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2025 CPT code 81471

Analyzes a patient specimen for duplication and deletion mutations in at least 60 genes, including 15 genes related to X-linked intellectual disability (XLID).

Refer to the official CPT coding guidelines and relevant payer guidelines for specific instructions on coding and billing.

Modifiers may be applicable depending on the specific circumstances of service delivery; consult official CPT guidelines for details.

Medical necessity is established by the presence of clinical symptoms suggestive of X-linked intellectual disability and negative results from other diagnostic tests, or when family history indicates a potential genetic etiology.

Laboratory personnel perform the analysis of patient specimens to detect specific genetic mutations. Ordering physician is responsible for medical decision-making based on the test results.

IMPORTANT:Similar to 81470, but focuses on duplication/deletion analysis; may be reported in conjunction with 81470 if both procedures are performed.

In simple words: The lab tests a sample (like blood) to look for extra or missing pieces of genetic material in many genes. This helps find problems that cause intellectual disabilities linked to the X chromosome. It's especially useful if other tests haven't found the cause.

This procedure involves the analysis of a patient specimen (e.g., blood) to detect duplication and deletion mutations in at least 60 genes, encompassing the 15 genes specifically listed in the code descriptor.These 15 genes are associated with X-linked intellectual disability disorders (XLID).Methods such as Multiplex Ligation-dependent Probe Amplification (MLPA) might be used to detect these mutations, which are not always identified by standard DNA sequencing. While not limited to XLID, this test is often ordered for patients suspected of having XLID who have previously tested negative using full gene sequencing (CPT code 81470).

Example 1: A male patient presents with intellectual disability and negative results from previous genetic testing.The physician orders this test to detect potential duplication/deletion mutations in genes associated with X-linked intellectual disability., A female patient with a family history of X-linked intellectual disability undergoes this test to identify potential carrier status or underlying genetic causes of her symptoms., A child with unexplained developmental delays undergoes comprehensive genetic testing, including this panel, to identify potential genetic causes of their condition.

Patient demographics, clinical history (including family history and symptoms of intellectual disability), results of prior genetic testing (if any), and the specimen used for the analysis.

** This test is commonly used in conjunction with full gene sequencing (CPT 81470) for a comprehensive genetic evaluation for X-linked intellectual disability.Results should be interpreted by a qualified medical geneticist.

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