CPT Code changes for CPT 2016 - Quest Diagnostics Nichols ...

1 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 payor being billed. CPT code changes for CPT 2016 December 1, 2015 Dear Valued Client: The American Medical Association (AMA) has made Current Procedural Terminology (CPT) code changes to the 2016 edition of the CPT coding manual. Quest Diagnostics will be implementing these changes effective January 1, 2016 . The enclosed lists the individual tests affected and the appropriate CPT code changes . These tests may also be included in panels or profiles. In September 2015, Centers for Medicare and Medicaid Services (CMS) announced the possible adoption of new G codes for toxicology and the deletion of G codes that existed for 2015. We will be updating our systems when their decision is finalized.

2 CPT 2016 changes involve a new AMA Panel 80081 Obstetric Panel (includes HIV testing), a few new molecular testing codes, new GSP codes, changes to Tier 2 molecular codes, additional MAAA tests, and deletion of several methodology CPT codes in the Chemistry section. Additional detailed information will be available on our website. We appreciate your support and look forward to continuing to serve all of your laboratory needs. We at Quest Diagnostics will make every effort to assist you with the transition to the 2016 AMA CPT coding being used for our test offerings. Please do not hesitate to call your Quest Diagnostics Sales Representative with any questions or concerns you may have regarding CPT code changes . Or visit our website, , for further CPT coding updates. Thank you very much for using Quest Diagnostics for your laboratory testing needs. The CPT codes provided are based on AMA guidelines and are for informational purposes only.

3 CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. AMA changes in CPT Coding Effective January 1, 2016 Quest Diagnostics Test Name Quest Diagnostics Order code 2015 CPT Coding 2016 CPT Coding BRCA vantageTM, Comprehensive 91863 81211, 81213 81162 BRCA vantageTM, Ashkenazi Jewish Screen with Reflex BRCA vantage, Comprehensive 92140 81212 with reflex to 81211, 81213 81212 with reflex to 81162 BRCA vantageTM Plus (BRCA1, BRCA2, TP53, PTEN, CDH1, STK11, PALB2) 92587 81211, 81213, 81321, 81323, 81404, 81405 (x2), 81406 (x2), 81479 81162, 81321, 81323, 81404, 81405 (x2), 81406 (x2), 81479 BRCA vantageTM with Reflex to Breast Plus Panel 92573 81211, 81213 with reflex to 81321, 81323, 81404, 81405 (x2), 81406 (x2), 81479 81162 with reflex to 81321, 81323, 81404, 81405 (x2), 81406 (x2), 81479 ABL Kinase Domain Mutation, Incomplete, Plasma-based S51337 81403 81170 CEBPA Mutation Analysis 90812 81403 81218 Calreticulin (CALR) Mutation Analysis 92074 81479 81219 NRAS Mutation Analysis 16818 81404 81311 RAS Mutation Analysis, Cell-Based 16128 81275, 81403, 81404 81311, 81275, 81403 Thyroid Cancer Mutation Panel (BRAF, RAS, RET/PTC, PAX8/PPAR)

4 90469 81210, 81404, 81275, 81403, 81404, 81401 81210, 81311, 81275, 81403, 81404, 81401 RAS Mutation Analysis, Thyroid Cancer 90479 81275, 81403, 81404 81275, 81311, 81403 C-KIT Mutation Analysis, Cell Based S51068 81404 81273 Colorectal Cancer Mutation Panel (KRAS, PIK3CA, BRAF, NRAS) S52415 81210, 81275, 81404 (x2) 81210, 81275, 81311, 81404 Phosphatidyl Glycerol S52088 82489 82542 The CPT codes provided are based on AMA guidelines and are for informational purposes only.

5 CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Quest Diagnostics Test Name Quest Diagnostics Order code 2015 CPT Coding 2016 CPT Coding PDGFRA Mutation Analysis S52487 81404 81314 Ashkenazi Jewish Panel (11 Tests) 90891 81220, 81200, 81251, 81242, 81209, 81255, 81260, 81330, 81290, 81250, 81205 81412 Ion Profile, NY, Blood/Urine 93208 82010, 83825, 83655, 82300, 82175, 84630, 82525, 82310, 84132, 83735, 84255, 82108, 84392, 83789, 84378, 82570, 83605, 84210, 83497, 84585, 83150, 82507, 83918, 84590, 84446, 82380, 83090, 82491x2, 82306, 82139, 82726 82010, 83825, 83655, 82300, 82175, 84630, 82525, 82310, 84132, 83735, 84255, 82108, 84392, 83789, 84378, 82570, 83605, 84210, 83497, 84585, 83150, 82507, 83918, 84590, 84446, 82380, 83090, 82542, 82306, 82139, 82726 Coenzyme Q10 19826 82491 82542 Epinephrine Urine Random 3270UR 82491 82542 Epinephrine Plasma 3270 82491 82542 Epinephrine 24-hour Urine 3270U 82491 82542 Porphyrins, Total.

6 Plasma S51406 82491 82542 Lipid Peroxides Serum S48320 82491 82542 Bromide, Serum/Plasma 30540 82491 82542 Omega-3 and -6 Fatty Acids 91001 82541 82542 Fatty Acid Profile, Essential (C12-C22), Serum S51264 82544 82542 Acylglycines Quantitative, Urine S47310 82544 82542 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 payor being billed. Quest Diagnostics Test Name Quest Diagnostics Order code 2015 CPT Coding 2016 CPT Coding Comprehensive Newborn Screen S48831 81479, 82776, 82760, 83020, 84443, 83516, 83498, 82261, 83788 81479, 82776, 82760, 83020, 84443, 83516, 83498, 82261, 83789 Diuretics Screen, Urine 91594 83788 80304 Lecithin/Sphingomyelin Ratio with Qualitatitve Phosphatidyl Glycerol 19971 83661, 82489 83661, 82542 Tamoxifen and Metabolites, LC/MS/MS 91998 83789 80299