81404 Mopath procedure level 5
Also known as: molecular pathology level 5, mopath tier 5
Molecular pathology procedure level 5, representing analysis with high complexity and extensive interpretation required.
In Plain Language
complex genetic testing
Clinical Context
Fifth complexity tier; sophisticated analyses requiring experienced interpretation and clinical judgment.
RVU Information
CPT 81404 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 81404?
CPT 81404 (Mopath procedure level 5) is a Pathology & Lab code. Molecular pathology procedure level 5, representing analysis with high complexity and extensive interpretation required.
Who uses CPT code 81404?
CPT 81404 is used by molecular pathology, pathology, genetics. Fifth complexity tier; sophisticated analyses requiring experienced interpretation and clinical judgment.
When is CPT 81404 used?
Fifth complexity tier; sophisticated analyses requiring experienced interpretation and clinical judgment.
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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.