AAPC - Back to school
Results 1 to 6 of 6

Thread: Alternative Code for BRCA Genetic Testing

  1. #1
    Join Date
    Apr 2007
    Salisbury, MD

    Default Alternative Code for BRCA Genetic Testing

    AAPC: Back to School
    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?


  2. #2
    Join Date
    Apr 2007
    High Point

    Default 88299?

    88299 looks like the closest code I can find for this......

    Any other suggestions?



  3. #3


    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.

    Amanda, CPC
    Anesthesia coder

  4. #4
    Join Date
    Apr 2007
    Salisbury, MD


    Thanks you guys! Very helpful.

  5. #5


    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

  6. #6
    Join Date
    Apr 2007
    Greeley, Colorado


    Are you all doing the actual test in your office or are they going to an outside lab?
    Lisa Bledsoe, CPC, CPMA

Similar Threads

  1. How do I bill BRCA testing?
    By mauadajar in forum OB/GYN
    Replies: 1
    Last Post: 08-26-2015, 11:38 AM
  2. Genetic Testing - CPT code
    By ddegraz@comcast.net in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-10-2013, 11:08 AM
  3. BRCA 1 & 2 Testing
    By lmccormack652 in forum OB/GYN
    Replies: 2
    Last Post: 11-09-2012, 12:30 PM
  4. Brca and colaris testing
    By TYSON1234 in forum OB/GYN
    Replies: 0
    Last Post: 04-20-2012, 12:09 PM
  5. Genetic Testing Code Modifiers
    By sharon40 in forum Modifiers
    Replies: 1
    Last Post: 01-20-2010, 03:12 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.