Wiki Psychiatry & GeneSight Testing

[lashlc]

Does anyone have experience working with GeneSight testing for psychiatry? The cheek swab is taken in clinic, then sent to an outside lab. The results are processed and returned to the psychiatrist for review and interpretation. We are having trouble knowing what is appropriate to use for the psychiatrists time? 90885? 96101 wouldn't be appropriate.

 

[em2177]

Claims for GeneSight tests must include:

?CPT code 81479

?The appropriate ICD-9-CM code(s): ◦296.20 MAJOR DEPRESSIVE AFFECTIVE DISORDER SINGLE EPISODE UNSPECIFIED DEGREE
◦296.22 MAJOR DEPRESSIVE AFFECTIVE DISORDER SINGLE EPISODE MODERATE DEGREE
◦296.23 MAJOR DEPRESSIVE AFFECTIVE DISORDER SINGLE EPISODE SEVERE DEGREE WITHOUT PSYCHOTIC BEHAVIOR
◦296.24 MAJOR DEPRESSIVE AFFECTIVE DISORDER SINGLE EPISODE SEVERE DEGREE SPECIFIED AS WITH PSYCHOTIC BEHAVIOR
◦296.25 MAJOR DEPRESSIVE AFFECTIVE DISORDER SINGLE EPISODE IN PARTIAL OR UNSPECIFIED REMISSION
◦296.30 MAJOR DEPRESSIVE AFFECTIVE DISORDER RECURRENT EPISODE UNSPECIFIED DEGREE
◦296.32 MAJOR DEPRESSIVE AFFECTIVE DISORDER RECURRENT EPISODE MODERATE DEGREE
◦296.33 MAJOR DEPRESSIVE AFFECTIVE DISORDER RECURRENT EPISODE SEVERE DEGREE WITHOUT PSYCHOTIC BEHAVIOR
◦296.34 MAJOR DEPRESSIVE AFFECTIVE DISORDER RECURRENT EPISODE SEVERE DEGREE SPECIFIED AS WITH PSYCHOTIC BEHAVIOR
◦296.35 MAJOR DEPRESSIVE AFFECTIVE DISORDER RECURRENT EPISODE IN PARTIAL OR UNSPECIFIED REMISSION
◦311 DEPRESSIVE DISORDER NOT ELSEWHERE CLASSIFIED

?The name of the test (GeneSight): ◦Electronic claims: Loop 2400, NTE02, or SV101-7 field
◦Paper claims: Box 19

 

[lashlc]

We were looking into using 81479, however discussion with someone in lab/path raised a concern that a psychiatrist shouldn't be billing the 81479 and that modifier 26 doesn't apply to that code.