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Billing and Coding: BRCA1 and BRCA2 Genetic Testing
A56542
Policy Summary
This article provides billing and coding guidance for BRCA1/BRCA2 genetic testing in accordance with LCD L36715. Use CPT/HCPCS code 81479 to report a duplication/deletion analysis panel for hereditary breast cancer-related disorders and include the required comment; do not bill for services not covered by the LCD and use the appropriate modifier when billing non-covered services.
Coverage Criteria Preview
Key requirements from the full policy
"Report only a duplication/deletion analysis panel for hereditary breast cancer-related disorders using code 81479 and place the text 'Hereditary breast cancer-related disorders, duplication/deletio..."
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