Coding and Reimbursement

CPT Code 81327, Tier 1

81327, Molecular pathology procedure,Tier1, SEPT9 (Septin 9) (e.g., colon cancer), methylation analysis

Reimbursement

The Centers for Medicare and Medicaid Services recognize CPT 81327.  Private insurer rates usually align similarly with national or local coverage decisions and also vary demographically.

Reimbursement is not guaranteed.  Patients may incur out-of-pocket costs.

Diagnostic Codes

DEX Z Code Identifier – ZB2FC

ICD-10-CM Diagnostic Codes – Z12.11    Z12.12    Z91.19