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81416 Exome sequence analysis

Pathology & Lab

Also known as: exome sequencing with family, trio exome analysis

Whole exome sequence analysis for genetic disease evaluation with family member comparison or interpretation.

In Plain Language

gene test comparing families; comprehensive genetic analysis with relatives

Clinical Context

Exome sequencing with comparison to family members for disease gene identification; improves diagnostic accuracy.

RVU Information

CPT 81416 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

geneticsmolecular pathologyclinical genetics

Frequently Asked Questions

What is CPT code 81416?

CPT 81416 (Exome sequence analysis) is a Pathology & Lab code. Whole exome sequence analysis for genetic disease evaluation with family member comparison or interpretation.

Who uses CPT code 81416?

CPT 81416 is used by genetics, molecular pathology, clinical genetics. Exome sequencing with comparison to family members for disease gene identification; improves diagnostic accuracy.

When is CPT 81416 used?

Exome sequencing with comparison to family members for disease gene identification; improves diagnostic accuracy.

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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.