2014 Molecular CPT Coding with ... - Quest Diagnostics

1 2014 Molecular CPT Coding with palmetto PTI codes UPDATED 10/01/ 2014 The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT Coding is the sole responsibility of the billing party. Please direct any questions regarding Coding to the Quest Diagnostics Test Name Quest Diagnostics Order Code 2014 CPT Codes palmetto PTI 19911A>G Mutation Analysis 16533(X) 81400 PBF19 19911A>G Mutation Analysis (NY) 16534(X) 81400 PBF19 ABL Kinase Domain Mutation in CML, Cell-based 16029(X) 81403 PBC33 ABL Kinase Domain Mutation in CML, Plasma-based, Leumeta(R) 16031(X) 81403 PBC33 ABL T315I Mutation in CML, Cell-based 19783(X)

2 81401 PBC34 ABL T315I Mutation in CML, Plasma-based, Leumeta(R) 19782(X) 81401 PBC34 AccuType(R) IL28B 90251(X) 81400 PB648 AccuType(R) IL28B (NY) 90252(X) 81400 PB648 AccuType(R) CP, Clopidogrel CYP2C19 Genotype 16924(X) 81225 PBE76 AccuType(R) CP, Clopidogrel CYP2C19 Genotype (NY) 16925(X) 81225 PBE76 AccuType(R) Warfarin 16160(X) 81355, 81227 PBE78 AccuType(R) Warfarin (NY) 16161(X) 81355, 81227 PBE78 Achondroplasia Mutation Analysis 16061(X) 81401 PBE79 Achondroplasia Mutation Analysis (NY) 16062(X) 81401 PBE79 payor being billed.

3 2014 Molecular CPT Coding with palmetto PTI codes UPDATED 10/01/ 2014 The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT Quest Diagnostics Test Name Quest Diagnostics Order Code 2014 CPT Codes palmetto PTI Acute Myeloid Leukemia Prognostic Panel (normal karyotype) 90871(X) 81403, 81310, 81245, 81479 PBC59, PBC43, PBC93 Acute Myeloid Leukemia Prognostic Panel (normal karyotype) (NY) 91867(X) 81403, 81310, 81245, 81479 PBC59, PBC43, PBC93 Admark ApoE Genotype Analysis 10642(X) 81401 PB870 Alpha-1 Antitrypsin (AAT) Mutation Analysis 15340(X) 81332 PB633 Alpha-1 Antitrypsin (AAT)

4 Mutation AnalysisN (NY) 15341(X) 81332 PB633 Alpha-1-Antitrypsin (AAT) Quantitation and Mutation Analysis 17307(X) 81332, 82103 PB634 Alpha-1-Antitrypsin (AAT) Quantitation and Mutation Analysis (NY) 17313(X) 81332, 82103 PB634 Alpha-Globin Common Mutation Analysis 11175(X) 81257 PB739 Alpha-Globin Common Mutation Analysis (NY) 11174(X) 81257 PB739 Alpha-Globin Common Mutation Analysis, Fetus 91711(X) 81257 PB739 Alpha-Globin Gene Sequencing 16116(X) 81405 PBF01 Alpha-Globin Gene Sequencing (NY) 16117(X) 81405 PBF01 Alpha-Globin Gene Deletion or Duplication 16124(X) 81404 PBE80 Alpha-Globin Gene Deletion or Duplication (NY) 16125(X) 81404 PBE80 AML1/ETO t(8;21) Quantitative Real-Time PCR 14995(X) 81401 PB946 Coding is the sole responsibility of the billing party.

5 Please direct any questions regarding Coding to the payor being billed. 2 2014 Molecular CPT Coding with palmetto PTI codes UPDATED 10/01/ 2014 The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT Quest Diagnostics Test Name Quest Diagnostics Order Code 2014 CPT Codes palmetto PTI Amyloidosis Evaluation 14759(X) 81479 PBG03 Angiotensin Converting Enzyme (ACE) Polymorphism (Insertion/Deletion) 11210(X) 81400 PBF41 Angiotensin Converting Enzyme (ACE) Polymorphism (Insertion/Deletion) (NY) 11211(X) 81400 PBF41 Angiotensin II Type 1 Receptor (AGTR1) Gene 1166A>C Polymorphism 11118(X) 81400 PBF42 Angiotensin II Type 1 Receptor (AGTR1) Gene 1166A>C Polymorphism (NY) 11242(X)

6 81400 PBF42 APC Gene Deletion or Duplication 16930(X) 81203 PBF43 APC Gene Sequencing 16934(X) 81201 PBF44 Ashkenazi Jewish Panel (4 tests) 90994(X) 81220 (CF), 81255 (TAY SACHS), 81200 (CANAVAN), 81260 (FAMILIAL DYS) PBG42 Ashkenazi Jewish Panel (11 Tests) 90891(X) 81220 (CF), 81200 (CANAVAN), 81251 (GAUCHER), 81242 (FANCONI), 81209 (BLOOM), 81255 (TAY SACHS), 81260 (FAMILIAL DYS), 81330 (NEIMANN PICK), 81290 (MUCOLILPIDOSIS), 81250 (GLYCOGEN STORAGE), 81205 (MAPLE SYRUP) PBG41 Coding is the sole responsibility of the billing party.

7 Please direct any questions regarding Coding to the payor being billed. 3 2014 Molecular CPT Coding with palmetto PTI codes UPDATED 10/01/ 2014 The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT Quest Diagnostics Test Name Quest Diagnostics Order Code 2014 CPT Codes palmetto PTI Ashkenazi Jewish Panel (11 Tests) (NY) 90892(X) 81220 (CF), 81200 (CANAVAN), 81251 (GAUCHER), 81242 (FANCONI), 81209 (BLOOM), 81255 (TAY SACHS), 81260 (FAMILIAL DYS), 81330 (NEIMANN PICK), 81290 (MUCOLILPIDOSIS), 81250 (GLYCOGEN STORAGE), 81205 (MAPLE SYRUP) PBG41 B-Cell Gene Rearrangement, Qualitative PCR, Cell-based 14868(X) 81261 PBC36 B-Cell Gene Rearrangement, Qualitative PCR, Plasma-based, Leumeta(R) 16119(X) 81261 PBC36 B-cell Receptor IGH Gene Rearrangement, PCR (includes Pathologist interpretation)

8 90362(X) 81261, 84999 (HCPCS: G0452) PBZB9 B-cell Receptor IGK Gene Rearrangement, PCR (includes Pathologist interpretation) 90363(X) 81264, 84999 (HCPCS: G0452) PBZC1 B-cell Clonality Panel (IGH, IGK), PCR 91635(X) 81261, 81264, 84999 (HCPCS: G0452) PBZB9, PBZC1 BCR-ABL1 Gene Rearrangement, Quantitative PCR (includes BCRABL1/ ABL1 * P190 BCR-ABL1 * P210 BCR-ABL1) 91065(X) 81206 and/or 81207 PBAAB and/ or PBAAA BCR-ABL1 Kinase Domain Mutation, 35-Nucleotide Insertion 16876(X) 81403 PBC61 Beta2-Adrenergic Receptor Mutations 16176(X) 81401 PBF80 Coding is the sole responsibility of the billing party.

9 Please direct any questions regarding Coding to the payor being billed. 4 2014 Molecular CPT Coding with palmetto PTI codes UPDATED 10/01/ 2014 The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT Quest Diagnostics Test Name Quest Diagnostics Order Code 2014 CPT Codes palmetto PTI Beta2-Adrenergic Receptor Mutations (NY) 16177(X) 81401 PBF80 Beta-fibrinogen -455G>A Mutation 16182(X) 81400 PBF18 Beta-fibrinogen -455G>A Mutation (NY) 16183(X) 81400 PBF18 Beta-Globin Complete 14974(X) 81404 PBE81 Beta-Globin Complete (NY) 14979(X) 81404 PBE81 Beta-Globin Complete, Fetus 91709(X) 81404 PBE81 Beta Globin Gene Dosage Analysis 16346(X) 81403 PBF17 Beta Globin Gene Dosage Analysis (NY) 16347(X)

10 81403 PBF17 Cardio IQ(R) KIF6 Genotype 90645(X) 81479 PBD23 Cardio IQ(R) LPA Aspirin Genotype 90553(X) 81479 PB855 Biotinidase Deficiency Mutation Analysis 16526(X) 81404 PBF20 Biotinidase Deficiency Mutation Analysis (NY) 16655(X) 81404 PBF20 Biotinidase Activity with Reflex to Mutation Analysis 16537(X) 82261 with reflex to 81404 PBF20 (for 81404) Bloom Syndrome DNA Mutation Analysis 90872(X) 81209 PBE82 Bloom Syndrome DNA Mutation Analysis (NY) 90873(X) 81209 PBE82 Coding is the sole responsibility of the billing party.