AMA CPT handbooks for CY2018 are out, and one change in molecular coding is a revision of the code for BRCA gene panel testing (hereditary cancer gene panels).
The new code reflects a shortening of the required-genes list. This revision was classed as an editorial change and therefore did not trigger any action in the CMS crosswalk/gapfill process this fall.
The new code will be
81432
Hereditary breast cancer-related disorders
(E.g. hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer)
Must including sequencing of at least 10 genes.
Including:
BRCA1, BRCA2
CHD1, MLH1, MSH2, MSH6, PALB2, PTEN, STK11, TP53.
Prior to January 2018, the gene list used to include:
ATM, BRIP1, NBN, RAD51C.
