Our tests
The American Medical Association’s CPT codes issued by the Laboratory for Molecular Medicine are provided for informational purposes only. The codes reflect our interpretation of CPT coding requirements based upon AMA guidelines published annually. CPT codes are provided only as guidance to assist clients with billing. As such, the Laboratory for Molecular Medicine strongly recommends that clients confirm CPT codes with the applicable payor, as requirements may differ. CPT coding is the sole responsibility of the billing party and the Laboratory for Molecular Medicine assumes no responsibility for billing errors due to reliance on the CPT codes published. Please direct any questions regarding CPT coding to the payer being billed.
Test prices, turnaround times, and CPT codes for our genome sequencing, next-generation panels, testing panels, single gene tests, and familial variant testing are listed below. For any additional questions, please contact the lab.
| Test | Price | Turnaround time | CPT code |
|---|---|---|---|
| Panel (62 Genes) | $3,500 | 6-8 weeks | 81439 |
| Transthyretin amyloidosis—TTR gene sequencing | $600 | 3 weeks | 81404 |
| Test | Price | Turnaround time | CPT code |
|---|---|---|---|
| Single diagnostic genome | $4,350 | Please call | 81425 |
| Trio diagnostic genome | $7,300 | Please call | 81425(1), 81426(2) |
| Expanded genomic screening | $2,950 | Please call | Please call |
| Test | Price | Turnaround time | CPT code |
|---|---|---|---|
| OtoGenomeTM test for hearing loss (110 genes) | $3,950 | 8-12 weeks | 81430 (1), 81431 (1) |
| Connexin test (GJB2 sequencing and GJB6-D13S1830 deletion) | $600 | 3 weeks | 81252 (1), 81254 (1) |
| Pendred syndrome—SLC26A4 sequencing | $1,100 | 4 weeks | 81406 |
| WFS1 gene sequencing | $750 | 3 weeks | 81479 (1) |
| POU3F4 gene sequencing | $500 | 3 weeks | 81479 (1) |
| Test | Price | Turnaround time | CPT code |
|---|---|---|---|
| APOL1 genotyping panel A | $600 | 3 weeks | 81479 |
Familial variant test
| Test | Price | Turnaround time | CPT code |
|---|---|---|---|
| Familial variant testing—LMM proband | $600 | 3 weeks | 81403 |
| Familial variant testing—non-LMM proband | $750 | 3 weeks | 81403 |
*Prices above for up to three variants. Additional variants are $50 each.
Insurance, pricing, and CPT codes
For patients seeking reimbursement from an insurance company
It is up to the patient to seek reimbursement from their insurance company. Every company has different policies and paperwork. We advise you to contact your insurer before submitting a sample for testing.
When calling an insurance company, you will need:
- The name, address and telephone number of the clinician recommending testing
- The name of the genetic test being recommended
- CPT codes for the recommended test
You should ask:
- Will I need pre-authorization?
- Will I need a letter of medical necessity?
- What is the reimbursement process?
- What will I need to submit for reimbursement?
- What forms are required and where can I find those forms?
- Where do I submit any paperwork?
