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See a sample rate comparisonCPT 81479 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.
Analysis For Genetic Disease, A Lab Analysis Of Genetic Material To Determine The Specific Genetic Factor Playing A Role In A Disease.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 81479 |
National average reimbursement for CPT 81479 by major payers:
$435.28
$870.37
$95.22
$146.94
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CPT 81479
5 of 25 sample ratesHigher to lower in this preview
Ihc Health Services Inc, Southridge Clinic Ob-Gyn
Ihc Health Services Inc
$1,000,000.00Published rateIhc Health Services Inc, Budge Clinic Obstetrics And Gynecology
Ihc Health Services Inc
$1,000,000.00Published rateMarcos Sosa
The University Of Texas At Austin / University Health Services / University Of Texas At Austin
$1,404.00Published rateCaroline Friedman
Premise Health Of New York Medical PC
$466.00Published rateSara Kostant
Healthworks Med Group Of Texas Darlington P A / Medical Offices Of Occupational Health Resources P C / Premise Health Of California Medical PC
$466.00Published rate
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See a sample payer proposalCPT 81479 vs. Other Genomic Sequencing Procedures and Other Molecular Multianalyte Assays Codes
The CPT 81479 code is part of the Pathology and Laboratory Procedures services used for Genomic Sequencing Procedures and Other Molecular Multianalyte Assays. 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 81479 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 |
|---|---|---|
| 81415-CPT | High | Exome (Eg Unexplaind Constituti Or Heritable Disord Or Syndro, Exome (Eg Unexplained Constitutional Or Heritable Disorder Or Syndrom |
| 81416-CPT | High | Exome (Eg Unexplained Constit, Exome (Eg Unexplained Constitutional Or Heritabledisorder Or Syndrome) Sequence Analysis Each Co Mparator Exome (Eg Parents Siblings) (List Separately In Addition To Code For Primary Procedure) |
| 81418-CPT | Moderate | Rx Metab Gen Seq Alys Pnl 6, Drug Metabolism Eg Pharmacogenomics Genomic Sequence Analysis Panel Must Include Testing Of At Least 6 Genes Including Cyp2c19 Cyp2d6 And Cyp2d6 Duplication Deletion Analysis |
| 81479-CPT | Moderate | Analysis For Genetic Disease, A Lab Analysis Of Genetic Material To Determine The Specific Genetic Factor Playing A Role In A Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81479. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81479 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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