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Code deleted, see 81200-81479

Official Description

Molecular diagnostics; mutation identification by sequencing, single segment, each segment

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 83904 refers to a specific molecular diagnostic procedure that focuses on the identification of mutations through DNA sequencing. This process involves analyzing a tissue sample to detect any alterations in the DNA sequence that may be indicative of a disease or disorder. The term "mutation identification by sequencing" signifies that the procedure is designed to pinpoint specific changes in the genetic material, which can be crucial for diagnosing various medical conditions. The phrase "single segment, each segment" indicates that the analysis is performed on one segment of DNA at a time, allowing for a detailed examination of specific areas of interest within the genetic code. This targeted approach is essential for understanding the genetic underpinnings of certain diseases, enabling healthcare providers to make informed decisions regarding patient care and treatment options.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 83904 is indicated for various clinical scenarios where mutation identification is necessary. These indications may include, but are not limited to, the following:

  • Genetic Disorders Identification of mutations that may contribute to inherited genetic disorders.
  • Cancer Diagnosis Detection of specific mutations that can indicate the presence of certain types of cancer.
  • Personalized Medicine Assessment of genetic mutations to tailor treatment plans based on individual patient profiles.

2. Procedure

The procedure for CPT® Code 83904 involves several key steps to ensure accurate mutation identification through DNA sequencing. Each step is critical for the integrity and reliability of the results.

  • Sample Collection A tissue sample is collected from the patient, which may be obtained through various methods such as biopsy or surgical resection. The quality and type of the sample are essential for successful analysis.
  • DNA Extraction The next step involves extracting DNA from the collected tissue sample. This process typically includes breaking down the cellular structure to release the DNA, followed by purification to isolate the genetic material from other cellular components.
  • Sequencing Once the DNA is extracted, the specific segment of interest is sequenced. This involves determining the precise order of nucleotides in the DNA segment, which is crucial for identifying any mutations present.
  • Data Analysis After sequencing, the resulting data is analyzed using bioinformatics tools to compare the sequenced DNA against reference sequences. This analysis helps in identifying any mutations or variations that may be associated with diseases or disorders.
  • Reporting Finally, the findings are compiled into a report that details the identified mutations, their potential implications, and recommendations for further action or treatment based on the results.

3. Post-Procedure

Post-procedure care for patients undergoing testing with CPT® Code 83904 typically involves monitoring for any immediate complications related to the tissue sample collection, especially if a biopsy was performed. Patients may be advised on how to care for the biopsy site, including keeping it clean and dry. Additionally, healthcare providers will discuss the timeline for receiving results, which can vary based on the complexity of the analysis. Once results are available, follow-up appointments may be scheduled to discuss the findings and any necessary next steps in diagnosis or treatment based on the identified mutations.

Short Descr MOLECULE MUTATION IDENTIFY
Medium Descr MOLECULE MUTATION IDENTIFY
Long Descr Molecular diagnostics; mutation identification by sequencing, single segment, each segment
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
2013-01-01 Changed Short and Medium Descriptors changed.
1999-01-01 Added Code added
Code
Description
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