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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 9 Physician : 9.2 Services, Benefits, Limitations, and Prior Authorization : 9.2.40 Laboratory Services : 9.2.40.6 Cytogenetics Testing

9.2.40.6
Cytogenetics testing is a group of laboratory tests involving the study of chromosomes.
Clinical evidence supports the significance of cytogenetics evaluation in the diagnosis, prognosis, and treatment of acute leukemias and lymphomas, especially in children. The detection of the well-defined recurring genetic abnormalities often enables a correct diagnosis with important prognostic information that affects the treatment protocol.
Reimbursement for cytogenetics testing is limited to the following diagnosis codes:
 
Cytogenetics testing may be reimbursed with the following procedure codes and limitations:
 

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