Test Name

Test Code

CPT* Codes

BRCAvantage® Ashkenazi Jewish Screen

(specific mutations to Ashkenazi population in BRCA1 and BRCA2 )

906366 81212

BRCAvantage® Ashkenazi Jewish Screen w/ Reflex to BRCAvantage® Comprehensive 

(Ashkenazi Jewish screen test that reflexes to the comprehensive test when the Ashkenazi test is negative)

906474 81212, If reflex performed: 81162, (or 81211, 81213)

BRCAvantage® Comprehensive 

(BRCA1 , BRCA2 Sequencing, BRCA1, BRCA2 Rearrangement Analysis)

906369 81162, (or 81211, 81213)

BRCAvantage® Rearrangements 

(BRCA1 dup/del and BRCA2 dup/del)

906367 81213 and 81479

GIvantage™ 

APC , BMPR1A , CDH1 , EPCAM , MLH1 , MSH2 , MSH6 , MUTYH , PMS2 , PTEN , SMAD4 , STK11 , and TP53 .

906840 GSP coding: 81435, 81436; Tier coding: 81201, 81203, 81292, 81294, 81295, 81297, 81298, 81300, 81321, 81323, 81403, 81404, 81405 (x2), 81406 (x3), 81479

Lynch Syndrome Panel 

MLH1 , MSH2 (including EPCAM ), MSH6 , PMS2

906541 81295, 81297, 81292, 81294, 81298, 81300, 81317, 81319, 81403

MYvantage™ 

APC , ATM , BARD1 , BMPR1A , BRCA1 , BRCA2 , BRIP1 , CDH1 , CDK4 , CDKN2A , CHEK2 , EPCAM , MEN1 , MLH1 , MSH2 , MSH6 , MUTYH , NBN , NF1 , PALB2 , PMS2 , POLD1 , POLE , PTEN , RAD51C , RAD51D , RET , SDHB , SDHC , SDHD , SMAD4 , STK11 , TP53 , and VHL .

906745 For breast cancer: GSP coding: 81432, 81433; Tier coding: 81162 or (81211 and 81213), 81292, 81294, 81295, 81297, 81298, 81300, 81321, 81323, 81404, 81405 (x2), 81406, 81408, 81479 For colon cancer: GSP coding: 81435, 81436; Tier coding: 81201, 81203, 81292, 81294, 81295, 81297, 81298, 81300, 81321, 81323, 81403, 81404, 81405 (x2), 81406 (x3), 81479
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