Like many other codes, AMA made several changes in the
Pathology and Laboratory in 2015. The
CPT code set has changed to a large extent. There were 28 new codes added, 11
deleted codes and 50 revised codes.
Similarly, in molecular diagnostics, the scope of
the molecular pathology services codes have increased yet again for 2016, with
the addition of eight new Tier 1 codes and seven new genomic sequencing
procedures as well as ten multianalyte assay with algorithmic analyses (MAAAs),
which are procedures that utilize multiple results derived from assays of
various types, including molecular pathology, FISH and non-nucleic acid based
assays.
CPT code 80081 is a n example of new code for Obstetric
panel includes HIV testing. It is
identical to the 80055 code (Obstetric panel) except the thing that in new code , HIV testing was also added.
In order to bill this code all components of the panel must be performed. The
added service for this new panel includes HIV-1 antigen(s), with HIV-1 and
HIV-2 antibodies, single result which is coded as 87389.
Changes and Updates for 2016
Here you can find a list of some new, updated and deleted
codes but its not comprehensive:
Revised Codes
80162 Digoxin;
total
80164 Valproic
acid (dipropylacetic acid); total
80171 Gabapentin,
whole blood, serum, or plasma
80299 Quantitation
of therapeutic drug, not elsewhere specified
81245 FLT3
(fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis;
internal tandem duplication (ITD) variants (ie, exons 14, 15)
81402 Molecular
pathology procedure, Level 3
81403 Molecular
pathology procedure, Level
81404 Molecular
pathology procedure, Level 5
81405 Molecular
pathology procedure, Level 6
82541 Column
chromatography/mass spectrometry , non-drug analyte not elsewhere specified;
qualitative, single stationary and mobile phase
82542
quantitative, single stationary and mobile phase
82543 stable
isotope dilution, single analyte, quantitative, single stationary and mobile
phase
82544 stable
isotope dilution, multiple analytes, quantitative, single stationary and mobile
phase
84600 Volatiles
(eg, acetic anhydride, diethylether)
86900 Blood
typing, serologic; ABO
86901 Rh (D)
86902 antigen
testing of donor blood using reagent serum, each antigen test
86904 antigen
screening for compatible unit using patient serum, per unit screened
86905 RBC
antigens, other than ABO or Rh (D), each
86906 Rh
phenotyping, complete
87632 respiratory
virus
88342 Immunohistochemistry
or immunocytochemistry, specimen
88368 Morphometric
analysis
New Codes
80162 Digoxin;
free
80165 Valproic
acid (dipropylacetic acid); free
80300 Drug
screen, any number of drug classes from Drug Class List A
80301 single
drug class method, by instrumented test systems
80320 Alcohols
80323 Alkaloids,
not otherwise specified
80327 Anabolic
steroids; 1 or 2
80329 Analgesics,
non-opioid; 1 or 2
80332 Antidepressants,
serotonergic class; 1 or 2
80338 Antidepressants,
not otherwise specified
80339 Antiepileptics,
not otherwise specified; 1-3
80345 Barbiturates
80346 Benzodiazepines;
1-12
80353 Cocaine
80354 Fentanyl
80355 Gabapentin,
non-blood
80356 Heroin
metabolite
80365 Oxycodone
80366 Pregabalin
80367 Propoxyphene
80368 Sedative
hypnotics (non-benzodiazepines)
80369 Skeletal
muscle relaxants; 1 or 2
81415 Exome
(eg, unexplained constitutional or heritable disorder or syndrome); sequence
analysis
81416 sequence
analysis, each comparator exome (eg, parents, siblings
81430 Hearing
loss
81435 Hereditary
colon cancer syndromes
81440 Nuclear
encoded mitochondrial genes
81460 Whole
mitochondrial genome
81465 Whole
mitochondrial genome large deletion analysis panel
81519 Oncology
(breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes,
utilizing formalin-fixed paraffin embedded tissue, algorithm reported as
recurrence score
83006 Growth
stimulation expressed gene 2(ST2, Interleukin 1 receptor like-1)
87623 Human
Papillomavirus (HPV), low-risk types
87806 HIV-1
antigen(s), with HIV-1 and HIV-2 antibodies
89337 Cryopreservation,
mature oocyte(s)
Deleted Codes
80100 Drug
screen, qualitative; multiple drug classes chromatographic method, each
procedure
80101 Drug
screen, qualitative; single drug class method
80102 Drug
confirmation, each procedure
80103 Tissue
preparation for drug analysis
80104 Drug
screen, qualitative; multiple drug classes other than chromatographic method,
each procedure
80152 Amitriptyline
80154 Benzodiazepines
80160 Desipramine
80166 Doxepin
80172 Gold
80174 Imipramine
80182 Nortriptyline
80196 Salicylate
82000 Acetaldehyde,
blood
82003 Acetaminophen
82055 Alcohol
(ethanol); any specimen except breath
82101 Alkaloids, urine, quantitative
82145 Amphetamine or methamphetamine
82205 Barbiturates,
not elsewhere specified
82520 Cocaine
or metabolite
82646 Dihydrocodeinone
82649 Dihydromorphinone
82651 Dihydrotestosterone
(DHT)
82654 Dimethadione
82666 Epiandrosterone
82690 Ethchlorvynol
82742 Flurazepam
82953 Glucose;
tolbutamide tolerance test
82975 Glutamine
(glutamic acid amide)
82980 Glutethimide
83008 Guanosine
monophosphate (GMP), cyclic
83055 Hemoglobin;
sulfhemoglobin, qualitative
83071 Hemosiderin; quantitative
83634 Lactose, urine; quantitative
83805 Meprobamate
83840 Methadone
83858 Methsuximide
83866 Mucopolysaccharides, acid; screen
83887 Nicotine
84022 Phenothiazine
84127 Porphyrins,
feces; qualitative
87001 Animal
inoculation, small animal; with observation
87620 Infectious
agent detection by nucleic acid (DNA or RNA); papillomavirus, human, direct
probe technique
88349 Electron
microscopy; scanning
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