81255 Hexa gene
Also known as: HEXA gene testing, Tay-Sachs disease screening
Molecular analysis of the HEXA gene to identify mutations associated with Tay-Sachs disease, a fatal lysosomal storage disorder.
In Plain Language
genetic enzyme disorder test; neurological disease screening
Clinical Context
Used to diagnose Tay-Sachs disease in infants with developmental regression, cherry-red spots, and seizures.
RVU Information
CPT 81255 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
Lab and pathology codes require an order from the treating provider with clinical indication. For molecular pathology and genetic testing, document the specific analytes tested and clinical rationale.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the Pathology & Lab category, 94% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code 81255?
CPT 81255 (Hexa gene) is a Pathology & Lab code. Molecular analysis of the HEXA gene to identify mutations associated with Tay-Sachs disease, a fatal lysosomal storage disorder.
Who uses CPT code 81255?
CPT 81255 is used by Genetics, Neurology, Pathology. Used to diagnose Tay-Sachs disease in infants with developmental regression, cherry-red spots, and seizures.
When is CPT 81255 used?
Used to diagnose Tay-Sachs disease in infants with developmental regression, cherry-red spots, and seizures.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.