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Hearing Genetic Testing CPT Codes Cost TAT
OtoSCOPE® panel 81430, 81431 $1500 3-4 months
Usher panel:  USH1 genes: MYO7A, USH1C, CDH23, PCDH15, USHIG, CIB2; USH2 genes: USH2A, GPR98, WHRN (DFNB31); USH3 genes: CLRN) 81404(x2), 81407(x3), 81408(x2), 81479(x3) $1500 3-4 months
GJB2/GJB6 (Connexin 26/30) 81252 / 81254 $324 8 weeks
GJB2/GJB6 (Connexin 26/30) familial 81253 $200 8 weeks
MTRNR1- C1494T and A1555G mutations 81401 – MTRNR1 $168 8 weeks
MTTL1-A3243G mutation 81401 – MTTL1 $168 8 weeks
MTTS1-A7445G mutation 81401 – MTTS1 $168 8 weeks
Familial Mutation Testing 81403 $200 8 week

 

Kidney Genetic Testing CPT Codes Cost TAT
Genetic Renal Panel (appropriate for patients with TMA, TTP, aHUS, DDD and C3GN) - genes included: CFH, CFI, MCP, CFB, CFHR5, C3, THBD, ADAMTS13, PLG, DGKE, and MLPA 81479(x11) $3,000 28 days - average TAT
MLPA (screen for deletions of CFHR1-CFHR3) 81479 $624 8-12 weeks
Familial Mutation Testing 81403 $200 2 weeks

 

4 weeks

Special Functional and Biomarker Testing CPT Codes Cost TAT
TMA Functional Panel (FH autoantibody, Hemolytic Assay, CH50APFA, FH, FI, FB, C3, C4, ADAMTS-13 & sC5b-9) 83516, 83520, 85397, 86160(x5), 86161(x2), 86162 $2,272 4 weeks
C3G Functional Panel ( FB autoantibody, FH autoantibody, HemolyticAssayC3NeFC4Nef , CH50, APFAC3C3cFBBaBbC5Properdin & sC5b-9) 83516(x2), 83520, 86160(x7), 86161(x5), 86162, 86235(x3), 86334 $4,063 4 weeks
FB Autoantibody Testing 83516 $324 4 weeks
FH Autoantibody Testing 83516 $324 2 weeks
Hemolytic Assay 86161 $320 4 weeks
Alternative Pathway Functional Assay (APFA) 86161 $200 2 weeks
Ba Level 86160 $250 2 weeks
Bb Level 86160 $250 2 weeks
CH50 86162 $108 2 weeks
C3 Level 86160 $100 2 weeks
C3c Level available beginning 1/1/2016 86160 $325 4 weeks
C3d Level no longer available as of 1/1/2016 86160 $325 6 weeks
C4 Level 86160 $100 2 weeks
C5 Level 86160 $300 2 weeks
Properdin Level 86160 $300 2 weeks
Factor B Level (FB) 86160 $150 2 weeks
Factor H Level (FH) 86160 $120 2 weeks
Factor I Level (FI) 86160 $130 2 weeks
ADAMTS-13 Activity Assay 85397 $400 24 hours
ADAMTS-13 Inhibitor Assay 85397, 85335 $400 24 hours
ADAMTS-13 Activity with Inhibitor Assay 85397, 85335 $550 24 hours
C3Nef (by C3CSA, C3CSAP & IFE) 86235(x2), 86161(x2), 86334 $392 4 weeks
C4Nef 86235, 86161 $400 4 weeks
Soluble C5b-9 (sMAC) 83520 $320 2 weeks

Prices & tests offered subject to change on an quarterly basis. Effective 1/1/2016