How To Use CPT Code 0175U

CPT 0175U describes a specific genomic analysis panel for psychiatry, which analyzes variant sequences of 15 genes related to psychiatric therapies. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of CPT code 0175U.

1. What is CPT Code 0175U?

CPT 0175U can be used to report a proprietary laboratory analysis (PLA) test called the Genomind® Professional PGx Express™ CORE test. This test evaluates the variant analysis of 15 genes associated with psychiatric disorders, such as depression and anxiety, to aid clinicians in personalized drug recommendations and avoidance of adverse drug reactions for their patients.

2. Official Description

The official description of CPT code 0175U is: ‘Psychiatry (eg, depression, anxiety), genomic analysis panel, variant analysis of 15 genes.’

3. Procedure

1. A patient specimen, typically blood, is collected for analysis.
2. The lab analyst performs the technical steps required for the Genomind® Professional PGx Express™ CORE test, which includes identifying genetic variations in 15 specific genes.
3. The analysis focuses on genes that contribute to the formation or breakdown of certain molecules inside cells, which can impact the efficacy and toxicity of medications.

4. Qualifying circumstances

CPT 0175U is appropriate for patients diagnosed with psychiatric disorders, such as depression and anxiety. The test helps clinicians make personalized drug recommendations and avoid adverse drug reactions based on the patient’s genetic variations in the 15 analyzed genes.

5. When to use CPT code 0175U

CPT code 0175U should be used when ordering the Genomind® Professional PGx Express™ CORE test for patients with psychiatric disorders. It should not be used for any other purpose or test.

6. Documentation requirements

To support a claim for CPT code 0175U, the following documentation is required:

• Patient’s diagnosis of a psychiatric disorder
• Order for the Genomind® Professional PGx Express™ CORE test
• Date of specimen collection
• Results of the variant analysis of the 15 genes
• Signature of the clinician ordering the test

7. Billing guidelines

When billing for CPT code 0175U, ensure that the test being performed is the Genomind® Professional PGx Express™ CORE test. Report one unit of this code for each specimen analyzed on a single date of service. Some payers may separately reimburse for the collection of the specimen using a code such as 36415.

8. Historical information

CPT code 0175U was added to the Current Procedural Terminology system on July 1, 2020. There have been no updates to the code since its addition.

9. Examples

1. A clinician orders the Genomind® Professional PGx Express™ CORE test for a patient diagnosed with depression to assist in personalized drug recommendations.
2. A psychiatrist utilizes CPT code 0175U for a patient with anxiety to determine the most suitable psychiatric therapies based on genetic variations in the 15 analyzed genes.
3. A mental health provider orders the Genomind® Professional PGx Express™ CORE test for a patient with bipolar disorder to help avoid adverse drug reactions and optimize medication choices.
4. A primary care physician utilizes CPT code 0175U for a patient with post-traumatic stress disorder to aid in personalized drug recommendations and minimize potential adverse effects.
5. A psychiatrist orders the Genomind® Professional PGx Express™ CORE test for a patient with schizophrenia to assist in tailoring medication choices based on genetic variations in the 15 analyzed genes.
6. A clinician utilizes CPT code 0175U for a patient diagnosed with obsessive-compulsive disorder to guide personalized drug recommendations and minimize the risk of adverse drug reactions.
7. A mental health provider orders the Genomind® Professional PGx Express™ CORE test for a patient with attention deficit hyperactivity disorder to optimize medication choices and minimize potential side effects.
8. A psychiatrist utilizes CPT code 0175U for a patient with eating disorders to aid in personalized drug recommendations and avoid adverse drug reactions.
9. A primary care physician orders the Genomind® Professional PGx Express™ CORE test for a patient with substance use disorder to assist in tailoring medication choices and minimize potential adverse effects.
10. A clinician utilizes CPT code 0175U for a patient diagnosed with autism spectrum disorder to guide personalized drug recommendations and minimize the risk of adverse drug reactions.