CPT Codes

CPT Codes for each sequencing test are as follows:

Description CPT Code
Sample Ascertainment 83890
Amplification 83898
Separation 83894
DNA Isolation 83891
Sequencing 83904
Interpretation/Report 83912

The dollar amounts for each CPT code are listed at the bottom of the test description (see example below).

CPT Codes for Test #100 Single Exon Sequencing

Description CPT Code Price
Sample Ascertainment 83890 $ 30
DNA Isolation 83891 $ 40
Amplification 83898 $ 25
Sequencing 83904 $ 35
Separation 83894 $ 15
Interpretation/Report 83912 $ 45

All Codes x1
Total Price $190 (US)

CPT Codes for Test #200 Double Exon Sequencing

Description CPT Code Price
Sample Ascertainment 83890 $ 30
DNA Isolation 83891 $ 40
Amplification x2 83898 $ 70
Sequencing x2 83904 $100
Separation 83894 $ 40
Interpretation/Report 83912 $ 60

All Codes Except 83890 and 83891 are x1
Total Price $340 (US)

CPT Codes for Test #300 Triple Exon Sequencing

Description CPT Code Price
Sample Ascertainment 83890 $ 30
DNA Isolation 83891 $ 40
Amplification x3 83898 $ 90
Sequencing x3 83904 $120
Separation 83894 $ 40
Interpretation/Report 83912 $ 70

All Codes Except 83890 and 83891 are x1
Total Price $390 (US)

CPT Example

CPT Codes