Question:

To whom is code 88291 billable when reporting cytogenetics and molecular cytogenetics interpretation and report?

Answer:

Code 88291 (cytogenetics and molecular cytogenetics, interpretation and report) is billable only to the carrier as a professional fee service. When utilizing a reference laboratory for cytogenetic studies, it is necessary to ensure that the billing arrangement includes direction as to the testing laboratory’s responsibility to bill for the interpretation and report rather than passing this charge back to the referring hospital laboratory.

This question was answered in our Coding Essentials for Laboratories. For more hot topics relating to laboratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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