Molecular Pathology Procedure Test Codes

Effective January 1, 2012 - December 31, 2012

Beginning January 1, 2012, the American Medical Association has established additional Molecular Pathology Procedure test codes.

Each of these new Molecular Pathology Procedure test codes represents a test that is currently being used and which may be billed with existing Current Procedural Terminology (CPT) codes. For example, a provider performs a genetic test that is generally billed as follows in order to represent the performance of the entire test:

83891 (one time) + 83898 (multiple times) + 83904 (multiple times) +

83909 (multiple times) + 83912 (one time)

In the new CPT test coding structure, the provider can bill with the new, single CPT test code that corresponds to the test represented by the codes in the example above rather than billing each component of the test separately.   

BCBSTX requests that providers bill using the separate components or “stacked” codes rather than using the new, single Molecular Pathology Procedure test codes.

Fee schedule information is posted at bcbstx.com/provider.

Some procedures maybe considered Experimental and Investigational by BCBSTX: please refer to Medical Policy posted on the BCBSTX website.  

The table below lists the new 2012 Molecular Pathology Procedure test codes:

81200 81205 81206 81207 81208
81209 81210 81211 81212 81213
81214 81215 81216 81217 81220
81221 81222 81223 81224 81225
81226 81227 81228 81229 81240
81241 81242 81243 81244 81245
81250 81251 81255 81256 81257
81260 81261 81262 81263 81264
81265 81266 81267 81268 81270
81275 81280 81281 81282 81290
81291 81292 81293 81294 81295
81296 81297 81298 81299 81300
81301 81302 81303 81304 81310
81315 81316 81317 81318 81319
81330 81331 81332 81340 81341
81342 81350 81355 81370 81371
81372 81373 81374 81375 81376
81377 81378 81379 81380 81381
81382 81383 81400 81401 81402
81403 81404 81405 81406 81407
    81408