CPT^® 87505, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87505 as maintained by American Medical Association, is a medical procedural code under the range - Infectious Agent Antigen Detection.

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Summary

The lab analyst performs a test to detect three to five types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that cause gastrointestinal infections or disorders. He uses nucleic acid detection, which may include multiplex reverse transcription, and multiplex amplified probe technique.

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87505 for GA Healthspring

Hi I don t think the CPT 87505 and 87506 would be rejected if done for a EGD procedure in the ambulatory setting. I can see not these labs done in physician office or clinic OP setting not reimburse ... [ Read More ]

87505 for GA Healthspring

Plans are recently denying CPT 87505 as several of our local policies require this service to be performed in the inpatient setting only. They will not reimburse this service if performed in the outp... [ Read More ]

87505 for GA Healthspring

Hi CPT 87505 & 87506 are lab test see if pt has infections of Clostridium or Heli Pylori or some bacteria in digestion/stomach area. If provider is testing and this bacteria comes back positive put d... [ Read More ]

87505 for GA Healthspring

[QUOTE="danachock, post: 510830, member: 186808"] Hi [USER=518421]aamipatel[/USER], You state that these are happening in the GA location. From my review it appears that Cigna Healthsring is Medicare ... [ Read More ]

87505 for GA Healthspring

[QUOTE="aamipatel, post: 508419, member: 518421"] I am facing lots of denials on 87505 with cigna Healthsring GA location, stating service not medically necessary. any suggestion in this one? Also hav... [ Read More ]

87505 for GA Healthspring

I am facing lots of denials on 87505 with cigna Healthsring GA location, stating service not medically necessary. any suggestion in this one? Also having issue with Humana medicare for Procedure code ... [ Read More ]

LAB CODES

Getting a lot denials for codes 87500, 87505, 87798. not sure why they are being denied does any body have advice on how to code these in order to get them payed? We are billing PCR exams with diagnos... [ Read More ]

87798 Billing Multiple Units

I was wondering are you billing 87798 instead of 87505-87507? Or, what is your opinion on billing 87798 if we are only looking for ONE organism that's offered in 87505-87507?... [ Read More ]

Opinions Needed

Instead of billing 87505-87507, could we bill 87798 if we are only looking for ONE organism offered in 87505-87507? thanks!... [ Read More ]

87505, 87506, 87507

Hi, anyone work in a lab or at a GI office that can assist with getting claims process for gastrointestinal pathogen panels? CMS/Palmetto made some changes and will only allow the services to be cover... [ Read More ]

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