ICD-10 and CPT 2019

Click here to view the latest ICD-10 and CPT 2019 updates

The American Medical Association (AMA) has made Current Procedural Terminology (CPT) code changes to the 2019 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, 2019. Overall, the changes for 2019 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 2018 CPT Coding 2019 CPT Coding
90567 Dihydrotestosterone (DHT) 80327 82642
36168 Dihydrotestosterone (DHT), Free, Serum 80327 82642
36406 sdLDL 83704 83722
91771 MYD88, Mutation Analysis 81479 81305
36164 DMPK DNA Test (DM1) 81401 81234
10247 Huntington Disease Mutation Analysis 81401 81271
14871 Huntington Disease Mutation Analysis (NY) 81401 81271
94372 QHeritā„¢ Expanded Carrier Screen 81257, 81209, 81200, 81260, 81242, 81251, 81250, 81205, 81290, 81330, 81255, 81220, 81243, 81361, 81400 (x4), 81401 (x2), 81479 81443
91866 BRCAvantageĀ®, Rearrangements 81213, 81479 81164
18041 SMA Carrier Screen 81401 81329
16869 SMA Diagnostic Test 81401 81329
90949 Prenatal Carrier Screen 81220, 81243, 81401 81220, 81243, 81329
93349 Prenatal Carrier Panel 81220, 81243, 81401 81220, 81243, 81329
92688 Liver Fibrosis, FibroTest-ActiTest Panel [MAAA: 0001M] or 82172, 82247, 82977, 83010, 83883, 84460* 81596

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 2019 AMA CPT coding being used for our test offerings.

Note: The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.