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Codes/Units Effective: 6/1/2016
Test /
CPT Code
Code Description
Specimen
Unit
Qty
HEREDITARY CANCER TESTING SERVICES
Hereditary Cancer Gene Panels - Includes Next Generation Sequencing (NGS)


and Targeted Deletion/Duplication Analysis
blood \ extracted DNA
buccal mucosa swab \ extracted DNA
┤ Colorectal20
81435
81436
Hereditary Colon Cancer (Lynch synd); sequencing of at least 10 genes
Hereditary Colon Cancer (Lynch synd); del/dup of at least 5 genes
1
1
┤ Endocrine | Paraganglioma-Pheochromocytoma17
81437
81438
Hereditary neuroendocrine tumor disorders sequencing of at least 6 genes listed
Hereditary neuroendocrine tumor disorders deletion/duplication of at least 4 genes listed
1
1
Molecular Pathology Procedure, Level 6
1
┤ Neuro17
81405
┤ Pancreatic14
81405
Molecular Pathology Procedure, Level 6
1
Molecular Pathology Procedure, Level 6
1
┤ Renal19
81405
┤ Comprehensive58
81162
81407
BREAST9 Next Generation Sequencing (NGS and Targeted Deletion/Duplication Anaysis)
Molecular Pathology Procedure, Level 8
1
2
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