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CurrentBlue Cross Blue Shield - AlabamaPolicy N/A

Advanced Laboratory CPT Codes

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This document lists advanced laboratory CPT, HCPCS and related procedure codes that are referenced by the payer for reimbursement/policy purposes; it affects providers billing Blue Cross Blue Shield - Alabama for advanced laboratory testing.

Policy Summary

PayerBlue Cross Blue Shield - Alabama

PolicyAdvanced Laboratory CPT Codes (code list for reimbursement reference)

Policy CodePolicy N/A

Change TypeNo material change

Effective DateN/A

Next Review DateN/A

Key ActionUse this compiled listing of advanced laboratory CPT/HCPCS codes for reimbursement reference; no prior authorization or documentation requirements are specified.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

~400code entries or tokens present across the list

multipleadvanced laboratory-specific codes present

numerousmolecular pathology/genetic testing codes included

unspecifiedstate applicability

Coverage stance

The document presents a code list only; it does not contain explicit coverage criteria, limitations, or clinical indications in the provided text.

Contains enumerated advanced laboratory CPT/HCPCS codes without attached coverage rules in the visible chunks.

Advanced laboratory CPT / HCPCS codes

Advanced laboratory CPT codes (0170U-0213U examples)CPT

0170U	Molecular pathology procedure, not otherwise classified (example)
0171U	Molecular pathology procedure, not otherwise classified (example)
0172U	Molecular pathology procedure, not otherwise classified (example)
0173U	Molecular pathology procedure, not otherwise classified (example)
0174U	Molecular pathology procedure, not otherwise classified (example)
0175U	Molecular pathology procedure, not otherwise classified (example)
0176U	Molecular pathology procedure, not otherwise classified (example)
0177U	Molecular pathology procedure, not otherwise classified (example)
0178U	Molecular pathology procedure, not otherwise classified (example)
0179U	Molecular pathology procedure, not otherwise classified (example)

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Advanced laboratory CPT codes (0312U-0331U examples)CPT

0312U	Molecular pathology procedure, not otherwise classified (example)
0313U	Molecular pathology procedure, not otherwise classified (example)
0315U	Molecular pathology procedure, not otherwise classified (example)
0317U	Molecular pathology procedure, not otherwise classified (example)
0318U	Molecular pathology procedure, not otherwise classified (example)
0319U	Molecular pathology procedure, not otherwise classified (example)
0320U	Molecular pathology procedure, not otherwise classified (example)
0322U	Molecular pathology procedure, not otherwise classified (example)
0323U	Molecular pathology procedure, not otherwise classified (example)
0324U	Molecular pathology procedure, not otherwise classified (example)

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Advanced laboratory CPT codes (81106-81172 examples)CPT

81106	Cystic fibrosis analysis; common mutation or targeted variant analysis (example)
81107	Cystic fibrosis analysis; extended mutation analysis (example)
81109	Cystic fibrosis full sequence analysis (example)
81111	Digestion, restriction fragment length polymorphism or other analysis (example)
81120	Oncology-related molecular analysis (example)
81121	Oncology-related molecular analysis (example)
81162	Molecular pathology procedure, tiered interpretation (example)
81163	Molecular pathology procedure, tiered interpretation (example)
81164	Molecular pathology procedure, tiered interpretation (example)
81165	Molecular pathology procedure, tiered interpretation (example)

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Advanced laboratory CPT codes (81200-81341 examples)CPT

81200	CFTR (cystic fibrosis) gene analysis (example)
81201	CFTR common variant analysis (example)
81202	Genetic testing, example gene (example)
81203	Genetic testing, example gene (example)
81220	Oncology genetic test (example)
81341	Genetic testing, example (example)

Advanced laboratory CPT codes (81400-81508 examples)CPT

81400	Molecular pathology procedure, not otherwise specified (example)
81401	Molecular pathology procedure, not otherwise specified (example)
81410	Cancer susceptibility panel (example)
81414	Targeted genomic sequence analysis panel (example)
81415	Targeted genomic sequence analysis panel (example)
81416	Targeted genomic sequence analysis panel (example)
81420	Targeted genomic sequence analysis panel (example)
81422	Targeted genomic sequence analysis panel (example)
81425	Targeted genomic sequence analysis panel (example)
81426	Targeted genomic sequence analysis panel (example)

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Policy Summary

PayerBlue Cross Blue Shield - Alabama

PolicyAdvanced Laboratory CPT Codes (code list for reimbursement reference)

Policy CodePolicy N/A

Change TypeNo material change

Effective DateN/A

Next Review DateN/A

Key ActionUse this compiled listing of advanced laboratory CPT/HCPCS codes for reimbursement reference; no prior authorization or documentation requirements are specified.

SourceLink

On This Page

Billing and provider guidance

Note

Code list reference only

Code list reference only — the following Advanced Laboratory CPT/PLA codes are provided as a reimbursement reference. This section does not establish prior authorization, documentation, or step-therapy requirements. Billing and coverage determinations follow the payer's clinical policy and claims adjudication rules.

0170U
0171U
0172U
0173U
0174U
0175U
0176U
0177U
0178U
0179U
0180U
0181U
0182U
0183U
0184U
0185U
0186U
0187U
0188U
0189U
0190U
0191U
0192U
0193U
0194U
0195U
0196U
0197U
0198U
0199U
0200U
0201U
0203U
0204U
0206U
0207U
0209U
0210U
0213U

Advanced laboratory CPT codes (definitions)

Advanced Laboratory CPT Codes list — key definitions and scope

ScopeCompiled listing of advanced laboratory procedure codes including Category III (0XXXXU series), molecular/genomic (81xxx, 81xxx–81xxx) and complex genomic testing codes (81400–81508) used for reimbursement reference.

Representative Category III codesExamples shown in the list include 0170U–0213U and 0312U–0331U (Category III/advanced laboratory codes).

Molecular pathology codesSingle-gene and related molecular pathology CPT codes appear (examples: 81106–81172 series listed in source).

Genetic sequencing and analysis codesGenetic/molecular sequencing and analysis CPT codes are included (examples: 81200–81341 series referenced in brief).

Complex genomic testing codesComplex genomic and multigene panel codes are present (examples: 81400–81508 series referenced in brief and source).