Expand Your Lab’s Capabilities with Next Generation Sequencing (NGS) Testing

Start an NGS Lab or Expand Testing with Precision Medicine

Whether you’re starting a lab or looking to grow, we empower you to be a leader in precision medicine. Lighthouse Lab Services provides expert validation and consulting to help you start an NGS lab or expand your NGS testing seamlessly and compliantly. From test design to reimbursement success, our specialists guide you through every phase of implementation.

Should My Lab Expand into NGS Testing?

NGS testing is revolutionizing the role of diagnostics in oncology, inherited disease screening, and beyond, where genetic information helps clinicians’ data-driven decisions.

By implementing NGS testing, your lab can:

  • Detect genetic markers that guide personalized therapies.
  • Support precision medicine initiatives and value-based care.
  • Generate new, recurring revenue from molecular testing services.

Lighthouse Lab Services helps laboratories turn this opportunity into reality.

Whether you’re interested in oncology panels or building a robust genetic testing menu, we’ll guide your team through every step of the startup, validation, and compliance readiness.

The Advantages of Starting an NGS Lab

Next Generation Sequencing (NGS) is transforming healthcare by enabling faster, more comprehensive genetic insights that inform patient treatment and outcomes. For medical laboratories, adding NGS testing means more than offering innovative assays; it’s a chance to become a leader in precision medicine while meeting growing provider demand and opening new revenue streams.

Common NGS CPT codes, including 81445, 81449, 81450, and 81451, represent substantial reimbursement opportunities, but only when claims are coded and documented correctly. That’s where Lighthouse expertise makes the difference.

Recapture lost revenue

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Faster turnaround times

Improve patient care

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Robust panel of analytes

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More physician control

Improve payer relations

Our Approach: From Validation to Reimbursement Success

Starting a lab or adding NGS to your test offerings involves more than installing new instruments. It requires careful planning, technical validation, payer awareness, and documentation precision. Lighthouse combines scientific and revenue cycle expertise to ensure your lab is prepared on every front.

VALIDATION & IMPLEMENTATION

Our team helps you validate and verify your NGS assays in compliance with CLIA, CAP, and CMS requirements. We guide your workflow setup, instrumentation, and data analysis processes to ensure technical accuracy and regulatory readiness.

Click to learn more about our validation process.

DOCUMENTATION & TRAINING

Clean claims start with clean documentation. We train your team to properly capture medical necessity, pair ICD-10 codes with test indications, and align with payer coverage determinations such as Novitas LCD Reference Article A58917.

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CODING & BILLING READINESS

Our RCM consultants specialize in NGS-specific coding and claim structure:

  • Assigning appropriate CPT codes for each test (avoiding code stacking).
  • Providing narrative descriptions for CMS-1500 Box 19.
  • Preparing supporting records for payer review and appeals.

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PAYER NAVIGATION & REIMBURSEMENT

Navigating complex payer rules doesn’t have to slow you down. We help you understand requirements like MolDX and Z-Codes while building internal workflows to minimize denials and expedite reimbursement.

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Avoid Common Pitfalls When Adding NGS Testing

Even well-established labs can encounter unexpected challenges when implementing molecular testing. By partnering with Lighthouse, you can avoid costly missteps and focus on expanding your lab’s capabilities confidently. Our team helps you avoid or overcome compliance and regulatory issues such as:

We ensure patients aren't retested under non-reimburseable codes.

Lifetime Testing Limits

Ensuring patients aren’t retested under non-reimbursable codes.
Addressing payer-specific documentation or Z-Code barriers.

Reimbursement Denials

Addressing payer-specific documentation or Z-Code barriers.
Managing preauthorization volumes from benefit managers like eviCore, Optum, and Avalon.

Administrative Overload

Managing preauthorization volumes from benefit managers like eviCore, Optum, and Avalon.
Staying current with evolving molecular coverage and coding rules.

Compliance Risks

Staying current with evolving molecular coverage and coding rules.

The Lighthouse Advantage for Next Generation Sequencing

Your Complete Lab Solution

When you choose Lighthouse Lab Services, you gain a partner that understands the full lifecycle of laboratory growth, from technical validation to revenue cycle performance.

Our cross-disciplinary experts include molecular scientists, compliance consultants, and billing specialists who collaborate to ensure your NGS program is technically sound, operationally efficient, and financially sustainable.

Gain Peace of Mind Through Our Comprehensive Solutions:

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Expertise in both technical validation and revenue cycle compliance

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Cross-functional team of scientists, compliance specialists, and RCM professionals

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Proven track record helping labs expand into molecular and genetic testing

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Instrument support and upgrade options

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Dedicated lab recruiting and staffing

“From assay design to payer documentation, our team guides your lab through every phase of NGS implementation. Lighthouse enables labs to launch faster and get reimbursed reliably.”

Dr. Sarah Harris, PhD, TC(NRCC)

Chief Technical Officer, Lighthouse Lab Services

Contact us today and have one of our experts build a complimentary pro forma for your laboratory or project.

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"My lab just finished the validation of a Turn-Key lab using Lighthouse Lab Services. We had a great experience and are looking forward to future projects as we grow. They assisted with everything from finding equipment, supplies, validation and training. I highly recommended them."

Owner, Diagnostic Laboratories, Global

"We are all impressed with the work that Lighthouse Lab Services does to help the clinical laboratory community... We have been working tirelessly over the last year tackling all of the complexities involved in starting up a clinical lab from scratch… We are… overjoyed to have a Lab Director onboard via Lighthouse."

Owner, Cannabis Lab, West Coast

"Lighthouse Lab Services has helped us set up our physician office lab for urine toxicology. They are very professional and organized. I would highly recommend their services."

CEO, Toxicology Laboratory, East Coast

"We love Lighthouse. Incredible support. Great account management. Superior technical support. We all talk about how great it has been to work with [Lighthouse]. We cannot say enough positive about the company."

General Manager, National Drug Testing Laboratory

"I want to commend your team (again) for being such great partners. Your service levels have been the best of any of our suppliers – instrumentation, supplies, and/or reagents. We are grateful we found Lighthouse and look forward to working together."

Consulting Client, National Infectious Disease Laboratory

"Lighthouse has been a true ally through the years, battling the slings and arrows of the Pathology world. I can rely on them to keep up with laws and issues we face, while I focus on Pathology and patient care. They provide oversight over our billing office, which sometimes needs prodding. They have my back, and I appreciate the help."

Physician, Pathology Practice, East Coast

"We partner with Lighthouse because they are always a step ahead. They have strengthened our practice with their knowledge and expertise. We appreciate their dedication and integrity!"

Physician, Pathology Practice, Southeast

" Their ability to home in on the small details to create a value proposition to trumpet the virtues and new technologies of smaller, boutique practices bring insurance network visibility – and leverage their unique relationships with health plans – and sets them apart from their contracting competitors."

Owner, PCR Laboratory, Southern US

"Impressive Team and always ready to serve!"

Owner, Scientific Laboratory, East Coast

"Working with the Lighthouse team to validate the plates has been a breeze. Consistent support with check-in calls, quick response time to emailed questions, and a great team of people who know what they are doing. Not only did I get protocols, but in-depth plate layouts that made pipetting that much easier. Thank you!"

Owner, Podiatry Group, Southwest US

Lab Revenue and Compliance Resources

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Have a question? Contact us.

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