CPT 81407 Fee Schedule
Last Verified: August 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.
Mopath Procedure Level 8, Molecular Pathology Procedure Level 8 (Eg Analysis Of 26-50 Exons By Dna Sequence Analysis Mutation Scanning Or Duplication Deletion Variants Of >50 Exons Sequence Analysis Of Multiple Genes On One Platform) Abcc8 (Atp-Binding Cassette Sub-Family C [Cftr Mrp] Member 8) (Eg Familial Hyperinsulinism) Full Gene Sequence Agl (Amylo-Alpha-1 6-Glucosidase 4-Alpha-Glucanotransferase) (Eg Glycogen Storage Disease Type Iii) Full Gene Sequence Ahi1 (Abelson Helper Integration Site 1) (Eg Joubert Syndrome) Full Gene Sequence Apob (Apolipoprotein B) (Eg Familial Hypercholesterolemia Type B) Full Gene Sequence Aspm (Asp [Abnormal Spindle] Homolog Microcephaly Associated [Drosophila]) (Eg Primary Microcephaly) Full Gene Sequence Chd7 (Chromodomain Helicase Dna Binding Protein 7) (Eg Charge Syndrome) Full Gene Sequence Col4a4 (Collagen Type Iv Alpha 4) (Eg Alport Syndrome) Full Gene Sequence Col4a5 (Collagen Type Iv Alpha 5) (Eg Alport Syndrome) Duplication Deletion Analysis Col6a1 (Collagen Type Vi Alpha 1) (Eg Collagen Type Vi-Related Disorders) Full Gene Sequence Col6a2 (Collagen Type Vi Alpha 2) (Eg Collagen Type Vi-Related Disorders) Full Gene Sequence Col6a3 (Collagen Type Vi Alpha 3) (Eg Collagen Type Vi-Related Disorders) Full Gene Sequence Crebbp (Creb Binding Protein) (Eg Rubinstein-Taybi Syndrome) Full Gene Sequence F8 (Coagulation Factor Viii) (Eg Hemophilia A) Full Gene Sequence Jag1 (Jagged 1) (Eg Alagille Syndrome) Full Gene Sequence Kdm5c (Lysine Demethylase 5c) (Eg X-Linked Intellectual Disability) Full Gene Sequence Kiaa0196 (Kiaa0196) (Eg Spastic Paraplegia) Full Gene Sequence L1cam (L1 Cell Adhesion Molecule) (Eg Masa Syndrome X-Linked Hydrocephaly) Full Gene Sequence Lamb2 (Laminin Beta 2 [Laminin S]) (Eg Pierson Syndrome) Full Gene Sequence Mybpc3 (Myosin Binding Protein C Cardiac) (Eg Familial Hypertrophic Cardiomyopathy) Full Gene Sequence Myh6 (Myosin Heavy Chain 6 Cardiac Muscle Alpha) (Eg Familial Dilated Cardiomyopathy) Full Gene Sequence Myh7 (Myosin Heavy Chain 7 Cardiac Muscle Beta) (Eg Familial Hypertrophic Cardiomyopathy Liang Distal Myopathy) Full Gene Sequence Myo7a (Myosin Viia) (Eg Usher Syndrome Type 1) Full Gene Sequence Notch1 (Notch 1) (Eg Aortic Valve Disease) Full Gene Sequence Nphs1 (Nephrosis 1 Congenital Finnish Type [Nephrin]) (Eg Congenital Finnish Nephrosis) Full Gene Sequence Opa1 (Optic Atrophy 1) (Eg Optic Atrophy) Full Gene Sequence Pcdh15 (Protocadherin-Related 15) (Eg Usher Syndrome Type 1) Full Gene Sequence Pkd1 (Polycystic Kidney Disease 1 [Autosomal Dominant]) (Eg Polycystic Kidney Disease) Full Gene Sequence Plce1 (Phospholipase C Epsilon 1) (Eg Nephrotic Syndrome Type 3) Full Gene Sequence Scn1a (Sodium Channel Voltage-Gated Type 1 Alpha Subunit) (Eg Generalized Epilepsy With Febrile Seizures) Full Gene Sequence Scn5a (Sodium Channel Voltage-Gated Type V Alpha Subunit) (Eg Familial Dilated Cardiomyopathy) Full Gene Sequence Slc12a1 (Solute Carrier Family 12 [Sodium Potassium Chloride Transporters] Member 1) (Eg Bartter Syndrome) Full Gene Sequence Slc12a3 (Solute Carrier Family 12 [Sodium Chloride Transporters] Member 3) (Eg Gitelman Syndrome) Full Gene Sequence Spg11 (Spastic Paraplegia 11 [Autosomal Recessive]) (Eg Spastic Paraplegia) Full Gene Sequence Sptbn2 (Spectrin Beta Non-Erythrocytic 2) (Eg Spinocerebellar Ataxia) Full Gene Sequence Tmem67 (Transmembrane Protein 67) (Eg Joubert Syndrome) Full Gene Sequence Tsc2 (Tuberous Sclerosis 2) (Eg Tuberous Sclerosis) Full Gene Sequence Ush1c (Usher Syndrome 1c [Autosomal Recessive Severe]) (Eg Usher Syndrome Type 1) Full Gene Sequence Vps13b (Vacuolar Protein Sorting 13 Homolog B [Yeast]) (Eg Cohen Syndrome) Duplication Deletion Analysis Wdr62 (Wd Repeat Domain 62) (Eg Primary Autosomal Recessive Microcephaly) Full Gene Sequence
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Molecular Pathology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 81407 |
National average reimbursement for CPT 81407 by major payers:
$767.17
$518.11
$858.86
$1,225.90
Preview provider-level rates for...
For billing codeCPT 81407
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 81407 | $507.76 | 1861650780 - CHILDRENS NATIONAL MEDICAL CENTER | 530196580 - CHILDRENS HOSPITAL | DC | Children's Hospital (282NC2000X) |
United | 81407 | $1117.08 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 81407 | $456.99 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 81407 | $845.42 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 81407 | $845.42 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 81407 | $1861.79 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 81407 | $296.19 | 1598375651 - E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC, E AND A HEALTHCARE ON THE GO | 832289173 - (FL) E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC | FL | Home Health Agency (251E00000X) |
United | 81407 | $930.90 | 1366428401 - AARON ASKEW | 931224010 - PRAXIS HEALTH, P.C. | OR | Orthopaedic Trauma Physician (207XX0801X) |
United | 81407 | $624.07 | 1134127301 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 81407 | $355.43 | 1053866707 - BRITTANY PTACHICK | 541958039 - HROA 401K PLAN | VA | Family Nurse Practitioner (363LF0000X) |
United | 81407 | $1005.37 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 81407 | $338.51 | 1366400376 - SUNRISE HOME HEALTH CARE INC. | 650307774 - (FL) SUNRISE HOME HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
United | 81407 | $1861.79 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 81407 | $846.27 | 1619910627 - BRADLEY WEISNER | 562107759 - UROLOGY SPECIALISTS OF THE CAROLINAS, PLLC | NC | Urology Physician (208800000X) |
United | 81407 | $846.27 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 81407 vs. Other Molecular Pathology Procedures Codes
The CPT 81407 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 81407 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 |
|---|---|---|
| 81406-CPT | Moderate | Mopath Procedure Level 7, Molecular Pathology Procedure Level 7 (Eg Analysis Of 11-25 Exons By Dna Sequence Analysis Mutation Scanning Or Duplication Deletion Variants Of 26-50 Exons) Acadvl (Acyl-Coa Dehydrogenase Very Long Chain) (Eg Very Long Chain Acyl-Coenzyme A Dehydrogenase Deficiency) Full Gene Sequence Actn4 (Actinin Alpha 4) (Eg Focal Segmental Glomerulosclerosis) Full Gene Sequence Afg3l2 (Afg3 Atpase Family Gene 3-Like 2 [S. Cerevisiae]) (Eg Spinocerebellar Ataxia) Full Gene Sequence Aire (Autoimmune Regulator) (Eg Autoimmune Polyendocrinopathy Syndrome Type 1) Full Gene Sequence Aldh7a1 (Aldehyde Dehydrogenase 7 Family Member A1) (Eg Pyridoxine-Dependent Epilepsy) Full Gene Sequence Ano5 (Anoctamin 5) (Eg Limb-Girdle Muscular Dystrophy) Full Gene Sequence Anos1 (Anosmin-1) (Eg Kallmann Syndrome 1) Full Gene Sequence App (Amyloid Beta [A4] Precursor Protein) (Eg Alzheimer Disease) Full Gene Sequence Ass1 (Argininosuccinate Synthase 1) (Eg Citrullinemia Type I) Full Gene Sequence Atl1 (Atlastin Gtpase 1) (Eg Spastic Paraplegia) Full Gene Sequence Atp1a2 (Atpase Na+ K+ Transporting Alpha 2 Polypeptide) (Eg Familial Hemiplegic Migraine) Full Gene Sequence Atp7b (Atpase Cu++ Transporting Beta Polypeptide) (Eg Wilson Disease) Full Gene Sequence Bbs1 (Bardet-Biedl Syndrome 1) (Eg Bardet-Biedl Syndrome) Full Gene Sequence Bbs2 (Bardet-Biedl Syndrome 2) (Eg Bardet-Biedl Syndrome) Full Gene Sequence Bckdhb (Branched-Chain Keto Acid Dehydrogenase E1 Beta Polypeptide) (Eg Maple Syrup Urine Disease Type 1b) Full Gene Sequence Best1 (Bestrophin 1) (Eg Vitelliform Macular Dystrophy) Full Gene Sequence Bmpr2 (Bone Morphogenetic Protein Receptor Type Ii [Serine Threonine Kinase]) (Eg Heritable Pulmonary Arterial Hypertension) Full Gene Sequence Braf (B-Raf Proto-Oncogene Serine Threonine Kinase) (Eg Noonan Syndrome) Full Gene Sequence Bscl2 (Berardinelli-Seip Congenital Lipodystrophy 2 [Seipin]) (Eg Berardinelli-Seip Congenital Lipodystrophy) Full Gene Sequence Btk (Bruton Agammaglobulinemia Tyrosine Kinase) (Eg X-Linked Agammaglobulinemia) Full Gene Sequence Cacnb2 (Calcium Channel Voltage-Dependent Beta 2 Subunit) (Eg Brugada Syndrome) Full Gene Sequence Capn3 (Calpain 3) (Eg Limb-Girdle Muscular Dystrophy [Lgmd] Type 2a Calpainopathy) Full Gene Sequence Cbs (Cystathionine-Beta-Synthase) (Eg Homocystinuria Cystathionine Beta-Synthase Deficiency) Full Gene Sequence Cdh1 (Cadherin 1 Type 1 E-Cadherin [Epithelial]) (Eg Hereditary Diffuse Gastric Cancer) Full Gene Sequence Cdkl5 (Cyclin-Dependent Kinase-Like 5) (Eg Early Infantile Epileptic Encephalopathy) Full Gene Sequence Clcn1 (Chloride Channel 1 Skeletal Muscle) (Eg Myotonia Congenita) Full Gene Sequence Clcnkb (Chloride Channel Voltage-Sensitive Kb) (Eg Bartter Syndrome 3 And 4b) Full Gene Sequence Cntnap2 (Contactin-Associated Protein-Like 2) (Eg Pitt-Hopkins-Like Syndrome 1) Full Gene Sequence Col6a2 (Collagen Type Vi Alpha 2) (Eg Collagen Type Vi-Related Disorders) Duplication Deletion Analysis Cpt1a (Carnitine Palmitoyltransferase 1a [Liver]) (Eg Carnitine Palmitoyltransferase 1a [Cpt1a] Deficiency) Full Gene Sequence Crb1 (Crumbs Homolog 1 [Drosophila]) (Eg Leber Congenital Amaurosis) Full Gene Sequence Crebbp (Creb Binding Protein) (Eg Rubinstein-Taybi Syndrome) Duplication Deletion Analysis Dbt (Dihydrolipoamide Branched Chain Transacylase E2) (Eg Maple Syrup Urine Disease Type 2) Full Gene Sequence Dlat (Dihydrolipoamide S-Acetyltransferase) (Eg Pyruvate Dehydrogenase E2 Deficiency) Full Gene Sequence Dld (Dihydrolipoamide Dehydrogenase) (Eg Maple Syrup Urine Disease Type Iii) Full Gene Sequence Dsc2 (Desmocollin) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 11) Full Gene Sequence Dsg2 (Desmoglein 2) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 10) Full Gene Sequence Dsp (Desmoplakin) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 8) Full Gene Sequence Efhc1 (Ef-Hand Domain [C-Terminal] Containing 1) (Eg Juvenile Myoclonic Epilepsy) Full Gene Sequence Eif2b3 (Eukaryotic Translation Initiation Factor 2b Subunit 3 Gamma 58kda) (Eg Leukoencephalopathy With Vanishing White Matter) Full Gene Sequence Eif2b4 (Eukaryotic Translation Initiation Factor 2b Subunit 4 Delta 67kda) (Eg Leukoencephalopathy With Vanishing White Matter) Full Gene Sequence Eif2b5 (Eukaryotic Translation Initiation Factor 2b Subunit 5 Epsilon 82kda) (Eg Childhood Ataxia With Central Nervous System Hypomyelination Vanishing White Matter) Full Gene Sequence Eng (Endoglin) (Eg Hereditary Hemorrhagic Telangiectasia Type 1) Full Gene Sequence Eya1 (Eyes Absent Homolog 1 [Drosophila]) (Eg Branchio-Oto-Renal [Bor] Spectrum Disorders) Full Gene Sequence F8 (Coagulation Factor Viii) (Eg Hemophilia A) Duplication Deletion Analysis Fah (Fumarylacetoacetate Hydrolase [Fumarylacetoacetase]) (Eg Tyrosinemia Type 1) Full Gene Sequence Fastkd2 (Fast Kinase Domains 2) (Eg Mitochondrial Respiratory Chain Complex Iv Deficiency) Full Gene Sequence Fig4 (Fig4 Homolog Sac1 Lipid Phosphatase Domain Containing [S. Cerevisiae]) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Ftsj1 (Ftsj Rna 2-O-Methyltransferase 1) (Eg X-Linked Intellectual Disability 9) Full Gene Sequence Fus (Fused In Sarcoma) (Eg Amyotrophic Lateral Sclerosis) Full Gene Sequence Gaa (Glucosidase Alpha Acid) (Eg Glycogen Storage Disease Type Ii [Pompe Disease]) Full Gene Sequence Galc (Galactosylceramidase) (Eg Krabbe Disease) Full Gene Sequence Galt (Galactose-1-Phosphate Uridylyltransferase) (Eg Galactosemia) Full Gene Sequence Gars (Glycyl-Trna Synthetase) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Gcdh (Glutaryl-Coa Dehydrogenase) (Eg Glutaricacidemia Type 1) Full Gene Sequence Gck (Glucokinase [Hexokinase 4]) (Eg Maturity-Onset Diabetes Of The Young [Mody]) Full Gene Sequence Glud1 (Glutamate Dehydrogenase 1) (Eg Familial Hyperinsulinism) Full Gene Sequence Gne (Glucosamine [Udp-N-Acetyl]-2-Epimerase N-Acetylmannosamine Kinase) (Eg Inclusion Body Myopathy 2 [Ibm2] Nonaka Myopathy) Full Gene Sequence Grn (Granulin) (Eg Frontotemporal Dementia) Full Gene Sequence Hadha (Hydroxyacyl-Coa Dehydrogenase 3-Ketoacyl-Coa Thiolase Enoyl-Coa Hydratase [Trifunctional Protein] Alpha Subunit) (Eg Long Chain Acyl-Coenzyme A Dehydrogenase Deficiency) Full Gene Sequence Hadhb (Hydroxyacyl-Coa Dehydrogenase 3-Ketoacyl-Coa Thiolase Enoyl-Coa Hydratase [Trifunctional Protein] Beta Subunit) (Eg Trifunctional Protein Deficiency) Full Gene Sequence Hexa (Hexosaminidase A Alpha Polypeptide) (Eg Tay-Sachs Disease) Full Gene Sequence Hlcs (Hlcs Holocarboxylase Synthetase) (Eg Holocarboxylase Synthetase Deficiency) Full Gene Sequence Hmbs (Hydroxymethylbilane Synthase) (Eg Acute Intermittent Porphyria) Full Gene Sequence Hnf4a (Hepatocyte Nuclear Factor 4 Alpha) (Eg Maturity-Onset Diabetes Of The Young [Mody]) Full Gene Sequence Idua (Iduronidase Alpha-L-) (Eg Mucopolysaccharidosis Type I) Full Gene Sequence Inf2 (Inverted Formin Fh2 And Wh2 Domain Containing) (Eg Focal Segmental Glomerulosclerosis) Full Gene Sequence Ivd (Isovaleryl-Coa Dehydrogenase) (Eg Isovaleric Acidemia) Full Gene Sequence Jag1 (Jagged 1) (Eg Alagille Syndrome) Duplication Deletion Analysis Jup (Junction Plakoglobin) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 11) Full Gene Sequence Kcnh2 (Potassium Voltage-Gated Channel Subfamily H [Eag-Related] Member 2) (Eg Short Qt Syndrome Long Qt Syndrome) Full Gene Sequence Kcnq1 (Potassium Voltage-Gated Channel Kqt-Like Subfamily Member 1) (Eg Short Qt Syndrome Long Qt Syndrome) Full Gene Sequence Kcnq2 (Potassium Voltage-Gated Channel Kqt-Like Subfamily Member 2) (Eg Epileptic Encephalopathy) Full Gene Sequence Ldb3 (Lim Domain Binding 3) (Eg Familial Dilated Cardiomyopathy Myofibrillar Myopathy) Full Gene Sequence Ldlr (Low Density Lipoprotein Receptor) (Eg Familial Hypercholesterolemia) Full Gene Sequence Lepr (Leptin Receptor) (Eg Obesity With Hypogonadism) Full Gene Sequence Lhcgr (Luteinizing Hormone Choriogonadotropin Receptor) (Eg Precocious Male Puberty) Full Gene Sequence Lmna (Lamin A C) (Eg Emery-Dreifuss Muscular Dystrophy [Edmd1 2 And 3] Limb-Girdle Muscular Dystrophy [Lgmd] Type 1b Dilated Cardiomyopathy [Cmd1a] Familial Partial Lipodystrophy [Fpld2]) Full Gene Sequence Lrp5 (Low Density Lipoprotein Receptor-Related Protein 5) (Eg Osteopetrosis) Full Gene Sequence Map2k1 (Mitogen-Activated Protein Kinase 1) (Eg Cardiofaciocutaneous Syndrome) Full Gene Sequence Map2k2 (Mitogen-Activated Protein Kinase 2) (Eg Cardiofaciocutaneous Syndrome) Full Gene Sequence Mapt (Microtubule-Associated Protein Tau) (Eg Frontotemporal Dementia) Full Gene Sequence Mccc1 (Methylcrotonoyl-Coa Carboxylase 1 [Alpha]) (Eg 3-Methylcrotonyl-Coa Carboxylase Deficiency) Full Gene Sequence Mccc2 (Methylcrotonoyl-Coa Carboxylase 2 [Beta]) (Eg 3-Methylcrotonyl Carboxylase Deficiency) Full Gene Sequence Mfn2 (Mitofusin 2) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Mtm1 (Myotubularin 1) (Eg X-Linked Centronuclear Myopathy) Full Gene Sequence Mut (Methylmalonyl Coa Mutase) (Eg Methylmalonic Acidemia) Full Gene Sequence Mutyh (Muty Homolog [E. Coli]) (Eg Myh-Associated Polyposis) Full Gene Sequence Ndufs1 (Nadh Dehydrogenase [Ubiquinone] Fe-S Protein 1 75kda [Nadh-Coenzyme Q Reductase]) (Eg Leigh Syndrome Mitochondrial Complex I Deficiency) Full Gene Sequence Nf2 (Neurofibromin 2 [Merlin]) (Eg Neurofibromatosis Type 2) Full Gene Sequence Notch3 (Notch 3) (Eg Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts And Leukoencephalopathy [Cadasil]) Targeted Sequence Analysis (Eg Exons 1-23) Npc1 (Niemann-Pick Disease Type C1) (Eg Niemann-Pick Disease) Full Gene Sequence Nphp1 (Nephronophthisis 1 [Juvenile]) (Eg Joubert Syndrome) Full Gene Sequence Nsd1 (Nuclear Receptor Binding Set Domain Protein 1) (Eg Sotos Syndrome) Full Gene Sequence Opa1 (Optic Atrophy 1) (Eg Optic Atrophy) Duplication Deletion Analysis Optn (Optineurin) (Eg Amyotrophic Lateral Sclerosis) Full Gene Sequence Pafah1b1 (Platelet-Activating Factor Acetylhydrolase 1b Regulatory Subunit 1 [45kda]) (Eg Lissencephaly Miller-Dieker Syndrome) Full Gene Sequence Pah (Phenylalanine Hydroxylase) (Eg Phenylketonuria) Full Gene Sequence Park2 (Parkinson Protein 2 E3 Ubiquitin Protein Ligase [Parkin]) (Eg Parkinson Disease) Full Gene Sequence Pax2 (Paired Box 2) (Eg Renal Coloboma Syndrome) Full Gene Sequence Pc (Pyruvate Carboxylase) (Eg Pyruvate Carboxylase Deficiency) Full Gene Sequence Pcca (Propionyl Coa Carboxylase Alpha Polypeptide) (Eg Propionic Acidemia Type 1) Full Gene Sequence Pccb (Propionyl Coa Carboxylase Beta Polypeptide) (Eg Propionic Acidemia) Full Gene Sequence Pcdh15 (Protocadherin-Related 15) (Eg Usher Syndrome Type 1f) Duplication Deletion Analysis Pcsk9 (Proprotein Convertase Subtilisin Kexin Type 9) (Eg Familial Hypercholesterolemia) Full Gene Sequence Pdha1 (Pyruvate Dehydrogenase [Lipoamide] Alpha 1) (Eg Lactic Acidosis) Full Gene Sequence Pdhx (Pyruvate Dehydrogenase Complex Component X) (Eg Lactic Acidosis) Full Gene Sequence Phex (Phosphate-Regulating Endopeptidase Homolog X-Linked) (Eg Hypophosphatemic Rickets) Full Gene Sequence Pkd2 (Polycystic Kidney Disease 2 [Autosomal Dominant]) (Eg Polycystic Kidney Disease) Full Gene Sequence Pkp2 (Plakophilin 2) (Eg Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathy 9) Full Gene Sequence Pnkd (Paroxysmal Nonkinesigenic Dyskinesia) (Eg Paroxysmal Nonkinesigenic Dyskinesia) Full Gene Sequence Polg (Polymerase [Dna Directed] Gamma) (Eg Alpers-Huttenlocher Syndrome Autosomal Dominant Progressive External Ophthalmoplegia) Full Gene Sequence Pomgnt1 (Protein O-Linked Mannose Beta12-N Acetylglucosaminyltransferase) (Eg Muscle-Eye-Brain Disease Walker-Warburg Syndrome) Full Gene Sequence Pomt1 (Protein-O-Mannosyltransferase 1) (Eg Limb-Girdle Muscular Dystrophy [Lgmd] Type 2k Walker-Warburg Syndrome) Full Gene Sequence Pomt2 (Protein-O-Mannosyltransferase 2) (Eg Limb-Girdle Muscular Dystrophy [Lgmd] Type 2n Walker-Warburg Syndrome) Full Gene Sequence Ppox (Protoporphyrinogen Oxidase) (Eg Variegate Porphyria) Full Gene Sequence Prkag2 (Protein Kinase Amp-Activated Gamma 2 Non-Catalytic Subunit) (Eg Familial Hypertrophic Cardiomyopathy With Wolff-Parkinson-White Syndrome Lethal Congenital Glycogen Storage Disease Of Heart) Full Gene Sequence Prkcg (Protein Kinase C Gamma) (Eg Spinocerebellar Ataxia) Full Gene Sequence Psen2 (Presenilin 2 [Alzheimer Disease 4]) (Eg Alzheimer Disease) Full Gene Sequence Ptpn11 (Protein Tyrosine Phosphatase Non-Receptor Type 11) (Eg Noonan Syndrome Leopard Syndrome) Full Gene Sequence Pygm (Phosphorylase Glycogen Muscle) (Eg Glycogen Storage Disease Type V Mcardle Disease) Full Gene Sequence Raf1 (V-Raf-1 Murine Leukemia Viral Oncogene Homolog 1) (Eg Leopard Syndrome) Full Gene Sequence Ret (Ret Proto-Oncogene) (Eg Hirschsprung Disease) Full Gene Sequence Rpe65 (Retinal Pigment Epithelium-Specific Protein 65kda) (Eg Retinitis Pigmentosa Leber Congenital Amaurosis) Full Gene Sequence Ryr1 (Ryanodine Receptor 1 Skeletal) (Eg Malignant Hyperthermia) Targeted Sequence Analysis Of Exons With Functionally-Confirmed Mutations Scn4a (Sodium Channel Voltage-Gated Type Iv Alpha Subunit) (Eg Hyperkalemic Periodic Paralysis) Full Gene Sequence Scnn1a (Sodium Channel Nonvoltage-Gated 1 Alpha) (Eg Pseudohypoaldosteronism) Full Gene Sequence Scnn1b (Sodium Channel Nonvoltage-Gated 1 Beta) (Eg Liddle Syndrome Pseudohypoaldosteronism) Full Gene Sequence Scnn1g (Sodium Channel Nonvoltage-Gated 1 Gamma) (Eg Liddle Syndrome Pseudohypoaldosteronism) Full Gene Sequence Sdha (Succinate Dehydrogenase Complex Subunit A Flavoprotein [Fp]) (Eg Leigh Syndrome Mitochondrial Complex Ii Deficiency) Full Gene Sequence Setx (Senataxin) (Eg Ataxia) Full Gene Sequence Sgce (Sarcoglycan Epsilon) (Eg Myoclonic Dystonia) Full Gene Sequence Sh3tc2 (Sh3 Domain And Tetratricopeptide Repeats 2) (Eg Charcot-Marie-Tooth Disease) Full Gene Sequence Slc9a6 (Solute Carrier Family 9 [Sodium Hydrogen Exchanger] Member 6) (Eg Christianson Syndrome) Full Gene Sequence Slc26a4 (Solute Carrier Family 26 Member 4) (Eg Pendred Syndrome) Full Gene Sequence Slc37a4 (Solute Carrier Family 37 [Glucose-6-Phosphate Transporter] Member 4) (Eg Glycogen Storage Disease Type Ib) Full Gene Sequence Smad4 (Smad Family Member 4) (Eg Hemorrhagic Telangiectasia Syndrome Juvenile Polyposis) Full Gene Sequence Sos1 (Son Of Sevenless Homolog 1) (Eg Noonan Syndrome Gingival Fibromatosis) Full Gene Sequence Spast (Spastin) (Eg Spastic Paraplegia) Full Gene Sequence Spg7 (Spastic Paraplegia 7 [Pure And Complicated Autosomal Recessive]) (Eg Spastic Paraplegia) Full Gene Sequence Stxbp1 (Syntaxin-Binding Protein 1) (Eg Epileptic Encephalopathy) Full Gene Sequence Taz (Tafazzin) (Eg Methylglutaconic Aciduria Type 2 Barth Syndrome) Full Gene Sequence Tcf4 (Transcription Factor 4) (Eg Pitt-Hopkins Syndrome) Full Gene Sequence Th (Tyrosine Hydroxylase) (Eg Segawa Syndrome) Full Gene Sequence Tmem43 (Transmembrane Protein 43) (Eg Arrhythmogenic Right Ventricular Cardiomyopathy) Full Gene Sequence Tnnt2 (Troponin T Type 2 [Cardiac]) (Eg Familial Hypertrophic Cardiomyopathy) Full Gene Sequence Trpc6 (Transient Receptor Potential Cation Channel Subfamily C Member 6) (Eg Focal Segmental Glomerulosclerosis) Full Gene Sequence Tsc1 (Tuberous Sclerosis 1) (Eg Tuberous Sclerosis) Full Gene Sequence Tsc2 (Tuberous Sclerosis 2) (Eg Tuberous Sclerosis) Duplication Deletion Analysis Ube3a (Ubiquitin Protein Ligase E3a) (Eg Angelman Syndrome) Full Gene Sequence Umod (Uromodulin) (Eg Glomerulocystic Kidney Disease With Hyperuricemia And Isosthenuria) Full Gene Sequence Vwf (Von Willebrand Factor) (Von Willebrand Disease Type 2a) Extended Targeted Sequence Analysis (Eg Exons 11-16 24-26 51 52) Was (Wiskott-Aldrich Syndrome [Eczema-Thrombocytopenia]) (Eg Wiskott-Aldrich Syndrome) Full Gene Sequence |
| 81407-CPT | Moderate | Mopath Procedure Level 8, Molecular Pathology Procedure Level 8 (Eg Analysis Of 26-50 Exons By Dna Sequence Analysis Mutation Scanning Or Duplication Deletion Variants Of >50 Exons Sequence Analysis Of Multiple Genes On One Platform) Abcc8 (Atp-Binding Cassette Sub-Family C [Cftr Mrp] Member 8) (Eg Familial Hyperinsulinism) Full Gene Sequence Agl (Amylo-Alpha-1 6-Glucosidase 4-Alpha-Glucanotransferase) (Eg Glycogen Storage Disease Type Iii) Full Gene Sequence Ahi1 (Abelson Helper Integration Site 1) (Eg Joubert Syndrome) Full Gene Sequence Apob (Apolipoprotein B) (Eg Familial Hypercholesterolemia Type B) Full Gene Sequence Aspm (Asp [Abnormal Spindle] Homolog Microcephaly Associated [Drosophila]) (Eg Primary Microcephaly) Full Gene Sequence Chd7 (Chromodomain Helicase Dna Binding Protein 7) (Eg Charge Syndrome) Full Gene Sequence Col4a4 (Collagen Type Iv Alpha 4) (Eg Alport Syndrome) Full Gene Sequence Col4a5 (Collagen Type Iv Alpha 5) (Eg Alport Syndrome) Duplication Deletion Analysis Col6a1 (Collagen Type Vi Alpha 1) (Eg Collagen Type Vi-Related Disorders) Full Gene Sequence Col6a2 (Collagen Type Vi Alpha 2) (Eg Collagen Type Vi-Related Disorders) Full Gene Sequence Col6a3 (Collagen Type Vi Alpha 3) (Eg Collagen Type Vi-Related Disorders) Full Gene Sequence Crebbp (Creb Binding Protein) (Eg Rubinstein-Taybi Syndrome) Full Gene Sequence F8 (Coagulation Factor Viii) (Eg Hemophilia A) Full Gene Sequence Jag1 (Jagged 1) (Eg Alagille Syndrome) Full Gene Sequence Kdm5c (Lysine Demethylase 5c) (Eg X-Linked Intellectual Disability) Full Gene Sequence Kiaa0196 (Kiaa0196) (Eg Spastic Paraplegia) Full Gene Sequence L1cam (L1 Cell Adhesion Molecule) (Eg Masa Syndrome X-Linked Hydrocephaly) Full Gene Sequence Lamb2 (Laminin Beta 2 [Laminin S]) (Eg Pierson Syndrome) Full Gene Sequence Mybpc3 (Myosin Binding Protein C Cardiac) (Eg Familial Hypertrophic Cardiomyopathy) Full Gene Sequence Myh6 (Myosin Heavy Chain 6 Cardiac Muscle Alpha) (Eg Familial Dilated Cardiomyopathy) Full Gene Sequence Myh7 (Myosin Heavy Chain 7 Cardiac Muscle Beta) (Eg Familial Hypertrophic Cardiomyopathy Liang Distal Myopathy) Full Gene Sequence Myo7a (Myosin Viia) (Eg Usher Syndrome Type 1) Full Gene Sequence Notch1 (Notch 1) (Eg Aortic Valve Disease) Full Gene Sequence Nphs1 (Nephrosis 1 Congenital Finnish Type [Nephrin]) (Eg Congenital Finnish Nephrosis) Full Gene Sequence Opa1 (Optic Atrophy 1) (Eg Optic Atrophy) Full Gene Sequence Pcdh15 (Protocadherin-Related 15) (Eg Usher Syndrome Type 1) Full Gene Sequence Pkd1 (Polycystic Kidney Disease 1 [Autosomal Dominant]) (Eg Polycystic Kidney Disease) Full Gene Sequence Plce1 (Phospholipase C Epsilon 1) (Eg Nephrotic Syndrome Type 3) Full Gene Sequence Scn1a (Sodium Channel Voltage-Gated Type 1 Alpha Subunit) (Eg Generalized Epilepsy With Febrile Seizures) Full Gene Sequence Scn5a (Sodium Channel Voltage-Gated Type V Alpha Subunit) (Eg Familial Dilated Cardiomyopathy) Full Gene Sequence Slc12a1 (Solute Carrier Family 12 [Sodium Potassium Chloride Transporters] Member 1) (Eg Bartter Syndrome) Full Gene Sequence Slc12a3 (Solute Carrier Family 12 [Sodium Chloride Transporters] Member 3) (Eg Gitelman Syndrome) Full Gene Sequence Spg11 (Spastic Paraplegia 11 [Autosomal Recessive]) (Eg Spastic Paraplegia) Full Gene Sequence Sptbn2 (Spectrin Beta Non-Erythrocytic 2) (Eg Spinocerebellar Ataxia) Full Gene Sequence Tmem67 (Transmembrane Protein 67) (Eg Joubert Syndrome) Full Gene Sequence Tsc2 (Tuberous Sclerosis 2) (Eg Tuberous Sclerosis) Full Gene Sequence Ush1c (Usher Syndrome 1c [Autosomal Recessive Severe]) (Eg Usher Syndrome Type 1) Full Gene Sequence Vps13b (Vacuolar Protein Sorting 13 Homolog B [Yeast]) (Eg Cohen Syndrome) Duplication Deletion Analysis Wdr62 (Wd Repeat Domain 62) (Eg Primary Autosomal Recessive Microcephaly) Full Gene Sequence |
| 81408-CPT | High | Mopath Procedure Level 9, Molecular Pathology Procedure Level 9 (Eg Analysis Of >50 Exons In A Single Gene By Dna Sequence Analysis) Abca4 (Atp-Binding Cassette Sub-Family A [Abc1] Member 4) (Eg Stargardt Disease Age-Related Macular Degeneration) Full Gene Sequence Atm (Ataxia Telangiectasia Mutated) (Eg Ataxia Telangiectasia) Full Gene Sequence Cdh23 (Cadherin-Related 23) (Eg Usher Syndrome Type 1) Full Gene Sequence Cep290 (Centrosomal Protein 290kda) (Eg Joubert Syndrome) Full Gene Sequence Col1a1 (Collagen Type I Alpha 1) (Eg Osteogenesis Imperfecta Type I) Full Gene Sequence Col1a2 (Collagen Type I Alpha 2) (Eg Osteogenesis Imperfecta Type I) Full Gene Sequence Col4a1 (Collagen Type Iv Alpha 1) (Eg Brain Small-Vessel Disease With Hemorrhage) Full Gene Sequence Col4a3 (Collagen Type Iv Alpha 3 [Goodpasture Antigen]) (Eg Alport Syndrome) Full Gene Sequence Col4a5 (Collagen Type Iv Alpha 5) (Eg Alport Syndrome) Full Gene Sequence Dmd (Dystrophin) (Eg Duchenne Becker Muscular Dystrophy) Full Gene Sequence Dysf (Dysferlin Limb Girdle Muscular Dystrophy 2b [Autosomal Recessive]) (Eg Limb-Girdle Muscular Dystrophy) Full Gene Sequence Fbn1 (Fibrillin 1) (Eg Marfan Syndrome) Full Gene Sequence Itpr1 (Inositol 145-Trisphosphate Receptor Type 1) (Eg Spinocerebellar Ataxia) Full Gene Sequence Lama2 (Laminin Alpha 2) (Eg Congenital Muscular Dystrophy) Full Gene Sequence Lrrk2 (Leucine-Rich Repeat Kinase 2) (Eg Parkinson Disease) Full Gene Sequence Myh11 (Myosin Heavy Chain 11 Smooth Muscle) (Eg Thoracic Aortic Aneurysms And Aortic Dissections) Full Gene Sequence Neb (Nebulin) (Eg Nemaline Myopathy 2) Full Gene Sequence Nf1 (Neurofibromin 1) (Eg Neurofibromatosis Type 1) Full Gene Sequence Pkhd1 (Polycystic Kidney And Hepatic Disease 1) (Eg Autosomal Recessive Polycystic Kidney Disease) Full Gene Sequence Ryr1 (Ryanodine Receptor 1 Skeletal) (Eg Malignant Hyperthermia) Full Gene Sequence Ryr2 (Ryanodine Receptor 2 [Cardiac]) (Eg Catecholaminergic Polymorphic Ventricular Tachycardia Arrhythmogenic Right Ventricular Dysplasia) Full Gene Sequence Or Targeted Sequence Analysis Of > 50 Exons Ush2a (Usher Syndrome 2a [Autosomal Recessive Mild]) (Eg Usher Syndrome Type 2) Full Gene Sequence Vps13b (Vacuolar Protein Sorting 13 Homolog B [Yeast]) (Eg Cohen Syndrome) Full Gene Sequence Vwf (Von Willebrand Factor) (Eg Von Willebrand Disease Types 1 And 3) Full Gene Sequence |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81407. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81407 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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