CPT^® 86403, Under Qualitative or Semiquantitative Immunoassays

The Current Procedural Terminology (CPT^®) code 86403 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 a particle agglutination, or PA test on a patient specimen, typically a blood specimen. The provider may order this screening test to evaluate the patient’s immune status or check for a variety of illnesses.

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86403 rapid strep

Did the code for rapid strep - 86403 - change? this is the code that has always been used but seen that 87880 is being used in drs offices. Thanks!... [ Read More ]

CLIA Waived Quick Strep

Humana Gold is starting to deny 87430 with modifier "QW" as "CLIA services billed are above PPM certification." This "swab" of the throat for a quick diagnosis of strep is done in the office, before... [ Read More ]

Billing of 86403

[QUOTE="bhaskins1, post: 16493, member: 13972"]Unless you are a lab and actually testing blood I don't believe you should be using 86403. If you are truly doing a "rapid" strep test in the office u... [ Read More ]

Billing of 86403

[b]Re: 86403[/b] Unless you are a lab and actually testing blood I don't believe you should be using 86403. If you are truly doing a "rapid" strep test in the office using a [B]throat culture[/B]... [ Read More ]

Billing of 86403

[b]Not sure if this helps[/b] I dont know if this would help but we use 87081 for our rapid strep test, and we dont have any problems.However we dont have Medi-care we are in Peds. but when billing t... [ Read More ]

Billing of 86403

We're getting a CCI edit that states 86403 requires either 36415/36416 to be added. The office is using 86403 for rapid strep tests. Is it safe to have this edit removed since it doesn't apply to the... [ Read More ]

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