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Code deleted, see 81200-81479

Official Description

Molecular diagnostics; amplification, target, each nucleic acid sequence

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

A molecular diagnostics test is a specialized laboratory procedure that utilizes target amplification to replicate a specific nucleic acid sequence, which can be either DNA or RNA. This process is crucial for identifying particular genes and proteins, as well as understanding their interactions within the cellular environment. Molecular diagnostics focuses on analyzing patterns of gene and protein activity, allowing for the detection of changes that may indicate the presence of diseases such as cancer, infections, and various genetic disorders, including hematological and neurological conditions. The field of molecular diagnostics is rapidly evolving, with new applications emerging regularly, enhancing its role in modern medicine.

To perform this test, a biological sample—such as blood, urine, sputum, or tissue—is collected from the patient. The nucleic acid intended for amplification is then prepared and isolated, which is a critical step that may be reported separately. Following this preparation, target amplification is conducted, resulting in the generation of multiple copies of the specified nucleic acid sequence. This amplification process can be repeated, allowing for further replication of each copy. In cases where target amplification is applied to more than one nucleic acid sequence, each sequence is reported using the CPT® code 83898. For the amplification of the first two nucleic acid sequences using multiplex technology, which allows for the simultaneous amplification of multiple sequences through microarray systems, the appropriate code is 83900. Additionally, for each subsequent nucleic acid sequence beyond the first two, code 83901 should be utilized. This structured approach to molecular diagnostics not only aids in disease diagnosis but also contributes to personalized medicine by tailoring treatment strategies based on genetic information.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The molecular diagnostics test using target amplification is indicated for a variety of clinical scenarios, including:

  • Cancer Diagnosis This test is utilized to identify specific genetic mutations or alterations associated with various types of cancer, aiding in accurate diagnosis and treatment planning.
  • Infection Detection Molecular diagnostics can detect the presence of pathogens, such as bacteria or viruses, by amplifying their nucleic acid sequences, which is critical for timely and appropriate treatment.
  • Hematological Disorders The test is indicated for diagnosing blood-related disorders by identifying genetic changes that may affect blood cell function or production.
  • Neurological Disorders It assists in diagnosing genetic conditions that impact the nervous system, providing insights into potential therapeutic approaches.
  • Inherited Genetic Disorders The test is used to identify genetic mutations that may be passed from parents to offspring, facilitating early diagnosis and management of hereditary conditions.

2. Procedure

The procedure for molecular diagnostics using target amplification involves several key steps:

  • Sample Collection A biological sample, such as blood, urine, sputum, or tissue, is collected from the patient. This sample serves as the source of nucleic acids for the test.
  • Nucleic Acid Preparation The nucleic acid (either DNA or RNA) is isolated from the collected sample. This step is crucial as it ensures that the target nucleic acid is available for amplification. The preparation may involve various laboratory techniques to extract and purify the nucleic acids.
  • Target Amplification Once the nucleic acid is prepared, target amplification is performed. This process involves replicating the specific nucleic acid sequence multiple times, generating numerous copies that can be analyzed. The amplification can be repeated to produce even more copies, enhancing the sensitivity of the test.
  • Reporting If target amplification is conducted on multiple nucleic acid sequences, each sequence is reported using the appropriate CPT® code 83898. For the first two sequences amplified using multiplex technology, code 83900 is used, while code 83901 is applied for each additional sequence beyond the first two.

3. Post-Procedure

After the molecular diagnostics test is completed, the results are analyzed and interpreted by qualified laboratory personnel. The findings can provide critical information regarding the presence of specific genetic markers or pathogens, which can influence patient management and treatment decisions. It is essential for healthcare providers to communicate the results to the patient and discuss any necessary follow-up actions or additional testing that may be required based on the findings. Additionally, proper documentation of the procedure and results is vital for compliance and billing purposes.

Short Descr MOLECULE NUCLEIC AMPLI EACH
Medium Descr MOLECULAR DX AMPLIFICATION TARGET EA SEQUENCE
Long Descr Molecular diagnostics; amplification, target, each nucleic acid sequence
Status Code Statutory Exclusion (from MPFS, may be paid under other methodologies)
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Discontinued Code
Type of Service (TOS) 5 - Diagnostic Laboratory
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 233 - Laboratory - Chemistry and Hematology
Date
Action
Notes
2013-01-01 Deleted Code deleted, see 81200-81479
2011-01-01 Changed Short description changed.
2008-01-01 Changed Code description changed.
2006-01-01 Changed Code description changed.
2001-01-01 Changed Code description changed.
1993-01-01 Added Code added.
Code
Description
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