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| Short Descr | HERED PAN CA MRNA PNL 18 GEN | Medium Descr | HEREDITARY PAN CA TRGT MRNA SEQ ALYS 18 GENE | Long Descr | Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), targeted mRNA sequence analysis panel (18 genes) (List separately in addition to code for primary procedure) | CLIA Waived (QW) | No | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 81162 | Adult 15-124 Resequenced Code MPFS Status: Statutory exclusion (from MPFS, may be paid under other methodologies) APC A BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements) | 81432 | Changed Code for 2025 MPFS Status: Statutory exclusion (from MPFS, may be paid under other methodologies) APC A Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants | 81435 | Changed Code for 2025 MPFS Status: Statutory exclusion (from MPFS, may be paid under other methodologies) APC A Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogation for sequence variants and copy number variants |
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| 2020-01-01 | Added | First appearance in code book. |
| 2019-10-01 | Added | Code Added |
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