CPT^® 87511, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87511 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 for Gardnerella vaginalis using amplified nucleic acid probe technique. Gardnerella vaginalis, typically causes bacterial vaginosis, an infection of the vagina that commonly produces an odorous discharge.

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UHC Genetic and Molecular prio auth

OB/GYN-New York Per UHC policy effective 7/1/2020 UHC commercial will require prior auth for the following cpt codes. When calling UHC to inquire about updated policy, their not very helpful. Does ... [ Read More ]

UHC Genitourinary infectious pathogen

hello, i would like to know about labs 87481 & 87511(candida&gardnarella)

are these two considered screening? and if yes, would Z11.3/Z11.8 be an appropriate dx to use? Also for 87661(trichomonas). Maybe using the Z01.419. I noticed 87661 is subject to ded meaning it was h... [ Read More ]

bundled versus unbundled laboratory coding.

Should amplified probe codes 87491, 87591, 87511 and 87481 from a single source be billed separately or bundled under 87801?... [ Read More ]

87801?

Please help. If a provider is billing for Gardnerella 87511, Candida 87481, and Trich 87798 DNA amplified, does he need to bill the code 87801 detect agent- multiple, amplified? Thanks, Deborah, RN,... [ Read More ]

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