SPECIALITY CODE PACKAGES
Clinical Genetics Codes
The Clinical Genetics Code Package includes 64 commonly billed services at a fraction of the cost of purchasing individual codes. Code packages are available for both monthly and annual subscription plans, with monthly updates provided for subscribers.
81201, 81203, 81220, 81228, 81229, 81240, 81241, 81243, 81244, 81245, 81247, 81250, 81252, 81253, 81400, 81401, 81402, 81403, 81404, 81405, 81406, 81407, 81408, 81410, 81415, 81416, 81417, 81425, 81426, 81427, 88230, 88233, 88235, 88237, 88239, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 96040, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99421, 99422, 99423, 99441, 99442, 99443 & S0265
View the table below to see individual code descriptions.
Code Classifications and Descriptions
| Category | Category Description | Billing Code | Code Description |
| Clinical Genetics | Pathology and Laboratory Procedures | 81201 | APC GENE ANALYSIS FULL GENE SEQUENCE |
| Clinical Genetics | Pathology and Laboratory Procedures | 81203 | APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS |
| Clinical Genetics | Pathology and Laboratory Procedures | 81220 | CFTR GENE ANALYSIS COMMON VARIANTS |
| Clinical Genetics | Pathology and Laboratory Procedures | 81228 | CYTOG ALYS CHRMOML ABNOR COPY NUMBER VRNT CGH |
| Clinical Genetics | Pathology and Laboratory Procedures | 81229 | CYTOG ALYS CHRMOML ABNOR CPY NUMBER&SNP VRNT CGH |
| Clinical Genetics | Pathology and Laboratory Procedures | 81240 | F2 GENE ANALYSIS 20210G >A VARIANT |
| Clinical Genetics | Pathology and Laboratory Procedures | 81241 | F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT |
| Clinical Genetics | Pathology and Laboratory Procedures | 81243 | FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES |
| Clinical Genetics | Pathology and Laboratory Procedures | 81244 | FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES |
| Clinical Genetics | Pathology and Laboratory Procedures | 81245 | FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS |
| Clinical Genetics | Pathology and Laboratory Procedures | 81247 | G6PD GENE ANALYSIS COMMON VARIANTS |
| Clinical Genetics | Pathology and Laboratory Procedures | 81250 | G6PC GENE ANALYSIS COMMON VARIANTS |
| Clinical Genetics | Pathology and Laboratory Procedures | 81252 | GJB2 GENE ANALYSIS FULL GENE SEQUENCE |
| Clinical Genetics | Pathology and Laboratory Procedures | 81253 | GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS |
| Clinical Genetics | Pathology and Laboratory Procedures | 81400 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 1 |
| Clinical Genetics | Pathology and Laboratory Procedures | 81401 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 |
| Clinical Genetics | Pathology and Laboratory Procedures | 81402 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 3 |
| Clinical Genetics | Pathology and Laboratory Procedures | 81403 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 |
| Clinical Genetics | Pathology and Laboratory Procedures | 81404 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 |
| Clinical Genetics | Pathology and Laboratory Procedures | 81405 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 |
| Clinical Genetics | Pathology and Laboratory Procedures | 81406 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 |
| Clinical Genetics | Pathology and Laboratory Procedures | 81407 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 |
| Clinical Genetics | Pathology and Laboratory Procedures | 81408 | MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 |
| Clinical Genetics | Pathology and Laboratory Procedures | 81410 | AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS |
| Clinical Genetics | Pathology and Laboratory Procedures | 81415 | EXOME SEQUENCE ANALYSIS |
| Clinical Genetics | Pathology and Laboratory Procedures | 81416 | EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME |
| Clinical Genetics | Pathology and Laboratory Procedures | 81417 | EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ |
| Clinical Genetics | Pathology and Laboratory Procedures | 81425 | GENOME SEQUENCE ANALYSIS |
| Clinical Genetics | Pathology and Laboratory Procedures | 81426 | GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME |
| Clinical Genetics | Pathology and Laboratory Procedures | 81427 | GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ |
| Clinical Genetics | Pathology and Laboratory Procedures | 88230 | TISS CUL NON-NEO DISORDERS LYMPHOCYTE |
| Clinical Genetics | Pathology and Laboratory Procedures | 88233 | TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX |
| Clinical Genetics | Pathology and Laboratory Procedures | 88235 | TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS |
| Clinical Genetics | Pathology and Laboratory Procedures | 88237 | TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS |
| Clinical Genetics | Pathology and Laboratory Procedures | 88239 | TISS CUL NEO DISORDERS SOLID TUMOR |
| Clinical Genetics | Pathology and Laboratory Procedures | 88245 | CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL |
| Clinical Genetics | Pathology and Laboratory Procedures | 88248 | CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL |
| Clinical Genetics | Pathology and Laboratory Procedures | 88249 | CHRMSM BREAKAGE SYNDS SCORE 100 CLL |
| Clinical Genetics | Pathology and Laboratory Procedures | 88261 | CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING |
| Clinical Genetics | Pathology and Laboratory Procedures | 88262 | CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING |
| Clinical Genetics | Pathology and Laboratory Procedures | 88263 | CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE |
| Clinical Genetics | Pathology and Laboratory Procedures | 88264 | CHRMSM ANALYZE 20-25 CELLS |
| Clinical Genetics | Medicine Services and Procedures | 96040 | MEDICAL GENETICS COUNSELING EACH 30 MINUTES |
| Clinical Genetics | MEDICAL GENETICS COUNSELING EACH 30 MINUTES | 99202 | OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES |
| Clinical Genetics | Evaluation and Management | 99203 | OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES |
| Clinical Genetics | Evaluation and Management | 99204 | OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES |
| Clinical Genetics | Evaluation and Management | 99205 | OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES |
| Clinical Genetics | Evaluation and Management | 99211 | OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP |
| Clinical Genetics | Evaluation and Management | 99212 | OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN |
| Clinical Genetics | Evaluation and Management | 99213 | OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN |
| Clinical Genetics | Evaluation and Management | 99214 | OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN |
| Clinical Genetics | Evaluation and Management | 99215 | OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN |
| Clinical Genetics | Evaluation and Management | 99241 | Office consultation for a new or established patient that requires these three key components: a problem-focused history; a problem-focused examination; and straightforward medical decision-making |
| Clinical Genetics | Evaluation and Management | 99242 | OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES |
| Clinical Genetics | Evaluation and Management | 99243 | OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES |
| Clinical Genetics | Evaluation and Management | 99244 | OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES |
| Clinical Genetics | Evaluation and Management | 99245 | OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES |
| Clinical Genetics | Evaluation and Management | 99421 | ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES |
| Clinical Genetics | Evaluation and Management | 99422 | ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES |
| Clinical Genetics | Evaluation and Management | 99423 | ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MINUTES |
| Clinical Genetics | Evaluation and Management | 99441 | PHYS/QHP TELEPHONE EVALUATION 5-10 MIN |
| Clinical Genetics | Evaluation and Management | 99442 | PHYS/QHP TELEPHONE EVALUATION 11-20 MIN |
| Clinical Genetics | Evaluation and Management | 99443 | PHYS/QHP TELEPHONE EVALUATION 21-30 MIN |
| Clinical Genetics | HCPCS | S0265 | Genetic counsel 15 mins |