Find policies, billing codes, payers, states, and providers
CPT 81210: BRAF Mutation Detection, Technical Laboratory Assay
CPT code 81210 represents the technical laboratory assay to detect common mutations in the BRAF gene, a key molecular test in oncology for tumor profiling and therapeutic decision‑making. Nationally, BRAF testing informs targeted therapy choices and diagnostic classification across multiple cancer types, making the code central to cancer molecular diagnostics infrastructure. The analysis covers major national payers and Medicare, reflecting common coverage drivers and billing practices for molecular pathology services. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code represents, typical sites of service, and the clinical context for BRAF testing. The publication summarizes payer coverage themes, common billing modifiers and claim components, and how CPT code 81210 is positioned relative to laboratory technical components in reimbursement workflows. Where available, benchmarking and claim line considerations are outlined to aid coding and billing teams, alongside policy and documentation factors that affect medical necessity determinations. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 81210 policy alerts
Get alerted when payer policies referencing 81210 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 81210 describes a laboratory test that detects common changes in the B‑Raf proto‑oncogene, serine/threonine kinase (BRAF) gene. The procedure represents the technical laboratory analysis to identify BRAF variants that are clinically relevant for tumor profiling and targeted therapy selection.
Service Type: Molecular diagnostic testing (technical component)
Typical Site of Service: Clinical laboratory or hospital laboratory (outside the patient‑facing clinical encounter)