CPT^® 87507, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87507 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 12 to 25 types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that affects the gastrointestinal tract. He uses nucleic acid detection, which may include multiplex reverse transcription, and multiplex amplified probe technique.

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Diarrhea Pathogen Panel diarrhea

Hello Fellow Coders: Independent Lab coding for a 25 target diarrhea pathogen panel PCR. What code should we be using? 87507 has restrictions like must have an immunocomprised code. I know we should... [ 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 ]

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 ]

LCD Policy

[url]https://www.cms.gov/medicare-coverage-database/license/cpt-license.aspx?from=~/overview-and-quick-search.aspx&npage=/medicare-coverage-database/details/lcd-details.aspx&LCDId=37709&ver=5&Coverage... [ Read More ]

Lcd l37709

Any laboratory billers can assist with a recent LCD guideline? [url]https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=37709&ver=5&CoverageSelection=Local&ArticleType=All&P... [ Read More ]

Gastrointestinal pathogen 87507

I am not getting paid for this CPT code 87507 Gastrointestinal Pathogen Panel from BCBS..they are saying this investigational and will not be paid. Anyone has any idea what CPT code I can use instead ... [ Read More ]

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