81242 CPT CodeCheck 81242 meaning and cpt code 81242 insurer meaning.
Gene analysis (Fanconi anemia, complementation group C) common variant
Code-81242 is using for fancc gene gene analysis (fanconi anemia, complementation group c) common variant.All coding and reimbursement is subject to all terms of the Provider Service Agreement and subject to changes, updates, or other requirements of coding rules and guidelines. All codes are subject to federal HIPAA rules, and in the case of medical code sets (HCPCS, CPT, ICD), only codes valid for the date of service may be submitted or accepted.
81242 5-digit cpt code that describe procedures and services performed by physicians and other healthcare providers
81242 Time Length
81242 Reimbursement Rates
Between $180 - $250 Range
81242 Evaluation and Management
Code 81242 may be used with established or new clients you have already seen for an intake session.
Understanding CPT Codes
A CPT code is a five-digit numeric code with no decimal marks, although some have four numbers and one letter. Codes are uniquely assigned to different actions.
There are several categories of CPT codes, including:Category I: Procedures, services, devices, and drugs, including vaccines
Category II: Performance measures and quality of care
Category III: Services and procedures using emerging technology
PLA codes, which are alpha-numeric CPT codes used for lab testing
CPT Code usage
CPT codes are an integral part of the billing process. CPT codes tell the insurance payer what procedures the healthcare provider would like to be reimbursed for. As such, CPT codes work in tandem with ICD codes to create a full picture of the medical process for the payer. 'This patient arrived with these symptoms (as represented by the ICD code) and we performed these procedures (represented by the CPT code).
CPT Code Controlling Factors
When selecting a level of service based on time, the distinction between codes are relatively straightforward. You can take this route when counseling and coordination of care comprise more than half of your face-to-face time with the patient (staff time with the patient does not count).
Counseling includes discussion with the patient or family concerning one or more of the following:
- Diagnostic results, impressions, or recommended diagnostic studies,
- Risks and benefits of management (treatment) options,
- Risk factor reduction,
- Patient and family education.