ICD-10 is a set of codes used by medical providers to describe the medical diagnoses/ conditions of his or her patients. When it pertains to genetic testing, it is important for the medical provider to supply the diagnostic laboratory with the indication to allow for testing, in the form of an ICD-10 code. For example, if the provider is ordering comprehensive BRCA1 and BRCA2 analysis (BRCATrueTM) on their patient due to a diagnosis of early-onset breast cancer, an appropriate ICD-10 code to utilize might be 174.9. It is important to remember to always utilize ICD-10 codes that support the reason for genetic testing so that an insurance company can understand why the testing was ordered. To aid in selecting an appropriate ICD-10 code for testing, Pathway Genomics has provided some of the more commonly used ICD-10 codes on the back of the test requisition form. However, we understand that this list is not comprehensive, thus please be sure to provide an ICD-10 code that best describes your patient and the indication for testing.
If you are not sure what ICD-10 code is best to use for your patient, you can input your patient’s diagnosis here to receive the proper ICD-10 code.
Pathway accepts no liability for proper coding by professional providers for tests ordered for their patients. Please talk to your billing code specialist or third party payer for specific guidance.
CPT codes are five digit numeric codes that are used to describe a medical, laboratory, etc. services provided by physicians, hospitals, laboratories, and other health care entities and are used for reimbursement purposes. These codes are used to reflect the actual service or procedure that is being performed, and are maintained and copyrighted by the American Medical Association. Pathway Genomics accepts no liability for proper coding by professional providers for tests ordered for their patients. Please talk to your billing code specialist or third party payer for specific guidance.