81403 Mopath procedure level 4
Also known as: molecular pathology level 4, mopath tier 4
Molecular pathology procedure level 4, representing analysis with moderate-to-high complexity and clinical correlation.
In Plain Language
moderately complex genetic analysis
Clinical Context
Fourth complexity tier with increased technical difficulty; requires clinical context and correlation for interpretation.
RVU Information
CPT 81403 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 81403?
CPT 81403 (Mopath procedure level 4) is a Pathology & Lab code. Molecular pathology procedure level 4, representing analysis with moderate-to-high complexity and clinical correlation.
Who uses CPT code 81403?
CPT 81403 is used by molecular pathology, pathology, genetics. Fourth complexity tier with increased technical difficulty; requires clinical context and correlation for interpretation.
When is CPT 81403 used?
Fourth complexity tier with increased technical difficulty; requires clinical context and correlation for interpretation.
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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.