CPT and ICD Codes

For your convenience, we’ve provided below a list of the CPT and ICD-10 codes for the clinical and laboratory services offered at Insight Medical Genetics.

 

Cancer

BRCA 2 
81216

BRCA 2 - Known Familial Variant
81217

BRCA Plus
81211; 81213; 81321; 81323; 81479

GYNplus
81211; 81213; 81292; 81294; 81295; 81297; 81298; 81300; 81403

BRCA 1
81214

BRCA 1 - Known Familial Variant
81215

BRCA 1 & 2 Del/Dup
81213

BRCA 1 & 2 Sequencing & Del/Dup
81162

BRCA 1 & 2 Ashkenazi Target
81212

 

 

Consultation

Office Consultation
99241 or 99242 or 99243 or 99244 or 99245

Genetic Counseling
99243; 99244; 96040; S0265

 

 

First Trimester Screening

FTS (blood only)
81509

Ultrasounds
76801 & 76813 (add 76814 & 76802 for twins)

Cell-free DNA (NIPT)
81420; 81479

Cell-free DNA (NIPT) (Blood & Ultrasound) and Counseling
81420; 81479; 36415; 76801; 76813;  96040 or S0265 or 99243

First Trimester Screening (Blood & Ultrasound) and Counseling
81509; 36415; 76801; 76813; 96040 or S0265 or 99243

 

 

NextGen Panel Testing

Osteogenesis Imperfecta- Targeted
81406

Osteogenesis Imperfecta Del/Dup
81407

Skeletal Dysplasia
81404(x2); 81405(x3); 81406(x2); 81408

Skeletal Dysplasia ADD-ON to OI
81405; 81406; 81408

Noonan Panel
81442

Noonan Panel- Targeted
81406

Osteogenesis Imperfecta
81404 (x2); 81405 (x2); 81406 (x2); 81408 (x2)

Osteogenesis Imperfecta ADD-ON to SD
81405; 81406; 81408

 

 

Single Gene/Carrier Screening

Hereditary Fructosuria - ALDO B
81406

Hex A Tay-Sachs
81406

IMG Extended Carrier Screening ( Includes SMA-GT, FX, GJB6, GBA)
81404; 81405; 81406; 81407; 81408; 81223; 81244; 81254; 81403

Pompe disease
81406

SCAD: Short Chain acyl-CoA dehydrogenase deficiency
81406

SCO2 Comprehensive Sequencing & Del/Dup
81479

SMA - Deletion & Genotyping (IMG)
81400; 81401; 81403

SMA Genotyping
81403

Smith Lemli Opitz - DHCR7
81406

Spinal Muscular Atrophy (SMN 1)
81406

Targeted Sequencing
81403 or 81404 or 81405 or 81406 or 81408

Tay-Sachs Enzyme Testing
83080

 

ACADM
81406

Beta Thalassemia and other beta- globinopathies
81406

Canavan Disease
81406

CFTR Del/Dup
81222

Cystic Fibrosis Sequencing
81223; 81224

Congenital Disorder of Glycosylation Type 1A
81406

CPT II Deficiency
81406

Familial Mediterranean Fever
81406

Fragile X
81243

Fundamental Panel (CF, SMA, Fragile X Only)
81220; 81400; 81401; 81403; 81243

Gaucher Disease Sequencing (GBA Gene Sequencing)
81406

GJB2 & GJB6
81252; 81254

Glycogen Storage Disease Type 1A
81404

 

Other Testing

Microarray
81229

POC-1
88230(x2); 88267; 88280; 88285; 88291

Blood Draw
36415

Karyotyping
88230(x2); 88262; 88291

Maternal Cell Contamination Studies (MCC)
81265, 81266 (multiples)  

 

Procedures

Fluorescence In-Situ Hybridization (FISH) Only
88377(x2)

Microarray & MCC
81229, 81265, 81266 (multiples)  

Amniocentesis (Does Not Include Microarray)
88235 (x2); 88267; 88280; 88275; 88291; 82106 (FISH 88377x2)

CVS (Does Not Include Microarray)
88235(x2); 88267; 88280; 88285; 88275; 88291 (FISH 88377x2)