Allele Diagnostics - CPT Codes for Testing

Current Procedural Terminology (CPT®) codes are provided for informational purposes only and reflect our interpretation of the CPT requirements based on the American Medical Association (AMA) guidelines. For tests not performed at Allele Diagnostics, the CPT code assigned by the performing lab is provided. CPT coding is the sole responsibility of the billing party and any questions should be directed to the payer being billed.

Pediatric CPT Codes

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Cytogenetic/Molecular Cytogenetic Studies

Microarray and karyotype

Test #	Test Title	CPT Code(s)
100	Rapid microarray (CGH and SNP)	81229 x1
200	Standard karyotype (pediatric)	88230 x2, 88262 x1, 88291 x1
204	Karyotype for mosaicism (pediatric)	88230 x2, 88263 x1, 88291 x1
210	Rapid microarray + 5-cell karyotype bundle	81229 x1, 88230 x1, 88261 x1, 88285 x0¹, 88291 x1

Familial Studies

Test #	Test Title	CPT Code(s)
230	5-cell karyotype (parent or family member of proband)	88230 x1, 88261 x1, 88291 x1
330	Locus-specific FISH (parent or family member of proband)	88230 x1, 88271 x2, 88273 x2, 88291 x1
900	Parental testing (general)	Dependent upon specific testing performed.

Molecular Testing

Sequencing

Test #	Test Title	CPT Code(s)
8280	Custom NGS panel	Dependent upon testing ordered
8560	Known variant evaluation	Dependent upon testing ordered
8835	Single gene sequencing	Dependent upon testing ordered
8910	Whole exome via NGS (Proband only)	81415 x1
8911	Whole exome via NGS (Trio with proband report only)	81415 x1, 81416 x2

Non-Sequencing

Test #	Test Title	CPT Code(s)
8115	Beckwith-Wiedemann/Russell-Silver methylation testing	81401 x1
8230	Congenital hypotonia panel	81331 x1, 81400 x1, 81404 x1
8380	Fragile X: CGG repeat analysis	81243 x1
8381	Fragile X: CGG repeat analysis (buccal specimens)	81243 x1
8750	Prader-Willi/Angelman methylation testing	81331 x1

Additional Testing/Services

Test #	Test Title	CPT Code(s)
910	Secondary specimen as requested by Allele Diagnostics	N/A. A secondary sample for testing already ordered will typically not be associated with a separate bill.
920	Other testing (specify below)	Dependent upon testing ordered
950	Stabilize specimen and hold	See test description section for discussion on fees.
975	Culture only	88233 x1
7500	Maternal cell contamination testing	81265 x1

Prenatal CPT Codes

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Cytogenetic/Molecular Cytogenetic Studies

Microarray and karyotype

Test #	Test Title	CPT Code(s)
110	High-resolution rapid prenatal microarray (CGH and SNP)	81229 x1, 88233 x1 (POC), 88235 x1 (amnio/CVS)
111	Targeted rapid prenatal microarray with backbone (CGH and SNP)	81229 x1, 88233 x1 (POC), 88235 x1 (amnio/CVS)
201	Standard karyotype (AF/CV)	88235 x1, 88267 x1 (CVS), 88269 x1 (Amniotic Fluid), 88280 x1, 88291 x1
202	Standard karyotype (POC/tissue)	88233 x1 (POC), 88262 x1, 88280 x1, 88291 x1

Familial Studies

Test #	Test Title	CPT Code(s)
230	5-cell karyotype (parent or family member of proband)	88230 x1, 88261 x1, 88291 x1
330	Locus-specific FISH (parent or family member of proband)	88230 x1, 88271 x2, 88273 x2, 88291 x1
900	Parental testing (general)	Dependent upon specific testing performed.

Additional Testing/Services

Test #	Test Title	CPT Code(s)
920	Other testing (specify below)	Dependent upon testing ordered
950	Stabilize specimen and hold	See test description section for discussion on fees.
975	Culture only	88233 x1
7025	AFP with reflex to AChE	82013 (if reflexed), 82106 x1
7500	Maternal cell contamination testing	81265 x1