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LabsBase2026 Compliant

CPT 81479

2026 Billing Guide

Unlisted Molecular Path

Reimbursement

$0.00

Threshold

N/A

2026 Status

Active

What is CPT Code 81479?

CPT 81479 is defined as: A CPT code used for molecular pathology procedures that do not have a specific, dedicated CPT code. This includes novel genetic tests, proprietary molecular assays, or specialized DNA/RNA analyses that are not described by codes 81105-81471. Due to its unlisted nature, this code requires manual review by payers and detailed clinical justification.

This code is primarily used for Labs services. It falls under the category of Pathology and Laboratory / Molecular Pathology and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

0

Physician Effort

PE (Non-Fac)

0

Practice Expense

Malpractice

0

Risk Factor

Total RVU

0

Note: Contractor Priced. Payment determined by individual MACs or private payers based on methodology and utility.

2026 CMS Policy Intelligence

contractor pricing

In 2026, CMS continues to delegate pricing for 81479 to individual Medicare Administrative Contractors (MACs) under the Clinical Laboratory Fee Schedule (CLFS).

moldx scrutiny

Many jurisdictions follow the 'MolDX' program, which requires a formal Technical Assessment (TA) and a unique 'Z-Code' identifier for 81479 claims to be processed.

conversion factor

The $33.40 conversion factor is used as a reference; however, reimbursement is typically a flat fee per the CLFS.

Administrative Framework

Place of Service

81 (Independent Lab)11 (Office)

NCCI Exclusions

Do not bill with:81400-814088151981528

Key Modifiers

90Reference (Outside) Laboratory. Used if the lab performing the test bills the referring provider.
QWCLIA-waived test (unlikely for 81479 but required if applicable).

Operational Requirements

manual review package

Claims for 81479 must be accompanied by a concise description of the test, including the methodology, the genes or markers analyzed, and the clinical purpose.

pricing reference

It is highly recommended to include a 'comparable' CPT code in the narrative field of the claim to suggest a pricing baseline to the payer.

clia certification

The laboratory must maintain the appropriate level of CLIA certification for high-complexity molecular testing.

box 19 narrative

Enter the name of the test and a brief description in Box 19 of the CMS-1500 form or the electronic equivalent.

Compliance Checklist

Detailed time tracking (cumulative for the month).
Specific clinical decision-making documentation.
Electronic care plan availability and access log.

Audit Defense

No specific audit defense elements defined.

2026 Update

Manual review required. Z-code/unique identifier frequently mandated in MolDX jurisdictions.

Common Clinical Scenarios

No clinical examples provided.

Target Specialties & Utilization

GeneticsOncologyPathologySpecialized Diagnostics

Typical Clinical Indications (ICD-10)

Z31.430 (Encounter of female for testing for genetic carrier status for procreative management)C50.911 (Malignant neoplasm of unspecified site of right female breast)Q87.89 (Other specified congenital malformation syndromes, not elsewhere classified)

Frequently Asked Questions

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