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See a sample rate comparisonCPT 81229 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cytog Alys Chrml Abnr Snpcgh, Cytogenomic Genome Wide Analysis For Constitutional Chromosomal Abnormalities Interrogation Of Genomic Regions For Copy Number And Single Nucleotide Polymorphism Snp Variants Comparative Genomic Hybridization Cgh Microarray Analysis
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Molecular Pathology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 81229 |
| Medicaid Fee Schedule | View Medicaid rates for 81229 |
National average reimbursement for CPT 81229 by major payers:
$914.06
$711.16
$1,016.26
$1,675.18
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CPT 81229
5 of 25 sample ratesHigher to lower in this preview
Julianne Wojciak
$6,365.62Published rateWendy Conlon
$5,374.04Published rateHelio Costa
$1,881.09Published rateEastland Memorial Hospital District, Eastland Memorial Hospital
$1,392.00Published rateKathryn Singh
Memorialcare Medical Foundation
$513.88Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 81229 vs. Other Molecular Pathology Procedures Codes
The CPT 81229 code is part of the Pathology and Laboratory Procedures services used for Molecular Pathology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 81229 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 81226-CPT | Moderate | Cyp2d6 Gene Com Variants, Cyp2d6 Cytochrome P450 Family 2 Subfamily D Polypeptide 6 Eg Drug Metabolism Gene Analysis Common Variants Eg 2 3 4 5 6 9 10 17 19 29 35 41 1xn 2xn 4xn |
| 81227-CPT | Low | Genetic Test For Drug Therapy, A Lab Test That Evaluates How Well A Drug Is Metabolized By The Body. This Helps To Identify The Most Effective Drug Therapy And The Likelihood Of Developing Severe Side Effects. |
| 81228-CPT | Moderate | Cytogenomic Constitutional (Genome-Wide) Microarray Analysis; Interrogation Of Genomic Regions For Copy Number Variants (Eg, Bacterial Artificial Chromosome (Bac) Or Oligo-Based Comparative Genomic Hybridization (Cgh) Microarray Analysis) |
| 81229-CPT | Moderate | Cytog Alys Chrml Abnr Snpcgh, Cytogenomic Genome Wide Analysis For Constitutional Chromosomal Abnormalities Interrogation Of Genomic Regions For Copy Number And Single Nucleotide Polymorphism Snp Variants Comparative Genomic Hybridization Cgh Microarray Analysis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81229. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81229 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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