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S0265
Genetic counseling, under physician supervision, each 15 minutes
HCPCS code
Medical Policies and Guidelines for Genetic counseling, under physician supervision, each 15 minutes
Related policies from health plans
CIGNA
Comparative Genomic Hybridization (CGH)/Chromosomal Microarray Analysis (CMA) for Selected Hereditary Conditions - (0493)
CIGNA
Genetic Testing for Hereditary Cardiomyopathies and Arrhythmias - (0517)
CIGNA
Genetic Testing for Hereditary and Multifactorial Conditions - (0052)
CIGNA
Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis - (0514)
OSCAR
Prenatal Testing (CG043)
CIGNA
Preventive Care Services - (A004)
HUMANA
Genetic Testing for Celiac Disease
HUMANA
Genetic Testing for Carrier Screening
HUMANA
Genetic Testing for Diagnosis of Inherited Conditions
HUMANA
Genetic Testing for Disease Risk
HUMANA
Genetic Testing for Hereditary Cancer
HUMANA
Genetic Testing for Hereditary Peripheral Neuropathies
HUMANA
Genetic Testing for Muscular Dystrophy and Spinal Muscular Atrophy
HUMANA
Prenatal Invasive Diagnostic Genetic Testing
CIGNA
Whole Exome and Whole Genome Sequencing for Non-Cancer Indications - (0519)
Similar Codes
ICD10CM codes
Z31.5
- Encounter for procreative genetic counseling
Z71.83
- Encounter for nonprocreative genetic counseling
Z31.43
- Encounter for genetic testing of female for procreative management
Z31.44
- Encounter for genetic testing of male for procreative management
Z31.440
- Encounter of male for testing for genetic disease carrier status for procreative management
Z31.62
- Encounter for fertility preservation counseling
Z31.430
- Encounter of female for testing for genetic disease carrier status for procreative management
Z31.438
- Encounter for other genetic testing of female for procreative management
Z31.448
- Encounter for other genetic testing of male for procreative management
O09.811
- Supervision of pregnancy resulting from assisted reproductive technology, first trimester
HCPCS codes
S0265
- Genetic counseling, under physician supervision, each 15 minutes
T1027
- Family training and counseling for child development, per 15 minutes
H0004
- Behavioral health counseling and therapy, per 15 minutes
T1016
- Case management, each 15 minutes
H2027
- Psychoeducational service, per 15 minutes
G0447
- Face-to-face behavioral counseling for obesity, 15 minutes
G0444
- Annual depression screening, 15 minutes
G0443
- Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
T1017
- Targeted case management, each 15 minutes
G0155
- Services of clinical social worker in home health or hospice settings, each 15 minutes
CPT4 codes
96040
- Medical genetics and genetic counseling services, each 30 minutes face-to-face with patient/family
96154
- Health and behavior intervention, each 15 minutes, face-to-face; family (with the patient present)
96155
- Health and behavior intervention, each 15 minutes, face-to-face; family (without the patient present
99401
- Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individua
99402
- Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individua
99403
- Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individua
96159
- Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately
99404
- Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individua
99411
- Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals
96153
- Health and behavior intervention, each 15 minutes, face-to-face; group (2 or more patients)