Wiki Alternative Code for BRCA Genetic Testing

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lbusby2

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Does anyone know what an alternative code(s) to S3818-S3820 (BRCA Genetic Analysis) would be to use with a patient undergoing the BRCA genetic (Breast CA) testing where S-Codes are not allowable/billable? Not necessarily the test is not allowable but S-codes in general are not allowable/billable?

Thanks!:rolleyes:
 
I posted this same question on the Path and Lab discussion forum! I had the same instance where I needed to find something other than the 'S' code with Medicaid. I called my lab to ask them about this and someone found me a print out on AMA. A lot of codes come up for BRCA, but only one came up for BRCA TESTING and that is 83891...it reads Molecular diagnositcs; isolation or extraction of highly purified nucleic acid. So, that says nothing about BRCA specifically, but that's according to our lab. I've thought about calling Labcorp or Quest and see what they use.
 
Below is the series of CPT codes we bill for the BRAC testing, these codes were obtained from the reference lab doing the test.

COMP BRAC ANALYSIS 83891, 83898 x81, 83904 x81, 83909 x81, 83912
BRAC1 (Single Site) 83891, 83898, 83904, 83909, 83912
BRAC2 (Single Site) 83891, 83898, 83904, 83909, 83912
 
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