October 5, 2015 - Revised: 09.30.16
bioTheranostics Cancer TYPE ID (CM00015, V4)
Effective November 19, 2012, Cancer TYPE ID, an RT-PCR 92-gene assay, has been assigned a new identifier to reflect the changes in the test. To bill for Cancer TYPE ID services, please provide the following claim information:
- Claims received prior to 01/01/2016: CPT code 81479 – unlisted molecular pathology procedure
- Claims received 01/01/2016 and forward CPT code 81540 - Oncology (tumor of unknown origin) mRNA gene expression of 92 genes
- Enter '1' in the Days/Unit field
- Enter Z-Code™ Identifier in the comment/narrative field for the following claim field/types:
- Loop 2300 NTE01 for Part A or Loop 2400 or SV101-7 field for Part B
- Submit Z-Code™ Identifier on an attachment to the claim form for paper claim (Form locator 80 for Part A or Box 19 for Part B)
- Select the appropriate diagnosis code:
- ICD-9-CM Code:
- 153.5 Malignant Neoplasm of Appendix Vermiformis
- 153.9 Malignant Neoplasm of Colon Unspecified Site
- 155.0 Malignant Neoplasm of Liver Primary
- 155.2 Malignant Neoplasm of Liver Not Specified As Primary or Secondary
- 157.2 Malignant Neoplasm of Tail of Pancreas
- 157.8 Malignant Neoplasm of Other Specified Sites of Pancreas
- 157.9 Malignant Neoplasm of Pancreas Part Unspecified
- 158.0 Malignant Neoplasm of Retroperitoneum
- 162.0 Malignant Neoplasm of Trachea
- 162.2 Malignant Neoplasm of Main Bronchus
- 162.3 Malignant Neoplasm of Upper Lobe Bronchus or Lung
- 162.5 Malignant Neoplasm of Lower Lobe Bronchus or Lung
- 162.8 Malignant Neoplasm of Other Parts of Bronchus or Lung
- 162.9 Malignant Neoplasm of Bronchus and Lung Unspecified
- 171.0 Malignant Neoplasm of Connective and Other Soft Tissue of Head Face and Neck
- 171.9 Malignant Neoplasm of Connective and Other Soft Tissue Site Unspecified
- 172.5 Malignant Melanoma of Skin of Trunk Except Scrotum
- 174.4 Malignant Neoplasm of Upper-Outer Quadrant of Female Breast
- 174.5 Malignant Neoplasm of Lower-Outer Quadrant of Female Breast
- 174.8 Malignant Neoplasm of Other Specified Sites of Female Breast
- 174.9 Malignant Neoplasm of Breast (Female) Unspecified Site
- 183.0 Malignant Neoplasm of Ovary
- 185 Malignant Neoplasm of Prostate
- 188.5 Malignant Neoplasm of Bladder Neck
- 188.9 Malignant Neoplasm of Bladder Part Unspecified
- 189.0 Malignant Neoplasm of Kidney Except Pelvis
- 195.0 Malignant Neoplasm of Head Face and Neck
- 196.0 - 196.9 Secondary and Unspecified Malignant Neoplasm of Lymph Nodes of Head Face and Neck - Secondary and Unspecified Malignant Neoplasm of Lymph Nodes Site Unspecified
- 197.0 Secondary Malignant Neoplasm of Lung
- 197.5 Secondary Malignant Neoplasm of Large Intestine and Rectum
- 197.6 Secondary Malignant Neoplasm of Retroperitoneum and Peritoneum
- 197.7 Malignant Neoplasm of Liver Secondary
- 198.0 Secondary Malignant Neoplasm of Kidney
- 198.2 Secondary Malignant Neoplasm of Skin
- 198.3 Secondary Malignant Neoplasm of Brain and Spinal Cord
- 198.5 Secondary Malignant Neoplasm of Bone and Bone Marrow
- 198.6 Secondary Malignant Neoplasm of Ovary
- 198.89 Secondary Malignant Neoplasm of Other Specified Sites
- 199.0 Disseminated Malignant Neoplasm
- 199.1 Other Malignant Neoplasm of Unspecified Site
- 202.87 Other Malignant Lymphomas Involving Spleen
- 230.8 Carcinoma In Situ of Liver and Biliary System
- 230.9 Carcinoma In Situ of Other and Unspecified Digestive Organs
- 231.2 Carcinoma In Situ of Bronchus and Lung
- 239.0 Neoplasm of Unspecified Nature of Digestive System
- 239.1 Neoplasm of Unspecified Nature of Respiratory System
- 239.2 Neoplasm of Unspecified Nature of Bone Soft Tissue and Skin
- 239.3 Neoplasm of Unspecified Nature of Breast
- 239.4 Neoplasm of Unspecified Nature of Bladder
- 239.5 Neoplasm of Unspecified Nature of Other Genitourinary Organs
- 239.6 Neoplasm of Unspecified Nature of Brain
- 239.7 Neoplasm of Unspecified Nature of Endocrine Glands and Other Parts of Nervous System
- 239.89 Neoplasms of Unspecified Nature, Other Specified Sites
- 239.9 Neoplasm of Unspecified Nature Site Unspecified
- 511.81 Malignant Pleural Effusion
- ICD-10-CM codes:
- C18.1-Malignant neoplasm of appendix
- C18.9-Malignant neoplasm of colon, unspecified
- C22.0-Liver cell carcinoma
- C22.2-Hepatoblastoma
- C22.3-Angiosarcoma of liver
- C22.4-Other sarcomas of liver
- C22.7-Other specified carcinomas of liver
- C22.8-Malignant neoplasm of liver, primary, unspecified as to type
- C22.9-Malignant neoplasm of liver, not specified as primary or secondary
- C25.2-Malignant neoplasm of tail of pancreas
- C25.7-Malignant neoplasm of other parts of pancreas
- C25.8-Malignant neoplasm of overlapping sites of pancreas
- C25.9-Malignant neoplasm of pancreas, unspecified
- C48.0-Malignant neoplasm of retroperitoneum
- C33-Malignant neoplasm of trachea
- C34.01-Malignant neoplasm of right main bronchus
- C34.02-Malignant neoplasm of left main bronchus
- C34.11-Malignant neoplasm of upper lobe, right bronchus or lung
- C34.12-Malignant neoplasm of upper lobe, left bronchus or lung
- C34.31-Malignant neoplasm of lower lobe, right bronchus or lung
- C34.32-Malignant neoplasm of lower lobe, left bronchus or lung
- C34.2-Malignant neoplasm of middle lobe, bronchus or lung
- C34.81-Malignant neoplasm of overlapping sites of right bronchus and lung
- C34.82-Malignant neoplasm of overlapping sites of left bronchus and lung
- C34.91-Malignant neoplasm of unspecified part of right bronchus or lung
- C34.92-Malignant neoplasm of unspecified part of left bronchus or lung
- C47.0-Malignant neoplasm of peripheral nerves of head, face and neck
- C49.0-Malignant neoplasm of connective and soft tissue of head, face and neck
- C47.9-Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified
- C49.9-Malignant neoplasm of connective and soft tissue, unspecified
- C43.51-Malignant melanoma of anal skin
- C43.52-Malignant melanoma of skin of breast
- C43.59-Malignant melanoma of other part of trunk
- D03.51-Melanoma in situ of anal skin
- D03.52-Melanoma in situ of breast (skin) (soft tissue)
- D03.59-Melanoma in situ of other part of trunk
- C50.411-Malignant neoplasm of upper-outer quadrant of right female breast
- C50.412-Malignant neoplasm of upper-outer quadrant of left female breast
- C50.511-Malignant neoplasm of lower-outer quadrant of right female breast
- C50.512-Malignant neoplasm of lower-outer quadrant of left female breast
- C50.811-Malignant neoplasm of overlapping sites of right female breast
- C50.812-Malignant neoplasm of overlapping sites of left female breast
- C50.911- Malignant neoplasm of unspecified site of right female breast
- C50.912- Malignant neoplasm of unspecified site of right female breast
- C56.1- Malignant neoplasm of right ovary
- C56.2- Malignant neoplasm of left ovary
- C61- Malignant neoplasm of prostate
- C67.5- Malignant neoplasm of bladder neck
- C67.9- Malignant neoplasm of bladder, unspecified
- C64.1- Malignant neoplasm of right kidney, except renal pelvis
- C64.2- Malignant neoplasm of left kidney, except renal pelvis
- C76.0- Malignant neoplasm of head, face and neck
- C77.0- Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck
- C77.1- Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes
- C77.2- Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
- C77.3- Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes
- C77.4- Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes
- C77.5- Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes
- C77.8- Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions
- C77.9- Secondary and unspecified malignant neoplasm of lymph node, unspecified
- C78.01- Secondary malignant neoplasm of right lung
- C78.02- Secondary malignant neoplasm of left lung
- C78.5- Secondary malignant neoplasm of large intestine and rectum
- C78.6- Secondary malignant neoplasm of retroperitoneum and peritoneum
- C78.7- Secondary malignant neoplasm of liver and intrahepatic bile duct
- C79.01- Secondary malignant neoplasm of right kidney and renal pelvis
- C79.02- Secondary malignant neoplasm of left kidney and renal pelvis
- C79.2- Secondary malignant neoplasm of skin
- C79.31- Secondary malignant neoplasm of brain
- C79.49- Secondary malignant neoplasm of other parts of nervous system
- C79.51- Secondary malignant neoplasm of bone
- C79.52- Secondary malignant neoplasm of bone marrow
- C79.61- Secondary malignant neoplasm of right ovary
- C79.62- Secondary malignant neoplasm of left ovary
- C79.89- Secondary malignant neoplasm of other specified sites199.0 Disseminated Malignant Neoplasm
- C80.0-Disseminated malignant neoplasm, unspecified
- C45.9-Mesothelioma, unspecified
- C80.1-Malignant (primary) neoplasm, unspecified
- C82.57-Diffuse follicle center lymphoma, spleen
- C84.97-Mature T/NK-cell lymphomas, unspecified, spleen
- C84.A7-Cutaneous T-cell lymphoma, unspecified, spleen
- C84.Z7-Other mature T/NK-cell lymphomas, spleen
- C85.17-Unspecified B-cell lymphoma, spleen
- C85.27-Mediastinal (thymic) large B-cell lymphoma, spleen
- C85.87-Other specified types of non-Hodgkin lymphoma, spleen
- C85.97-Non-Hodgkin lymphoma, unspecified, spleen
- C86.1-Hepatosplenic T-cell lymphoma (Alpha-beta and gamma delta types)
- D01.5-Carcinoma in situ of liver, gallbladder and bile ducts
- D01.7-Carcinoma in situ of other specified digestive organs
- D01.9-Carcinoma in situ of digestive organ, unspecified
- D02.21-Carcinoma in situ of right bronchus and lung
- D02.22-Carcinoma in situ of left bronchus and lung
- D49.0-Neoplasm of unspecified behavior of digestive system
- D49.1-Neoplasm of unspecified behavior of respiratory system
- D49.2-Neoplasm of unspecified behavior of bone, soft tissue, and skin
- D49.3-Neoplasm of unspecified behavior of breast
- D49.4-Neoplasm of unspecified behavior of bladder
- D49.5-Neoplasm of unspecified behavior of other genitourinary organs (end dated 09/30/2016)
- D49.511-Neoplasm of unspecified behavior right kidney
- D49.512-Neoplasm of unspecified behavior left kidney
- D49.6-Neoplasm of unspecified behavior of brain
- D49.7-Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system
- D49.89-Neoplasm of unspecified behavior of other specified sites
- D49.9-Neoplasm of unspecified behavior of unspecified site
- J91.0-Malignant pleural effusion
- ICD-9-CM Code:
Note: MolDX expects this test to ONLY be ordered by the treating physician.