CPT^® 86003, Under Qualitative or Semiquantitative Immunoassays

The Current Procedural Terminology (CPT^®) code 86003 as maintained by American Medical Association, is a medical procedural code under the range - Qualitative or Semiquantitative Immunoassays.

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Summary

The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or semiquantitative, and you use a single unit of this code for each crude allergen extract.

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We are getting denials for qty we bill even though we bill as one claim item for RAST panel, 86003(X26, X30, X42 etc) for different payors. Medicare paid for 86003 X 26 without any problem. Of course ... [ Read More ]

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CPT codes and descriptors are copyright the American Medical Association. Here is a list of the changes by CPT code only. Change Code Date Added 0001U 1/1/2018 Added 0002U 1/1/2018 Added 000... [ Read More ]

Allergen coding 86003

Depends, Check to see what the LCD says for your MAC. For example L33261 - First Coast Service Options, Inc): [QUOTE]B. [B][U]In vitro testing[/U][/B] (blood serum analysis): immediate hypersensiti... [ Read More ]

Allergen coding 86003

[QUOTE="stacycallean, post: 412022, member: 414399"]Does anyone have any knowledge in coding an Allergen panel? We are having to bill 86003 at 36 units, but should we be using modifier 91? If so, do w... [ Read More ]

Allergen coding 86003

Does anyone have any knowledge in coding an Allergen panel? We are having to bill 86003 at 36 units, but should we be using modifier 91? If so, do we have to code it out on 36 lines or can we show eve... [ Read More ]

Modifier 59 vs Modifier 91 for Laboratory

I would like to clarify on how and when to use these two modifiers, modifier 59 & modifier 91. Can someone please advise if mod -59 or -91 should be use on CPT 82784 - Gammaglobulin (immunoglobulin)... [ Read More ]

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