Disclaimer: Answers to incoming questions are provided by the members of the Society of Gynecologic Oncology (SGO) Coding and Reimbursement subcommittee and represent their opinion based upon the current and usual practices in the field. Every effort is made to ensure the accuracy of the information provided. However, the information neither replaces information in Medicare regulations, the CPT-4 code book, or the ICD-10 CM code book; nor does it constitute legal advice. Responses to questions are intended only as a guide and are not a substitute for specific accounting or legal opinions. SGO expressly disclaims all responsibility and liability arising from use of, or reliance upon this information as a reference source, and assumes no responsibility or liability for any claims that may result directly or indirectly from use of this information, including, but not limited to, claims of Medicare or insurance fraud.
Can you use a BRCA-1 mutation as a diagnosis?
There is no specific code for BRCA-1 mutations. You can use genetic susceptibility codes such as: V84.01-genetic susceptibility to breast cancer or V84.02-genetic susceptibility to ovarian cancer
Can one code for genetic assessment? What ICD10 codes can you use for genetic counselling?
You can use other specified counseling Z71.89, encounter for nonprocreative genetic counseling Z71.83, and the family history code if applicable (e.g., family history of ovarian cancer Z80.41).
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