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Home/Diagnosis/ICD-10 Coding for Genetic Testing

ICD-10 Coding for Genetic Testing

Z15.01
Z71.83

Complete ICD-10-CM coding and documentation guide for icd-10 coding for genetic testing includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Genetic Screening
Genetic Analysis
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Key Information: ICD-10 Coding for Genetic Testing

Essential facts and insights about ICD-10 Coding for Genetic Testing

Use ICD-10 code Z15.01 for genetic susceptibility to malignant neoplasm of breast, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Genetic susceptibility to malignant neoplasm of breast

Billable Code
Z15.01
Billable

Diagnostic Criteria

clinical:
  • • Confirmed pathogenic BRCA mutation
documentation:
  • • Detailed family history and genetic counseling notes

Applicable To

  • • BRCA1 mutation
  • • BRCA2 mutation

Important Notes

  • • Ensure documentation specifies the pathogenic variant and counseling provided.

Encounter for genetic counseling

Billable Code
Z71.83
Billable

Diagnostic Criteria

clinical:
  • • Documented counseling session
  • • Discussion of genetic risks and testing outcomes

Applicable To

  • • Pre-test and post-test counseling

Important Notes

  • • Ensure counseling is documented in the patient's record.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z71.83

Encounter for genetic counseling

Use when genetic counseling is provided as part of the testing process.

Frequently Asked Questions

What is the ICD-10 code for genetic testing?

The ICD-10 code for genetic testing related to breast cancer susceptibility is Z15.01, used when a pathogenic BRCA mutation is confirmed.

How do you document genetic counseling?

Document genetic counseling by including the date, content of the session, and patient consent, using code Z71.83.

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