false

Test Pricing, Turnaround Time, and CPT Codes

style
palette-deep-blue
showJumplinks
true

Our tests

The American Medical Association’s CPT codes issued by the Laboratory for Molecular Medicine are provided for informational purposes only. The codes reflect our interpretation of CPT coding requirements based upon AMA guidelines published annually. CPT codes are provided only as guidance to assist clients with billing. As such, the Laboratory for Molecular Medicine strongly recommends that clients confirm CPT codes with the applicable payor, as requirements may differ. CPT coding is the sole responsibility of the billing party and the Laboratory for Molecular Medicine assumes no responsibility for billing errors due to reliance on the CPT codes published. Please direct any questions regarding CPT coding to the payer being billed.

Test prices, turnaround times, and CPT codes for our genome sequencing, next-generation panels, testing panels, single gene tests, and familial variant testing are listed below. For any additional questions, please contact the lab.

Cardiomyopathy

table-header

Test

Price

Turnaround time

CPT code

table-row

Panel (62 Genes)

$1,200

6-8 weeks

81439

table-row

Transthyretin amyloidosis—TTR gene sequencing

$600

3 weeks

81404

Genome services

table-header

Test

Price

Turnaround time

CPT code

table-row

Single diagnostic genome

$1,900

Please call

81425

table-row

Trio diagnostic genome

$2,800

Please call

81425(1), 81426(2)

table-row

Expanded genomic screening

$1,500

Please call

Please call

table-header

Test

Price

Turnaround time

CPT code

table-row

OtoGenomeTM test for hearing loss (110 genes)

$2,500

8-12 weeks

81430 (1), 81431 (1)

table-row

Connexin test (GJB2 sequencing and GJB6-D13S1830 deletion)

$600

3 weeks

81252 (1), 81254 (1)

table-row

Pendred syndrome—SLC26A4 sequencing

$1,100

4 weeks

81406

table-row

WFS1 gene sequencing

$750

3 weeks

81479 (1)

table-row

POU3F4 gene sequencing

$500

3 weeks

81479 (1)

Kidney disease

table-header

Test

Price

Turnaround time

CPT code

table-row

APOL1 genotyping panel A

$600

3 weeks

81479

Familial variant test

table-header

Test

Price

Turnaround time

CPT code

table-row

Familial variant testing—LMM proband

$600

3 weeks

81403

table-row

Familial variant testing—non-LMM proband

$750

3 weeks

81403

style
palette-white
showJumplinks
true

Insurance, pricing, and CPT codes

For patients seeking reimbursement from an insurance company

It is up to the patient to seek reimbursement from their insurance company. Every company has different policies and paperwork. We advise you to contact your insurer before submitting a sample for testing.

When calling an insurance company, you will need:

  • The name, address and telephone number of the clinician recommending testing
  • The name of the genetic test being recommended
  • CPT codes for the recommended test

You should ask:

  • Will I need pre-authorization?
  • Will I need a letter of medical necessity?
  • What is the reimbursement process?
  • What will I need to submit for reimbursement?
  • What forms are required and where can I find those forms?
  • Where do I submit any paperwork?