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Pharmacogenetics

Common Genetic Testing Modifiers

August 20, 2024 / admin / Articles, Carrier Testing, Diagnostic Testing, Modifier 33, Modifier 59, Modifier 76, Modifier 91, Modifier KX, Modifier QM, Modifier QP, Modifier ZA, Modifier ZB, Modifiers, Newborn Screening, Pharmacogenetics, Pharmacogenomic Testing, Predictive and Presymptomatic Testing, Tumor Profiling
Genetic Testing Modifier

As our understanding of genetics and its role in healthcare continues to expand, so does the complexity of billing for these services. One of the key elements in ensuring accurate billing and appropriate reimbursement for genetic testing is the proper use of modifiers. These two-character codes provide additional information about the services rendered, helping to […]

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Carrier Testing, Diagnostic Testing, Modifier 33, Modifier 59, Modifier 76, Modifier 91, Modifier KX, Modifier QM, Modifier QP, Modifier ZA, Modifier ZB, Modifiers, Newborn Screening, Pharmacogenetics, Pharmacogenomic Testing, Predictive and Presymptomatic Testing, Prenatal Testing, Tumor Profiling

Navigating Pharmacogenomic (PGx) Billing

August 3, 2024 / admin / Articles, Billing, Claim Billing, Pharmacogenetics, Pharmacogenetics Billing, Pharmacogenomic Billing, Pharmacogenomic Claims, Pharmacogenomic Codes, Pharmacogenomics
Pharmacogenomic Billing

Pharmacogenomics, the study of how an individual’s genetic makeup influences their response to drugs, has revolutionized the field of medicine. This cutting-edge approach allows healthcare providers to tailor drug therapies to a patient’s unique genetic profile, potentially improving treatment efficacy and reducing adverse reactions. However, as with many innovative medical technologies, the billing and reimbursement […]

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Billing, Claim Billing, Pharmacogenetics, Pharmacogenetics Billing, Pharmacogenomic Billing, Pharmacogenomic Claims, Pharmacogenomic Codes, Pharmacogenomics

Which CPT Codes are Used in Pharmacogenetic (PGx) Testing Billing?

November 14, 2023 / admin / Articles, Billing, Billing Services, Claim Billing, CPT, CPT Codes, Healthcare Billing, Medical, Medical Billing, PGx, PGx Billing, Pharmacogenetics, Pharmacogenetics Billing, Pharmacogenetics CPT Codes
Pharmacogenetic (PGx) Testing Billing

Navigating CPT Coding for Pharmacogenetic (PGx) Testing Reimbursement Pharmacogenetics refers to the study of how genetic variability impacts drug response. Also called pharmacogenomics, PGx testing analyzes a patient’s genetic makeup to predict drug efficacy, optimal dosing, and risk of adverse reactions. As our understanding of genetics has advanced, there has been growing recognition of its […]

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0119U, 0142U, 81120, 81121, 81162, 81163, 81225, 81231, 81415, 81416, 81425, 81435, 81436, CPT codes, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, PGx, PGx Billing, Pharmacogenetics, Pharmacogenetics Billing, Pharmacogenetics CPT, Pharmacogenetics CPT Codes, rs12777823, SLCO1B1, VKORC1

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

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