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A molecular diagnostics test is a specialized laboratory procedure that utilizes target amplification techniques to replicate specific nucleic acid sequences, such as DNA or RNA. This process is essential for identifying particular genes and proteins, as well as understanding their interactions within cells. Molecular diagnostics focuses on analyzing patterns of gene and protein activity, which can reveal significant changes indicative of various diseases, including cancer, infections, and genetic disorders that may be inherited or acquired. 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 through a separate, reportable procedure. Following this preparation, target amplification is conducted, which involves generating multiple copies of the specific nucleic acid sequence. This amplification process can be repeated, allowing for further replication of each copy. In cases where target amplification is necessary for more than one nucleic acid sequence, each sequence is reported separately. The initial two nucleic acid sequences are reported using CPT® code 83900, which employs multiplex technology to amplify multiple sequences simultaneously, potentially targeting 100 or more sequences at once. For each additional nucleic acid sequence beyond the first two, CPT® code 83901 is utilized, ensuring accurate reporting and billing for the comprehensive molecular diagnostic testing performed.
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The molecular diagnostics test using target amplification is indicated for a variety of clinical scenarios, particularly when there is a need to identify specific genetic material associated with diseases. The following conditions may warrant the use of this procedure:
The procedure for molecular diagnostics using target amplification involves several key steps, each critical to ensuring accurate results. The following outlines the procedural steps:
After the molecular diagnostics procedure, 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. Depending on the results, further clinical action may be required, such as additional testing, treatment planning, or patient counseling. It is essential for healthcare providers to communicate the results effectively to patients and consider any necessary follow-up actions based on the diagnostic outcomes.
| Short Descr | MOLECULE NUCLEIC AMPLI ADDON | Medium Descr | MOLECULE NUCLEIC AMPLI ADDON | Long Descr | Molecular diagnostics; amplification, target, multiplex, each additional nucleic acid sequence beyond 2 (List separately in addition to code for primary procedure) | 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) | T1H - Lab tests - other (non-Medicare fee schedule) | MUE | Not applicable/unspecified. | CCS Clinical Classification | 233 - Laboratory - Chemistry and Hematology |
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