CPT^® 86255, Under Qualitative or Semiquantitative Immunoassays

The Current Procedural Terminology (CPT^®) code 86255 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 an immunoassay test to screen a patient’s blood, typically serum, for an antibody to a noninfectious agent using a fluorescent method. As a screening test, results show only in a qualitative form, such as positive or negative.

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Billing to Medicare for physician fee schedule

Example would be: 1) Pt had lab services done for UA reflex w/ culture, and non-gyn cytology, we billed to Medicare with Dx code N390 and CPT code used 88173 used with modifier 90. (CPT is under phys... [ Read More ]

Modifier 91 - CPT code 82365 states for each antibody

[b]Modifier 91 corrected code[/b] Sorry for the typo, 86255 is the correct code. We are being told that CMS requires a modifier 91 for all repeat tests, which I understand for most, but this code ... [ Read More ]

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