{"procedure":{"code_type":"CPT","code":"81319","lay_name":"PMS2 gene test for missing or extra gene pieces","blurb":"Laboratory test that looks for deleted or duplicated segments of the PMS2 gene, changes that full sequencing may not detect.","slug":"cpt-81319-pms2-gene-test-for-missing-or-extra-gene-pieces","description":"PMS2 GENE DUP/DELET VARIANTS","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"234","label":"Pathology","surgery_flag":"n/a"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-01-24","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:26:07.123045Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":779,"n_usable":700,"n_not_usable":1,"n_labelled":55,"n_no_cash":23,"n_estimated":0,"n_states":49,"cash_p10":80.0,"cash_p20":136.0,"cash_p25":174.15,"cash_p50":315.15,"cash_p75":541.8,"cash_p80":637.0,"cash_p90":1182.0,"cash_mean_trimmed":340.43,"gross_p50":609.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":5,"p20":null,"p50":null,"p80":null},{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":5,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":8,"p20":null,"p50":null,"p80":null},{"state":"CA","n":31,"p20":111.93,"p50":464.8,"p80":464.8},{"state":"CO","n":18,"p20":233.34,"p50":263.95,"p80":588.0},{"state":"CT","n":4,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":16,"p20":80.0,"p50":80.0,"p80":712.25},{"state":"GA","n":9,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":15,"p20":195.36,"p50":195.36,"p80":195.36},{"state":"ID","n":3,"p20":null,"p50":null,"p80":null},{"state":"IL","n":38,"p20":278.32,"p50":426.3,"p80":592.0},{"state":"IN","n":34,"p20":74.25,"p50":258.4,"p80":389.4},{"state":"KS","n":11,"p20":213.5,"p50":305.0,"p80":684.96},{"state":"KY","n":13,"p20":156.0,"p50":899.59,"p80":899.59},{"state":"LA","n":18,"p20":75.52,"p50":109.44,"p80":201.52},{"state":"MA","n":18,"p20":376.0,"p50":632.0,"p80":788.0},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":48.72,"p50":121.2,"p80":280.83},{"state":"MN","n":24,"p20":26.4,"p50":230.17,"p80":366.3},{"state":"MO","n":11,"p20":405.0,"p50":489.6,"p80":684.96},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"MT","n":5,"p20":null,"p50":null,"p80":null},{"state":"NC","n":26,"p20":197.6,"p50":384.72,"p80":467.05},{"state":"ND","n":12,"p20":256.5,"p50":354.09,"p80":610.5},{"state":"NE","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":36,"p20":203.5,"p50":223.85,"p80":1423.0},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":34,"p20":203.5,"p50":267.5,"p80":578.85},{"state":"OH","n":40,"p20":331.5,"p50":437.45,"p80":541.8},{"state":"OK","n":12,"p20":207.2,"p50":435.9,"p80":490.08},{"state":"OR","n":16,"p20":163.2,"p50":178.11,"p80":540.54},{"state":"PA","n":35,"p20":29.58,"p50":1126.8,"p80":2015.1},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":8,"p20":null,"p50":null,"p80":null},{"state":"TN","n":15,"p20":159.21,"p50":174.15,"p80":174.15},{"state":"TX","n":49,"p20":87.38,"p50":87.38,"p80":484.25},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":20,"p20":174.15,"p50":929.5,"p80":1883.0},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":26,"p20":152.4,"p50":355.6,"p80":637.0},{"state":"WI","n":31,"p20":27.0,"p50":662.31,"p80":1634.95},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":563,"p20":135.0,"p50":305.5,"p80":632.0},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":125,"p20":163.0,"p50":354.09,"p80":662.31}],"ownership":[{"key":"for_profit","n":40,"p20":87.38,"p50":305.25,"p80":611.0},{"key":"government","n":104,"p20":150.0,"p50":311.25,"p80":541.31},{"key":"nonprofit","n":551,"p20":135.5,"p50":325.5,"p80":684.96}],"affiliation":[{"key":"affiliated","n":604,"p20":135.0,"p50":331.5,"p80":684.96},{"key":"independent","n":96,"p20":174.58,"p50":285.71,"p80":508.75}]},"histogram":[{"lo":44.0,"hi":63.16,"n":16},{"lo":63.16,"hi":90.67,"n":56},{"lo":90.67,"hi":130.16,"n":25},{"lo":130.16,"hi":186.84,"n":58},{"lo":186.84,"hi":268.21,"n":120},{"lo":268.21,"hi":385.02,"n":88},{"lo":385.02,"hi":552.7,"n":130},{"lo":552.7,"hi":793.4,"n":67},{"lo":793.4,"hi":1138.94,"n":35},{"lo":1138.94,"hi":1634.95,"n":38}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-01-24","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:26:07.123045Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":573,"n_usable":507,"n_not_usable":0,"n_labelled":40,"n_no_cash":26,"n_estimated":0,"n_states":43,"cash_p10":78.35,"cash_p20":135.0,"cash_p25":170.89,"cash_p50":331.5,"cash_p75":541.8,"cash_p80":632.0,"cash_p90":1374.82,"cash_mean_trimmed":339.7,"gross_p50":564.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":6,"p20":null,"p50":null,"p80":null},{"state":"CA","n":26,"p20":252.0,"p50":464.8,"p80":464.8},{"state":"CO","n":16,"p20":240.01,"p50":263.95,"p80":366.3},{"state":"FL","n":8,"p20":null,"p50":null,"p80":null},{"state":"GA","n":8,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":11,"p20":195.36,"p50":195.36,"p80":195.36},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":35,"p20":218.4,"p50":369.6,"p80":529.92},{"state":"IN","n":21,"p20":69.85,"p50":183.0,"p80":286.2},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"LA","n":13,"p20":75.52,"p50":103.84,"p80":197.12},{"state":"MA","n":15,"p20":305.0,"p50":632.0,"p80":788.0},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":3,"p20":null,"p50":null,"p80":null},{"state":"MN","n":22,"p20":26.4,"p50":73.0,"p80":252.74},{"state":"MO","n":9,"p20":null,"p50":null,"p80":null},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":24,"p20":197.6,"p50":384.72,"p80":467.05},{"state":"ND","n":12,"p20":256.5,"p50":354.09,"p80":610.5},{"state":"NH","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":6,"p20":null,"p50":null,"p80":null},{"state":"NM","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":15,"p20":357.0,"p50":451.15,"p80":606.0},{"state":"OH","n":39,"p20":331.5,"p50":437.45,"p80":541.8},{"state":"OK","n":8,"p20":null,"p50":null,"p80":null},{"state":"OR","n":6,"p20":null,"p50":null,"p80":null},{"state":"PA","n":33,"p20":29.58,"p50":1194.6,"p80":2015.1},{"state":"SC","n":8,"p20":null,"p50":null,"p80":null},{"state":"TN","n":14,"p20":159.21,"p50":174.15,"p80":174.15},{"state":"TX","n":47,"p20":87.38,"p50":87.38,"p80":427.2},{"state":"VA","n":17,"p20":174.15,"p50":1883.0,"p80":2599.8},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":20,"p20":161.6,"p50":324.8,"p80":804.96},{"state":"WI","n":24,"p20":27.0,"p50":389.85,"p80":1634.95},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":419,"p20":117.52,"p50":324.8,"p80":632.0},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":77,"p20":170.89,"p50":334.4,"p80":882.95}],"ownership":[{"key":"for_profit","n":26,"p20":87.38,"p50":207.2,"p80":720.0},{"key":"government","n":63,"p20":174.15,"p50":324.8,"p80":467.05},{"key":"nonprofit","n":413,"p20":132.0,"p50":331.5,"p80":685.15}],"affiliation":[{"key":"affiliated","n":450,"p20":140.42,"p50":354.09,"p80":685.15},{"key":"independent","n":57,"p20":99.0,"p50":250.2,"p80":488.4}]},"histogram":[{"lo":27.0,"hi":41.08,"n":12},{"lo":41.08,"hi":62.5,"n":8},{"lo":62.5,"hi":95.08,"n":48},{"lo":95.08,"hi":144.66,"n":22},{"lo":144.66,"hi":220.09,"n":80},{"lo":220.09,"hi":334.84,"n":70},{"lo":334.84,"hi":509.43,"n":107},{"lo":509.43,"hi":775.05,"n":59},{"lo":775.05,"hi":1179.17,"n":24},{"lo":1179.17,"hi":1794.0,"n":32}],"previous":null}},"related":[{"code_type":"CPT","code":"88305","lay_name":"Tissue exam under microscope, moderate complexity","slug":"cpt-88305-tissue-exam-under-microscope-moderate-complexity"},{"code_type":"CPT","code":"88312","lay_name":"Special stain for germs such as bacteria or fungus","slug":"cpt-88312-special-stain-for-germs-such-as-bacteria-or-fungus"},{"code_type":"CPT","code":"88342","lay_name":"Special tissue stain for one marker, first stain","slug":"cpt-88342-special-tissue-stain-for-one-marker-first-stain"},{"code_type":"CPT","code":"88304","lay_name":"Tissue exam under microscope, low complexity","slug":"cpt-88304-tissue-exam-under-microscope-low-complexity"},{"code_type":"CPT","code":"88313","lay_name":"Special tissue stain for cell structures","slug":"cpt-88313-special-tissue-stain-for-cell-structures"},{"code_type":"CPT","code":"88307","lay_name":"Tissue exam under microscope, high complexity","slug":"cpt-88307-tissue-exam-under-microscope-high-complexity"},{"code_type":"CPT","code":"81241","lay_name":"Factor V Leiden blood clotting gene mutation test","slug":"cpt-81241-factor-v-leiden-blood-clotting-gene-mutation-test"},{"code_type":"CPT","code":"88302","lay_name":"Tissue exam under microscope, simplest level","slug":"cpt-88302-tissue-exam-under-microscope-simplest-level"},{"code_type":"CPT","code":"88184","lay_name":"Flow cytometry cell marker testing, first marker","slug":"cpt-88184-flow-cytometry-cell-marker-testing-first-marker"},{"code_type":"CPT","code":"88341","lay_name":"Special tissue stain for one more marker","slug":"cpt-88341-special-tissue-stain-for-one-more-marker"},{"code_type":"CPT","code":"88300","lay_name":"Tissue exam by eye only, no microscope","slug":"cpt-88300-tissue-exam-by-eye-only-no-microscope"},{"code_type":"CPT","code":"81240","lay_name":"Prothrombin blood clotting gene mutation test","slug":"cpt-81240-prothrombin-blood-clotting-gene-mutation-test"}]}