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Codes/Units Effective: 4/1/2016
Test /
Specimen
CPT Code
Code Description
Unit
Qty
POSTNATAL TESTING SERVICES
Indication-Specific Gene Panel
INDICATION: Rett | Atypical Rett | Angelman | Angelman-like Syndromes


blood \ extracted DNA
buccal mucosa swab \ extracted DNA
┤ GENE PANEL (Sequencing and Del/Dup)
81407
81228
Molecular Pathology Procedure, Level 8
Cytogenetic Constitutional Microarray analysis (copy number)
2
1
┤ ONLY Next Generation Sequencing (NGS)
81407
Molecular Pathology Procedure, Level 8
2
┤ ONLY Deletion/Duplication Analysis
81228
Cytogenetic Constitutional Microarray analysis (copy number)
1
• Consider Also: SNP Microarray Analysis
81229
88230
Cytogenetic Constitutional Microarray analysis (copy number & SNP)
Tissue culture, non-neoplastic disorders; lymphocyte
1
1
• Consider Also: Methylation Studies of Chromosome 15
[recommended if patient has Angelman phenotype]
81331
SNRPN/UBE3A methylation analysis
1
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