

81470 X-Linked Intellectual Dblt 88364 Insitu Hybridization (Fish) CMS Edit

81470 X-Linked Intellectual Dblt 88365 Insitu Hybridization (Fish) CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81470 X-Linked Intellectual Dblt 88366 Insitu Hybridization (Fish) CMS Edit

81470 X-Linked Intellectual Dblt 88367 Insitu Hybridization Auto CMS Edit

81470 X-Linked Intellectual Dblt 88368 Insitu Hybridization Manual CMS Edit

81470 X-Linked Intellectual Dblt 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81470 X-Linked Intellectual Dblt 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81470 X-Linked Intellectual Dblt 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81470 X-Linked Intellectual Dblt 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81470 X-Linked Intellectual Dblt G0452 Molecular Pathology Interpr CMS Edit

81471 X-Linked Intellectual Dblt 81161 DMD Dup/Delet Analysis CMS Edit

81471 X-Linked Intellectual Dblt 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81471 X-Linked Intellectual Dblt 81170 ABL1 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81200 ASPA Gene CMS Edit

81471 X-Linked Intellectual Dblt 81201 APC Gene Full Sequence CMS Edit

81471 X-Linked Intellectual Dblt 81202 APC Gene Known Fam Variants CMS Edit

81471 X-Linked Intellectual Dblt 81203 APC Gene Dup/Delet Variants CMS Edit

81471 X-Linked Intellectual Dblt 81205 BCKDHB Gene CMS Edit

81471 X-Linked Intellectual Dblt 81206 BCR/ABL1 Gene Major Bp CMS Edit

81471 X-Linked Intellectual Dblt 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81471 X-Linked Intellectual Dblt 81208 BCR/ABL1 Gene Other Bp CMS Edit

81471 X-Linked Intellectual Dblt 81209 BLM Gene CMS Edit

81471 X-Linked Intellectual Dblt 81210 BRAF Gene CMS Edit

81471 X-Linked Intellectual Dblt 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81471 X-Linked Intellectual Dblt 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81471 X-Linked Intellectual Dblt 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81471 X-Linked Intellectual Dblt 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81471 X-Linked Intellectual Dblt 81215 BRCA1 Gene Known Fam Variant CMS Edit

81471 X-Linked Intellectual Dblt 81216 BRCA2 Gene Full Sequence CMS Edit

81471 X-Linked Intellectual Dblt 81217 BRCA2 Gene Known Fam Variant CMS Edit

81471 X-Linked Intellectual Dblt 81218 Cebpa Gene Full Sequence CMS Edit

81471 X-Linked Intellectual Dblt 81219 CALR Gene Com Variants CMS Edit

81471 X-Linked Intellectual Dblt 81220 CFTR Gene Com Variants CMS Edit

81471 X-Linked Intellectual Dblt 81221 CFTR Gene Known Fam Variants CMS Edit

81471 X-Linked Intellectual Dblt 81222 CFTR Gene Dup/Delet Variants CMS Edit

81471 X-Linked Intellectual Dblt 81223 CFTR Gene Full Sequence CMS Edit

81471 X-Linked Intellectual Dblt 81224 CFTR Gene Intron Poly T CMS Edit

81471 X-Linked Intellectual Dblt 81225 CYP2C19 Gene Com Variants CMS Edit

81471 X-Linked Intellectual Dblt 81226 CYP2D6 Gene Com Variants CMS Edit

81471 X-Linked Intellectual Dblt 81227 CYP2C9 Gene Com Variants CMS Edit

81471 X-Linked Intellectual Dblt 81235 EGFR Gene Com Variants CMS Edit

81471 X-Linked Intellectual Dblt 81240 F2 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81241 F5 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81242 FANCC Gene CMS Edit

81471 X-Linked Intellectual Dblt 81243 FMR1 Gene Detection CMS Edit

81471 X-Linked Intellectual Dblt 81244 FMR1 Gene Characterization CMS Edit

81471 X-Linked Intellectual Dblt 81245 FLT3 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81246 FLT3 Gene Analysis CMS Edit

81471 X-Linked Intellectual Dblt 81250 G6PC Gene CMS Edit

81471 X-Linked Intellectual Dblt 81251 GBA Gene CMS Edit

81471 X-Linked Intellectual Dblt 81252 GJB2 Gene Full Sequence CMS Edit

81471 X-Linked Intellectual Dblt 81253 GJB2 Gene Known Fam Variants CMS Edit

81471 X-Linked Intellectual Dblt 81254 GJB6 Gene Com Variants CMS Edit

81471 X-Linked Intellectual Dblt 81255 HEXA Gene CMS Edit

81471 X-Linked Intellectual Dblt 81256 HFE Gene CMS Edit

81471 X-Linked Intellectual Dblt 81257 HBA1/HBA2 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81260 IKBKAP Gene CMS Edit

81471 X-Linked Intellectual Dblt 81261 IGH Gene Rearrange Amp Meth CMS Edit

81471 X-Linked Intellectual Dblt 81262 IGH Gene Rearrang Dir Probe CMS Edit

81471 X-Linked Intellectual Dblt 81263 IGH Vari Regional Mutation CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81471 X-Linked Intellectual Dblt 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81471 X-Linked Intellectual Dblt 81265 STR Markers Specimen Anal CMS Edit

81471 X-Linked Intellectual Dblt 81266 STR Markers Spec Anal Addl CMS Edit

81471 X-Linked Intellectual Dblt 81267 Chimerism Anal No Cell Selec CMS Edit

81471 X-Linked Intellectual Dblt 81268 Chimerism Anal W/Cell Select CMS Edit

81471 X-Linked Intellectual Dblt 81270 JAK2 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81272 KIT Gene Targeted Seq Analys CMS Edit

81471 X-Linked Intellectual Dblt 81273 KIT Gene Analys D816 Variant CMS Edit

81471 X-Linked Intellectual Dblt 81275 KRAS Gene Variants Exon 2 CMS Edit

81471 X-Linked Intellectual Dblt 81276 KRAS Gene Addl Variants CMS Edit

81471 X-Linked Intellectual Dblt 81287 MGMT Gene Methylation Anal CMS Edit

81471 X-Linked Intellectual Dblt 81288 MLH1 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81290 MCOLN1 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81291 MTHFR Gene CMS Edit

81471 X-Linked Intellectual Dblt 81292 MLH1 Gene Full Seq CMS Edit

81471 X-Linked Intellectual Dblt 81293 MLH1 Gene Known Variants CMS Edit

81471 X-Linked Intellectual Dblt 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81471 X-Linked Intellectual Dblt 81295 MSH2 Gene Full Seq CMS Edit

81471 X-Linked Intellectual Dblt 81296 MSH2 Gene Known Variants CMS Edit

81471 X-Linked Intellectual Dblt 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81471 X-Linked Intellectual Dblt 81298 MSH6 Gene Full Seq CMS Edit

81471 X-Linked Intellectual Dblt 81299 MSH6 Gene Known Variants CMS Edit

81471 X-Linked Intellectual Dblt 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81471 X-Linked Intellectual Dblt 81301 Microsatellite Instability CMS Edit

81471 X-Linked Intellectual Dblt 81302 MECP2 Gene Full Seq CMS Edit

81471 X-Linked Intellectual Dblt 81303 MECP2 Gene Known Variant CMS Edit

81471 X-Linked Intellectual Dblt 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81471 X-Linked Intellectual Dblt 81310 NPM1 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81471 X-Linked Intellectual Dblt 81313 PCA3/KLK3 Antigen CMS Edit

81471 X-Linked Intellectual Dblt 81314 PDGFRA Gene CMS Edit

81471 X-Linked Intellectual Dblt 81315 PML/RARalpha Com Breakpoints CMS Edit

81471 X-Linked Intellectual Dblt 81316 PML/RARalpha 1 Breakpoint CMS Edit

81471 X-Linked Intellectual Dblt 81317 PMS2 Gene Full Seq Analysis CMS Edit

81471 X-Linked Intellectual Dblt 81318 PMS2 Known Familial Variants CMS Edit

81471 X-Linked Intellectual Dblt 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81471 X-Linked Intellectual Dblt 81321 PTEN Gene Full Sequence CMS Edit

81471 X-Linked Intellectual Dblt 81322 PTEN Gene Known Fam Variant CMS Edit

81471 X-Linked Intellectual Dblt 81323 PTEN Gene Dup/Delet Variant CMS Edit

81471 X-Linked Intellectual Dblt 81324 PMP22 Gene Dup/Delet CMS Edit

81471 X-Linked Intellectual Dblt 81325 PMP22 Gene Full Sequence CMS Edit

81471 X-Linked Intellectual Dblt 81326 PMP22 Gene Known Fam Variant CMS Edit

81471 X-Linked Intellectual Dblt 81327 SEPT9 Methylation Analysis CMS Edit*81471 X-Linked Intellectual Dblt 81330 SMPD1 Gene Common Variants CMS Edit

81471 X-Linked Intellectual Dblt 81331 SNRPN/UBE3A Gene CMS Edit

81471 X-Linked Intellectual Dblt 81332 SERPINA1 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81340 TRB@ Gene Rearrange Amplify CMS Edit

81471 X-Linked Intellectual Dblt 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81471 X-Linked Intellectual Dblt 81342 TRG Gene Rearrangement Anal CMS Edit

81471 X-Linked Intellectual Dblt 81350 UGT1A1 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81355 VKORC1 Gene CMS Edit

81471 X-Linked Intellectual Dblt 81400 Mopath Procedure Level 1 CMS Edit

81471 X-Linked Intellectual Dblt 81401 Mopath Procedure Level 2 CMS Edit

81471 X-Linked Intellectual Dblt 81402 Mopath Procedure Level 3 CMS Edit

81471 X-Linked Intellectual Dblt 81403 Mopath Procedure Level 4 CMS Edit

81471 X-Linked Intellectual Dblt 81404 Mopath Procedure Level 5 CMS Edit

81471 X-Linked Intellectual Dblt 81405 Mopath Procedure Level 6 CMS Edit

81471 X-Linked Intellectual Dblt 81406 Mopath Procedure Level 7 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81471 X-Linked Intellectual Dblt 81407 Mopath Procedure Level 8 CMS Edit

81471 X-Linked Intellectual Dblt 81408 Mopath Procedure Level 9 CMS Edit

81471 X-Linked Intellectual Dblt 81493 Cor Artery Disease mRNA CMS Edit

81471 X-Linked Intellectual Dblt 81504 Oncology Tissue of Origin CMS Edit

81471 X-Linked Intellectual Dblt 81507 Fetal Aneuploidy Trisom Risk CMS Edit

81471 X-Linked Intellectual Dblt 81519 Oncology Breast mRNA CMS Edit

81471 X-Linked Intellectual Dblt 81525 Oncology Colon mRNA CMS Edit

81471 X-Linked Intellectual Dblt 81528 Oncology Colorectal Scr CMS Edit

81471 X-Linked Intellectual Dblt 81540 Oncology Tum Unknown Origin CMS Edit

81471 X-Linked Intellectual Dblt 81545 Oncology Thyroid CMS Edit

81471 X-Linked Intellectual Dblt 81595 Cardiology Hrt Trnspl mRNA CMS Edit

81471 X-Linked Intellectual Dblt 88271 Cytogenetics DNA Probe CMS Edit

81471 X-Linked Intellectual Dblt 88272 Cytogenetics 3-5 CMS Edit

81471 X-Linked Intellectual Dblt 88273 Cytogenetics 10-30 CMS Edit

81471 X-Linked Intellectual Dblt 88274 Cytogenetics 25-99 CMS Edit

81471 X-Linked Intellectual Dblt 88275 Cytogenetics 100-300 CMS Edit

81471 X-Linked Intellectual Dblt 88291 Cyto/Molecular Report CMS Edit

81471 X-Linked Intellectual Dblt 88364 Insitu Hybridization (Fish) CMS Edit

81471 X-Linked Intellectual Dblt 88365 Insitu Hybridization (Fish) CMS Edit

81471 X-Linked Intellectual Dblt 88366 Insitu Hybridization (Fish) CMS Edit

81471 X-Linked Intellectual Dblt 88367 Insitu Hybridization Auto CMS Edit

81471 X-Linked Intellectual Dblt 88368 Insitu Hybridization Manual CMS Edit

81471 X-Linked Intellectual Dblt 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81471 X-Linked Intellectual Dblt 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81471 X-Linked Intellectual Dblt 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81471 X-Linked Intellectual Dblt 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81471 X-Linked Intellectual Dblt G0452 Molecular Pathology Interpr CMS Edit

81493 Cor Artery Disease mRNA 81161 DMD Dup/Delet Analysis CMS Edit

81493 Cor Artery Disease mRNA 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81493 Cor Artery Disease mRNA 81170 ABL1 Gene CMS Edit

81493 Cor Artery Disease mRNA 81200 ASPA Gene CMS Edit

81493 Cor Artery Disease mRNA 81201 APC Gene Full Sequence CMS Edit

81493 Cor Artery Disease mRNA 81202 APC Gene Known Fam Variants CMS Edit

81493 Cor Artery Disease mRNA 81203 APC Gene Dup/Delet Variants CMS Edit

81493 Cor Artery Disease mRNA 81205 BCKDHB Gene CMS Edit

81493 Cor Artery Disease mRNA 81206 BCR/ABL1 Gene Major Bp CMS Edit

81493 Cor Artery Disease mRNA 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81493 Cor Artery Disease mRNA 81208 BCR/ABL1 Gene Other Bp CMS Edit

81493 Cor Artery Disease mRNA 81209 BLM Gene CMS Edit

81493 Cor Artery Disease mRNA 81210 BRAF Gene CMS Edit

81493 Cor Artery Disease mRNA 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81493 Cor Artery Disease mRNA 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81493 Cor Artery Disease mRNA 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81493 Cor Artery Disease mRNA 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81493 Cor Artery Disease mRNA 81215 BRCA1 Gene Known Fam Variant CMS Edit

81493 Cor Artery Disease mRNA 81216 BRCA2 Gene Full Sequence CMS Edit

81493 Cor Artery Disease mRNA 81217 BRCA2 Gene Known Fam Variant CMS Edit

81493 Cor Artery Disease mRNA 81218 Cebpa Gene Full Sequence CMS Edit

81493 Cor Artery Disease mRNA 81219 CALR Gene Com Variants CMS Edit

81493 Cor Artery Disease mRNA 81220 CFTR Gene Com Variants CMS Edit

81493 Cor Artery Disease mRNA 81221 CFTR Gene Known Fam Variants CMS Edit

81493 Cor Artery Disease mRNA 81222 CFTR Gene Dup/Delet Variants CMS Edit

81493 Cor Artery Disease mRNA 81223 CFTR Gene Full Sequence CMS Edit

81493 Cor Artery Disease mRNA 81224 CFTR Gene Intron Poly T CMS Edit

81493 Cor Artery Disease mRNA 81225 CYP2C19 Gene Com Variants CMS Edit

81493 Cor Artery Disease mRNA 81226 CYP2D6 Gene Com Variants CMS Edit

81493 Cor Artery Disease mRNA 81227 CYP2C9 Gene Com Variants CMS Edit

81493 Cor Artery Disease mRNA 81228 Cytogen Micrarray Copy Nmbr CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81493 Cor Artery Disease mRNA 81229 Cytogen M Array Copy No&Snp CMS Edit

81493 Cor Artery Disease mRNA 81235 EGFR Gene Com Variants CMS Edit

81493 Cor Artery Disease mRNA 81240 F2 Gene CMS Edit

81493 Cor Artery Disease mRNA 81241 F5 Gene CMS Edit

81493 Cor Artery Disease mRNA 81242 FANCC Gene CMS Edit

81493 Cor Artery Disease mRNA 81243 FMR1 Gene Detection CMS Edit

81493 Cor Artery Disease mRNA 81244 FMR1 Gene Characterization CMS Edit

81493 Cor Artery Disease mRNA 81245 FLT3 Gene CMS Edit

81493 Cor Artery Disease mRNA 81246 FLT3 Gene Analysis CMS Edit

81493 Cor Artery Disease mRNA 81250 G6PC Gene CMS Edit

81493 Cor Artery Disease mRNA 81251 GBA Gene CMS Edit

81493 Cor Artery Disease mRNA 81252 GJB2 Gene Full Sequence CMS Edit

81493 Cor Artery Disease mRNA 81253 GJB2 Gene Known Fam Variants CMS Edit

81493 Cor Artery Disease mRNA 81254 GJB6 Gene Com Variants CMS Edit

81493 Cor Artery Disease mRNA 81255 HEXA Gene CMS Edit

81493 Cor Artery Disease mRNA 81256 HFE Gene CMS Edit

81493 Cor Artery Disease mRNA 81257 HBA1/HBA2 Gene CMS Edit

81493 Cor Artery Disease mRNA 81260 IKBKAP Gene CMS Edit

81493 Cor Artery Disease mRNA 81261 IGH Gene Rearrange Amp Meth CMS Edit

81493 Cor Artery Disease mRNA 81262 IGH Gene Rearrang Dir Probe CMS Edit

81493 Cor Artery Disease mRNA 81263 IGH Vari Regional Mutation CMS Edit

81493 Cor Artery Disease mRNA 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81493 Cor Artery Disease mRNA 81265 STR Markers Specimen Anal CMS Edit

81493 Cor Artery Disease mRNA 81266 STR Markers Spec Anal Addl CMS Edit

81493 Cor Artery Disease mRNA 81267 Chimerism Anal No Cell Selec CMS Edit

81493 Cor Artery Disease mRNA 81268 Chimerism Anal W/Cell Select CMS Edit

81493 Cor Artery Disease mRNA 81270 JAK2 Gene CMS Edit

81493 Cor Artery Disease mRNA 81272 KIT Gene Targeted Seq Analys CMS Edit

81493 Cor Artery Disease mRNA 81273 KIT Gene Analys D816 Variant CMS Edit

81493 Cor Artery Disease mRNA 81275 KRAS Gene Variants Exon 2 CMS Edit

81493 Cor Artery Disease mRNA 81276 KRAS Gene Addl Variants CMS Edit

81493 Cor Artery Disease mRNA 81288 MLH1 Gene CMS Edit

81493 Cor Artery Disease mRNA 81290 MCOLN1 Gene CMS Edit

81493 Cor Artery Disease mRNA 81291 MTHFR Gene CMS Edit

81493 Cor Artery Disease mRNA 81292 MLH1 Gene Full Seq CMS Edit

81493 Cor Artery Disease mRNA 81293 MLH1 Gene Known Variants CMS Edit

81493 Cor Artery Disease mRNA 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81493 Cor Artery Disease mRNA 81295 MSH2 Gene Full Seq CMS Edit

81493 Cor Artery Disease mRNA 81296 MSH2 Gene Known Variants CMS Edit

81493 Cor Artery Disease mRNA 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81493 Cor Artery Disease mRNA 81298 MSH6 Gene Full Seq CMS Edit

81493 Cor Artery Disease mRNA 81299 MSH6 Gene Known Variants CMS Edit

81493 Cor Artery Disease mRNA 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81493 Cor Artery Disease mRNA 81301 Microsatellite Instability CMS Edit

81493 Cor Artery Disease mRNA 81302 MECP2 Gene Full Seq CMS Edit

81493 Cor Artery Disease mRNA 81303 MECP2 Gene Known Variant CMS Edit

81493 Cor Artery Disease mRNA 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81493 Cor Artery Disease mRNA 81310 NPM1 Gene CMS Edit

81493 Cor Artery Disease mRNA 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81493 Cor Artery Disease mRNA 81313 PCA3/KLK3 Antigen CMS Edit

81493 Cor Artery Disease mRNA 81314 PDGFRA Gene CMS Edit

81493 Cor Artery Disease mRNA 81315 PML/RARalpha Com Breakpoints CMS Edit

81493 Cor Artery Disease mRNA 81316 PML/RARalpha 1 Breakpoint CMS Edit

81493 Cor Artery Disease mRNA 81317 PMS2 Gene Full Seq Analysis CMS Edit

81493 Cor Artery Disease mRNA 81318 PMS2 Known Familial Variants CMS Edit

81493 Cor Artery Disease mRNA 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81493 Cor Artery Disease mRNA 81321 PTEN Gene Full Sequence CMS Edit

81493 Cor Artery Disease mRNA 81322 PTEN Gene Known Fam Variant CMS Edit

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Code Code Description Code Code Description Source

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81493 Cor Artery Disease mRNA 81323 PTEN Gene Dup/Delet Variant CMS Edit

81493 Cor Artery Disease mRNA 81324 PMP22 Gene Dup/Delet CMS Edit

81493 Cor Artery Disease mRNA 81325 PMP22 Gene Full Sequence CMS Edit

81493 Cor Artery Disease mRNA 81326 PMP22 Gene Known Fam Variant CMS Edit

81493 Cor Artery Disease mRNA 81327 SEPT9 Methylation Analysis CMS Edit*81493 Cor Artery Disease mRNA 81330 SMPD1 Gene Common Variants CMS Edit

81493 Cor Artery Disease mRNA 81331 SNRPN/UBE3A Gene CMS Edit

81493 Cor Artery Disease mRNA 81332 SERPINA1 Gene CMS Edit

81493 Cor Artery Disease mRNA 81340 TRB@ Gene Rearrange Amplify CMS Edit

81493 Cor Artery Disease mRNA 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81493 Cor Artery Disease mRNA 81342 TRG Gene Rearrangement Anal CMS Edit

81493 Cor Artery Disease mRNA 81350 UGT1A1 Gene CMS Edit

81493 Cor Artery Disease mRNA 81355 VKORC1 Gene CMS Edit

81493 Cor Artery Disease mRNA 81400 Mopath Procedure Level 1 CMS Edit

81493 Cor Artery Disease mRNA 81401 Mopath Procedure Level 2 CMS Edit

81493 Cor Artery Disease mRNA 81402 Mopath Procedure Level 3 CMS Edit

81493 Cor Artery Disease mRNA 81403 Mopath Procedure Level 4 CMS Edit

81493 Cor Artery Disease mRNA 81404 Mopath Procedure Level 5 CMS Edit

81493 Cor Artery Disease mRNA 81405 Mopath Procedure Level 6 CMS Edit

81493 Cor Artery Disease mRNA 81406 Mopath Procedure Level 7 CMS Edit

81493 Cor Artery Disease mRNA 81407 Mopath Procedure Level 8 CMS Edit

81493 Cor Artery Disease mRNA 81408 Mopath Procedure Level 9 CMS Edit

81493 Cor Artery Disease mRNA 88271 Cytogenetics DNA Probe CMS Edit

81493 Cor Artery Disease mRNA 88272 Cytogenetics 3-5 CMS Edit

81493 Cor Artery Disease mRNA 88273 Cytogenetics 10-30 CMS Edit

81493 Cor Artery Disease mRNA 88274 Cytogenetics 25-99 CMS Edit

81493 Cor Artery Disease mRNA 88275 Cytogenetics 100-300 CMS Edit

81493 Cor Artery Disease mRNA 88291 Cyto/Molecular Report CMS Edit

81493 Cor Artery Disease mRNA 88364 Insitu Hybridization (Fish) CMS Edit

81493 Cor Artery Disease mRNA 88365 Insitu Hybridization (Fish) CMS Edit

81493 Cor Artery Disease mRNA 88366 Insitu Hybridization (Fish) CMS Edit

81493 Cor Artery Disease mRNA 88367 Insitu Hybridization Auto CMS Edit

81493 Cor Artery Disease mRNA 88368 Insitu Hybridization Manual CMS Edit

81493 Cor Artery Disease mRNA 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81493 Cor Artery Disease mRNA 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81493 Cor Artery Disease mRNA 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81493 Cor Artery Disease mRNA 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81493 Cor Artery Disease mRNA G0452 Molecular Pathology Interpr CMS Edit

81504 Oncology Tissue of Origin 81161 DMD Dup/Delet Analysis CMS Edit

81504 Oncology Tissue of Origin 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81504 Oncology Tissue of Origin 81170 ABL1 Gene CMS Edit

81504 Oncology Tissue of Origin 81200 ASPA Gene CMS Edit

81504 Oncology Tissue of Origin 81201 APC Gene Full Sequence CMS Edit

81504 Oncology Tissue of Origin 81202 APC Gene Known Fam Variants CMS Edit

81504 Oncology Tissue of Origin 81203 APC Gene Dup/Delet Variants CMS Edit

81504 Oncology Tissue of Origin 81205 BCKDHB Gene CMS Edit

81504 Oncology Tissue of Origin 81206 BCR/ABL1 Gene Major Bp CMS Edit

81504 Oncology Tissue of Origin 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81504 Oncology Tissue of Origin 81208 BCR/ABL1 Gene Other Bp CMS Edit

81504 Oncology Tissue of Origin 81209 BLM Gene CMS Edit

81504 Oncology Tissue of Origin 81210 BRAF Gene CMS Edit

81504 Oncology Tissue of Origin 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81504 Oncology Tissue of Origin 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81504 Oncology Tissue of Origin 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81504 Oncology Tissue of Origin 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81504 Oncology Tissue of Origin 81215 BRCA1 Gene Known Fam Variant CMS Edit

81504 Oncology Tissue of Origin 81216 BRCA2 Gene Full Sequence CMS Edit

81504 Oncology Tissue of Origin 81217 BRCA2 Gene Known Fam Variant CMS Edit

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Code Code Description Code Code Description Source

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81504 Oncology Tissue of Origin 81218 Cebpa Gene Full Sequence CMS Edit

81504 Oncology Tissue of Origin 81219 CALR Gene Com Variants CMS Edit

81504 Oncology Tissue of Origin 81220 CFTR Gene Com Variants CMS Edit

81504 Oncology Tissue of Origin 81221 CFTR Gene Known Fam Variants CMS Edit

81504 Oncology Tissue of Origin 81222 CFTR Gene Dup/Delet Variants CMS Edit

81504 Oncology Tissue of Origin 81223 CFTR Gene Full Sequence CMS Edit

81504 Oncology Tissue of Origin 81224 CFTR Gene Intron Poly T CMS Edit

81504 Oncology Tissue of Origin 81225 CYP2C19 Gene Com Variants CMS Edit

81504 Oncology Tissue of Origin 81226 CYP2D6 Gene Com Variants CMS Edit

81504 Oncology Tissue of Origin 81227 CYP2C9 Gene Com Variants CMS Edit

81504 Oncology Tissue of Origin 81228 Cytogen Micrarray Copy Nmbr CMS Edit

81504 Oncology Tissue of Origin 81229 Cytogen M Array Copy No&Snp CMS Edit

81504 Oncology Tissue of Origin 81235 EGFR Gene Com Variants CMS Edit

81504 Oncology Tissue of Origin 81240 F2 Gene CMS Edit

81504 Oncology Tissue of Origin 81241 F5 Gene CMS Edit

81504 Oncology Tissue of Origin 81242 FANCC Gene CMS Edit

81504 Oncology Tissue of Origin 81243 FMR1 Gene Detection CMS Edit

81504 Oncology Tissue of Origin 81244 FMR1 Gene Characterization CMS Edit

81504 Oncology Tissue of Origin 81245 FLT3 Gene CMS Edit

81504 Oncology Tissue of Origin 81246 FLT3 Gene Analysis CMS Edit

81504 Oncology Tissue of Origin 81250 G6PC Gene CMS Edit

81504 Oncology Tissue of Origin 81251 GBA Gene CMS Edit

81504 Oncology Tissue of Origin 81252 GJB2 Gene Full Sequence CMS Edit

81504 Oncology Tissue of Origin 81253 GJB2 Gene Known Fam Variants CMS Edit

81504 Oncology Tissue of Origin 81254 GJB6 Gene Com Variants CMS Edit

81504 Oncology Tissue of Origin 81255 HEXA Gene CMS Edit

81504 Oncology Tissue of Origin 81256 HFE Gene CMS Edit

81504 Oncology Tissue of Origin 81257 HBA1/HBA2 Gene CMS Edit

81504 Oncology Tissue of Origin 81260 IKBKAP Gene CMS Edit

81504 Oncology Tissue of Origin 81261 IGH Gene Rearrange Amp Meth CMS Edit

81504 Oncology Tissue of Origin 81262 IGH Gene Rearrang Dir Probe CMS Edit

81504 Oncology Tissue of Origin 81263 IGH Vari Regional Mutation CMS Edit

81504 Oncology Tissue of Origin 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81504 Oncology Tissue of Origin 81265 STR Markers Specimen Anal CMS Edit

81504 Oncology Tissue of Origin 81266 STR Markers Spec Anal Addl CMS Edit

81504 Oncology Tissue of Origin 81267 Chimerism Anal No Cell Selec CMS Edit

81504 Oncology Tissue of Origin 81268 Chimerism Anal W/Cell Select CMS Edit

81504 Oncology Tissue of Origin 81270 JAK2 Gene CMS Edit

81504 Oncology Tissue of Origin 81272 KIT Gene Targeted Seq Analys CMS Edit

81504 Oncology Tissue of Origin 81273 KIT Gene Analys D816 Variant CMS Edit

81504 Oncology Tissue of Origin 81275 KRAS Gene Variants Exon 2 CMS Edit

81504 Oncology Tissue of Origin 81276 KRAS Gene Addl Variants CMS Edit

81504 Oncology Tissue of Origin 81288 MLH1 Gene CMS Edit

81504 Oncology Tissue of Origin 81290 MCOLN1 Gene CMS Edit

81504 Oncology Tissue of Origin 81291 MTHFR Gene CMS Edit

81504 Oncology Tissue of Origin 81292 MLH1 Gene Full Seq CMS Edit

81504 Oncology Tissue of Origin 81293 MLH1 Gene Known Variants CMS Edit

81504 Oncology Tissue of Origin 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81504 Oncology Tissue of Origin 81295 MSH2 Gene Full Seq CMS Edit

81504 Oncology Tissue of Origin 81296 MSH2 Gene Known Variants CMS Edit

81504 Oncology Tissue of Origin 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81504 Oncology Tissue of Origin 81298 MSH6 Gene Full Seq CMS Edit

81504 Oncology Tissue of Origin 81299 MSH6 Gene Known Variants CMS Edit

81504 Oncology Tissue of Origin 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81504 Oncology Tissue of Origin 81301 Microsatellite Instability CMS Edit

81504 Oncology Tissue of Origin 81302 MECP2 Gene Full Seq CMS Edit

81504 Oncology Tissue of Origin 81303 MECP2 Gene Known Variant CMS Edit

81504 Oncology Tissue of Origin 81304 MECP2 Gene Dup/Delet Variant CMS Edit

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Code Code Description Code Code Description Source

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81504 Oncology Tissue of Origin 81310 NPM1 Gene CMS Edit

81504 Oncology Tissue of Origin 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81504 Oncology Tissue of Origin 81313 PCA3/KLK3 Antigen CMS Edit

81504 Oncology Tissue of Origin 81314 PDGFRA Gene CMS Edit

81504 Oncology Tissue of Origin 81315 PML/RARalpha Com Breakpoints CMS Edit

81504 Oncology Tissue of Origin 81316 PML/RARalpha 1 Breakpoint CMS Edit

81504 Oncology Tissue of Origin 81317 PMS2 Gene Full Seq Analysis CMS Edit

81504 Oncology Tissue of Origin 81318 PMS2 Known Familial Variants CMS Edit

81504 Oncology Tissue of Origin 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81504 Oncology Tissue of Origin 81321 PTEN Gene Full Sequence CMS Edit

81504 Oncology Tissue of Origin 81322 PTEN Gene Known Fam Variant CMS Edit

81504 Oncology Tissue of Origin 81323 PTEN Gene Dup/Delet Variant CMS Edit

81504 Oncology Tissue of Origin 81324 PMP22 Gene Dup/Delet CMS Edit

81504 Oncology Tissue of Origin 81325 PMP22 Gene Full Sequence CMS Edit

81504 Oncology Tissue of Origin 81326 PMP22 Gene Known Fam Variant CMS Edit

81504 Oncology Tissue of Origin 81327 SEPT9 Methylation Analysis CMS Edit*81504 Oncology Tissue of Origin 81330 SMPD1 Gene Common Variants CMS Edit

81504 Oncology Tissue of Origin 81331 SNRPN/UBE3A Gene CMS Edit

81504 Oncology Tissue of Origin 81332 SERPINA1 Gene CMS Edit

81504 Oncology Tissue of Origin 81340 TRB@ Gene Rearrange Amplify CMS Edit

81504 Oncology Tissue of Origin 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81504 Oncology Tissue of Origin 81342 TRG Gene Rearrangement Anal CMS Edit

81504 Oncology Tissue of Origin 81350 UGT1A1 Gene CMS Edit

81504 Oncology Tissue of Origin 81355 VKORC1 Gene CMS Edit

81504 Oncology Tissue of Origin 81400 Mopath Procedure Level 1 CMS Edit

81504 Oncology Tissue of Origin 81401 Mopath Procedure Level 2 CMS Edit

81504 Oncology Tissue of Origin 81402 Mopath Procedure Level 3 CMS Edit

81504 Oncology Tissue of Origin 81403 Mopath Procedure Level 4 CMS Edit

81504 Oncology Tissue of Origin 81404 Mopath Procedure Level 5 CMS Edit

81504 Oncology Tissue of Origin 81405 Mopath Procedure Level 6 CMS Edit

81504 Oncology Tissue of Origin 81406 Mopath Procedure Level 7 CMS Edit

81504 Oncology Tissue of Origin 81407 Mopath Procedure Level 8 CMS Edit

81504 Oncology Tissue of Origin 81408 Mopath Procedure Level 9 CMS Edit

81504 Oncology Tissue of Origin 88271 Cytogenetics DNA Probe CMS Edit

81504 Oncology Tissue of Origin 88272 Cytogenetics 3-5 CMS Edit

81504 Oncology Tissue of Origin 88273 Cytogenetics 10-30 CMS Edit

81504 Oncology Tissue of Origin 88274 Cytogenetics 25-99 CMS Edit

81504 Oncology Tissue of Origin 88275 Cytogenetics 100-300 CMS Edit

81504 Oncology Tissue of Origin 88291 Cyto/Molecular Report CMS Edit

81504 Oncology Tissue of Origin 88364 Insitu Hybridization (Fish) CMS Edit

81504 Oncology Tissue of Origin 88365 Insitu Hybridization (Fish) CMS Edit

81504 Oncology Tissue of Origin 88366 Insitu Hybridization (Fish) CMS Edit

81504 Oncology Tissue of Origin 88367 Insitu Hybridization Auto CMS Edit

81504 Oncology Tissue of Origin 88368 Insitu Hybridization Manual CMS Edit

81504 Oncology Tissue of Origin 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81504 Oncology Tissue of Origin 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81504 Oncology Tissue of Origin 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81504 Oncology Tissue of Origin 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81504 Oncology Tissue of Origin G0452 Molecular Pathology Interpr CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81161 DMD Dup/Delet Analysis CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81170 ABL1 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81200 ASPA Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81201 APC Gene Full Sequence CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81202 APC Gene Known Fam Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81203 APC Gene Dup/Delet Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81205 BCKDHB Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81206 BCR/ABL1 Gene Major Bp CMS Edit

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Code Code Description Code Code Description Source

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81507 Fetal Aneuploidy Trisom Risk 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81208 BCR/ABL1 Gene Other Bp CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81209 BLM Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81210 BRAF Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81215 BRCA1 Gene Known Fam Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81216 BRCA2 Gene Full Sequence CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81217 BRCA2 Gene Known Fam Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81218 Cebpa Gene Full Sequence CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81219 CALR Gene Com Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81220 CFTR Gene Com Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81221 CFTR Gene Known Fam Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81222 CFTR Gene Dup/Delet Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81223 CFTR Gene Full Sequence CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81224 CFTR Gene Intron Poly T CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81225 CYP2C19 Gene Com Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81226 CYP2D6 Gene Com Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81227 CYP2C9 Gene Com Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81228 Cytogen Micrarray Copy Nmbr CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81229 Cytogen M Array Copy No&Snp CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81235 EGFR Gene Com Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81240 F2 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81241 F5 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81242 FANCC Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81243 FMR1 Gene Detection CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81244 FMR1 Gene Characterization CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81245 FLT3 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81246 FLT3 Gene Analysis CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81250 G6PC Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81251 GBA Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81252 GJB2 Gene Full Sequence CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81253 GJB2 Gene Known Fam Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81254 GJB6 Gene Com Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81255 HEXA Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81256 HFE Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81257 HBA1/HBA2 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81260 IKBKAP Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81261 IGH Gene Rearrange Amp Meth CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81262 IGH Gene Rearrang Dir Probe CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81263 IGH Vari Regional Mutation CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81265 STR Markers Specimen Anal CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81266 STR Markers Spec Anal Addl CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81267 Chimerism Anal No Cell Selec CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81268 Chimerism Anal W/Cell Select CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81270 JAK2 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81272 KIT Gene Targeted Seq Analys CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81273 KIT Gene Analys D816 Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81275 KRAS Gene Variants Exon 2 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81276 KRAS Gene Addl Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81288 MLH1 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81290 MCOLN1 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81291 MTHFR Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81292 MLH1 Gene Full Seq CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81293 MLH1 Gene Known Variants CMS Edit

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Code Code Description Code Code Description Source

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81507 Fetal Aneuploidy Trisom Risk 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81295 MSH2 Gene Full Seq CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81296 MSH2 Gene Known Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81298 MSH6 Gene Full Seq CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81299 MSH6 Gene Known Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81301 Microsatellite Instability CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81302 MECP2 Gene Full Seq CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81303 MECP2 Gene Known Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81310 NPM1 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81313 PCA3/KLK3 Antigen CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81314 PDGFRA Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81315 PML/RARalpha Com Breakpoints CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81316 PML/RARalpha 1 Breakpoint CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81317 PMS2 Gene Full Seq Analysis CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81318 PMS2 Known Familial Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81321 PTEN Gene Full Sequence CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81322 PTEN Gene Known Fam Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81323 PTEN Gene Dup/Delet Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81324 PMP22 Gene Dup/Delet CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81325 PMP22 Gene Full Sequence CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81326 PMP22 Gene Known Fam Variant CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81327 SEPT9 Methylation Analysis CMS Edit*81507 Fetal Aneuploidy Trisom Risk 81330 SMPD1 Gene Common Variants CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81331 SNRPN/UBE3A Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81332 SERPINA1 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81340 TRB@ Gene Rearrange Amplify CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81342 TRG Gene Rearrangement Anal CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81350 UGT1A1 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81355 VKORC1 Gene CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81400 Mopath Procedure Level 1 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81401 Mopath Procedure Level 2 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81402 Mopath Procedure Level 3 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81403 Mopath Procedure Level 4 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81404 Mopath Procedure Level 5 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81405 Mopath Procedure Level 6 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81406 Mopath Procedure Level 7 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81407 Mopath Procedure Level 8 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 81408 Mopath Procedure Level 9 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88271 Cytogenetics DNA Probe CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88272 Cytogenetics 3-5 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88273 Cytogenetics 10-30 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88274 Cytogenetics 25-99 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88275 Cytogenetics 100-300 CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88291 Cyto/Molecular Report CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88364 Insitu Hybridization (Fish) CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88365 Insitu Hybridization (Fish) CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88366 Insitu Hybridization (Fish) CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88367 Insitu Hybridization Auto CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88368 Insitu Hybridization Manual CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81507 Fetal Aneuploidy Trisom Risk 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

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Code Code Description Code Code Description Source

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81507 Fetal Aneuploidy Trisom Risk 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81507 Fetal Aneuploidy Trisom Risk 0009M #N/A eviCore Edit

81507 Fetal Aneuploidy Trisom Risk G0452 Molecular Pathology Interpr CMS Edit

81519 Oncology Breast mRNA 81161 DMD Dup/Delet Analysis CMS Edit

81519 Oncology Breast mRNA 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81519 Oncology Breast mRNA 81170 ABL1 Gene CMS Edit

81519 Oncology Breast mRNA 81200 ASPA Gene CMS Edit

81519 Oncology Breast mRNA 81201 APC Gene Full Sequence CMS Edit

81519 Oncology Breast mRNA 81202 APC Gene Known Fam Variants CMS Edit

81519 Oncology Breast mRNA 81203 APC Gene Dup/Delet Variants CMS Edit

81519 Oncology Breast mRNA 81205 BCKDHB Gene CMS Edit

81519 Oncology Breast mRNA 81206 BCR/ABL1 Gene Major Bp CMS Edit

81519 Oncology Breast mRNA 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81519 Oncology Breast mRNA 81208 BCR/ABL1 Gene Other Bp CMS Edit

81519 Oncology Breast mRNA 81209 BLM Gene CMS Edit

81519 Oncology Breast mRNA 81210 BRAF Gene CMS Edit

81519 Oncology Breast mRNA 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81519 Oncology Breast mRNA 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81519 Oncology Breast mRNA 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81519 Oncology Breast mRNA 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81519 Oncology Breast mRNA 81215 BRCA1 Gene Known Fam Variant CMS Edit

81519 Oncology Breast mRNA 81216 BRCA2 Gene Full Sequence CMS Edit

81519 Oncology Breast mRNA 81217 BRCA2 Gene Known Fam Variant CMS Edit

81519 Oncology Breast mRNA 81218 Cebpa Gene Full Sequence CMS Edit

81519 Oncology Breast mRNA 81219 CALR Gene Com Variants CMS Edit

81519 Oncology Breast mRNA 81220 CFTR Gene Com Variants CMS Edit

81519 Oncology Breast mRNA 81221 CFTR Gene Known Fam Variants CMS Edit

81519 Oncology Breast mRNA 81222 CFTR Gene Dup/Delet Variants CMS Edit

81519 Oncology Breast mRNA 81223 CFTR Gene Full Sequence CMS Edit

81519 Oncology Breast mRNA 81224 CFTR Gene Intron Poly T CMS Edit

81519 Oncology Breast mRNA 81225 CYP2C19 Gene Com Variants CMS Edit

81519 Oncology Breast mRNA 81226 CYP2D6 Gene Com Variants CMS Edit

81519 Oncology Breast mRNA 81227 CYP2C9 Gene Com Variants CMS Edit

81519 Oncology Breast mRNA 81228 Cytogen Micrarray Copy Nmbr CMS Edit

81519 Oncology Breast mRNA 81229 Cytogen M Array Copy No&Snp CMS Edit

81519 Oncology Breast mRNA 81235 EGFR Gene Com Variants CMS Edit

81519 Oncology Breast mRNA 81240 F2 Gene CMS Edit

81519 Oncology Breast mRNA 81241 F5 Gene CMS Edit

81519 Oncology Breast mRNA 81242 FANCC Gene CMS Edit

81519 Oncology Breast mRNA 81243 FMR1 Gene Detection CMS Edit

81519 Oncology Breast mRNA 81244 FMR1 Gene Characterization CMS Edit

81519 Oncology Breast mRNA 81245 FLT3 Gene CMS Edit

81519 Oncology Breast mRNA 81246 FLT3 Gene Analysis CMS Edit

81519 Oncology Breast mRNA 81250 G6PC Gene CMS Edit

81519 Oncology Breast mRNA 81251 GBA Gene CMS Edit

81519 Oncology Breast mRNA 81252 GJB2 Gene Full Sequence CMS Edit

81519 Oncology Breast mRNA 81253 GJB2 Gene Known Fam Variants CMS Edit

81519 Oncology Breast mRNA 81254 GJB6 Gene Com Variants CMS Edit

81519 Oncology Breast mRNA 81255 HEXA Gene CMS Edit

81519 Oncology Breast mRNA 81256 HFE Gene CMS Edit

81519 Oncology Breast mRNA 81257 HBA1/HBA2 Gene CMS Edit

81519 Oncology Breast mRNA 81260 IKBKAP Gene CMS Edit

81519 Oncology Breast mRNA 81261 IGH Gene Rearrange Amp Meth CMS Edit

81519 Oncology Breast mRNA 81262 IGH Gene Rearrang Dir Probe CMS Edit

81519 Oncology Breast mRNA 81263 IGH Vari Regional Mutation CMS Edit

81519 Oncology Breast mRNA 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81519 Oncology Breast mRNA 81265 STR Markers Specimen Anal CMS Edit

81519 Oncology Breast mRNA 81266 STR Markers Spec Anal Addl CMS Edit

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81519 Oncology Breast mRNA 81267 Chimerism Anal No Cell Selec CMS Edit

81519 Oncology Breast mRNA 81268 Chimerism Anal W/Cell Select CMS Edit

81519 Oncology Breast mRNA 81270 JAK2 Gene CMS Edit

81519 Oncology Breast mRNA 81272 KIT Gene Targeted Seq Analys CMS Edit

81519 Oncology Breast mRNA 81273 KIT Gene Analys D816 Variant CMS Edit

81519 Oncology Breast mRNA 81275 KRAS Gene Variants Exon 2 CMS Edit

81519 Oncology Breast mRNA 81276 KRAS Gene Addl Variants CMS Edit

81519 Oncology Breast mRNA 81288 MLH1 Gene CMS Edit

81519 Oncology Breast mRNA 81290 MCOLN1 Gene CMS Edit

81519 Oncology Breast mRNA 81291 MTHFR Gene CMS Edit

81519 Oncology Breast mRNA 81292 MLH1 Gene Full Seq CMS Edit

81519 Oncology Breast mRNA 81293 MLH1 Gene Known Variants CMS Edit

81519 Oncology Breast mRNA 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81519 Oncology Breast mRNA 81295 MSH2 Gene Full Seq CMS Edit

81519 Oncology Breast mRNA 81296 MSH2 Gene Known Variants CMS Edit

81519 Oncology Breast mRNA 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81519 Oncology Breast mRNA 81298 MSH6 Gene Full Seq CMS Edit

81519 Oncology Breast mRNA 81299 MSH6 Gene Known Variants CMS Edit

81519 Oncology Breast mRNA 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81519 Oncology Breast mRNA 81301 Microsatellite Instability CMS Edit

81519 Oncology Breast mRNA 81302 MECP2 Gene Full Seq CMS Edit

81519 Oncology Breast mRNA 81303 MECP2 Gene Known Variant CMS Edit

81519 Oncology Breast mRNA 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81519 Oncology Breast mRNA 81310 NPM1 Gene CMS Edit

81519 Oncology Breast mRNA 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81519 Oncology Breast mRNA 81313 PCA3/KLK3 Antigen CMS Edit

81519 Oncology Breast mRNA 81314 PDGFRA Gene CMS Edit

81519 Oncology Breast mRNA 81315 PML/RARalpha Com Breakpoints CMS Edit

81519 Oncology Breast mRNA 81316 PML/RARalpha 1 Breakpoint CMS Edit

81519 Oncology Breast mRNA 81317 PMS2 Gene Full Seq Analysis CMS Edit

81519 Oncology Breast mRNA 81318 PMS2 Known Familial Variants CMS Edit

81519 Oncology Breast mRNA 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81519 Oncology Breast mRNA 81321 PTEN Gene Full Sequence CMS Edit

81519 Oncology Breast mRNA 81322 PTEN Gene Known Fam Variant CMS Edit

81519 Oncology Breast mRNA 81323 PTEN Gene Dup/Delet Variant CMS Edit

81519 Oncology Breast mRNA 81324 PMP22 Gene Dup/Delet CMS Edit

81519 Oncology Breast mRNA 81325 PMP22 Gene Full Sequence CMS Edit

81519 Oncology Breast mRNA 81326 PMP22 Gene Known Fam Variant CMS Edit

81519 Oncology Breast mRNA 81327 SEPT9 Methylation Analysis CMS Edit*81519 Oncology Breast mRNA 81330 SMPD1 Gene Common Variants CMS Edit

81519 Oncology Breast mRNA 81331 SNRPN/UBE3A Gene CMS Edit

81519 Oncology Breast mRNA 81332 SERPINA1 Gene CMS Edit

81519 Oncology Breast mRNA 81340 TRB@ Gene Rearrange Amplify CMS Edit

81519 Oncology Breast mRNA 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81519 Oncology Breast mRNA 81342 TRG Gene Rearrangement Anal CMS Edit

81519 Oncology Breast mRNA 81350 UGT1A1 Gene CMS Edit

81519 Oncology Breast mRNA 81355 VKORC1 Gene CMS Edit

81519 Oncology Breast mRNA 81400 Mopath Procedure Level 1 CMS Edit

81519 Oncology Breast mRNA 81401 Mopath Procedure Level 2 CMS Edit

81519 Oncology Breast mRNA 81402 Mopath Procedure Level 3 CMS Edit

81519 Oncology Breast mRNA 81403 Mopath Procedure Level 4 CMS Edit

81519 Oncology Breast mRNA 81404 Mopath Procedure Level 5 CMS Edit

81519 Oncology Breast mRNA 81405 Mopath Procedure Level 6 CMS Edit

81519 Oncology Breast mRNA 81406 Mopath Procedure Level 7 CMS Edit

81519 Oncology Breast mRNA 81407 Mopath Procedure Level 8 CMS Edit

81519 Oncology Breast mRNA 81408 Mopath Procedure Level 9 CMS Edit

81519 Oncology Breast mRNA 88271 Cytogenetics DNA Probe CMS Edit

81519 Oncology Breast mRNA 88272 Cytogenetics 3-5 CMS Edit

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81519 Oncology Breast mRNA 88273 Cytogenetics 10-30 CMS Edit

81519 Oncology Breast mRNA 88274 Cytogenetics 25-99 CMS Edit

81519 Oncology Breast mRNA 88275 Cytogenetics 100-300 CMS Edit

81519 Oncology Breast mRNA 88291 Cyto/Molecular Report CMS Edit

81519 Oncology Breast mRNA 88364 Insitu Hybridization (Fish) CMS Edit

81519 Oncology Breast mRNA 88365 Insitu Hybridization (Fish) CMS Edit

81519 Oncology Breast mRNA 88366 Insitu Hybridization (Fish) CMS Edit

81519 Oncology Breast mRNA 88367 Insitu Hybridization Auto CMS Edit

81519 Oncology Breast mRNA 88368 Insitu Hybridization Manual CMS Edit

81519 Oncology Breast mRNA 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81519 Oncology Breast mRNA 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81519 Oncology Breast mRNA 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81519 Oncology Breast mRNA 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81519 Oncology Breast mRNA G0452 Molecular Pathology Interpr CMS Edit

81525 Oncology Colon mRNA 81161 DMD Dup/Delet Analysis CMS Edit

81525 Oncology Colon mRNA 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81525 Oncology Colon mRNA 81170 ABL1 Gene CMS Edit

81525 Oncology Colon mRNA 81200 ASPA Gene CMS Edit

81525 Oncology Colon mRNA 81201 APC Gene Full Sequence CMS Edit

81525 Oncology Colon mRNA 81202 APC Gene Known Fam Variants CMS Edit

81525 Oncology Colon mRNA 81203 APC Gene Dup/Delet Variants CMS Edit

81525 Oncology Colon mRNA 81205 BCKDHB Gene CMS Edit

81525 Oncology Colon mRNA 81206 BCR/ABL1 Gene Major Bp CMS Edit

81525 Oncology Colon mRNA 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81525 Oncology Colon mRNA 81208 BCR/ABL1 Gene Other Bp CMS Edit

81525 Oncology Colon mRNA 81209 BLM Gene CMS Edit

81525 Oncology Colon mRNA 81210 BRAF Gene CMS Edit

81525 Oncology Colon mRNA 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81525 Oncology Colon mRNA 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81525 Oncology Colon mRNA 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81525 Oncology Colon mRNA 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81525 Oncology Colon mRNA 81215 BRCA1 Gene Known Fam Variant CMS Edit

81525 Oncology Colon mRNA 81216 BRCA2 Gene Full Sequence CMS Edit

81525 Oncology Colon mRNA 81217 BRCA2 Gene Known Fam Variant CMS Edit

81525 Oncology Colon mRNA 81218 Cebpa Gene Full Sequence CMS Edit

81525 Oncology Colon mRNA 81219 CALR Gene Com Variants CMS Edit

81525 Oncology Colon mRNA 81220 CFTR Gene Com Variants CMS Edit

81525 Oncology Colon mRNA 81221 CFTR Gene Known Fam Variants CMS Edit

81525 Oncology Colon mRNA 81222 CFTR Gene Dup/Delet Variants CMS Edit

81525 Oncology Colon mRNA 81223 CFTR Gene Full Sequence CMS Edit

81525 Oncology Colon mRNA 81224 CFTR Gene Intron Poly T CMS Edit

81525 Oncology Colon mRNA 81225 CYP2C19 Gene Com Variants CMS Edit

81525 Oncology Colon mRNA 81226 CYP2D6 Gene Com Variants CMS Edit

81525 Oncology Colon mRNA 81227 CYP2C9 Gene Com Variants CMS Edit

81525 Oncology Colon mRNA 81228 Cytogen Micrarray Copy Nmbr CMS Edit

81525 Oncology Colon mRNA 81229 Cytogen M Array Copy No&Snp CMS Edit

81525 Oncology Colon mRNA 81235 EGFR Gene Com Variants CMS Edit

81525 Oncology Colon mRNA 81240 F2 Gene CMS Edit

81525 Oncology Colon mRNA 81241 F5 Gene CMS Edit

81525 Oncology Colon mRNA 81242 FANCC Gene CMS Edit

81525 Oncology Colon mRNA 81243 FMR1 Gene Detection CMS Edit

81525 Oncology Colon mRNA 81244 FMR1 Gene Characterization CMS Edit

81525 Oncology Colon mRNA 81245 FLT3 Gene CMS Edit

81525 Oncology Colon mRNA 81246 FLT3 Gene Analysis CMS Edit

81525 Oncology Colon mRNA 81250 G6PC Gene CMS Edit

81525 Oncology Colon mRNA 81251 GBA Gene CMS Edit

81525 Oncology Colon mRNA 81252 GJB2 Gene Full Sequence CMS Edit

81525 Oncology Colon mRNA 81253 GJB2 Gene Known Fam Variants CMS Edit

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81525 Oncology Colon mRNA 81254 GJB6 Gene Com Variants CMS Edit

81525 Oncology Colon mRNA 81255 HEXA Gene CMS Edit

81525 Oncology Colon mRNA 81256 HFE Gene CMS Edit

81525 Oncology Colon mRNA 81257 HBA1/HBA2 Gene CMS Edit

81525 Oncology Colon mRNA 81260 IKBKAP Gene CMS Edit

81525 Oncology Colon mRNA 81261 IGH Gene Rearrange Amp Meth CMS Edit

81525 Oncology Colon mRNA 81262 IGH Gene Rearrang Dir Probe CMS Edit

81525 Oncology Colon mRNA 81263 IGH Vari Regional Mutation CMS Edit

81525 Oncology Colon mRNA 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81525 Oncology Colon mRNA 81265 STR Markers Specimen Anal CMS Edit

81525 Oncology Colon mRNA 81266 STR Markers Spec Anal Addl CMS Edit

81525 Oncology Colon mRNA 81267 Chimerism Anal No Cell Selec CMS Edit

81525 Oncology Colon mRNA 81268 Chimerism Anal W/Cell Select CMS Edit

81525 Oncology Colon mRNA 81270 JAK2 Gene CMS Edit

81525 Oncology Colon mRNA 81272 KIT Gene Targeted Seq Analys CMS Edit

81525 Oncology Colon mRNA 81273 KIT Gene Analys D816 Variant CMS Edit

81525 Oncology Colon mRNA 81275 KRAS Gene Variants Exon 2 CMS Edit

81525 Oncology Colon mRNA 81276 KRAS Gene Addl Variants CMS Edit

81525 Oncology Colon mRNA 81288 MLH1 Gene CMS Edit

81525 Oncology Colon mRNA 81290 MCOLN1 Gene CMS Edit

81525 Oncology Colon mRNA 81291 MTHFR Gene CMS Edit

81525 Oncology Colon mRNA 81292 MLH1 Gene Full Seq CMS Edit

81525 Oncology Colon mRNA 81293 MLH1 Gene Known Variants CMS Edit

81525 Oncology Colon mRNA 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81525 Oncology Colon mRNA 81295 MSH2 Gene Full Seq CMS Edit

81525 Oncology Colon mRNA 81296 MSH2 Gene Known Variants CMS Edit

81525 Oncology Colon mRNA 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81525 Oncology Colon mRNA 81298 MSH6 Gene Full Seq CMS Edit

81525 Oncology Colon mRNA 81299 MSH6 Gene Known Variants CMS Edit

81525 Oncology Colon mRNA 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81525 Oncology Colon mRNA 81301 Microsatellite Instability CMS Edit

81525 Oncology Colon mRNA 81302 MECP2 Gene Full Seq CMS Edit

81525 Oncology Colon mRNA 81303 MECP2 Gene Known Variant CMS Edit

81525 Oncology Colon mRNA 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81525 Oncology Colon mRNA 81310 NPM1 Gene CMS Edit

81525 Oncology Colon mRNA 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81525 Oncology Colon mRNA 81313 PCA3/KLK3 Antigen CMS Edit

81525 Oncology Colon mRNA 81314 PDGFRA Gene CMS Edit

81525 Oncology Colon mRNA 81315 PML/RARalpha Com Breakpoints CMS Edit

81525 Oncology Colon mRNA 81316 PML/RARalpha 1 Breakpoint CMS Edit

81525 Oncology Colon mRNA 81317 PMS2 Gene Full Seq Analysis CMS Edit

81525 Oncology Colon mRNA 81318 PMS2 Known Familial Variants CMS Edit

81525 Oncology Colon mRNA 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81525 Oncology Colon mRNA 81321 PTEN Gene Full Sequence CMS Edit

81525 Oncology Colon mRNA 81322 PTEN Gene Known Fam Variant CMS Edit

81525 Oncology Colon mRNA 81323 PTEN Gene Dup/Delet Variant CMS Edit

81525 Oncology Colon mRNA 81324 PMP22 Gene Dup/Delet CMS Edit

81525 Oncology Colon mRNA 81325 PMP22 Gene Full Sequence CMS Edit

81525 Oncology Colon mRNA 81326 PMP22 Gene Known Fam Variant CMS Edit

81525 Oncology Colon mRNA 81327 SEPT9 Methylation Analysis CMS Edit*81525 Oncology Colon mRNA 81330 SMPD1 Gene Common Variants CMS Edit

81525 Oncology Colon mRNA 81331 SNRPN/UBE3A Gene CMS Edit

81525 Oncology Colon mRNA 81332 SERPINA1 Gene CMS Edit

81525 Oncology Colon mRNA 81340 TRB@ Gene Rearrange Amplify CMS Edit

81525 Oncology Colon mRNA 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81525 Oncology Colon mRNA 81342 TRG Gene Rearrangement Anal CMS Edit

81525 Oncology Colon mRNA 81350 UGT1A1 Gene CMS Edit

81525 Oncology Colon mRNA 81355 VKORC1 Gene CMS Edit

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81525 Oncology Colon mRNA 81400 Mopath Procedure Level 1 CMS Edit

81525 Oncology Colon mRNA 81401 Mopath Procedure Level 2 CMS Edit

81525 Oncology Colon mRNA 81402 Mopath Procedure Level 3 CMS Edit

81525 Oncology Colon mRNA 81403 Mopath Procedure Level 4 CMS Edit

81525 Oncology Colon mRNA 81404 Mopath Procedure Level 5 CMS Edit

81525 Oncology Colon mRNA 81405 Mopath Procedure Level 6 CMS Edit

81525 Oncology Colon mRNA 81406 Mopath Procedure Level 7 CMS Edit

81525 Oncology Colon mRNA 81407 Mopath Procedure Level 8 CMS Edit

81525 Oncology Colon mRNA 81408 Mopath Procedure Level 9 CMS Edit

81525 Oncology Colon mRNA 88271 Cytogenetics DNA Probe CMS Edit

81525 Oncology Colon mRNA 88272 Cytogenetics 3-5 CMS Edit

81525 Oncology Colon mRNA 88273 Cytogenetics 10-30 CMS Edit

81525 Oncology Colon mRNA 88274 Cytogenetics 25-99 CMS Edit

81525 Oncology Colon mRNA 88275 Cytogenetics 100-300 CMS Edit

81525 Oncology Colon mRNA 88291 Cyto/Molecular Report CMS Edit

81525 Oncology Colon mRNA 88364 Insitu Hybridization (Fish) CMS Edit

81525 Oncology Colon mRNA 88365 Insitu Hybridization (Fish) CMS Edit

81525 Oncology Colon mRNA 88366 Insitu Hybridization (Fish) CMS Edit

81525 Oncology Colon mRNA 88367 Insitu Hybridization Auto CMS Edit

81525 Oncology Colon mRNA 88368 Insitu Hybridization Manual CMS Edit

81525 Oncology Colon mRNA 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81525 Oncology Colon mRNA 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81525 Oncology Colon mRNA 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81525 Oncology Colon mRNA 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81525 Oncology Colon mRNA G0452 Molecular Pathology Interpr CMS Edit

81528 Oncology Colorectal Scr 81161 DMD Dup/Delet Analysis CMS Edit

81528 Oncology Colorectal Scr 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81528 Oncology Colorectal Scr 81170 ABL1 Gene CMS Edit

81528 Oncology Colorectal Scr 81200 ASPA Gene CMS Edit

81528 Oncology Colorectal Scr 81201 APC Gene Full Sequence CMS Edit

81528 Oncology Colorectal Scr 81202 APC Gene Known Fam Variants CMS Edit

81528 Oncology Colorectal Scr 81203 APC Gene Dup/Delet Variants CMS Edit

81528 Oncology Colorectal Scr 81205 BCKDHB Gene CMS Edit

81528 Oncology Colorectal Scr 81206 BCR/ABL1 Gene Major Bp CMS Edit

81528 Oncology Colorectal Scr 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81528 Oncology Colorectal Scr 81208 BCR/ABL1 Gene Other Bp CMS Edit

81528 Oncology Colorectal Scr 81209 BLM Gene CMS Edit

81528 Oncology Colorectal Scr 81210 BRAF Gene CMS Edit

81528 Oncology Colorectal Scr 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81528 Oncology Colorectal Scr 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81528 Oncology Colorectal Scr 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81528 Oncology Colorectal Scr 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81528 Oncology Colorectal Scr 81215 BRCA1 Gene Known Fam Variant CMS Edit

81528 Oncology Colorectal Scr 81216 BRCA2 Gene Full Sequence CMS Edit

81528 Oncology Colorectal Scr 81217 BRCA2 Gene Known Fam Variant CMS Edit

81528 Oncology Colorectal Scr 81218 Cebpa Gene Full Sequence CMS Edit

81528 Oncology Colorectal Scr 81219 CALR Gene Com Variants CMS Edit

81528 Oncology Colorectal Scr 81220 CFTR Gene Com Variants CMS Edit

81528 Oncology Colorectal Scr 81221 CFTR Gene Known Fam Variants CMS Edit

81528 Oncology Colorectal Scr 81222 CFTR Gene Dup/Delet Variants CMS Edit

81528 Oncology Colorectal Scr 81223 CFTR Gene Full Sequence CMS Edit

81528 Oncology Colorectal Scr 81224 CFTR Gene Intron Poly T CMS Edit

81528 Oncology Colorectal Scr 81225 CYP2C19 Gene Com Variants CMS Edit

81528 Oncology Colorectal Scr 81226 CYP2D6 Gene Com Variants CMS Edit

81528 Oncology Colorectal Scr 81227 CYP2C9 Gene Com Variants CMS Edit

81528 Oncology Colorectal Scr 81228 Cytogen Micrarray Copy Nmbr CMS Edit

81528 Oncology Colorectal Scr 81229 Cytogen M Array Copy No&Snp CMS Edit

81528 Oncology Colorectal Scr 81235 EGFR Gene Com Variants CMS Edit

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81528 Oncology Colorectal Scr 81240 F2 Gene CMS Edit

81528 Oncology Colorectal Scr 81241 F5 Gene CMS Edit

81528 Oncology Colorectal Scr 81242 FANCC Gene CMS Edit

81528 Oncology Colorectal Scr 81243 FMR1 Gene Detection CMS Edit

81528 Oncology Colorectal Scr 81244 FMR1 Gene Characterization CMS Edit

81528 Oncology Colorectal Scr 81245 FLT3 Gene CMS Edit

81528 Oncology Colorectal Scr 81246 FLT3 Gene Analysis CMS Edit

81528 Oncology Colorectal Scr 81250 G6PC Gene CMS Edit

81528 Oncology Colorectal Scr 81251 GBA Gene CMS Edit

81528 Oncology Colorectal Scr 81252 GJB2 Gene Full Sequence CMS Edit

81528 Oncology Colorectal Scr 81253 GJB2 Gene Known Fam Variants CMS Edit

81528 Oncology Colorectal Scr 81254 GJB6 Gene Com Variants CMS Edit

81528 Oncology Colorectal Scr 81255 HEXA Gene CMS Edit

81528 Oncology Colorectal Scr 81256 HFE Gene CMS Edit

81528 Oncology Colorectal Scr 81257 HBA1/HBA2 Gene CMS Edit

81528 Oncology Colorectal Scr 81260 IKBKAP Gene CMS Edit

81528 Oncology Colorectal Scr 81261 IGH Gene Rearrange Amp Meth CMS Edit

81528 Oncology Colorectal Scr 81262 IGH Gene Rearrang Dir Probe CMS Edit

81528 Oncology Colorectal Scr 81263 IGH Vari Regional Mutation CMS Edit

81528 Oncology Colorectal Scr 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81528 Oncology Colorectal Scr 81265 STR Markers Specimen Anal CMS Edit

81528 Oncology Colorectal Scr 81266 STR Markers Spec Anal Addl CMS Edit

81528 Oncology Colorectal Scr 81267 Chimerism Anal No Cell Selec CMS Edit

81528 Oncology Colorectal Scr 81268 Chimerism Anal W/Cell Select CMS Edit

81528 Oncology Colorectal Scr 81270 JAK2 Gene CMS Edit

81528 Oncology Colorectal Scr 81272 KIT Gene Targeted Seq Analys CMS Edit

81528 Oncology Colorectal Scr 81273 KIT Gene Analys D816 Variant CMS Edit

81528 Oncology Colorectal Scr 81275 KRAS Gene Variants Exon 2 CMS Edit

81528 Oncology Colorectal Scr 81276 KRAS Gene Addl Variants CMS Edit

81528 Oncology Colorectal Scr 81288 MLH1 Gene CMS Edit

81528 Oncology Colorectal Scr 81290 MCOLN1 Gene CMS Edit

81528 Oncology Colorectal Scr 81291 MTHFR Gene CMS Edit

81528 Oncology Colorectal Scr 81292 MLH1 Gene Full Seq CMS Edit

81528 Oncology Colorectal Scr 81293 MLH1 Gene Known Variants CMS Edit

81528 Oncology Colorectal Scr 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81528 Oncology Colorectal Scr 81295 MSH2 Gene Full Seq CMS Edit

81528 Oncology Colorectal Scr 81296 MSH2 Gene Known Variants CMS Edit

81528 Oncology Colorectal Scr 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81528 Oncology Colorectal Scr 81298 MSH6 Gene Full Seq CMS Edit

81528 Oncology Colorectal Scr 81299 MSH6 Gene Known Variants CMS Edit

81528 Oncology Colorectal Scr 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81528 Oncology Colorectal Scr 81301 Microsatellite Instability CMS Edit

81528 Oncology Colorectal Scr 81302 MECP2 Gene Full Seq CMS Edit

81528 Oncology Colorectal Scr 81303 MECP2 Gene Known Variant CMS Edit

81528 Oncology Colorectal Scr 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81528 Oncology Colorectal Scr 81310 NPM1 Gene CMS Edit

81528 Oncology Colorectal Scr 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81528 Oncology Colorectal Scr 81313 PCA3/KLK3 Antigen CMS Edit

81528 Oncology Colorectal Scr 81314 PDGFRA Gene CMS Edit

81528 Oncology Colorectal Scr 81315 PML/RARalpha Com Breakpoints CMS Edit

81528 Oncology Colorectal Scr 81316 PML/RARalpha 1 Breakpoint CMS Edit

81528 Oncology Colorectal Scr 81317 PMS2 Gene Full Seq Analysis CMS Edit

81528 Oncology Colorectal Scr 81318 PMS2 Known Familial Variants CMS Edit

81528 Oncology Colorectal Scr 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81528 Oncology Colorectal Scr 81321 PTEN Gene Full Sequence CMS Edit

81528 Oncology Colorectal Scr 81322 PTEN Gene Known Fam Variant CMS Edit

81528 Oncology Colorectal Scr 81323 PTEN Gene Dup/Delet Variant CMS Edit

81528 Oncology Colorectal Scr 81324 PMP22 Gene Dup/Delet CMS Edit

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Code Code Description Code Code Description Source

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81528 Oncology Colorectal Scr 81325 PMP22 Gene Full Sequence CMS Edit

81528 Oncology Colorectal Scr 81326 PMP22 Gene Known Fam Variant CMS Edit

81528 Oncology Colorectal Scr 81330 SMPD1 Gene Common Variants CMS Edit

81528 Oncology Colorectal Scr 81331 SNRPN/UBE3A Gene CMS Edit

81528 Oncology Colorectal Scr 81332 SERPINA1 Gene CMS Edit

81528 Oncology Colorectal Scr 81340 TRB@ Gene Rearrange Amplify CMS Edit

81528 Oncology Colorectal Scr 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81528 Oncology Colorectal Scr 81342 TRG Gene Rearrangement Anal CMS Edit

81528 Oncology Colorectal Scr 81350 UGT1A1 Gene CMS Edit

81528 Oncology Colorectal Scr 81355 VKORC1 Gene CMS Edit

81528 Oncology Colorectal Scr 81400 Mopath Procedure Level 1 CMS Edit

81528 Oncology Colorectal Scr 81401 Mopath Procedure Level 2 CMS Edit

81528 Oncology Colorectal Scr 81402 Mopath Procedure Level 3 CMS Edit

81528 Oncology Colorectal Scr 81403 Mopath Procedure Level 4 CMS Edit

81528 Oncology Colorectal Scr 81404 Mopath Procedure Level 5 CMS Edit

81528 Oncology Colorectal Scr 81405 Mopath Procedure Level 6 CMS Edit

81528 Oncology Colorectal Scr 81406 Mopath Procedure Level 7 CMS Edit

81528 Oncology Colorectal Scr 81407 Mopath Procedure Level 8 CMS Edit

81528 Oncology Colorectal Scr 81408 Mopath Procedure Level 9 CMS Edit

81528 Oncology Colorectal Scr 88271 Cytogenetics DNA Probe CMS Edit

81528 Oncology Colorectal Scr 88272 Cytogenetics 3-5 CMS Edit

81528 Oncology Colorectal Scr 88273 Cytogenetics 10-30 CMS Edit

81528 Oncology Colorectal Scr 88274 Cytogenetics 25-99 CMS Edit

81528 Oncology Colorectal Scr 88275 Cytogenetics 100-300 CMS Edit

81528 Oncology Colorectal Scr 88291 Cyto/Molecular Report CMS Edit

81528 Oncology Colorectal Scr 88364 Insitu Hybridization (Fish) CMS Edit

81528 Oncology Colorectal Scr 88365 Insitu Hybridization (Fish) CMS Edit

81528 Oncology Colorectal Scr 88366 Insitu Hybridization (Fish) CMS Edit

81528 Oncology Colorectal Scr 88367 Insitu Hybridization Auto CMS Edit

81528 Oncology Colorectal Scr 88368 Insitu Hybridization Manual CMS Edit

81528 Oncology Colorectal Scr 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81528 Oncology Colorectal Scr 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81528 Oncology Colorectal Scr 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81528 Oncology Colorectal Scr 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81528 Oncology Colorectal Scr G0452 Molecular Pathology Interpr CMS Edit

81535 Oncology Gynecologic 88230 Tissue Culture Lymphocyte CMS Edit

81535 Oncology Gynecologic 88233 Tissue Culture Skin/Biopsy CMS Edit

81535 Oncology Gynecologic 88235 Tissue Culture Placenta CMS Edit

81535 Oncology Gynecologic 88237 Tissue Culture Bone Marrow CMS Edit

81535 Oncology Gynecologic 88239 Tissue Culture Tumor CMS Edit

81536 Oncology Gynecologic 88230 Tissue Culture Lymphocyte CMS Edit

81536 Oncology Gynecologic 88233 Tissue Culture Skin/Biopsy CMS Edit

81536 Oncology Gynecologic 88235 Tissue Culture Placenta CMS Edit

81536 Oncology Gynecologic 88237 Tissue Culture Bone Marrow CMS Edit

81536 Oncology Gynecologic 88239 Tissue Culture Tumor CMS Edit

81540 Oncology Tum Unknown Origin 81161 DMD Dup/Delet Analysis CMS Edit

81540 Oncology Tum Unknown Origin 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81540 Oncology Tum Unknown Origin 81170 ABL1 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81200 ASPA Gene CMS Edit

81540 Oncology Tum Unknown Origin 81201 APC Gene Full Sequence CMS Edit

81540 Oncology Tum Unknown Origin 81202 APC Gene Known Fam Variants CMS Edit

81540 Oncology Tum Unknown Origin 81203 APC Gene Dup/Delet Variants CMS Edit

81540 Oncology Tum Unknown Origin 81205 BCKDHB Gene CMS Edit

81540 Oncology Tum Unknown Origin 81206 BCR/ABL1 Gene Major Bp CMS Edit

81540 Oncology Tum Unknown Origin 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81540 Oncology Tum Unknown Origin 81208 BCR/ABL1 Gene Other Bp CMS Edit

81540 Oncology Tum Unknown Origin 81209 BLM Gene CMS Edit

81540 Oncology Tum Unknown Origin 81210 BRAF Gene CMS Edit

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Code Code Description Code Code Description Source

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81540 Oncology Tum Unknown Origin 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81540 Oncology Tum Unknown Origin 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81540 Oncology Tum Unknown Origin 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81540 Oncology Tum Unknown Origin 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81540 Oncology Tum Unknown Origin 81215 BRCA1 Gene Known Fam Variant CMS Edit

81540 Oncology Tum Unknown Origin 81216 BRCA2 Gene Full Sequence CMS Edit

81540 Oncology Tum Unknown Origin 81217 BRCA2 Gene Known Fam Variant CMS Edit

81540 Oncology Tum Unknown Origin 81218 Cebpa Gene Full Sequence CMS Edit

81540 Oncology Tum Unknown Origin 81219 CALR Gene Com Variants CMS Edit

81540 Oncology Tum Unknown Origin 81220 CFTR Gene Com Variants CMS Edit

81540 Oncology Tum Unknown Origin 81221 CFTR Gene Known Fam Variants CMS Edit

81540 Oncology Tum Unknown Origin 81222 CFTR Gene Dup/Delet Variants CMS Edit

81540 Oncology Tum Unknown Origin 81223 CFTR Gene Full Sequence CMS Edit

81540 Oncology Tum Unknown Origin 81224 CFTR Gene Intron Poly T CMS Edit

81540 Oncology Tum Unknown Origin 81225 CYP2C19 Gene Com Variants CMS Edit

81540 Oncology Tum Unknown Origin 81226 CYP2D6 Gene Com Variants CMS Edit

81540 Oncology Tum Unknown Origin 81227 CYP2C9 Gene Com Variants CMS Edit

81540 Oncology Tum Unknown Origin 81228 Cytogen Micrarray Copy Nmbr CMS Edit

81540 Oncology Tum Unknown Origin 81229 Cytogen M Array Copy No&Snp CMS Edit

81540 Oncology Tum Unknown Origin 81235 EGFR Gene Com Variants CMS Edit

81540 Oncology Tum Unknown Origin 81240 F2 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81241 F5 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81242 FANCC Gene CMS Edit

81540 Oncology Tum Unknown Origin 81243 FMR1 Gene Detection CMS Edit

81540 Oncology Tum Unknown Origin 81244 FMR1 Gene Characterization CMS Edit

81540 Oncology Tum Unknown Origin 81245 FLT3 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81246 FLT3 Gene Analysis CMS Edit

81540 Oncology Tum Unknown Origin 81250 G6PC Gene CMS Edit

81540 Oncology Tum Unknown Origin 81251 GBA Gene CMS Edit

81540 Oncology Tum Unknown Origin 81252 GJB2 Gene Full Sequence CMS Edit

81540 Oncology Tum Unknown Origin 81253 GJB2 Gene Known Fam Variants CMS Edit

81540 Oncology Tum Unknown Origin 81254 GJB6 Gene Com Variants CMS Edit

81540 Oncology Tum Unknown Origin 81255 HEXA Gene CMS Edit

81540 Oncology Tum Unknown Origin 81256 HFE Gene CMS Edit

81540 Oncology Tum Unknown Origin 81257 HBA1/HBA2 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81260 IKBKAP Gene CMS Edit

81540 Oncology Tum Unknown Origin 81261 IGH Gene Rearrange Amp Meth CMS Edit

81540 Oncology Tum Unknown Origin 81262 IGH Gene Rearrang Dir Probe CMS Edit

81540 Oncology Tum Unknown Origin 81263 IGH Vari Regional Mutation CMS Edit

81540 Oncology Tum Unknown Origin 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81540 Oncology Tum Unknown Origin 81265 STR Markers Specimen Anal CMS Edit

81540 Oncology Tum Unknown Origin 81266 STR Markers Spec Anal Addl CMS Edit

81540 Oncology Tum Unknown Origin 81267 Chimerism Anal No Cell Selec CMS Edit

81540 Oncology Tum Unknown Origin 81268 Chimerism Anal W/Cell Select CMS Edit

81540 Oncology Tum Unknown Origin 81270 JAK2 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81272 KIT Gene Targeted Seq Analys CMS Edit

81540 Oncology Tum Unknown Origin 81273 KIT Gene Analys D816 Variant CMS Edit

81540 Oncology Tum Unknown Origin 81275 KRAS Gene Variants Exon 2 CMS Edit

81540 Oncology Tum Unknown Origin 81276 KRAS Gene Addl Variants CMS Edit

81540 Oncology Tum Unknown Origin 81288 MLH1 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81290 MCOLN1 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81291 MTHFR Gene CMS Edit

81540 Oncology Tum Unknown Origin 81292 MLH1 Gene Full Seq CMS Edit

81540 Oncology Tum Unknown Origin 81293 MLH1 Gene Known Variants CMS Edit

81540 Oncology Tum Unknown Origin 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81540 Oncology Tum Unknown Origin 81295 MSH2 Gene Full Seq CMS Edit

81540 Oncology Tum Unknown Origin 81296 MSH2 Gene Known Variants CMS Edit

81540 Oncology Tum Unknown Origin 81297 MSH2 Gene Dup/Delete Variant CMS Edit

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Code Code Description Code Code Description Source

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81540 Oncology Tum Unknown Origin 81298 MSH6 Gene Full Seq CMS Edit

81540 Oncology Tum Unknown Origin 81299 MSH6 Gene Known Variants CMS Edit

81540 Oncology Tum Unknown Origin 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81540 Oncology Tum Unknown Origin 81301 Microsatellite Instability CMS Edit

81540 Oncology Tum Unknown Origin 81302 MECP2 Gene Full Seq CMS Edit

81540 Oncology Tum Unknown Origin 81303 MECP2 Gene Known Variant CMS Edit

81540 Oncology Tum Unknown Origin 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81540 Oncology Tum Unknown Origin 81310 NPM1 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81540 Oncology Tum Unknown Origin 81313 PCA3/KLK3 Antigen CMS Edit

81540 Oncology Tum Unknown Origin 81314 PDGFRA Gene CMS Edit

81540 Oncology Tum Unknown Origin 81315 PML/RARalpha Com Breakpoints CMS Edit

81540 Oncology Tum Unknown Origin 81316 PML/RARalpha 1 Breakpoint CMS Edit

81540 Oncology Tum Unknown Origin 81317 PMS2 Gene Full Seq Analysis CMS Edit

81540 Oncology Tum Unknown Origin 81318 PMS2 Known Familial Variants CMS Edit

81540 Oncology Tum Unknown Origin 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81540 Oncology Tum Unknown Origin 81321 PTEN Gene Full Sequence CMS Edit

81540 Oncology Tum Unknown Origin 81322 PTEN Gene Known Fam Variant CMS Edit

81540 Oncology Tum Unknown Origin 81323 PTEN Gene Dup/Delet Variant CMS Edit

81540 Oncology Tum Unknown Origin 81324 PMP22 Gene Dup/Delet CMS Edit

81540 Oncology Tum Unknown Origin 81325 PMP22 Gene Full Sequence CMS Edit

81540 Oncology Tum Unknown Origin 81326 PMP22 Gene Known Fam Variant CMS Edit

81540 Oncology Tum Unknown Origin 81327 SEPT9 Methylation Analysis CMS Edit*81540 Oncology Tum Unknown Origin 81330 SMPD1 Gene Common Variants CMS Edit

81540 Oncology Tum Unknown Origin 81331 SNRPN/UBE3A Gene CMS Edit

81540 Oncology Tum Unknown Origin 81332 SERPINA1 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81340 TRB@ Gene Rearrange Amplify CMS Edit

81540 Oncology Tum Unknown Origin 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81540 Oncology Tum Unknown Origin 81342 TRG Gene Rearrangement Anal CMS Edit

81540 Oncology Tum Unknown Origin 81350 UGT1A1 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81355 VKORC1 Gene CMS Edit

81540 Oncology Tum Unknown Origin 81400 Mopath Procedure Level 1 CMS Edit

81540 Oncology Tum Unknown Origin 81401 Mopath Procedure Level 2 CMS Edit

81540 Oncology Tum Unknown Origin 81402 Mopath Procedure Level 3 CMS Edit

81540 Oncology Tum Unknown Origin 81403 Mopath Procedure Level 4 CMS Edit

81540 Oncology Tum Unknown Origin 81404 Mopath Procedure Level 5 CMS Edit

81540 Oncology Tum Unknown Origin 81405 Mopath Procedure Level 6 CMS Edit

81540 Oncology Tum Unknown Origin 81406 Mopath Procedure Level 7 CMS Edit

81540 Oncology Tum Unknown Origin 81407 Mopath Procedure Level 8 CMS Edit

81540 Oncology Tum Unknown Origin 81408 Mopath Procedure Level 9 CMS Edit

81540 Oncology Tum Unknown Origin 88271 Cytogenetics DNA Probe CMS Edit

81540 Oncology Tum Unknown Origin 88272 Cytogenetics 3-5 CMS Edit

81540 Oncology Tum Unknown Origin 88273 Cytogenetics 10-30 CMS Edit

81540 Oncology Tum Unknown Origin 88274 Cytogenetics 25-99 CMS Edit

81540 Oncology Tum Unknown Origin 88275 Cytogenetics 100-300 CMS Edit

81540 Oncology Tum Unknown Origin 88291 Cyto/Molecular Report CMS Edit

81540 Oncology Tum Unknown Origin 88364 Insitu Hybridization (Fish) CMS Edit

81540 Oncology Tum Unknown Origin 88365 Insitu Hybridization (Fish) CMS Edit

81540 Oncology Tum Unknown Origin 88366 Insitu Hybridization (Fish) CMS Edit

81540 Oncology Tum Unknown Origin 88367 Insitu Hybridization Auto CMS Edit

81540 Oncology Tum Unknown Origin 88368 Insitu Hybridization Manual CMS Edit

81540 Oncology Tum Unknown Origin 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81540 Oncology Tum Unknown Origin 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81540 Oncology Tum Unknown Origin 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81540 Oncology Tum Unknown Origin 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81540 Oncology Tum Unknown Origin G0452 Molecular Pathology Interpr CMS Edit

81545 Oncology Thyroid 81161 DMD Dup/Delet Analysis CMS Edit

81545 Oncology Thyroid 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

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Code Code Description Code Code Description Source

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81545 Oncology Thyroid 81170 ABL1 Gene CMS Edit

81545 Oncology Thyroid 81200 ASPA Gene CMS Edit

81545 Oncology Thyroid 81201 APC Gene Full Sequence CMS Edit

81545 Oncology Thyroid 81202 APC Gene Known Fam Variants CMS Edit

81545 Oncology Thyroid 81203 APC Gene Dup/Delet Variants CMS Edit

81545 Oncology Thyroid 81205 BCKDHB Gene CMS Edit

81545 Oncology Thyroid 81206 BCR/ABL1 Gene Major Bp CMS Edit

81545 Oncology Thyroid 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81545 Oncology Thyroid 81208 BCR/ABL1 Gene Other Bp CMS Edit

81545 Oncology Thyroid 81209 BLM Gene CMS Edit

81545 Oncology Thyroid 81210 BRAF Gene CMS Edit

81545 Oncology Thyroid 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81545 Oncology Thyroid 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81545 Oncology Thyroid 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81545 Oncology Thyroid 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81545 Oncology Thyroid 81215 BRCA1 Gene Known Fam Variant CMS Edit

81545 Oncology Thyroid 81216 BRCA2 Gene Full Sequence CMS Edit

81545 Oncology Thyroid 81217 BRCA2 Gene Known Fam Variant CMS Edit

81545 Oncology Thyroid 81218 Cebpa Gene Full Sequence CMS Edit

81545 Oncology Thyroid 81219 CALR Gene Com Variants CMS Edit

81545 Oncology Thyroid 81220 CFTR Gene Com Variants CMS Edit

81545 Oncology Thyroid 81221 CFTR Gene Known Fam Variants CMS Edit

81545 Oncology Thyroid 81222 CFTR Gene Dup/Delet Variants CMS Edit

81545 Oncology Thyroid 81223 CFTR Gene Full Sequence CMS Edit

81545 Oncology Thyroid 81224 CFTR Gene Intron Poly T CMS Edit

81545 Oncology Thyroid 81225 CYP2C19 Gene Com Variants CMS Edit

81545 Oncology Thyroid 81226 CYP2D6 Gene Com Variants CMS Edit

81545 Oncology Thyroid 81227 CYP2C9 Gene Com Variants CMS Edit

81545 Oncology Thyroid 81228 Cytogen Micrarray Copy Nmbr CMS Edit

81545 Oncology Thyroid 81229 Cytogen M Array Copy No&Snp CMS Edit

81545 Oncology Thyroid 81235 EGFR Gene Com Variants CMS Edit

81545 Oncology Thyroid 81240 F2 Gene CMS Edit

81545 Oncology Thyroid 81241 F5 Gene CMS Edit

81545 Oncology Thyroid 81242 FANCC Gene CMS Edit

81545 Oncology Thyroid 81243 FMR1 Gene Detection CMS Edit

81545 Oncology Thyroid 81244 FMR1 Gene Characterization CMS Edit

81545 Oncology Thyroid 81245 FLT3 Gene CMS Edit

81545 Oncology Thyroid 81246 FLT3 Gene Analysis CMS Edit

81545 Oncology Thyroid 81250 G6PC Gene CMS Edit

81545 Oncology Thyroid 81251 GBA Gene CMS Edit

81545 Oncology Thyroid 81252 GJB2 Gene Full Sequence CMS Edit

81545 Oncology Thyroid 81253 GJB2 Gene Known Fam Variants CMS Edit

81545 Oncology Thyroid 81254 GJB6 Gene Com Variants CMS Edit

81545 Oncology Thyroid 81255 HEXA Gene CMS Edit

81545 Oncology Thyroid 81256 HFE Gene CMS Edit

81545 Oncology Thyroid 81257 HBA1/HBA2 Gene CMS Edit

81545 Oncology Thyroid 81260 IKBKAP Gene CMS Edit

81545 Oncology Thyroid 81261 IGH Gene Rearrange Amp Meth CMS Edit

81545 Oncology Thyroid 81262 IGH Gene Rearrang Dir Probe CMS Edit

81545 Oncology Thyroid 81263 IGH Vari Regional Mutation CMS Edit

81545 Oncology Thyroid 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81545 Oncology Thyroid 81265 STR Markers Specimen Anal CMS Edit

81545 Oncology Thyroid 81266 STR Markers Spec Anal Addl CMS Edit

81545 Oncology Thyroid 81267 Chimerism Anal No Cell Selec CMS Edit

81545 Oncology Thyroid 81268 Chimerism Anal W/Cell Select CMS Edit

81545 Oncology Thyroid 81270 JAK2 Gene CMS Edit

81545 Oncology Thyroid 81272 KIT Gene Targeted Seq Analys CMS Edit

81545 Oncology Thyroid 81273 KIT Gene Analys D816 Variant CMS Edit

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Code Code Description Code Code Description Source

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81545 Oncology Thyroid 81275 KRAS Gene Variants Exon 2 CMS Edit

81545 Oncology Thyroid 81276 KRAS Gene Addl Variants CMS Edit

81545 Oncology Thyroid 81288 MLH1 Gene CMS Edit

81545 Oncology Thyroid 81290 MCOLN1 Gene CMS Edit

81545 Oncology Thyroid 81291 MTHFR Gene CMS Edit

81545 Oncology Thyroid 81292 MLH1 Gene Full Seq CMS Edit

81545 Oncology Thyroid 81293 MLH1 Gene Known Variants CMS Edit

81545 Oncology Thyroid 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81545 Oncology Thyroid 81295 MSH2 Gene Full Seq CMS Edit

81545 Oncology Thyroid 81296 MSH2 Gene Known Variants CMS Edit

81545 Oncology Thyroid 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81545 Oncology Thyroid 81298 MSH6 Gene Full Seq CMS Edit

81545 Oncology Thyroid 81299 MSH6 Gene Known Variants CMS Edit

81545 Oncology Thyroid 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81545 Oncology Thyroid 81301 Microsatellite Instability CMS Edit

81545 Oncology Thyroid 81302 MECP2 Gene Full Seq CMS Edit

81545 Oncology Thyroid 81303 MECP2 Gene Known Variant CMS Edit

81545 Oncology Thyroid 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81545 Oncology Thyroid 81310 NPM1 Gene CMS Edit

81545 Oncology Thyroid 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81545 Oncology Thyroid 81313 PCA3/KLK3 Antigen CMS Edit

81545 Oncology Thyroid 81314 PDGFRA Gene CMS Edit

81545 Oncology Thyroid 81315 PML/RARalpha Com Breakpoints CMS Edit

81545 Oncology Thyroid 81316 PML/RARalpha 1 Breakpoint CMS Edit

81545 Oncology Thyroid 81317 PMS2 Gene Full Seq Analysis CMS Edit

81545 Oncology Thyroid 81318 PMS2 Known Familial Variants CMS Edit

81545 Oncology Thyroid 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81545 Oncology Thyroid 81321 PTEN Gene Full Sequence CMS Edit

81545 Oncology Thyroid 81322 PTEN Gene Known Fam Variant CMS Edit

81545 Oncology Thyroid 81323 PTEN Gene Dup/Delet Variant CMS Edit

81545 Oncology Thyroid 81324 PMP22 Gene Dup/Delet CMS Edit

81545 Oncology Thyroid 81325 PMP22 Gene Full Sequence CMS Edit

81545 Oncology Thyroid 81326 PMP22 Gene Known Fam Variant CMS Edit

81545 Oncology Thyroid 81327 SEPT9 Methylation Analysis CMS Edit*81545 Oncology Thyroid 81330 SMPD1 Gene Common Variants CMS Edit

81545 Oncology Thyroid 81331 SNRPN/UBE3A Gene CMS Edit

81545 Oncology Thyroid 81332 SERPINA1 Gene CMS Edit

81545 Oncology Thyroid 81340 TRB@ Gene Rearrange Amplify CMS Edit

81545 Oncology Thyroid 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81545 Oncology Thyroid 81342 TRG Gene Rearrangement Anal CMS Edit

81545 Oncology Thyroid 81350 UGT1A1 Gene CMS Edit

81545 Oncology Thyroid 81355 VKORC1 Gene CMS Edit

81545 Oncology Thyroid 81400 Mopath Procedure Level 1 CMS Edit

81545 Oncology Thyroid 81401 Mopath Procedure Level 2 CMS Edit

81545 Oncology Thyroid 81402 Mopath Procedure Level 3 CMS Edit

81545 Oncology Thyroid 81403 Mopath Procedure Level 4 CMS Edit

81545 Oncology Thyroid 81404 Mopath Procedure Level 5 CMS Edit

81545 Oncology Thyroid 81405 Mopath Procedure Level 6 CMS Edit

81545 Oncology Thyroid 81406 Mopath Procedure Level 7 CMS Edit

81545 Oncology Thyroid 81407 Mopath Procedure Level 8 CMS Edit

81545 Oncology Thyroid 81408 Mopath Procedure Level 9 CMS Edit

81545 Oncology Thyroid 88271 Cytogenetics DNA Probe CMS Edit

81545 Oncology Thyroid 88272 Cytogenetics 3-5 CMS Edit

81545 Oncology Thyroid 88273 Cytogenetics 10-30 CMS Edit

81545 Oncology Thyroid 88274 Cytogenetics 25-99 CMS Edit

81545 Oncology Thyroid 88275 Cytogenetics 100-300 CMS Edit

81545 Oncology Thyroid 88291 Cyto/Molecular Report CMS Edit

81545 Oncology Thyroid 88364 Insitu Hybridization (Fish) CMS Edit

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Code Code Description Code Code Description Source

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81545 Oncology Thyroid 88365 Insitu Hybridization (Fish) CMS Edit

81545 Oncology Thyroid 88366 Insitu Hybridization (Fish) CMS Edit

81545 Oncology Thyroid 88367 Insitu Hybridization Auto CMS Edit

81545 Oncology Thyroid 88368 Insitu Hybridization Manual CMS Edit

81545 Oncology Thyroid 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81545 Oncology Thyroid 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81545 Oncology Thyroid 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81545 Oncology Thyroid 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81545 Oncology Thyroid G0452 Molecular Pathology Interpr CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81161 DMD Dup/Delet Analysis CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81170 ABL1 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81200 ASPA Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81201 APC Gene Full Sequence CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81202 APC Gene Known Fam Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81203 APC Gene Dup/Delet Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81205 BCKDHB Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81206 BCR/ABL1 Gene Major Bp CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81207 BCR/ABL1 Gene Minor Bp CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81208 BCR/ABL1 Gene Other Bp CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81209 BLM Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81210 BRAF Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81211 BRCA1&2 Seq & Com Dup/Del CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81212 BRCA1&2 185&5385&6174 Var CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81213 BRCA1&2 Uncom Dup/Del Var CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81214 BRCA1 Full Seq & Com Dup/Del CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81215 BRCA1 Gene Known Fam Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81216 BRCA2 Gene Full Sequence CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81217 BRCA2 Gene Known Fam Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81218 Cebpa Gene Full Sequence CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81219 CALR Gene Com Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81220 CFTR Gene Com Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81221 CFTR Gene Known Fam Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81222 CFTR Gene Dup/Delet Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81223 CFTR Gene Full Sequence CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81224 CFTR Gene Intron Poly T CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81225 CYP2C19 Gene Com Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81226 CYP2D6 Gene Com Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81227 CYP2C9 Gene Com Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81228 Cytogen Micrarray Copy Nmbr CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81229 Cytogen M Array Copy No&Snp CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81235 EGFR Gene Com Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81240 F2 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81241 F5 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81242 FANCC Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81243 FMR1 Gene Detection CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81244 FMR1 Gene Characterization CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81245 FLT3 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81246 FLT3 Gene Analysis CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81250 G6PC Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81251 GBA Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81252 GJB2 Gene Full Sequence CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81253 GJB2 Gene Known Fam Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81254 GJB6 Gene Com Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81255 HEXA Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81256 HFE Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81257 HBA1/HBA2 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81260 IKBKAP Gene CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

81595 Cardiology Hrt Trnspl mRNA 81261 IGH Gene Rearrange Amp Meth CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81262 IGH Gene Rearrang Dir Probe CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81263 IGH Vari Regional Mutation CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81264 IGK Rearrangeabn Clonal Pop CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81265 STR Markers Specimen Anal CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81266 STR Markers Spec Anal Addl CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81267 Chimerism Anal No Cell Selec CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81268 Chimerism Anal W/Cell Select CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81270 JAK2 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81272 KIT Gene Targeted Seq Analys CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81273 KIT Gene Analys D816 Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81275 KRAS Gene Variants Exon 2 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81276 KRAS Gene Addl Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81288 MLH1 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81290 MCOLN1 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81291 MTHFR Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81292 MLH1 Gene Full Seq CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81293 MLH1 Gene Known Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81294 MLH1 Gene Dup/Delete Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81295 MSH2 Gene Full Seq CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81296 MSH2 Gene Known Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81297 MSH2 Gene Dup/Delete Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81298 MSH6 Gene Full Seq CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81299 MSH6 Gene Known Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81300 MSH6 Gene Dup/Delete Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81301 Microsatellite Instability CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81302 MECP2 Gene Full Seq CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81303 MECP2 Gene Known Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81304 MECP2 Gene Dup/Delet Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81310 NPM1 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81311 NRAS Gene Variants Exon 2&3 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81313 PCA3/KLK3 Antigen CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81314 PDGFRA Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81315 PML/RARalpha Com Breakpoints CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81316 PML/RARalpha 1 Breakpoint CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81317 PMS2 Gene Full Seq Analysis CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81318 PMS2 Known Familial Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81319 PMS2 Gene Dup/Delet Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81321 PTEN Gene Full Sequence CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81322 PTEN Gene Known Fam Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81323 PTEN Gene Dup/Delet Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81324 PMP22 Gene Dup/Delet CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81325 PMP22 Gene Full Sequence CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81326 PMP22 Gene Known Fam Variant CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81327 SEPT9 Methylation Analysis CMS Edit*81595 Cardiology Hrt Trnspl mRNA 81330 SMPD1 Gene Common Variants CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81331 SNRPN/UBE3A Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81332 SERPINA1 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81340 TRB@ Gene Rearrange Amplify CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81341 TRB@ Gene Rearrange Dirprobe CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81342 TRG Gene Rearrangement Anal CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81350 UGT1A1 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81355 VKORC1 Gene CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81400 Mopath Procedure Level 1 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81401 Mopath Procedure Level 2 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81402 Mopath Procedure Level 3 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81403 Mopath Procedure Level 4 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81404 Mopath Procedure Level 5 CMS Edit

Page 321: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

81595 Cardiology Hrt Trnspl mRNA 81405 Mopath Procedure Level 6 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81406 Mopath Procedure Level 7 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81407 Mopath Procedure Level 8 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 81408 Mopath Procedure Level 9 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88271 Cytogenetics DNA Probe CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88272 Cytogenetics 3-5 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88273 Cytogenetics 10-30 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88274 Cytogenetics 25-99 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88275 Cytogenetics 100-300 CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88291 Cyto/Molecular Report CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88364 Insitu Hybridization (Fish) CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88365 Insitu Hybridization (Fish) CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88366 Insitu Hybridization (Fish) CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88367 Insitu Hybridization Auto CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88368 Insitu Hybridization Manual CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88369 M/Phmtrc Alysishquant/Semiq CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88373 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81595 Cardiology Hrt Trnspl mRNA 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

81595 Cardiology Hrt Trnspl mRNA G0452 Molecular Pathology Interpr CMS Edit

86152 Cell Enumeration & Id 88184 Flowcytometry/ Tc 1 Marker CMS Edit

86152 Cell Enumeration & Id 88185 Flowcytometry/Tc Add-On CMS Edit

86152 Cell Enumeration & Id 88187 Flowcytometry/Read 2-8 CMS Edit

86152 Cell Enumeration & Id 88188 Flowcytometry/Read 9-15 CMS Edit

86152 Cell Enumeration & Id 88189 Flowcytometry/Read 16 & > CMS Edit

86152 Cell Enumeration & Id 88342 Immunohisto Antb 1St Stain CMS Edit

86152 Cell Enumeration & Id 88344 Immunohisto Antibody Slide CMS Edit

86152 Cell Enumeration & Id 88360 Tumor Immunohistochem/Manual CMS Edit

86152 Cell Enumeration & Id 88361 Tumor Immunohistochem/Comput CMS Edit

86153 Cell Enumeration Phys Interp 88184 Flowcytometry/ Tc 1 Marker CMS Edit

86153 Cell Enumeration Phys Interp 88185 Flowcytometry/Tc Add-On CMS Edit

86153 Cell Enumeration Phys Interp 88187 Flowcytometry/Read 2-8 CMS Edit

86153 Cell Enumeration Phys Interp 88188 Flowcytometry/Read 9-15 CMS Edit

86153 Cell Enumeration Phys Interp 88189 Flowcytometry/Read 16 & > CMS Edit

86153 Cell Enumeration Phys Interp 88360 Tumor Immunohistochem/Manual CMS Edit

86153 Cell Enumeration Phys Interp 88361 Tumor Immunohistochem/Comput CMS Edit

87149 DNA/RNA Direct Probe 81400 Mopath Procedure Level 1 CMS Edit

87149 DNA/RNA Direct Probe 81401 Mopath Procedure Level 2 CMS Edit

87149 DNA/RNA Direct Probe 81402 Mopath Procedure Level 3 CMS Edit

87149 DNA/RNA Direct Probe 81403 Mopath Procedure Level 4 CMS Edit

87149 DNA/RNA Direct Probe 81404 Mopath Procedure Level 5 CMS Edit

87149 DNA/RNA Direct Probe 81405 Mopath Procedure Level 6 CMS Edit

87149 DNA/RNA Direct Probe 81406 Mopath Procedure Level 7 CMS Edit

87149 DNA/RNA Direct Probe 81407 Mopath Procedure Level 8 CMS Edit

87149 DNA/RNA Direct Probe 81408 Mopath Procedure Level 9 CMS Edit

87149 DNA/RNA Direct Probe 87470 Bartonella DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87471 Bartonella DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87472 Bartonella DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87475 Lyme Dis DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87476 Lyme Dis DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87477 Lyme Dis DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87480 Candida DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87481 Candida DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87482 Candida DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*87149 DNA/RNA Direct Probe 87485 Chylmd Pneum DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87486 Chylmd Pneum DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87487 Chylmd Pneum DNA Quant CMS Edit

Page 322: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

87149 DNA/RNA Direct Probe 87490 Chylmd Trach DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87491 Chylmd Trach DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87492 Chylmd Trach DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87495 Cytomeg DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87496 Cytomeg DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87497 Cytomeg DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87498 Enterovirus Probe&Revrs Trns CMS Edit

87149 DNA/RNA Direct Probe 87510 Gardner Vag DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87511 Gardner Vag DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87512 Gardner Vag DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87515 Hepatitis B DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87516 Hepatitis B DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87517 Hepatitis B DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87520 Hepatitis C RNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

87149 DNA/RNA Direct Probe 87522 Hepatitis C Revrs Trnscrpj CMS Edit

87149 DNA/RNA Direct Probe 87525 Hepatitis G DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87526 Hepatitis G DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87527 Hepatitis G DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87528 HSV DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87529 HSV DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87530 HSV DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87531 HHV-6 DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87532 HHV-6 DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87533 HHV-6 DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87534 HIV-1 DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

87149 DNA/RNA Direct Probe 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

87149 DNA/RNA Direct Probe 87537 HIV-2 DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

87149 DNA/RNA Direct Probe 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

87149 DNA/RNA Direct Probe 87540 Legion Pneumo DNA Dir Prob CMS Edit

87149 DNA/RNA Direct Probe 87541 Legion Pneumo DNA Amp Prob CMS Edit

87149 DNA/RNA Direct Probe 87542 Legion Pneumo DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87550 Mycobacteria DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87551 Mycobacteria DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87552 Mycobacteria DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87555 M.Tuberculo DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87556 M.Tuberculo DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87557 M.Tuberculo DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87560 M.Avium-Intra DNA Dir Prob CMS Edit

87149 DNA/RNA Direct Probe 87561 M.Avium-Intra DNA Amp Prob CMS Edit

87149 DNA/RNA Direct Probe 87562 M.Avium-Intra DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87580 M.Pneumon DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87581 M.Pneumon DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87582 M.Pneumon DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

87149 DNA/RNA Direct Probe 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

87149 DNA/RNA Direct Probe 87592 N.Gonorrhoeae DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87640 Staph A DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87641 Mr-Staph DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87650 Strep A DNA Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87651 Strep A DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87652 Strep A DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 87653 Strep B DNA Amp Probe CMS Edit

87149 DNA/RNA Direct Probe 87660 Trichomonas Vagin Dir Probe CMS Edit

87149 DNA/RNA Direct Probe 87661 Trichomonas Vaginalis Amplif CMS Edit

87149 DNA/RNA Direct Probe 87797 Detect Agent Nos DNA Dir CMS Edit

Page 323: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

87149 DNA/RNA Direct Probe 87798 Detect Agent Nos DNA Amp CMS Edit

87149 DNA/RNA Direct Probe 87799 Detect Agent Nos DNA Quant CMS Edit

87149 DNA/RNA Direct Probe 88387 Tiss Exam Molecular Study CMS Edit

87149 DNA/RNA Direct Probe 88388 Tiss Ex Molecul Study Add-On CMS Edit

87150 DNA/RNA Amplified Probe 81400 Mopath Procedure Level 1 CMS Edit

87150 DNA/RNA Amplified Probe 81401 Mopath Procedure Level 2 CMS Edit

87150 DNA/RNA Amplified Probe 81402 Mopath Procedure Level 3 CMS Edit

87150 DNA/RNA Amplified Probe 81403 Mopath Procedure Level 4 CMS Edit

87150 DNA/RNA Amplified Probe 81404 Mopath Procedure Level 5 CMS Edit

87150 DNA/RNA Amplified Probe 81405 Mopath Procedure Level 6 CMS Edit

87150 DNA/RNA Amplified Probe 81406 Mopath Procedure Level 7 CMS Edit

87150 DNA/RNA Amplified Probe 81407 Mopath Procedure Level 8 CMS Edit

87150 DNA/RNA Amplified Probe 81408 Mopath Procedure Level 9 CMS Edit

87150 DNA/RNA Amplified Probe 87149 DNA/RNA Direct Probe CMS Edit

87150 DNA/RNA Amplified Probe 87470 Bartonella DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87471 Bartonella DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87472 Bartonella DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87475 Lyme Dis DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87476 Lyme Dis DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87477 Lyme Dis DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87480 Candida DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87481 Candida DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87482 Candida DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*87150 DNA/RNA Amplified Probe 87485 Chylmd Pneum DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87486 Chylmd Pneum DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87487 Chylmd Pneum DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87490 Chylmd Trach DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87491 Chylmd Trach DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87492 Chylmd Trach DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87495 Cytomeg DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87496 Cytomeg DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87497 Cytomeg DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87498 Enterovirus Probe&Revrs Trns CMS Edit

87150 DNA/RNA Amplified Probe 87510 Gardner Vag DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87511 Gardner Vag DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87512 Gardner Vag DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87515 Hepatitis B DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87516 Hepatitis B DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87517 Hepatitis B DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87520 Hepatitis C RNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

87150 DNA/RNA Amplified Probe 87522 Hepatitis C Revrs Trnscrpj CMS Edit

87150 DNA/RNA Amplified Probe 87525 Hepatitis G DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87526 Hepatitis G DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87527 Hepatitis G DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87528 HSV DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87529 HSV DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87530 HSV DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87531 HHV-6 DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87532 HHV-6 DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87533 HHV-6 DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87534 HIV-1 DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

87150 DNA/RNA Amplified Probe 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

87150 DNA/RNA Amplified Probe 87537 HIV-2 DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

87150 DNA/RNA Amplified Probe 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

Page 324: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

87150 DNA/RNA Amplified Probe 87540 Legion Pneumo DNA Dir Prob CMS Edit

87150 DNA/RNA Amplified Probe 87541 Legion Pneumo DNA Amp Prob CMS Edit

87150 DNA/RNA Amplified Probe 87542 Legion Pneumo DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87550 Mycobacteria DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87551 Mycobacteria DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87552 Mycobacteria DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87555 M.Tuberculo DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87556 M.Tuberculo DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87557 M.Tuberculo DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87560 M.Avium-Intra DNA Dir Prob CMS Edit

87150 DNA/RNA Amplified Probe 87561 M.Avium-Intra DNA Amp Prob CMS Edit

87150 DNA/RNA Amplified Probe 87562 M.Avium-Intra DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87580 M.Pneumon DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87581 M.Pneumon DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87582 M.Pneumon DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

87150 DNA/RNA Amplified Probe 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

87150 DNA/RNA Amplified Probe 87592 N.Gonorrhoeae DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87640 Staph A DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87641 Mr-Staph DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87650 Strep A DNA Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87651 Strep A DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87652 Strep A DNA Quant CMS Edit

87150 DNA/RNA Amplified Probe 87653 Strep B DNA Amp Probe CMS Edit

87150 DNA/RNA Amplified Probe 87660 Trichomonas Vagin Dir Probe CMS Edit

87150 DNA/RNA Amplified Probe 87661 Trichomonas Vaginalis Amplif CMS Edit

87150 DNA/RNA Amplified Probe 87797 Detect Agent Nos DNA Dir CMS Edit

87150 DNA/RNA Amplified Probe 87798 Detect Agent Nos DNA Amp CMS Edit

87150 DNA/RNA Amplified Probe 87799 Detect Agent Nos DNA Quant CMS Edit

87152 Culture Type Pulse Field Gel 81400 Mopath Procedure Level 1 CMS Edit

87152 Culture Type Pulse Field Gel 81401 Mopath Procedure Level 2 CMS Edit

87152 Culture Type Pulse Field Gel 81402 Mopath Procedure Level 3 CMS Edit

87152 Culture Type Pulse Field Gel 81403 Mopath Procedure Level 4 CMS Edit

87152 Culture Type Pulse Field Gel 81404 Mopath Procedure Level 5 CMS Edit

87152 Culture Type Pulse Field Gel 81405 Mopath Procedure Level 6 CMS Edit

87152 Culture Type Pulse Field Gel 81406 Mopath Procedure Level 7 CMS Edit

87152 Culture Type Pulse Field Gel 81407 Mopath Procedure Level 8 CMS Edit

87152 Culture Type Pulse Field Gel 81408 Mopath Procedure Level 9 CMS Edit

87152 Culture Type Pulse Field Gel 87149 DNA/RNA Direct Probe CMS Edit

87152 Culture Type Pulse Field Gel 87150 DNA/RNA Amplified Probe CMS Edit

87152 Culture Type Pulse Field Gel 87153 DNA/RNA Sequencing CMS Edit

87152 Culture Type Pulse Field Gel 88387 Tiss Exam Molecular Study CMS Edit

87152 Culture Type Pulse Field Gel 88388 Tiss Ex Molecul Study Add-On CMS Edit

87153 DNA/RNA Sequencing 81400 Mopath Procedure Level 1 CMS Edit

87153 DNA/RNA Sequencing 81401 Mopath Procedure Level 2 CMS Edit

87153 DNA/RNA Sequencing 81402 Mopath Procedure Level 3 CMS Edit

87153 DNA/RNA Sequencing 81403 Mopath Procedure Level 4 CMS Edit

87153 DNA/RNA Sequencing 81404 Mopath Procedure Level 5 CMS Edit

87153 DNA/RNA Sequencing 81405 Mopath Procedure Level 6 CMS Edit

87153 DNA/RNA Sequencing 81406 Mopath Procedure Level 7 CMS Edit

87153 DNA/RNA Sequencing 81407 Mopath Procedure Level 8 CMS Edit

87153 DNA/RNA Sequencing 81408 Mopath Procedure Level 9 CMS Edit

87153 DNA/RNA Sequencing 87149 DNA/RNA Direct Probe CMS Edit

87153 DNA/RNA Sequencing 87150 DNA/RNA Amplified Probe CMS Edit

87153 DNA/RNA Sequencing 87470 Bartonella DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87471 Bartonella DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87472 Bartonella DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87475 Lyme Dis DNA Dir Probe CMS Edit

Page 325: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

87153 DNA/RNA Sequencing 87476 Lyme Dis DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87477 Lyme Dis DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87480 Candida DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87481 Candida DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87482 Candida DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87483 CNS DNA Amp Probe Type 12-25 CMS Edit*87153 DNA/RNA Sequencing 87485 Chylmd Pneum DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87486 Chylmd Pneum DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87487 Chylmd Pneum DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87490 Chylmd Trach DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87491 Chylmd Trach DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87492 Chylmd Trach DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87495 Cytomeg DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87496 Cytomeg DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87497 Cytomeg DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87498 Enterovirus Probe&Revrs Trns CMS Edit

87153 DNA/RNA Sequencing 87501 Influenza DNA Amp Prob 1+ CMS Edit

87153 DNA/RNA Sequencing 87502 Influenza DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87510 Gardner Vag DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87511 Gardner Vag DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87512 Gardner Vag DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87515 Hepatitis B DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87516 Hepatitis B DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87517 Hepatitis B DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87520 Hepatitis C RNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

87153 DNA/RNA Sequencing 87522 Hepatitis C Revrs Trnscrpj CMS Edit

87153 DNA/RNA Sequencing 87525 Hepatitis G DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87526 Hepatitis G DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87527 Hepatitis G DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87528 HSV DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87529 HSV DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87530 HSV DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87531 HHV-6 DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87532 HHV-6 DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87533 HHV-6 DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87534 HIV-1 DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

87153 DNA/RNA Sequencing 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

87153 DNA/RNA Sequencing 87537 HIV-2 DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

87153 DNA/RNA Sequencing 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

87153 DNA/RNA Sequencing 87540 Legion Pneumo DNA Dir Prob CMS Edit

87153 DNA/RNA Sequencing 87541 Legion Pneumo DNA Amp Prob CMS Edit

87153 DNA/RNA Sequencing 87542 Legion Pneumo DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87550 Mycobacteria DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87551 Mycobacteria DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87552 Mycobacteria DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87555 M.Tuberculo DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87556 M.Tuberculo DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87557 M.Tuberculo DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87560 M.Avium-Intra DNA Dir Prob CMS Edit

87153 DNA/RNA Sequencing 87561 M.Avium-Intra DNA Amp Prob CMS Edit

87153 DNA/RNA Sequencing 87562 M.Avium-Intra DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87580 M.Pneumon DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87581 M.Pneumon DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87582 M.Pneumon DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

Page 326: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

87153 DNA/RNA Sequencing 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

87153 DNA/RNA Sequencing 87592 N.Gonorrhoeae DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87640 Staph A DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87641 Mr-Staph DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87650 Strep A DNA Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87651 Strep A DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87652 Strep A DNA Quant CMS Edit

87153 DNA/RNA Sequencing 87653 Strep B DNA Amp Probe CMS Edit

87153 DNA/RNA Sequencing 87660 Trichomonas Vagin Dir Probe CMS Edit

87153 DNA/RNA Sequencing 87661 Trichomonas Vaginalis Amplif CMS Edit

87153 DNA/RNA Sequencing 87797 Detect Agent Nos DNA Dir CMS Edit

87153 DNA/RNA Sequencing 87798 Detect Agent Nos DNA Amp CMS Edit

87153 DNA/RNA Sequencing 87799 Detect Agent Nos DNA Quant CMS Edit

87470 Bartonella DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87470 Bartonella DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87470 Bartonella DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87470 Bartonella DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87470 Bartonella DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87470 Bartonella DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87470 Bartonella DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87470 Bartonella DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87470 Bartonella DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87470 Bartonella DNA Dir Probe 87471 Bartonella DNA Amp Probe CMS Edit

87470 Bartonella DNA Dir Probe 87472 Bartonella DNA Quant CMS Edit

87471 Bartonella DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87471 Bartonella DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87471 Bartonella DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87471 Bartonella DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87471 Bartonella DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87471 Bartonella DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87471 Bartonella DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87471 Bartonella DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87471 Bartonella DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87471 Bartonella DNA Amp Probe 87472 Bartonella DNA Quant CMS Edit

87472 Bartonella DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87472 Bartonella DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87472 Bartonella DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87472 Bartonella DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87472 Bartonella DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87472 Bartonella DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87472 Bartonella DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87472 Bartonella DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87472 Bartonella DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87475 Lyme Dis DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87475 Lyme Dis DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87475 Lyme Dis DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87475 Lyme Dis DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87475 Lyme Dis DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87475 Lyme Dis DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87475 Lyme Dis DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87475 Lyme Dis DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87475 Lyme Dis DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87475 Lyme Dis DNA Dir Probe 87476 Lyme Dis DNA Amp Probe CMS Edit

87475 Lyme Dis DNA Dir Probe 87477 Lyme Dis DNA Quant CMS Edit

87476 Lyme Dis DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87476 Lyme Dis DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87476 Lyme Dis DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87476 Lyme Dis DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87476 Lyme Dis DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87476 Lyme Dis DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87476 Lyme Dis DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87476 Lyme Dis DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87476 Lyme Dis DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87476 Lyme Dis DNA Amp Probe 87477 Lyme Dis DNA Quant CMS Edit

87477 Lyme Dis DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87477 Lyme Dis DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87477 Lyme Dis DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87477 Lyme Dis DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87477 Lyme Dis DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87477 Lyme Dis DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87477 Lyme Dis DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87477 Lyme Dis DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87477 Lyme Dis DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87480 Candida DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87480 Candida DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87480 Candida DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87480 Candida DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87480 Candida DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87480 Candida DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87480 Candida DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87480 Candida DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87480 Candida DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87480 Candida DNA Dir Probe 87481 Candida DNA Amp Probe CMS Edit

87480 Candida DNA Dir Probe 87482 Candida DNA Quant CMS Edit

87481 Candida DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87481 Candida DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87481 Candida DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87481 Candida DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87481 Candida DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87481 Candida DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87481 Candida DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87481 Candida DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87481 Candida DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87481 Candida DNA Amp Probe 87482 Candida DNA Quant CMS Edit

87482 Candida DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87482 Candida DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87482 Candida DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87482 Candida DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87482 Candida DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87482 Candida DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87482 Candida DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87482 Candida DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87482 Candida DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87483 CNS DNA Amp Probe Type 12-25 81400 Mopath Procedure Level 1 CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 81401 Mopath Procedure Level 2 CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 81402 Mopath Procedure Level 3 CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 81403 Mopath Procedure Level 4 CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 81404 Mopath Procedure Level 5 CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 81405 Mopath Procedure Level 6 CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 81406 Mopath Procedure Level 7 CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 81407 Mopath Procedure Level 8 CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 81408 Mopath Procedure Level 9 CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87495 Cytomeg DNA Dir Probe CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87496 Cytomeg DNA Amp Probe CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87497 Cytomeg DNA Quant CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87528 HSV DNA Dir Probe CMS Edit*

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Code Code Description Code Code Description Source

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87483 CNS DNA Amp Probe Type 12-25 87529 HSV DNA Amp Probe CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87530 HSV DNA Quant CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87531 HHV-6 DNA Dir Probe CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87532 HHV-6 DNA Amp Probe CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87533 HHV-6 DNA Quant CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87653 Strep B DNA Amp Probe CMS Edit*

87483 CNS DNA Amp Probe Type 12-25 87801 Detect Agnt Mult DNA Ampli CMS Edit*87485 Chylmd Pneum DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87485 Chylmd Pneum DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87485 Chylmd Pneum DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87485 Chylmd Pneum DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87485 Chylmd Pneum DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87485 Chylmd Pneum DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87485 Chylmd Pneum DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87485 Chylmd Pneum DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87485 Chylmd Pneum DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87485 Chylmd Pneum DNA Dir Probe 87486 Chylmd Pneum DNA Amp Probe CMS Edit

87485 Chylmd Pneum DNA Dir Probe 87487 Chylmd Pneum DNA Quant CMS Edit

87486 Chylmd Pneum DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87486 Chylmd Pneum DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87486 Chylmd Pneum DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87486 Chylmd Pneum DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87486 Chylmd Pneum DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87486 Chylmd Pneum DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87486 Chylmd Pneum DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87486 Chylmd Pneum DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87486 Chylmd Pneum DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87486 Chylmd Pneum DNA Amp Probe 87487 Chylmd Pneum DNA Quant CMS Edit

87487 Chylmd Pneum DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87487 Chylmd Pneum DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87487 Chylmd Pneum DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87487 Chylmd Pneum DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87487 Chylmd Pneum DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87487 Chylmd Pneum DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87487 Chylmd Pneum DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87487 Chylmd Pneum DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87487 Chylmd Pneum DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87490 Chylmd Trach DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87490 Chylmd Trach DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87490 Chylmd Trach DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87490 Chylmd Trach DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87490 Chylmd Trach DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87490 Chylmd Trach DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87490 Chylmd Trach DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87490 Chylmd Trach DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87490 Chylmd Trach DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87490 Chylmd Trach DNA Dir Probe 87491 Chylmd Trach DNA Amp Probe CMS Edit

87490 Chylmd Trach DNA Dir Probe 87492 Chylmd Trach DNA Quant CMS Edit

87491 Chylmd Trach DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87491 Chylmd Trach DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87491 Chylmd Trach DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87491 Chylmd Trach DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87491 Chylmd Trach DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87491 Chylmd Trach DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87491 Chylmd Trach DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87491 Chylmd Trach DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87491 Chylmd Trach DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87491 Chylmd Trach DNA Amp Probe 87492 Chylmd Trach DNA Quant CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87492 Chylmd Trach DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87492 Chylmd Trach DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87492 Chylmd Trach DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87492 Chylmd Trach DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87492 Chylmd Trach DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87492 Chylmd Trach DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87492 Chylmd Trach DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87492 Chylmd Trach DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87492 Chylmd Trach DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87493 C Diff Amplified Probe 81400 Mopath Procedure Level 1 CMS Edit

87493 C Diff Amplified Probe 81401 Mopath Procedure Level 2 CMS Edit

87493 C Diff Amplified Probe 81402 Mopath Procedure Level 3 CMS Edit

87493 C Diff Amplified Probe 81403 Mopath Procedure Level 4 CMS Edit

87493 C Diff Amplified Probe 81404 Mopath Procedure Level 5 CMS Edit

87493 C Diff Amplified Probe 81405 Mopath Procedure Level 6 CMS Edit

87493 C Diff Amplified Probe 81406 Mopath Procedure Level 7 CMS Edit

87493 C Diff Amplified Probe 81407 Mopath Procedure Level 8 CMS Edit

87493 C Diff Amplified Probe 81408 Mopath Procedure Level 9 CMS Edit

87493 C Diff Amplified Probe 87149 DNA/RNA Direct Probe CMS Edit

87495 Cytomeg DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87495 Cytomeg DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87495 Cytomeg DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87495 Cytomeg DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87495 Cytomeg DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87495 Cytomeg DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87495 Cytomeg DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87495 Cytomeg DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87495 Cytomeg DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87495 Cytomeg DNA Dir Probe 87496 Cytomeg DNA Amp Probe CMS Edit

87495 Cytomeg DNA Dir Probe 87497 Cytomeg DNA Quant CMS Edit

87496 Cytomeg DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87496 Cytomeg DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87496 Cytomeg DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87496 Cytomeg DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87496 Cytomeg DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87496 Cytomeg DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87496 Cytomeg DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87496 Cytomeg DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87496 Cytomeg DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87496 Cytomeg DNA Amp Probe 87497 Cytomeg DNA Quant CMS Edit

87497 Cytomeg DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87497 Cytomeg DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87497 Cytomeg DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87497 Cytomeg DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87497 Cytomeg DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87497 Cytomeg DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87497 Cytomeg DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87497 Cytomeg DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87497 Cytomeg DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87498 Enterovirus Probe&Revrs Trns 81400 Mopath Procedure Level 1 CMS Edit

87498 Enterovirus Probe&Revrs Trns 81401 Mopath Procedure Level 2 CMS Edit

87498 Enterovirus Probe&Revrs Trns 81402 Mopath Procedure Level 3 CMS Edit

87498 Enterovirus Probe&Revrs Trns 81403 Mopath Procedure Level 4 CMS Edit

87498 Enterovirus Probe&Revrs Trns 81404 Mopath Procedure Level 5 CMS Edit

87498 Enterovirus Probe&Revrs Trns 81405 Mopath Procedure Level 6 CMS Edit

87498 Enterovirus Probe&Revrs Trns 81406 Mopath Procedure Level 7 CMS Edit

87498 Enterovirus Probe&Revrs Trns 81407 Mopath Procedure Level 8 CMS Edit

87498 Enterovirus Probe&Revrs Trns 81408 Mopath Procedure Level 9 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87500 Vanomycin DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87500 Vanomycin DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87500 Vanomycin DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87500 Vanomycin DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87500 Vanomycin DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87500 Vanomycin DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87500 Vanomycin DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87500 Vanomycin DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87500 Vanomycin DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87500 Vanomycin DNA Amp Probe 87149 DNA/RNA Direct Probe CMS Edit

87500 Vanomycin DNA Amp Probe 87150 DNA/RNA Amplified Probe CMS Edit

87500 Vanomycin DNA Amp Probe 87153 DNA/RNA Sequencing CMS Edit

87501 Influenza DNA Amp Prob 1+ 81400 Mopath Procedure Level 1 CMS Edit

87501 Influenza DNA Amp Prob 1+ 81401 Mopath Procedure Level 2 CMS Edit

87501 Influenza DNA Amp Prob 1+ 81402 Mopath Procedure Level 3 CMS Edit

87501 Influenza DNA Amp Prob 1+ 81403 Mopath Procedure Level 4 CMS Edit

87501 Influenza DNA Amp Prob 1+ 81404 Mopath Procedure Level 5 CMS Edit

87501 Influenza DNA Amp Prob 1+ 81405 Mopath Procedure Level 6 CMS Edit

87501 Influenza DNA Amp Prob 1+ 81406 Mopath Procedure Level 7 CMS Edit

87501 Influenza DNA Amp Prob 1+ 81407 Mopath Procedure Level 8 CMS Edit

87501 Influenza DNA Amp Prob 1+ 81408 Mopath Procedure Level 9 CMS Edit

87501 Influenza DNA Amp Prob 1+ 87149 DNA/RNA Direct Probe CMS Edit

87501 Influenza DNA Amp Prob 1+ 87150 DNA/RNA Amplified Probe CMS Edit

87502 Influenza DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87502 Influenza DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87502 Influenza DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87502 Influenza DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87502 Influenza DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87502 Influenza DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87502 Influenza DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87502 Influenza DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87502 Influenza DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87502 Influenza DNA Amp Probe 87149 DNA/RNA Direct Probe CMS Edit

87502 Influenza DNA Amp Probe 87150 DNA/RNA Amplified Probe CMS Edit

87502 Influenza DNA Amp Probe 87501 Influenza DNA Amp Prob 1+ CMS Edit

87503 Influenza DNA Amp Prob Addl 81400 Mopath Procedure Level 1 CMS Edit

87503 Influenza DNA Amp Prob Addl 81401 Mopath Procedure Level 2 CMS Edit

87503 Influenza DNA Amp Prob Addl 81402 Mopath Procedure Level 3 CMS Edit

87503 Influenza DNA Amp Prob Addl 81403 Mopath Procedure Level 4 CMS Edit

87503 Influenza DNA Amp Prob Addl 81404 Mopath Procedure Level 5 CMS Edit

87503 Influenza DNA Amp Prob Addl 81405 Mopath Procedure Level 6 CMS Edit

87503 Influenza DNA Amp Prob Addl 81406 Mopath Procedure Level 7 CMS Edit

87503 Influenza DNA Amp Prob Addl 81407 Mopath Procedure Level 8 CMS Edit

87503 Influenza DNA Amp Prob Addl 81408 Mopath Procedure Level 9 CMS Edit

87505 Nfct Agent Detection Gi 87493 C Diff Amplified Probe CMS Edit

87505 Nfct Agent Detection Gi 87801 Detect Agnt Mult DNA Ampli CMS Edit

87506 Iadna-DNA/RNA Probe Tq 6-11 87493 C Diff Amplified Probe CMS Edit

87506 Iadna-DNA/RNA Probe Tq 6-11 87505 Nfct Agent Detection Gi CMS Edit

87506 Iadna-DNA/RNA Probe Tq 6-11 87801 Detect Agnt Mult DNA Ampli CMS Edit

87507 Iadna-DNA/RNA Probe Tq 12-25 87493 C Diff Amplified Probe CMS Edit

87507 Iadna-DNA/RNA Probe Tq 12-25 87505 Nfct Agent Detection Gi CMS Edit

87507 Iadna-DNA/RNA Probe Tq 12-25 87506 Iadna-DNA/RNA Probe Tq 6-11 CMS Edit

87507 Iadna-DNA/RNA Probe Tq 12-25 87801 Detect Agnt Mult DNA Ampli CMS Edit

87510 Gardner Vag DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87510 Gardner Vag DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87510 Gardner Vag DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87510 Gardner Vag DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87510 Gardner Vag DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

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Code Code Description Code Code Description Source

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87510 Gardner Vag DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87510 Gardner Vag DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87510 Gardner Vag DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87510 Gardner Vag DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87510 Gardner Vag DNA Dir Probe 87511 Gardner Vag DNA Amp Probe CMS Edit

87510 Gardner Vag DNA Dir Probe 87512 Gardner Vag DNA Quant CMS Edit

87511 Gardner Vag DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87511 Gardner Vag DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87511 Gardner Vag DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87511 Gardner Vag DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87511 Gardner Vag DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87511 Gardner Vag DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87511 Gardner Vag DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87511 Gardner Vag DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87511 Gardner Vag DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87511 Gardner Vag DNA Amp Probe 87512 Gardner Vag DNA Quant CMS Edit

87512 Gardner Vag DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87512 Gardner Vag DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87512 Gardner Vag DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87512 Gardner Vag DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87512 Gardner Vag DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87512 Gardner Vag DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87512 Gardner Vag DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87512 Gardner Vag DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87512 Gardner Vag DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87515 Hepatitis B DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87515 Hepatitis B DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87515 Hepatitis B DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87515 Hepatitis B DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87515 Hepatitis B DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87515 Hepatitis B DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87515 Hepatitis B DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87515 Hepatitis B DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87515 Hepatitis B DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87515 Hepatitis B DNA Dir Probe 87516 Hepatitis B DNA Amp Probe CMS Edit

87515 Hepatitis B DNA Dir Probe 87517 Hepatitis B DNA Quant CMS Edit

87516 Hepatitis B DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87516 Hepatitis B DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87516 Hepatitis B DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87516 Hepatitis B DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87516 Hepatitis B DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87516 Hepatitis B DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87516 Hepatitis B DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87516 Hepatitis B DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87516 Hepatitis B DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87516 Hepatitis B DNA Amp Probe 87517 Hepatitis B DNA Quant CMS Edit

87517 Hepatitis B DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87517 Hepatitis B DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87517 Hepatitis B DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87517 Hepatitis B DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87517 Hepatitis B DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87517 Hepatitis B DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87517 Hepatitis B DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87517 Hepatitis B DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87517 Hepatitis B DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87520 Hepatitis C RNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87520 Hepatitis C RNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87520 Hepatitis C RNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87520 Hepatitis C RNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87520 Hepatitis C RNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87520 Hepatitis C RNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87520 Hepatitis C RNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87520 Hepatitis C RNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87520 Hepatitis C RNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87520 Hepatitis C RNA Dir Probe 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

87520 Hepatitis C RNA Dir Probe 87522 Hepatitis C Revrs Trnscrpj CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 81400 Mopath Procedure Level 1 CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 81401 Mopath Procedure Level 2 CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 81402 Mopath Procedure Level 3 CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 81403 Mopath Procedure Level 4 CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 81404 Mopath Procedure Level 5 CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 81405 Mopath Procedure Level 6 CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 81406 Mopath Procedure Level 7 CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 81407 Mopath Procedure Level 8 CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 81408 Mopath Procedure Level 9 CMS Edit

87521 Hepatitis C Probe&Rvrs Trnsc 87522 Hepatitis C Revrs Trnscrpj CMS Edit

87522 Hepatitis C Revrs Trnscrpj 81400 Mopath Procedure Level 1 CMS Edit

87522 Hepatitis C Revrs Trnscrpj 81401 Mopath Procedure Level 2 CMS Edit

87522 Hepatitis C Revrs Trnscrpj 81402 Mopath Procedure Level 3 CMS Edit

87522 Hepatitis C Revrs Trnscrpj 81403 Mopath Procedure Level 4 CMS Edit

87522 Hepatitis C Revrs Trnscrpj 81404 Mopath Procedure Level 5 CMS Edit

87522 Hepatitis C Revrs Trnscrpj 81405 Mopath Procedure Level 6 CMS Edit

87522 Hepatitis C Revrs Trnscrpj 81406 Mopath Procedure Level 7 CMS Edit

87522 Hepatitis C Revrs Trnscrpj 81407 Mopath Procedure Level 8 CMS Edit

87522 Hepatitis C Revrs Trnscrpj 81408 Mopath Procedure Level 9 CMS Edit

87525 Hepatitis G DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87525 Hepatitis G DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87525 Hepatitis G DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87525 Hepatitis G DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87525 Hepatitis G DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87525 Hepatitis G DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87525 Hepatitis G DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87525 Hepatitis G DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87525 Hepatitis G DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87525 Hepatitis G DNA Dir Probe 87526 Hepatitis G DNA Amp Probe CMS Edit

87525 Hepatitis G DNA Dir Probe 87527 Hepatitis G DNA Quant CMS Edit

87526 Hepatitis G DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87526 Hepatitis G DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87526 Hepatitis G DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87526 Hepatitis G DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87526 Hepatitis G DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87526 Hepatitis G DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87526 Hepatitis G DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87526 Hepatitis G DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87526 Hepatitis G DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87526 Hepatitis G DNA Amp Probe 87527 Hepatitis G DNA Quant CMS Edit

87527 Hepatitis G DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87527 Hepatitis G DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87527 Hepatitis G DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87527 Hepatitis G DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87527 Hepatitis G DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87527 Hepatitis G DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87527 Hepatitis G DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87527 Hepatitis G DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87527 Hepatitis G DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87528 HSV DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87528 HSV DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87528 HSV DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87528 HSV DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87528 HSV DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87528 HSV DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87528 HSV DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87528 HSV DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87528 HSV DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87528 HSV DNA Dir Probe 87529 HSV DNA Amp Probe CMS Edit

87528 HSV DNA Dir Probe 87530 HSV DNA Quant CMS Edit

87529 HSV DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87529 HSV DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87529 HSV DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87529 HSV DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87529 HSV DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87529 HSV DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87529 HSV DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87529 HSV DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87529 HSV DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87529 HSV DNA Amp Probe 87530 HSV DNA Quant CMS Edit

87530 HSV DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87530 HSV DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87530 HSV DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87530 HSV DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87530 HSV DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87530 HSV DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87530 HSV DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87530 HSV DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87530 HSV DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87531 HHV-6 DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87531 HHV-6 DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87531 HHV-6 DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87531 HHV-6 DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87531 HHV-6 DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87531 HHV-6 DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87531 HHV-6 DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87531 HHV-6 DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87531 HHV-6 DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87531 HHV-6 DNA Dir Probe 87532 HHV-6 DNA Amp Probe CMS Edit

87531 HHV-6 DNA Dir Probe 87533 HHV-6 DNA Quant CMS Edit

87532 HHV-6 DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87532 HHV-6 DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87532 HHV-6 DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87532 HHV-6 DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87532 HHV-6 DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87532 HHV-6 DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87532 HHV-6 DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87532 HHV-6 DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87532 HHV-6 DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87532 HHV-6 DNA Amp Probe 87533 HHV-6 DNA Quant CMS Edit

87533 HHV-6 DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87533 HHV-6 DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87533 HHV-6 DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87533 HHV-6 DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87533 HHV-6 DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87533 HHV-6 DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87533 HHV-6 DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87533 HHV-6 DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87533 HHV-6 DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87534 HIV-1 DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87534 HIV-1 DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87534 HIV-1 DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87534 HIV-1 DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87534 HIV-1 DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87534 HIV-1 DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87534 HIV-1 DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87534 HIV-1 DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87534 HIV-1 DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87534 HIV-1 DNA Dir Probe 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

87534 HIV-1 DNA Dir Probe 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 81400 Mopath Procedure Level 1 CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 81401 Mopath Procedure Level 2 CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 81402 Mopath Procedure Level 3 CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 81403 Mopath Procedure Level 4 CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 81404 Mopath Procedure Level 5 CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 81405 Mopath Procedure Level 6 CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 81406 Mopath Procedure Level 7 CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 81407 Mopath Procedure Level 8 CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 81408 Mopath Procedure Level 9 CMS Edit

87535 HIV-1 Probe&Reverse Trnscrpj 87536 HIV-1 Quant&Revrse Trnscrpj CMS Edit

87536 HIV-1 Quant&Revrse Trnscrpj 81400 Mopath Procedure Level 1 CMS Edit

87536 HIV-1 Quant&Revrse Trnscrpj 81401 Mopath Procedure Level 2 CMS Edit

87536 HIV-1 Quant&Revrse Trnscrpj 81402 Mopath Procedure Level 3 CMS Edit

87536 HIV-1 Quant&Revrse Trnscrpj 81403 Mopath Procedure Level 4 CMS Edit

87536 HIV-1 Quant&Revrse Trnscrpj 81404 Mopath Procedure Level 5 CMS Edit

87536 HIV-1 Quant&Revrse Trnscrpj 81405 Mopath Procedure Level 6 CMS Edit

87536 HIV-1 Quant&Revrse Trnscrpj 81406 Mopath Procedure Level 7 CMS Edit

87536 HIV-1 Quant&Revrse Trnscrpj 81407 Mopath Procedure Level 8 CMS Edit

87536 HIV-1 Quant&Revrse Trnscrpj 81408 Mopath Procedure Level 9 CMS Edit

87537 HIV-2 DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87537 HIV-2 DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87537 HIV-2 DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87537 HIV-2 DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87537 HIV-2 DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87537 HIV-2 DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87537 HIV-2 DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87537 HIV-2 DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87537 HIV-2 DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87537 HIV-2 DNA Dir Probe 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

87537 HIV-2 DNA Dir Probe 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 81400 Mopath Procedure Level 1 CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 81401 Mopath Procedure Level 2 CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 81402 Mopath Procedure Level 3 CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 81403 Mopath Procedure Level 4 CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 81404 Mopath Procedure Level 5 CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 81405 Mopath Procedure Level 6 CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 81406 Mopath Procedure Level 7 CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 81407 Mopath Procedure Level 8 CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 81408 Mopath Procedure Level 9 CMS Edit

87538 HIV-2 Probe&Revrse Trnscripj 87539 HIV-2 Quant&Revrse Trnscripj CMS Edit

87539 HIV-2 Quant&Revrse Trnscripj 81400 Mopath Procedure Level 1 CMS Edit

87539 HIV-2 Quant&Revrse Trnscripj 81401 Mopath Procedure Level 2 CMS Edit

87539 HIV-2 Quant&Revrse Trnscripj 81402 Mopath Procedure Level 3 CMS Edit

87539 HIV-2 Quant&Revrse Trnscripj 81403 Mopath Procedure Level 4 CMS Edit

87539 HIV-2 Quant&Revrse Trnscripj 81404 Mopath Procedure Level 5 CMS Edit

87539 HIV-2 Quant&Revrse Trnscripj 81405 Mopath Procedure Level 6 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87539 HIV-2 Quant&Revrse Trnscripj 81406 Mopath Procedure Level 7 CMS Edit

87539 HIV-2 Quant&Revrse Trnscripj 81407 Mopath Procedure Level 8 CMS Edit

87539 HIV-2 Quant&Revrse Trnscripj 81408 Mopath Procedure Level 9 CMS Edit

87540 Legion Pneumo DNA Dir Prob 81400 Mopath Procedure Level 1 CMS Edit

87540 Legion Pneumo DNA Dir Prob 81401 Mopath Procedure Level 2 CMS Edit

87540 Legion Pneumo DNA Dir Prob 81402 Mopath Procedure Level 3 CMS Edit

87540 Legion Pneumo DNA Dir Prob 81403 Mopath Procedure Level 4 CMS Edit

87540 Legion Pneumo DNA Dir Prob 81404 Mopath Procedure Level 5 CMS Edit

87540 Legion Pneumo DNA Dir Prob 81405 Mopath Procedure Level 6 CMS Edit

87540 Legion Pneumo DNA Dir Prob 81406 Mopath Procedure Level 7 CMS Edit

87540 Legion Pneumo DNA Dir Prob 81407 Mopath Procedure Level 8 CMS Edit

87540 Legion Pneumo DNA Dir Prob 81408 Mopath Procedure Level 9 CMS Edit

87540 Legion Pneumo DNA Dir Prob 87541 Legion Pneumo DNA Amp Prob CMS Edit

87540 Legion Pneumo DNA Dir Prob 87542 Legion Pneumo DNA Quant CMS Edit

87541 Legion Pneumo DNA Amp Prob 81400 Mopath Procedure Level 1 CMS Edit

87541 Legion Pneumo DNA Amp Prob 81401 Mopath Procedure Level 2 CMS Edit

87541 Legion Pneumo DNA Amp Prob 81402 Mopath Procedure Level 3 CMS Edit

87541 Legion Pneumo DNA Amp Prob 81403 Mopath Procedure Level 4 CMS Edit

87541 Legion Pneumo DNA Amp Prob 81404 Mopath Procedure Level 5 CMS Edit

87541 Legion Pneumo DNA Amp Prob 81405 Mopath Procedure Level 6 CMS Edit

87541 Legion Pneumo DNA Amp Prob 81406 Mopath Procedure Level 7 CMS Edit

87541 Legion Pneumo DNA Amp Prob 81407 Mopath Procedure Level 8 CMS Edit

87541 Legion Pneumo DNA Amp Prob 81408 Mopath Procedure Level 9 CMS Edit

87541 Legion Pneumo DNA Amp Prob 87542 Legion Pneumo DNA Quant CMS Edit

87542 Legion Pneumo DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87542 Legion Pneumo DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87542 Legion Pneumo DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87542 Legion Pneumo DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87542 Legion Pneumo DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87542 Legion Pneumo DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87542 Legion Pneumo DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87542 Legion Pneumo DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87542 Legion Pneumo DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87550 Mycobacteria DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87550 Mycobacteria DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87550 Mycobacteria DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87550 Mycobacteria DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87550 Mycobacteria DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87550 Mycobacteria DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87550 Mycobacteria DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87550 Mycobacteria DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87550 Mycobacteria DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87550 Mycobacteria DNA Dir Probe 87551 Mycobacteria DNA Amp Probe CMS Edit

87550 Mycobacteria DNA Dir Probe 87552 Mycobacteria DNA Quant CMS Edit

87551 Mycobacteria DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87551 Mycobacteria DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87551 Mycobacteria DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87551 Mycobacteria DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87551 Mycobacteria DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87551 Mycobacteria DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87551 Mycobacteria DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87551 Mycobacteria DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87551 Mycobacteria DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87551 Mycobacteria DNA Amp Probe 87552 Mycobacteria DNA Quant CMS Edit

87552 Mycobacteria DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87552 Mycobacteria DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87552 Mycobacteria DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87552 Mycobacteria DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87552 Mycobacteria DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87552 Mycobacteria DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87552 Mycobacteria DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87552 Mycobacteria DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87552 Mycobacteria DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87555 M.Tuberculo DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87555 M.Tuberculo DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87555 M.Tuberculo DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87555 M.Tuberculo DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87555 M.Tuberculo DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87555 M.Tuberculo DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87555 M.Tuberculo DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87555 M.Tuberculo DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87555 M.Tuberculo DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87555 M.Tuberculo DNA Dir Probe 87556 M.Tuberculo DNA Amp Probe CMS Edit

87555 M.Tuberculo DNA Dir Probe 87557 M.Tuberculo DNA Quant CMS Edit

87556 M.Tuberculo DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87556 M.Tuberculo DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87556 M.Tuberculo DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87556 M.Tuberculo DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87556 M.Tuberculo DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87556 M.Tuberculo DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87556 M.Tuberculo DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87556 M.Tuberculo DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87556 M.Tuberculo DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87556 M.Tuberculo DNA Amp Probe 87557 M.Tuberculo DNA Quant CMS Edit

87557 M.Tuberculo DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87557 M.Tuberculo DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87557 M.Tuberculo DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87557 M.Tuberculo DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87557 M.Tuberculo DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87557 M.Tuberculo DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87557 M.Tuberculo DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87557 M.Tuberculo DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87557 M.Tuberculo DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 81400 Mopath Procedure Level 1 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 81401 Mopath Procedure Level 2 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 81402 Mopath Procedure Level 3 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 81403 Mopath Procedure Level 4 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 81404 Mopath Procedure Level 5 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 81405 Mopath Procedure Level 6 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 81406 Mopath Procedure Level 7 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 81407 Mopath Procedure Level 8 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 81408 Mopath Procedure Level 9 CMS Edit

87560 M.Avium-Intra DNA Dir Prob 87561 M.Avium-Intra DNA Amp Prob CMS Edit

87560 M.Avium-Intra DNA Dir Prob 87562 M.Avium-Intra DNA Quant CMS Edit

87561 M.Avium-Intra DNA Amp Prob 81400 Mopath Procedure Level 1 CMS Edit

87561 M.Avium-Intra DNA Amp Prob 81401 Mopath Procedure Level 2 CMS Edit

87561 M.Avium-Intra DNA Amp Prob 81402 Mopath Procedure Level 3 CMS Edit

87561 M.Avium-Intra DNA Amp Prob 81403 Mopath Procedure Level 4 CMS Edit

87561 M.Avium-Intra DNA Amp Prob 81404 Mopath Procedure Level 5 CMS Edit

87561 M.Avium-Intra DNA Amp Prob 81405 Mopath Procedure Level 6 CMS Edit

87561 M.Avium-Intra DNA Amp Prob 81406 Mopath Procedure Level 7 CMS Edit

87561 M.Avium-Intra DNA Amp Prob 81407 Mopath Procedure Level 8 CMS Edit

87561 M.Avium-Intra DNA Amp Prob 81408 Mopath Procedure Level 9 CMS Edit

87561 M.Avium-Intra DNA Amp Prob 87562 M.Avium-Intra DNA Quant CMS Edit

87562 M.Avium-Intra DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87562 M.Avium-Intra DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87562 M.Avium-Intra DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87562 M.Avium-Intra DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87562 M.Avium-Intra DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87562 M.Avium-Intra DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87562 M.Avium-Intra DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87562 M.Avium-Intra DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87562 M.Avium-Intra DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87580 M.Pneumon DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87580 M.Pneumon DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87580 M.Pneumon DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87580 M.Pneumon DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87580 M.Pneumon DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87580 M.Pneumon DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87580 M.Pneumon DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87580 M.Pneumon DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87580 M.Pneumon DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87580 M.Pneumon DNA Dir Probe 87581 M.Pneumon DNA Amp Probe CMS Edit

87580 M.Pneumon DNA Dir Probe 87582 M.Pneumon DNA Quant CMS Edit

87581 M.Pneumon DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87581 M.Pneumon DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87581 M.Pneumon DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87581 M.Pneumon DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87581 M.Pneumon DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87581 M.Pneumon DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87581 M.Pneumon DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87581 M.Pneumon DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87581 M.Pneumon DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87581 M.Pneumon DNA Amp Probe 87582 M.Pneumon DNA Quant CMS Edit

87582 M.Pneumon DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87582 M.Pneumon DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87582 M.Pneumon DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87582 M.Pneumon DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87582 M.Pneumon DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87582 M.Pneumon DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87582 M.Pneumon DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87582 M.Pneumon DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87582 M.Pneumon DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 81400 Mopath Procedure Level 1 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 81401 Mopath Procedure Level 2 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 81402 Mopath Procedure Level 3 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 81403 Mopath Procedure Level 4 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 81404 Mopath Procedure Level 5 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 81405 Mopath Procedure Level 6 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 81406 Mopath Procedure Level 7 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 81407 Mopath Procedure Level 8 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 81408 Mopath Procedure Level 9 CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

87590 N.Gonorrhoeae DNA Dir Prob 87592 N.Gonorrhoeae DNA Quant CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 81400 Mopath Procedure Level 1 CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 81401 Mopath Procedure Level 2 CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 81402 Mopath Procedure Level 3 CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 81403 Mopath Procedure Level 4 CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 81404 Mopath Procedure Level 5 CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 81405 Mopath Procedure Level 6 CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 81406 Mopath Procedure Level 7 CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 81407 Mopath Procedure Level 8 CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 81408 Mopath Procedure Level 9 CMS Edit

87591 N.Gonorrhoeae DNA Amp Prob 87592 N.Gonorrhoeae DNA Quant CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87592 N.Gonorrhoeae DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87592 N.Gonorrhoeae DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87592 N.Gonorrhoeae DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87592 N.Gonorrhoeae DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87592 N.Gonorrhoeae DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87592 N.Gonorrhoeae DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87592 N.Gonorrhoeae DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87592 N.Gonorrhoeae DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87592 N.Gonorrhoeae DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87623 HPV Low-Risk Types 81400 Mopath Procedure Level 1 CMS Edit

87623 HPV Low-Risk Types 81401 Mopath Procedure Level 2 CMS Edit

87623 HPV Low-Risk Types 81402 Mopath Procedure Level 3 CMS Edit

87623 HPV Low-Risk Types 81403 Mopath Procedure Level 4 CMS Edit

87623 HPV Low-Risk Types 81404 Mopath Procedure Level 5 CMS Edit

87623 HPV Low-Risk Types 81405 Mopath Procedure Level 6 CMS Edit

87623 HPV Low-Risk Types 81406 Mopath Procedure Level 7 CMS Edit

87623 HPV Low-Risk Types 81407 Mopath Procedure Level 8 CMS Edit

87623 HPV Low-Risk Types 81408 Mopath Procedure Level 9 CMS Edit

87623 HPV Low-Risk Types 87149 DNA/RNA Direct Probe CMS Edit

87623 HPV Low-Risk Types 87150 DNA/RNA Amplified Probe CMS Edit

87623 HPV Low-Risk Types 87153 DNA/RNA Sequencing CMS Edit

87624 HPV High-Risk Types 81400 Mopath Procedure Level 1 CMS Edit

87624 HPV High-Risk Types 81401 Mopath Procedure Level 2 CMS Edit

87624 HPV High-Risk Types 81402 Mopath Procedure Level 3 CMS Edit

87624 HPV High-Risk Types 81403 Mopath Procedure Level 4 CMS Edit

87624 HPV High-Risk Types 81404 Mopath Procedure Level 5 CMS Edit

87624 HPV High-Risk Types 81405 Mopath Procedure Level 6 CMS Edit

87624 HPV High-Risk Types 81406 Mopath Procedure Level 7 CMS Edit

87624 HPV High-Risk Types 81407 Mopath Procedure Level 8 CMS Edit

87624 HPV High-Risk Types 81408 Mopath Procedure Level 9 CMS Edit

87624 HPV High-Risk Types 87149 DNA/RNA Direct Probe CMS Edit

87624 HPV High-Risk Types 87150 DNA/RNA Amplified Probe CMS Edit

87624 HPV High-Risk Types 87153 DNA/RNA Sequencing CMS Edit

87624 HPV High-Risk Types 87623 HPV Low-Risk Types CMS Edit

87624 HPV High-Risk Types 87625 HPV Types 16 & 18 Only CMS Edit

87624 HPV High-Risk Types G0476 HPV Combo Assay Ca Screen CMS Edit**87625 HPV Types 16 & 18 Only 81400 Mopath Procedure Level 1 CMS Edit

87625 HPV Types 16 & 18 Only 81401 Mopath Procedure Level 2 CMS Edit

87625 HPV Types 16 & 18 Only 81402 Mopath Procedure Level 3 CMS Edit

87625 HPV Types 16 & 18 Only 81403 Mopath Procedure Level 4 CMS Edit

87625 HPV Types 16 & 18 Only 81404 Mopath Procedure Level 5 CMS Edit

87625 HPV Types 16 & 18 Only 81405 Mopath Procedure Level 6 CMS Edit

87625 HPV Types 16 & 18 Only 81406 Mopath Procedure Level 7 CMS Edit

87625 HPV Types 16 & 18 Only 81407 Mopath Procedure Level 8 CMS Edit

87625 HPV Types 16 & 18 Only 81408 Mopath Procedure Level 9 CMS Edit

87625 HPV Types 16 & 18 Only 87149 DNA/RNA Direct Probe CMS Edit

87625 HPV Types 16 & 18 Only 87150 DNA/RNA Amplified Probe CMS Edit

87625 HPV Types 16 & 18 Only 87153 DNA/RNA Sequencing CMS Edit

87631 Resp Virus 3-5 Targets 87501 Influenza DNA Amp Prob 1+ CMS Edit

87631 Resp Virus 3-5 Targets 87502 Influenza DNA Amp Probe CMS Edit

87631 Resp Virus 3-5 Targets 87503 Influenza DNA Amp Prob Addl CMS Edit

87631 Resp Virus 3-5 Targets 87801 Detect Agnt Mult DNA Ampli CMS Edit

87632 Resp Virus 6-11 Targets 87501 Influenza DNA Amp Prob 1+ CMS Edit

87632 Resp Virus 6-11 Targets 87502 Influenza DNA Amp Probe CMS Edit

87632 Resp Virus 6-11 Targets 87503 Influenza DNA Amp Prob Addl CMS Edit

87632 Resp Virus 6-11 Targets 87631 Resp Virus 3-5 Targets CMS Edit

87632 Resp Virus 6-11 Targets 87801 Detect Agnt Mult DNA Ampli CMS Edit

87633 Resp Virus 12-25 Targets 87501 Influenza DNA Amp Prob 1+ CMS Edit

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Code Code Description Code Code Description Source

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87633 Resp Virus 12-25 Targets 87502 Influenza DNA Amp Probe CMS Edit

87633 Resp Virus 12-25 Targets 87503 Influenza DNA Amp Prob Addl CMS Edit

87633 Resp Virus 12-25 Targets 87631 Resp Virus 3-5 Targets CMS Edit

87633 Resp Virus 12-25 Targets 87632 Resp Virus 6-11 Targets CMS Edit

87633 Resp Virus 12-25 Targets 87801 Detect Agnt Mult DNA Ampli CMS Edit

87640 Staph A DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87640 Staph A DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87640 Staph A DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87640 Staph A DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87640 Staph A DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87640 Staph A DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87640 Staph A DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87640 Staph A DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87640 Staph A DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87641 Mr-Staph DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87641 Mr-Staph DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87641 Mr-Staph DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87641 Mr-Staph DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87641 Mr-Staph DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87641 Mr-Staph DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87641 Mr-Staph DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87641 Mr-Staph DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87641 Mr-Staph DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87641 Mr-Staph DNA Amp Probe 87640 Staph A DNA Amp Probe CMS Edit

87650 Strep A DNA Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87650 Strep A DNA Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87650 Strep A DNA Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87650 Strep A DNA Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87650 Strep A DNA Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87650 Strep A DNA Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87650 Strep A DNA Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87650 Strep A DNA Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87650 Strep A DNA Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87650 Strep A DNA Dir Probe 87651 Strep A DNA Amp Probe CMS Edit

87650 Strep A DNA Dir Probe 87652 Strep A DNA Quant CMS Edit

87651 Strep A DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87651 Strep A DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87651 Strep A DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87651 Strep A DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

87651 Strep A DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87651 Strep A DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87651 Strep A DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87651 Strep A DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87651 Strep A DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87651 Strep A DNA Amp Probe 87652 Strep A DNA Quant CMS Edit

87652 Strep A DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87652 Strep A DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87652 Strep A DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87652 Strep A DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87652 Strep A DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87652 Strep A DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87652 Strep A DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87652 Strep A DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87652 Strep A DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87653 Strep B DNA Amp Probe 81400 Mopath Procedure Level 1 CMS Edit

87653 Strep B DNA Amp Probe 81401 Mopath Procedure Level 2 CMS Edit

87653 Strep B DNA Amp Probe 81402 Mopath Procedure Level 3 CMS Edit

87653 Strep B DNA Amp Probe 81403 Mopath Procedure Level 4 CMS Edit

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Code Code Description Code Code Description Source

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87653 Strep B DNA Amp Probe 81404 Mopath Procedure Level 5 CMS Edit

87653 Strep B DNA Amp Probe 81405 Mopath Procedure Level 6 CMS Edit

87653 Strep B DNA Amp Probe 81406 Mopath Procedure Level 7 CMS Edit

87653 Strep B DNA Amp Probe 81407 Mopath Procedure Level 8 CMS Edit

87653 Strep B DNA Amp Probe 81408 Mopath Procedure Level 9 CMS Edit

87660 Trichomonas Vagin Dir Probe 81400 Mopath Procedure Level 1 CMS Edit

87660 Trichomonas Vagin Dir Probe 81401 Mopath Procedure Level 2 CMS Edit

87660 Trichomonas Vagin Dir Probe 81402 Mopath Procedure Level 3 CMS Edit

87660 Trichomonas Vagin Dir Probe 81403 Mopath Procedure Level 4 CMS Edit

87660 Trichomonas Vagin Dir Probe 81404 Mopath Procedure Level 5 CMS Edit

87660 Trichomonas Vagin Dir Probe 81405 Mopath Procedure Level 6 CMS Edit

87660 Trichomonas Vagin Dir Probe 81406 Mopath Procedure Level 7 CMS Edit

87660 Trichomonas Vagin Dir Probe 81407 Mopath Procedure Level 8 CMS Edit

87660 Trichomonas Vagin Dir Probe 81408 Mopath Procedure Level 9 CMS Edit

87661 Trichomonas Vaginalis Amplif 81400 Mopath Procedure Level 1 CMS Edit

87661 Trichomonas Vaginalis Amplif 81401 Mopath Procedure Level 2 CMS Edit

87661 Trichomonas Vaginalis Amplif 81402 Mopath Procedure Level 3 CMS Edit

87661 Trichomonas Vaginalis Amplif 81403 Mopath Procedure Level 4 CMS Edit

87661 Trichomonas Vaginalis Amplif 81404 Mopath Procedure Level 5 CMS Edit

87661 Trichomonas Vaginalis Amplif 81405 Mopath Procedure Level 6 CMS Edit

87661 Trichomonas Vaginalis Amplif 81406 Mopath Procedure Level 7 CMS Edit

87661 Trichomonas Vaginalis Amplif 81407 Mopath Procedure Level 8 CMS Edit

87661 Trichomonas Vaginalis Amplif 81408 Mopath Procedure Level 9 CMS Edit

87661 Trichomonas Vaginalis Amplif 87660 Trichomonas Vagin Dir Probe CMS Edit

87797 Detect Agent Nos DNA Dir 81400 Mopath Procedure Level 1 CMS Edit

87797 Detect Agent Nos DNA Dir 81401 Mopath Procedure Level 2 CMS Edit

87797 Detect Agent Nos DNA Dir 81402 Mopath Procedure Level 3 CMS Edit

87797 Detect Agent Nos DNA Dir 81403 Mopath Procedure Level 4 CMS Edit

87797 Detect Agent Nos DNA Dir 81404 Mopath Procedure Level 5 CMS Edit

87797 Detect Agent Nos DNA Dir 81405 Mopath Procedure Level 6 CMS Edit

87797 Detect Agent Nos DNA Dir 81406 Mopath Procedure Level 7 CMS Edit

87797 Detect Agent Nos DNA Dir 81407 Mopath Procedure Level 8 CMS Edit

87797 Detect Agent Nos DNA Dir 81408 Mopath Procedure Level 9 CMS Edit

87797 Detect Agent Nos DNA Dir 87798 Detect Agent Nos DNA Amp CMS Edit

87797 Detect Agent Nos DNA Dir 87799 Detect Agent Nos DNA Quant CMS Edit

87798 Detect Agent Nos DNA Amp 81400 Mopath Procedure Level 1 CMS Edit

87798 Detect Agent Nos DNA Amp 81401 Mopath Procedure Level 2 CMS Edit

87798 Detect Agent Nos DNA Amp 81402 Mopath Procedure Level 3 CMS Edit

87798 Detect Agent Nos DNA Amp 81403 Mopath Procedure Level 4 CMS Edit

87798 Detect Agent Nos DNA Amp 81404 Mopath Procedure Level 5 CMS Edit

87798 Detect Agent Nos DNA Amp 81405 Mopath Procedure Level 6 CMS Edit

87798 Detect Agent Nos DNA Amp 81406 Mopath Procedure Level 7 CMS Edit

87798 Detect Agent Nos DNA Amp 81407 Mopath Procedure Level 8 CMS Edit

87798 Detect Agent Nos DNA Amp 81408 Mopath Procedure Level 9 CMS Edit

87798 Detect Agent Nos DNA Amp 87799 Detect Agent Nos DNA Quant CMS Edit

87799 Detect Agent Nos DNA Quant 81400 Mopath Procedure Level 1 CMS Edit

87799 Detect Agent Nos DNA Quant 81401 Mopath Procedure Level 2 CMS Edit

87799 Detect Agent Nos DNA Quant 81402 Mopath Procedure Level 3 CMS Edit

87799 Detect Agent Nos DNA Quant 81403 Mopath Procedure Level 4 CMS Edit

87799 Detect Agent Nos DNA Quant 81404 Mopath Procedure Level 5 CMS Edit

87799 Detect Agent Nos DNA Quant 81405 Mopath Procedure Level 6 CMS Edit

87799 Detect Agent Nos DNA Quant 81406 Mopath Procedure Level 7 CMS Edit

87799 Detect Agent Nos DNA Quant 81407 Mopath Procedure Level 8 CMS Edit

87799 Detect Agent Nos DNA Quant 81408 Mopath Procedure Level 9 CMS Edit

87800 Detect Agnt Mult DNA Direc 81400 Mopath Procedure Level 1 CMS Edit

87800 Detect Agnt Mult DNA Direc 81401 Mopath Procedure Level 2 CMS Edit

87800 Detect Agnt Mult DNA Direc 81402 Mopath Procedure Level 3 CMS Edit

87800 Detect Agnt Mult DNA Direc 81403 Mopath Procedure Level 4 CMS Edit

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Code Code Description Code Code Description Source

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87800 Detect Agnt Mult DNA Direc 81404 Mopath Procedure Level 5 CMS Edit

87800 Detect Agnt Mult DNA Direc 81405 Mopath Procedure Level 6 CMS Edit

87800 Detect Agnt Mult DNA Direc 81406 Mopath Procedure Level 7 CMS Edit

87800 Detect Agnt Mult DNA Direc 81407 Mopath Procedure Level 8 CMS Edit

87800 Detect Agnt Mult DNA Direc 81408 Mopath Procedure Level 9 CMS Edit

87800 Detect Agnt Mult DNA Direc 87470 Bartonella DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87475 Lyme Dis DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87480 Candida DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87485 Chylmd Pneum DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87490 Chylmd Trach DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87495 Cytomeg DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87510 Gardner Vag DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87515 Hepatitis B DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87520 Hepatitis C RNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87525 Hepatitis G DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87528 HSV DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87531 HHV-6 DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87534 HIV-1 DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87537 HIV-2 DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87540 Legion Pneumo DNA Dir Prob CMS Edit

87800 Detect Agnt Mult DNA Direc 87550 Mycobacteria DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87555 M.Tuberculo DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87560 M.Avium-Intra DNA Dir Prob CMS Edit

87800 Detect Agnt Mult DNA Direc 87580 M.Pneumon DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87590 N.Gonorrhoeae DNA Dir Prob CMS Edit

87800 Detect Agnt Mult DNA Direc 87623 HPV Low-Risk Types CMS Edit

87800 Detect Agnt Mult DNA Direc 87624 HPV High-Risk Types CMS Edit

87800 Detect Agnt Mult DNA Direc 87625 HPV Types 16 & 18 Only CMS Edit

87800 Detect Agnt Mult DNA Direc 87650 Strep A DNA Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87660 Trichomonas Vagin Dir Probe CMS Edit

87800 Detect Agnt Mult DNA Direc 87661 Trichomonas Vaginalis Amplif CMS Edit

87800 Detect Agnt Mult DNA Direc 87797 Detect Agent Nos DNA Dir CMS Edit

87800 Detect Agnt Mult DNA Direc G0476 HPV Combo Assay Ca Screen CMS Edit**87801 Detect Agnt Mult DNA Ampli 81400 Mopath Procedure Level 1 CMS Edit

87801 Detect Agnt Mult DNA Ampli 81401 Mopath Procedure Level 2 CMS Edit

87801 Detect Agnt Mult DNA Ampli 81402 Mopath Procedure Level 3 CMS Edit

87801 Detect Agnt Mult DNA Ampli 81403 Mopath Procedure Level 4 CMS Edit

87801 Detect Agnt Mult DNA Ampli 81404 Mopath Procedure Level 5 CMS Edit

87801 Detect Agnt Mult DNA Ampli 81405 Mopath Procedure Level 6 CMS Edit

87801 Detect Agnt Mult DNA Ampli 81406 Mopath Procedure Level 7 CMS Edit

87801 Detect Agnt Mult DNA Ampli 81407 Mopath Procedure Level 8 CMS Edit

87801 Detect Agnt Mult DNA Ampli 81408 Mopath Procedure Level 9 CMS Edit

87801 Detect Agnt Mult DNA Ampli 87471 Bartonella DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87476 Lyme Dis DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87481 Candida DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87486 Chylmd Pneum DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87491 Chylmd Trach DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87496 Cytomeg DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87498 Enterovirus Probe&Revrs Trns CMS Edit

87801 Detect Agnt Mult DNA Ampli 87511 Gardner Vag DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87516 Hepatitis B DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87521 Hepatitis C Probe&Rvrs Trnsc CMS Edit

87801 Detect Agnt Mult DNA Ampli 87526 Hepatitis G DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87529 HSV DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87532 HHV-6 DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87535 HIV-1 Probe&Reverse Trnscrpj CMS Edit

87801 Detect Agnt Mult DNA Ampli 87538 HIV-2 Probe&Revrse Trnscripj CMS Edit

87801 Detect Agnt Mult DNA Ampli 87541 Legion Pneumo DNA Amp Prob CMS Edit

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Code Code Description Code Code Description Source

Pay Do Not Pay

87801 Detect Agnt Mult DNA Ampli 87551 Mycobacteria DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87556 M.Tuberculo DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87561 M.Avium-Intra DNA Amp Prob CMS Edit

87801 Detect Agnt Mult DNA Ampli 87581 M.Pneumon DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87591 N.Gonorrhoeae DNA Amp Prob CMS Edit

87801 Detect Agnt Mult DNA Ampli 87640 Staph A DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87641 Mr-Staph DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87651 Strep A DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87653 Strep B DNA Amp Probe CMS Edit

87801 Detect Agnt Mult DNA Ampli 87798 Detect Agent Nos DNA Amp CMS Edit

87901 Genotype DNA HIV Reverse T 81400 Mopath Procedure Level 1 CMS Edit

87901 Genotype DNA HIV Reverse T 81401 Mopath Procedure Level 2 CMS Edit

87901 Genotype DNA HIV Reverse T 81402 Mopath Procedure Level 3 CMS Edit

87901 Genotype DNA HIV Reverse T 81403 Mopath Procedure Level 4 CMS Edit

87901 Genotype DNA HIV Reverse T 81404 Mopath Procedure Level 5 CMS Edit

87901 Genotype DNA HIV Reverse T 81405 Mopath Procedure Level 6 CMS Edit

87901 Genotype DNA HIV Reverse T 81406 Mopath Procedure Level 7 CMS Edit

87901 Genotype DNA HIV Reverse T 81407 Mopath Procedure Level 8 CMS Edit

87901 Genotype DNA HIV Reverse T 81408 Mopath Procedure Level 9 CMS Edit

87902 Genotype DNA/RNA Hep C 81400 Mopath Procedure Level 1 CMS Edit

87902 Genotype DNA/RNA Hep C 81401 Mopath Procedure Level 2 CMS Edit

87902 Genotype DNA/RNA Hep C 81402 Mopath Procedure Level 3 CMS Edit

87902 Genotype DNA/RNA Hep C 81403 Mopath Procedure Level 4 CMS Edit

87902 Genotype DNA/RNA Hep C 81404 Mopath Procedure Level 5 CMS Edit

87902 Genotype DNA/RNA Hep C 81405 Mopath Procedure Level 6 CMS Edit

87902 Genotype DNA/RNA Hep C 81406 Mopath Procedure Level 7 CMS Edit

87902 Genotype DNA/RNA Hep C 81407 Mopath Procedure Level 8 CMS Edit

87902 Genotype DNA/RNA Hep C 81408 Mopath Procedure Level 9 CMS Edit

87903 Phenotype DNA HIV W/Culture 81400 Mopath Procedure Level 1 CMS Edit

87903 Phenotype DNA HIV W/Culture 81401 Mopath Procedure Level 2 CMS Edit

87903 Phenotype DNA HIV W/Culture 81402 Mopath Procedure Level 3 CMS Edit

87903 Phenotype DNA HIV W/Culture 81403 Mopath Procedure Level 4 CMS Edit

87903 Phenotype DNA HIV W/Culture 81404 Mopath Procedure Level 5 CMS Edit

87903 Phenotype DNA HIV W/Culture 81405 Mopath Procedure Level 6 CMS Edit

87903 Phenotype DNA HIV W/Culture 81406 Mopath Procedure Level 7 CMS Edit

87903 Phenotype DNA HIV W/Culture 81407 Mopath Procedure Level 8 CMS Edit

87903 Phenotype DNA HIV W/Culture 81408 Mopath Procedure Level 9 CMS Edit

87903 Phenotype DNA HIV W/Culture 87900 Phenotype Infect Agent Drug CMS Edit

87904 Phenotype DNA HIV W/Clt Add 81400 Mopath Procedure Level 1 CMS Edit

87904 Phenotype DNA HIV W/Clt Add 81401 Mopath Procedure Level 2 CMS Edit

87904 Phenotype DNA HIV W/Clt Add 81402 Mopath Procedure Level 3 CMS Edit

87904 Phenotype DNA HIV W/Clt Add 81403 Mopath Procedure Level 4 CMS Edit

87904 Phenotype DNA HIV W/Clt Add 81404 Mopath Procedure Level 5 CMS Edit

87904 Phenotype DNA HIV W/Clt Add 81405 Mopath Procedure Level 6 CMS Edit

87904 Phenotype DNA HIV W/Clt Add 81406 Mopath Procedure Level 7 CMS Edit

87904 Phenotype DNA HIV W/Clt Add 81407 Mopath Procedure Level 8 CMS Edit

87904 Phenotype DNA HIV W/Clt Add 81408 Mopath Procedure Level 9 CMS Edit

87904 Phenotype DNA HIV W/Clt Add 87900 Phenotype Infect Agent Drug CMS Edit

87912 Genotype DNA Hepatitis B 81400 Mopath Procedure Level 1 CMS Edit

87912 Genotype DNA Hepatitis B 81401 Mopath Procedure Level 2 CMS Edit

87912 Genotype DNA Hepatitis B 81402 Mopath Procedure Level 3 CMS Edit

87912 Genotype DNA Hepatitis B 81403 Mopath Procedure Level 4 CMS Edit

87912 Genotype DNA Hepatitis B 81404 Mopath Procedure Level 5 CMS Edit

87912 Genotype DNA Hepatitis B 81405 Mopath Procedure Level 6 CMS Edit

87912 Genotype DNA Hepatitis B 81406 Mopath Procedure Level 7 CMS Edit

87912 Genotype DNA Hepatitis B 81407 Mopath Procedure Level 8 CMS Edit

87912 Genotype DNA Hepatitis B 81408 Mopath Procedure Level 9 CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88121 Cytp Urine 3-5 Probes Cmptr CMS Edit

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Code Code Description Code Code Description Source

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88120 Cytp Urne 3-5 Probes Ea Spec 88271 Cytogenetics DNA Probe CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88272 Cytogenetics 3-5 CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88273 Cytogenetics 10-30 CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88274 Cytogenetics 25-99 CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88275 Cytogenetics 100-300 CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88365 Insitu Hybridization (Fish) CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88366 Insitu Hybridization (Fish) CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88368 Insitu Hybridization Manual CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88380 Microdissection Laser CMS Edit

88120 Cytp Urne 3-5 Probes Ea Spec 88381 Microdissection Manual CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88271 Cytogenetics DNA Probe CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88272 Cytogenetics 3-5 CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88273 Cytogenetics 10-30 CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88274 Cytogenetics 25-99 CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88275 Cytogenetics 100-300 CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88365 Insitu Hybridization (Fish) CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88366 Insitu Hybridization (Fish) CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88367 Insitu Hybridization Auto CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88368 Insitu Hybridization Manual CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88377 M/Phmtrc Alys Ishquant/Semiq CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88380 Microdissection Laser CMS Edit

88121 Cytp Urine 3-5 Probes Cmptr 88381 Microdissection Manual CMS Edit

88182 Cell Marker Study 88387 Tiss Exam Molecular Study CMS Edit

88182 Cell Marker Study 88388 Tiss Ex Molecul Study Add-On CMS Edit

88184 Flowcytometry/ Tc 1 Marker 88342 Immunohisto Antb 1St Stain CMS Edit

88184 Flowcytometry/ Tc 1 Marker 88344 Immunohisto Antibody Slide CMS Edit

88184 Flowcytometry/ Tc 1 Marker 88387 Tiss Exam Molecular Study CMS Edit

88184 Flowcytometry/ Tc 1 Marker 88388 Tiss Ex Molecul Study Add-On CMS Edit

88185 Flowcytometry/Tc Add-On 88387 Tiss Exam Molecular Study CMS Edit

88185 Flowcytometry/Tc Add-On 88388 Tiss Ex Molecul Study Add-On CMS Edit

88187 Flowcytometry/Read 2-8 88342 Immunohisto Antb 1St Stain CMS Edit

88187 Flowcytometry/Read 2-8 88344 Immunohisto Antibody Slide CMS Edit

88187 Flowcytometry/Read 2-8 88387 Tiss Exam Molecular Study CMS Edit

88187 Flowcytometry/Read 2-8 88388 Tiss Ex Molecul Study Add-On CMS Edit

88188 Flowcytometry/Read 9-15 88187 Flowcytometry/Read 2-8 CMS Edit

88188 Flowcytometry/Read 9-15 88342 Immunohisto Antb 1St Stain CMS Edit

88188 Flowcytometry/Read 9-15 88344 Immunohisto Antibody Slide CMS Edit

88188 Flowcytometry/Read 9-15 88387 Tiss Exam Molecular Study CMS Edit

88188 Flowcytometry/Read 9-15 88388 Tiss Ex Molecul Study Add-On CMS Edit

88189 Flowcytometry/Read 16 & > 88187 Flowcytometry/Read 2-8 CMS Edit

88189 Flowcytometry/Read 16 & > 88188 Flowcytometry/Read 9-15 CMS Edit

88189 Flowcytometry/Read 16 & > 88342 Immunohisto Antb 1St Stain CMS Edit

88189 Flowcytometry/Read 16 & > 88344 Immunohisto Antibody Slide CMS Edit

88189 Flowcytometry/Read 16 & > 88387 Tiss Exam Molecular Study CMS Edit

88189 Flowcytometry/Read 16 & > 88388 Tiss Ex Molecul Study Add-On CMS Edit

88248 Chromosome Analysis 50-100 88245 Chromosome Analysis 20-25 CMS Edit

88262 Chromosome Analysis 15-20 88261 Chromosome Analysis 5 CMS Edit

88263 Chromosome Analysis 45 88261 Chromosome Analysis 5 CMS Edit

88263 Chromosome Analysis 45 88262 Chromosome Analysis 15-20 CMS Edit

88264 Chromosome Analysis 20-25 88261 Chromosome Analysis 5 CMS Edit

88264 Chromosome Analysis 20-25 88262 Chromosome Analysis 15-20 CMS Edit

88269 Chromosome Analys Amniotic 88267 Chromosome Analys Placenta CMS Edit

88273 Cytogenetics 10-30 88272 Cytogenetics 3-5 CMS Edit

88275 Cytogenetics 100-300 88274 Cytogenetics 25-99 CMS Edit

88344 Immunohisto Antibody Slide 88342 Immunohisto Antb 1St Stain CMS Edit

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Code Code Description Code Code Description Source

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88360 Tumor Immunohistochem/Manual 88341 Immunohisto Antb Addl Slide CMS Edit

88360 Tumor Immunohistochem/Manual 88342 Immunohisto Antb 1St Stain CMS Edit

88360 Tumor Immunohistochem/Manual 88344 Immunohisto Antibody Slide CMS Edit

88361 Tumor Immunohistochem/Comput 88341 Immunohisto Antb Addl Slide CMS Edit

88361 Tumor Immunohistochem/Comput 88342 Immunohisto Antb 1St Stain CMS Edit

88361 Tumor Immunohistochem/Comput 88344 Immunohisto Antibody Slide CMS Edit

88361 Tumor Immunohistochem/Comput 88360 Tumor Immunohistochem/Manual CMS Edit

88365 Insitu Hybridization (Fish) 88271 Cytogenetics DNA Probe CMS Edit

88365 Insitu Hybridization (Fish) 88272 Cytogenetics 3-5 CMS Edit

88365 Insitu Hybridization (Fish) 88273 Cytogenetics 10-30 CMS Edit

88365 Insitu Hybridization (Fish) 88274 Cytogenetics 25-99 CMS Edit

88365 Insitu Hybridization (Fish) 88275 Cytogenetics 100-300 CMS Edit

88366 Insitu Hybridization (Fish) 88271 Cytogenetics DNA Probe CMS Edit

88366 Insitu Hybridization (Fish) 88272 Cytogenetics 3-5 CMS Edit

88366 Insitu Hybridization (Fish) 88273 Cytogenetics 10-30 CMS Edit

88366 Insitu Hybridization (Fish) 88274 Cytogenetics 25-99 CMS Edit

88366 Insitu Hybridization (Fish) 88275 Cytogenetics 100-300 CMS Edit

88366 Insitu Hybridization (Fish) 88367 Insitu Hybridization Auto CMS Edit

88366 Insitu Hybridization (Fish) 88368 Insitu Hybridization Manual CMS Edit

88366 Insitu Hybridization (Fish) 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

88367 Insitu Hybridization Auto 88120 Cytp Urne 3-5 Probes Ea Spec CMS Edit

88367 Insitu Hybridization Auto 88271 Cytogenetics DNA Probe CMS Edit

88367 Insitu Hybridization Auto 88272 Cytogenetics 3-5 CMS Edit

88367 Insitu Hybridization Auto 88273 Cytogenetics 10-30 CMS Edit

88367 Insitu Hybridization Auto 88274 Cytogenetics 25-99 CMS Edit

88367 Insitu Hybridization Auto 88275 Cytogenetics 100-300 CMS Edit

88367 Insitu Hybridization Auto 88365 Insitu Hybridization (Fish) CMS Edit

88367 Insitu Hybridization Auto 88368 Insitu Hybridization Manual CMS Edit

88367 Insitu Hybridization Auto 88380 Microdissection Laser CMS Edit

88367 Insitu Hybridization Auto 88381 Microdissection Manual CMS Edit

88368 Insitu Hybridization Manual 88271 Cytogenetics DNA Probe CMS Edit

88368 Insitu Hybridization Manual 88272 Cytogenetics 3-5 CMS Edit

88368 Insitu Hybridization Manual 88273 Cytogenetics 10-30 CMS Edit

88368 Insitu Hybridization Manual 88274 Cytogenetics 25-99 CMS Edit

88368 Insitu Hybridization Manual 88275 Cytogenetics 100-300 CMS Edit

88368 Insitu Hybridization Manual 88365 Insitu Hybridization (Fish) CMS Edit

88368 Insitu Hybridization Manual 88380 Microdissection Laser CMS Edit

88368 Insitu Hybridization Manual 88381 Microdissection Manual CMS Edit

88374 M/Phmtrc Alys Ishquant/Semiq 88271 Cytogenetics DNA Probe CMS Edit

88374 M/Phmtrc Alys Ishquant/Semiq 88272 Cytogenetics 3-5 CMS Edit

88374 M/Phmtrc Alys Ishquant/Semiq 88273 Cytogenetics 10-30 CMS Edit

88374 M/Phmtrc Alys Ishquant/Semiq 88274 Cytogenetics 25-99 CMS Edit

88374 M/Phmtrc Alys Ishquant/Semiq 88275 Cytogenetics 100-300 CMS Edit

88374 M/Phmtrc Alys Ishquant/Semiq 88365 Insitu Hybridization (Fish) CMS Edit

88374 M/Phmtrc Alys Ishquant/Semiq 88368 Insitu Hybridization Manual CMS Edit

88374 M/Phmtrc Alys Ishquant/Semiq 88380 Microdissection Laser CMS Edit

88374 M/Phmtrc Alys Ishquant/Semiq 88381 Microdissection Manual CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88271 Cytogenetics DNA Probe CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88272 Cytogenetics 3-5 CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88273 Cytogenetics 10-30 CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88274 Cytogenetics 25-99 CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88275 Cytogenetics 100-300 CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88365 Insitu Hybridization (Fish) CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88366 Insitu Hybridization (Fish) CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88367 Insitu Hybridization Auto CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88374 M/Phmtrc Alys Ishquant/Semiq CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88380 Microdissection Laser CMS Edit

88377 M/Phmtrc Alys Ishquant/Semiq 88381 Microdissection Manual CMS Edit

Page 345: Laboratory Management Correct Coding Rules...Gardner Vag DNA Amp Probe CMS Edit. 81162 BRCA1&2 Seq & Full Dup/Del. 87512 Gardner Vag DNA Quant. CMS Edit 81162. BRCA1&2 Seq & Full Dup/Del

Code Code Description Code Code Description Source

Pay Do Not Pay

88380 Microdissection Laser 88360 Tumor Immunohistochem/Manual CMS Edit

88380 Microdissection Laser 88361 Tumor Immunohistochem/Comput CMS Edit

88380 Microdissection Laser 88381 Microdissection Manual CMS Edit

88381 Microdissection Manual 88360 Tumor Immunohistochem/Manual CMS Edit

88381 Microdissection Manual 88361 Tumor Immunohistochem/Comput CMS Edit

88387 Tiss Exam Molecular Study 88388 Tiss Ex Molecul Study Add-On CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81162 BRCA1&2 Seq & Full Dup/Del CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81170 ABL1 Gene CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81218 Cebpa Gene Full Sequence CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81219 CALR Gene Com Variants CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81272 KIT Gene Targeted Seq Analys CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81273 KIT Gene Analys D816 Variant CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81275 KRAS Gene Variants Exon 2 CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81276 KRAS Gene Addl Variants CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81311 NRAS Gene Variants Exon 2&3 CMS Edit

G0464 Colorec Ca Scr, Sto Bas DNA 81314 PDGFRA Gene CMS Edit

G0476 HPV Combo Assay Ca Screen 81400 Mopath Procedure Level 1 CMS Edit**

G0476 HPV Combo Assay Ca Screen 81401 Mopath Procedure Level 2 CMS Edit**

G0476 HPV Combo Assay Ca Screen 81402 Mopath Procedure Level 3 CMS Edit**

G0476 HPV Combo Assay Ca Screen 81403 Mopath Procedure Level 4 CMS Edit**

G0476 HPV Combo Assay Ca Screen 81404 Mopath Procedure Level 5 CMS Edit**

G0476 HPV Combo Assay Ca Screen 81405 Mopath Procedure Level 6 CMS Edit**

G0476 HPV Combo Assay Ca Screen 81406 Mopath Procedure Level 7 CMS Edit**

G0476 HPV Combo Assay Ca Screen 81407 Mopath Procedure Level 8 CMS Edit**

G0476 HPV Combo Assay Ca Screen 81408 Mopath Procedure Level 9 CMS Edit**

G0476 HPV Combo Assay Ca Screen 87149 DNA/RNA Direct Probe CMS Edit**

G0476 HPV Combo Assay Ca Screen 87150 DNA/RNA Amplified Probe CMS Edit**

G0476 HPV Combo Assay Ca Screen 87153 DNA/RNA Sequencing CMS Edit**

G0476 HPV Combo Assay Ca Screen 87623 HPV Low-Risk Types CMS Edit**

G0476 HPV Combo Assay Ca Screen 87625 HPV Types 16 & 18 Only CMS Edit**

** New edit effective 02/01/2017

* New edit effective 01/01/2017