CPT^® 87506, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87506 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 six to eleven types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that cause gastrointestinal infections. 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

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 ]

2 physicians in the same practice

hello, if two tests are done 87493 87506, by different doctors but under the same clinic NPI, do they have to use modifier 59? Will one pay less (50% multiple procedure discount)? Any help would be g... [ Read More ]

CPT 87506 and 87493

Can 87506 and 87493 be coded together or is 87493 considered inclusive to 87506? looks like it's inclusive, but wanted to verify. Thank you... [ 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 ]

87505, 87506, 87507

Having issues getting paid for codes 87505, 87506, 87507 due to new LCD by CMS. Any suggestions on how we can appeal the LCD? the LCD (L37709) list the acceptable diagnosis codes, but the diagnosis co... [ Read More ]

Billing for the PCR Probe Flu tests 87506

Does anyone bill for these and successfully get reimbursed? Our supplier of flu tests is telling us that these are the only ones available this year and I checked our fee schedules and some carriers d... [ Read More ]

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