Skip to main content

Table 1 Procedure codes used to identify genetic testing

From: Statewide trends and factors associated with genetic testing for hereditary cancer risk in Arkansas 2013–2018

Genetic testing categories

Description

CPT-4/HCPCS codes

HBOC syndrome testing

BRCA1/2

81162, 81163, 81164, 81165, 81166, 81167, 81211, 81212, 81213, 81214, 81215, 81216, 81217

Panel

81432, 81433, 0102U, 0103U, 0129U, 0131U, 0132U, 0133U, 0138U

Lynch syndrome testing

Individual genes

81292, 81293, 81294, 81295, 81296, 81297, 81298, 81299, 81300, 81317, 81318, 81319

Panel

0130U, 0162U

Other HCS panel testing

Hereditary polyposis genes

81201, 81202, 81203

Multiple endocrine neoplasia panel

81437, 81438

Cowden syndrome/PTEN

81321, 81322, 81323

Hereditary multicancer panel

0104U, 0134U, 0135U, 81435, 81436

Tier 2 molecular pathology proceduresa

 

81403, 81404, 81405, 81406, 81408, 81479

  1. HBOC Hereditary Breast and Ovarian Cancer
  2. CPT-4 Current Procedural Terminology-4
  3. HCPCS Healthcare Common Procedure Coding System
  4. HCS Hereditary cancer syndrome
  5. a Tier 2 molecular pathology procedures are based on the complexity of the testing technique and are not specific to a gene or hereditary cancer syndrome.