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Correction to TAR Criteria for CPT Code 81329

February 15, 2019

A previously published Medi-Cal Update that added, changed and deleted CPT codes for the 2019 annual update, effective January 1, 2019, omitted certain required Treatment Authorization Request (TAR) criteria for CPT code 81329. The complete list of criteria is as follows.

CPT code 81329 requires documentation of one of the following numbered criteria:

  1. The patient has clinical signs or symptoms suspicious for spinal muscular atrophy and the patient requires the service as a confirmatory test for spinal muscular atrophy.

  2. The patient is considering pregnancy or is already pregnant.

This policy is reflected in the 2019 CPT Policy Updates PDF.