81260 No Indicated for: While DHCS requires a TAR for this test, PHC has chosen to have no TAR requirement. IKBKAP (inhibitor of Hypotonia in infancy any light polypeptide gene Decreased or absent deep tendon reflexes provider, enhancer in B-cells, kinas Decreased taste and absence of fungiform except with complex-associated protein) papillae of the tongue valid TAR gene analysis, common Absence of overflow tears with emotional override variants crying (alacrima) Absence of axon flare response after intradermal histamine injection Pupillary hypersensitivity to parasympathomimetic agents 81265 No One of the following ICD-10-CM is required on the claim: Comparative analysis any Short Tandem Repeat C81.00 C96.9, D45, T86.00 T86.09 or T86.5 – – provider, markers except with valid TAR override 81266 No One of the following ICD-10-CM codes is required on the claim: Comparative analysis using any Short Tandem Repeat C81.00 C96.9, D45, T86.00 T86.09 or T86.5 – – provider, markers; each additional except with specimen valid TAR override 81267 No One of the following ICD-10-CM codes is required 1 per on the claim: month Chimerism (engraftment) analysis, post T86.01, T86.02, T86.09 or T86.5 transplantation specimen; without cell selection
81260 IKBKAP (inhibitor of light polypeptide gene enhancer in B-cells, kinas complex-associated protein) gene analysis, common variants No Indicated for: Hypotonia in infancy Decreased or absent deep tendon reflexes Decreased taste and absence of fungiform papillae of the tongue Absence of overflow tears with emotional crying (alacrima) Absence of axon flare response after intradermal histamine injection Pupillary hypersensitivity to parasympathomimetic agents any provider, except with valid TAR override While DHCS requires a TAR for this test, PHC has chosen to have no TAR requirement. 81265 Comparative analysis Short Tandem Repeat markers No One of the following ICD-10-CM is required on the claim: C81.00 – C96.9, D45, T86.00 – T86.09 or T86.5 any provider, except with valid TAR override 81266 Comparative analysis using Short Tandem Repeat markers; each additional specimen No One of the following ICD-10-CM codes is required on the claim: C81.00 – C96.9, D45, T86.00 – T86.09 or T86.5 any provider, except with valid TAR override 81267 Chimerism (engraftment) analysis, post transplantation specimen; without cell selection No One of the following ICD-10-CM codes is required on the claim: T86.01, T86.02, T86.09 or T86.5 1 per month