Billing and Coding: Genetic Testing in Oncology: Specific Tests

This billing and coding guidance requires UroVysion Bladder Kit services to be billed with CPT 88120 or 88121 when ordered for patients with an established cancer diagnosis or substantiated suspicion of cancer and when results will directly affect patient management. Claims must include specific documentation (legible records, provider signature, ICD-10 support, counseling documentation, and how results will impact management), laboratories must append -TC when only reporting the technical component, and physicians may not bill the professional component if interpretive information is provided by a lab technician or scientist.

"Report UroVysion Bladder Kit services using CPT 88120 or 88121 when ordered for a patient with an established diagnosis of cancer or a substantiated suspicion of cancer and when test results will d..."

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