What is the procedure code for NIPT?

What is the procedure code for NIPT?

Sequencing-based non-invasive prenatal testing (NIPT) (CPT® codes 81420, 81507) to screen for fetal trisomy 13, 18 and 21 is considered medically necessary in a viable single or twin gestation pregnancy ≥ 10 weeks gestation.

Is NIPT covered by insurance?

NIPT is now widely covered for “high-risk” pregnant women, according to the Coalition for Access to Prenatal Screening. Plus, 40 commercial insurers cover NIPT for all pregnant women, including Cigna Corp., Geisinger Health Plan, Anthem, Inc.

What is another name for NIPT test?

Noninvasive prenatal testing (NIPT), sometimes called noninvasive prenatal screening (NIPS), is a method of determining the risk that the fetus will be born with certain genetic abnormalities. This testing analyzes small fragments of DNA that are circulating in a pregnant woman’s blood.

What is invasive fetal testing?

High risk: Invasive testing (chorionic villus sampling Chorionic Villus Sampling Prenatal diagnostic testing involves testing the fetus before birth (prenatally) to determine whether the fetus has certain abnormalities, including certain hereditary or spontaneous genetic… read more or amniocentesis Amniocentesis …

What is procedure code 81420?

81420: Fetal chromosomal aneuploidy (e.g., trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21.

What is the CPT code for nuchal translucency ultrasound?

Ultrasound Fetal Nuchal Translucency Measure CPT® 76813 can be performed once per pregnancy if the pregnancy is 11 to 13 6/7 weeks.

How much does NIPT cost out of pocket?

Self-pay prices for NIPT can range from $299 to $349, according to the authors, with list prices between $1,100 and $1,590. “Some laboratories offer financial assistance and lower patient self-pay prices compared to the list price, which may be affordable for some,” they wrote.

What is Trisomy 16 called?

Trisomy 16 (T16) is the most commonly observed trisomy among spontaneous pregnancy losses and it is estimated to occur in 1 to 1.5% of all pregnancies.

How accurate is NIPT for gender?

The chances of a sex determination via NIPT being wrong is around 1 percent when the test is conducted after week 10 of your pregnancy or later, Schaffir says.

When to use noninvasive prenatal testing ( NIPT )?

Noninvasive prenatal testing (NIPT), is a screening test for determining the risk of certain chromosomal abnormalities in the fetus. NIPT is commonly used for chromosomal disorders that are caused by the presence of an extra (triploidy) or missing copy (aneuploidy) of a chromosome.

Can you get a NIPT Test at 10 weeks?

Pregnant woman with a singleton pregnancy that is greater than 10 weeks: NIPT test can only be ordered by those who regularly manage pregnancy. No documentation that a chromosomal abnormality screening test has been performed in this pregnancy to include: Sequential serum Part 1 screening, CPT code 81508;

What is the lab code for the qnatal quest test?

LabCorp: informaSeq LabCorp test code: 550746– trisomy 21, 18, 13 (550757 – informaSeq with Y analysis; 550716- informaSeq with X,Y analysis) CPT Code: 81420 Quest: QNatal Advanced Quest test code: 92777 (X) CPT Code(s): 81420