ICD-10 and CPT 2018

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The American Medical Association (AMA) has made Current Procedural Terminology (CPT) code changes to the 2017 edition of the CPT coding manual. In addition, CMS has also made changes to Healthcare Common Procedure Coding System (HCPCS) codes.

Diagnostic Laboratory of Oklahoma (DLO) will be implementing these changes effective January 1, 2018. Overall, the changes for 2018 affect the way we bill some of our tests. These tests may also be included in panels or profiles. The below chart lists the tests affected and the appropriate CPT code changes.

DLO Order Code DLO Test Name 2017 CPT Coding 2018 CPT Coding
91681 Peanut Component Panel 86003 (x5) 86008 (x5)
91403 Milk Component Panel 86003 (x3) 86008 (x3)
91372 Egg Component Panel 86003 (x2) 86008 (x2)
94467 Walnut IgE with Reflex Components 86003 with reflex to 86003 (x2) 86003 with reflex to 86008 (x2)
94465 Cashew Nut (f202) IgE with Reflex to Component 86003 with reflex to 86003 86003 with reflex to 86008
94464 Brazil Nut (f18) IgE with Reflex to Component 86003 with reflex to 86003 86003 with reflex to 86008
94468 Hazelnut (f17) IgE with Reflex to Component Panel 86003 with reflex to 86003 (x4) 86003 with reflex to 86008 (x4)
91747 Peanut, Total with Reflex to Peanut Component Panel 86003 with reflex to 86003 (x5) 86003 with reflex to 86008 (x5)
16047 Respiratory Syncytial Virus (RSV) RNA, Qualitative Real-Time PCR 87798 87634
93908 Zika Virus Antibody (IgM) 86790 86794
94264 Zika Virus Antibody (IgM), MAC-ELISA 86790 86794
93909 Zika Virus Antibodies (IgG, IgM) 86790 (x2) 86794, 86790
93870 Zika Virus RNA, Qualitative, Real-Time RT-PCR 87798 87662
94221 Zika Virus RNA, Qualitative, Real-Time RT-PCR Panel, Serum/Urine 87798 (x2) 87662 (x2)
10707 Human Platelet Antigen 1 Genotype 81400 81105
16813 HPA 1 Genotype, PCR 81400 81105
91617 Pain Management, CYP450 3A4 Genotype, Qualitative 81401 81230
91618 Pain Management, CYP450 3A5 Genotype, Qualitative 81401 81327
91597 Pain Management, CYP450 3A4/3A5 Genotype, Qualitative 81401, 81479 81230, 81231
15538 Dihydropyrimidine Dehydrogenase (DPD) Gene Mutation Analysis 81400 81232
90251 AccuType ® IL28B 81400 81283
90252 AccuType ® IL28B (NY) 81400 81283
37742 Thiopurine S-Methyltransferase (TPMT) Genotype 81401 81335
16124 Alpha-Globin Gene Deletion or Duplication 81404 81269
94372 QHerit™ Expanded Carrier Screen 81257, 81209, 81200, 81260, 81242, 81251, 81250, 81205, 81290, 81330, 81255, 81220, 81243, 81400 (x4), 81401 (x3), 81479 81257, 81209, 81200, 81260, 81242, 81251, 81250, 81205, 81290, 81330, 81255, 81220, 81243, 81361, 81400 (x4), 81401 (x2), 81479
16116 Alpha-Globin Gene Sequencing 81401 81327
16983 Beta-Globin Complete™ 81404 81364
14979 Beta-Globin Complete™ (NY) 81404 81364
91709 Beta-Globin Complete™, Fetus 81404 81364
92125 Prosigna™ Breast Cancer Prognostic Gene Signature Assay 0008M 81520

We appreciate your support and look forward to continuing to serve all of your laboratory needs. We at DLO will make every effort to assist you with the transition to the 2018 AMA CPT coding being used for our test offerings.