84158:
Thalassemia and Hemoglobinopathy Evaluation

CPT Code Information Current Value

Thalassemia and Hemoglobinopathy Evaluation

82728-Ferritin

83020-Hemoglobin electrophoresis

83021-Hemoglobin A2 and F

IEF Confirms

82664 (if appropriate)

Hemoglobin, Unstable, Blood

83068 (if appropriate)

Hemoglobin Variant by Mass Spectrometry

83789 (if appropriate)

Hemoglobin Electrophoresis, Molecular

81257 x 2-HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg. Alpha thalassemia, Hb Bart hydrops fetalis syndrome, HBH disease) gene analysis for common deletions or variant (eg, Southeast Asian, Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, and Constant Spring) (if appropriate)

81401-HBB (hemoglobin, beta) (eg, sickle cell anemia, hemoglobin C, hemoglobin E), common variants (eg, HbS, HbC, HbE) (if appropriate)

81403-HBB (hemoglobin, beta, beta-globin) (eg, beta thalassemia), duplication/deletion analysis (if appropriate)

81404-HBB (hemoglobin, beta, Beta-Globin) (eg, thalassemia), full gene sequence (if appropriate)

Alpha Globin Gene Analysis

83891-Isolation or extraction of highly purified nucleic acid (if appropriate)

83894-Separation by gel electrophoresis (if appropriate)

83900 x 2-Amplification, target, multiplex, first 2 nucleic acid sequences (if appropriate)

83909-Separation and identification by high-resolution technique (if appropriate)

83912-Interpretation and report (if appropriate)

83914 x15-Mutation identification by enzymatic ligation or primer extension, single segment, each segment (if appropriate)

Hemoglobin S, Screen, Blood

85660 (if appropriate)

Hemoglobin F, Red Cell Distribution, Blood

88184 (if appropriate)

CPT Code Information Value Prior to 1/15/2013 4:03pm

Thalassemia and Hemoglobinopathy Evaluation

82728-Ferritin

83020-Hemoglobin electrophoresis

83021-Hemoglobin A2 and F

IEF Confirms

82664 (if appropriate)

Hemoglobin, Unstable, Blood

83068 (if appropriate)

Hemoglobin Variant by Mass Spectrometry

83789 (if appropriate)

Hemoglobin Electrophoresis, Molecular

83891-Isolation or extraction of highly purified nucleic acid (if appropriate)

83898 x 4-Amplification, target, each nucleic acid sequence (if appropriate)

83900-Amplification, target, multiplex, first 2 nucleic acid sequences (if appropriate)

83904 x 12-Mutation identification by sequencing, single segment, each segment (if appropriate)

83909 x 13-Separation and identification by high-resolution technique (if appropriate)

83914 x 8-Mutation identification by enzymatic ligation or primer extension, single segment, each segment (if appropriate)

Alpha Globin Gene Analysis

83891-Isolation or extraction of highly purified nucleic acid (if appropriate)

83894-Separation by gel electrophoresis (if appropriate)

83900 x 2-Amplification, target, multiplex, first 2 nucleic acid sequences (if appropriate)

83909-Separation and identification by high-resolution technique (if appropriate)

83912-Interpretation and report (if appropriate)

83914 x15-Mutation identification by enzymatic ligation or primer extension, single segment, each segment (if appropriate)

Hemoglobin S, Screen, Blood

85660 (if appropriate)

Hemoglobin F, Red Cell Distribution, Blood

88184 (if appropriate)