What is Afirma?

What is Afirma?

Afirma™ Gene Expression Classifier: a test for a group of molecular markers in thyroid biopsy specimens in order to determine the likelihood that a thyroid nodule is benign or cancerous. This test is performed by the company Veracyte Inc.

What is Afirma thyroid FNA Analysis?

The Afirma Thyroid FNA Analysis test uses an algorithm to compare gene expression from mRNA in thyroid FNA samples against gene expression of a panel of 142 genes to classify cytologically indeterminate nodules as either benign or suspicious.

Is Afirma testing covered by insurance?

Afirma Thyroid FNA Analysis is covered by most major health insurance plans in addition to Medicare.

How is Afirma testing done?

Physicians Collect and Send Thyroid Nodule FNA Samples The samples are sent via overnight courier to the Veracyte laboratory. Once received, patient samples and corresponding Afirma Requisition Forms are reviewed for accuracy. Any issues that arise are handled by the Veracyte Client Services team.

Does insurance cover Afirma testing?

How is the Afirma test done?

How much does Afirma testing cost?

The Afirma GEC measures the expression of 167 genes to more precisely determine the cancer risk of an indeterminate biopsied thyroid nodule and avoid unnecessary surgery. The test costs approximately $4,800 per nodule.

What is procedure code 90687?

90687=Inactivated Influenza Vaccine, quadrivalent (IIV4), split virus, 0.25-mL dosage, for intramuscular use.

What is the CPT code for biopsy?

Biopsy CPT Codes. Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed separate procedure; single lesion (11100) Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed separate procedure; each separate/additional lesion (11101)

What is a CPT 11100 biopsy?

Punch  CPT 11100  Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion  Punch, Curette, Scissors

What does biopsy 24065 mean?

Biopsy, soft tissue of upper arm or elbow area; superficial (24065) Biopsy, soft tissue of upper arm or elbow area; deep (24066) Biopsy, soft tissue of forearm and/or wrist; superficial (25065) Biopsy, soft tissue of forearm and/or wrist; deep (25066)

Does moldx reimburse afirma?

The MolDX Team has completed the Afirma assessment and determined that the test meets criteria for analytical and clinical validity, and clinical utility as a reasonable and necessary Medicare benefit. Effective 10/01/2015, MolDX will reimburse Afirma services for patients with the following conditions (patient must have 1 and 2):