|
|
|
|
CPT
Coding
| Test |
Molecular
Extraction (x1) |
Enzymatic
Digestion (x2) |
Separation
(x1) |
Nucleic
Acid Probe/PCR (x1) |
Other |
| Achondroplasia
MIM# 100800 |
83890
|
83892 |
83894 |
83898 |
NA |
| alpha-thalassemia
MIM# 141800 |
83890
|
83892 |
83894 |
NA |
Nucleic
Acid Probe (x1) 83896 |
| Angelman
Syndrome (AS) Methylation Analysis MIM# 234400 |
83890
|
83892 |
83894 |
NA |
Nucleic
Acid Probe (x1) 83896 |
| Angelman
Syndrome (AS) Segregation Analysis MIM# 234400 |
(x3)
83890
|
83892 |
83894 |
83898 |
NA |
| BCR-ABL
Fusion Gene Transcript Detection MIM#151410 |
83890
|
NA |
83894 |
83898 |
Rreverse
Ttranscription (x1) 83902 |
| beta-thalassemia
MIM# 141900 |
83890
|
NA |
(x2)
83894 |
(x3)
83898 |
NA |
| Charcot-Marie-Tooth
Type 1A MIM# 118220 |
83890
|
83892
|
83894 |
83896 |
NA |
| Congenital
Adrenal Hyperplasia (21-OH deficiency) MIM# 201910 |
83890
|
(x4)
83892 |
(x8)
83894 |
83898 |
nucleic
acid probe (x1) 83896 |
| Cystic
Fibrosis (CFTR) MIM# 219700 |
83890
|
83892 |
83894 |
(x2)
83898 |
NA |
| Dentatorubral-Pallidoluysian
Atrophy (DRPLA) MIM# 125370 |
83890
|
NA |
83894 |
83898 |
NA |
| Duchenne/Becker
Muscular Dystrophy (Linkage Analysis). MIM# 310200 |
83890
|
NA |
(x2)
83894 |
83898 |
NA |
| Duchenne/Becker
Muscular Dystrophy (Deletion Analysis) MIM# 310200 |
83890
|
NA |
83894 |
(x18)
83898 |
NA |
| Factor
V (Leiden) MIM# 227400.0001 |
83890
|
(x1)
83892 |
83894 |
NA |
NA |
| Fragile
X Syndrome (FMR1) MIM# 309550 |
83890
|
(x1)
83892 |
83894 |
83896 |
Nucleic
Acid Probe (x1) 83896 |
| Friedreich's
Ataxia (FRDA) MIM# 229300 |
83890
|
(x1)
83892 |
83894 |
83898 |
Nucleic
Acid Probe (x1) 83896 |
| Galactosemia
(GALT) MIM# 230400 |
83890
|
83892 |
83894 |
(x2)
83898 |
NA |
| Hemoglobin
C (HbC) MIM# 141900* |
83890
|
NA |
83894 |
83898 |
NA |
| Hemophilia
A (HEMA) / Factor VIII Deficiency(Direct) MIM# 306700 |
83890
|
(x1)
83892 |
83894 |
NA |
Nucleic
Acid Probe (x1) 83896 |
| Hemophilia
A (HEMA) / Factor VIII Deficiency)Linkage analysis. |
83890
|
NA |
83894 |
(x3)
83898 |
NA |
| Hereditary
Neuropathy with Liability to Pressure Palsies (HNPP) MIM# 118220 |
83890
|
(x3)
83892 |
83894 |
NA |
Nucleic
Acid Probe (x5) 83896 |
| Huntington's
Disease MIM# 143100 |
83890
|
NA |
83894 |
83898 |
NA |
| Leber's
Hereditary Optic Neuropathy (LHON) MIM# 308900 |
83890
|
(x5)
83892 |
(x2)
83894 |
(x4)
83898 |
NA |
| Machado-Joseph
Disease (MJD/SCA3) MIM# 109150/183085 |
83890
|
NA |
83894 |
83898 |
NA |
| Marfan
Syndrome (MFS1) MIM# 154700 |
83890
|
NA |
83894 |
83898 |
NA |
| Medium
Chain Acyl-CoA Dehydrogenase Deficiency (MCAD) MIM# 201450 |
83890
|
(x1)
83892 |
83894 |
83898 |
NA |
| Movement
Disorder Mutation Screen |
83890
|
NA |
(x5)
83894 |
(x5)
83898 |
NA |
| Multiple
Endocrine Neoplasia Type 2A / Familial Medullary Thyroid Carcinoma
MIM# 164761/171400 |
83890
|
NA |
(x2)
83894 |
(x3)
83898 |
NA |
| Myotonic
Dystrophy (DM) MIM# 160900 |
83890
|
(x2)
83892 |
83894 |
83898 |
Nucleic
Acid Probe (x1) 83896 |
| Neonatal
Hypotonia Panel |
(x2)
83890
|
NA |
(x3)
83894 |
(x3)
83898 |
Reverse
Transcription (x1) 83902 |
| Neurofibromatosis
Type 1 (NF1) MIM# 162200 |
83890
|
NA |
(x2)
83894 |
(x4)
83898 |
NA |
| Prader-Willi
Syndrome (PWS) (Methylation) MIM# 176270 |
83890
|
(x2)
83892 |
83894 |
NA |
Nucleic
Acid Probe (x1) 83896 |
| Prader-Willi
Syndrome (PWS) (Segregation Analysis) MIM# 176270 |
(x3)
83890
|
NA |
83894 |
(x9)
83898 |
NA |
| Rh
Antigen Genotyping MIM# 111680 |
83890
|
NA |
83894 |
83898 |
NA |
| Sexing |
83890
|
NA |
83894 |
83898 |
NA |
| Sickle
Cell Anemia (HbS) MIM# 141900 |
83890
|
83892 |
83894 |
83898 |
NA |
| Spinobulbar
Muscular Atrophy (SBMA; Kennedy's Disease) MIM# 313200 |
83890
|
NA |
83894 |
83898 |
NA |
| Spinocerebellar
Ataxia Type 1 (SCA I) MIM# 164400 |
83890
|
NA |
83894 |
83898 |
NA |
| Spinocerebellar
Ataxia Type 2 (SCA 2) MIM# 183090 |
83890
|
NA |
83894 |
83898 |
NA |
| Spinocerebellar
Ataxia Type 3 (SCA 3) MIM# 183085 |
83890
|
NA |
83894 |
83898 |
NA |
| Spinocerebellar
Ataxia Type 6 (SCA 6) |
83890
|
NA |
83894 |
83898 |
NA |
| Spinocerebellar
Ataxia Type 7 (SCA 7) |
83890
|
NA |
83894 |
83898 |
NA |
| Spinal
Muscular Atrophy Type I, II, III (SMA) - Deletion Analysis MIM#
253300 |
83890
|
83892 |
(x2)
83894 |
(x2)
83898 |
NA |
| Spinal
Muscular Atrophy Type I, II, III (SMA) - Linkage analysis MIM#
253300 |
83890
|
NA |
(x2)
83894 |
(x4)
83898 |
NA |
| Williams
Syndrome (WS) Direct MIM# 194050 |
83890
|
NA |
83894 |
(x3)
83898 |
NA |
| Williams
Syndrome (WS) Segregation Analysis MIM# 194050 |
(x3)
83890
|
NA |
(x3)
83894 |
(x9)
83898 |
NA |
| *
All Tests: Interpretation & Report (x1): 83912 |
|
|