In a prior blog, I noted that CMS has just released data by provider (physician or lab) and CPT code for CY2019. I also discussed usage of the largest code in genomics, 81408, billed only by labs in the Novitas and FCSO jurisdiction.
In this blog, I provide a link to a cloud excel file of labs billing CMS for molecular unlisted code 81479 in CY2019. Virtually all the billing of 81479 (96%) was in MolDx states. The other 20-some states had almost no payments at all under 81479 (almost zero).
Total 81479 allowed charges were $197M, of which 59% was paid in California.
The cloud data file is here. A summary by states is in the table below.
