CPT^® 87623, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87623 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 determine the presence of human papillomavirus, or HPV, using nucleic acid detection for low risk types of the virus, for example, types 6, 11, 42, 43, and 44.

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Forum

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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

Adding a modifier to a Denied CPT code

[QUOTE="emouawad, post: 398624, member: 76514"]Hi, I talked to the insurance that denied CPT code 87623(submitted with CPT codes 87624 and 88175 on the same claim-see below); the insurance said I can... [ Read More ]

Adding a modifier to a Denied CPT code

Hi, I talked to the insurance that denied CPT code 87623(submitted with CPT codes 87624 and 88175 on the same claim-see below); the insurance said I can add a modifier to 87623 and resubmit the claim... [ Read More ]

HPV Coding for 2015

87624 includes both high and low risk genotypes, if tested. There is an MUE on 87623,87624,87625 for the same date of service that prevent Medicare claims from processing more than one unit and also a... [ Read More ]

HPV Coding for 2015

Hello. I am with a pathology group and we are trying to determine the accurate policies for billing the new 2015 HPV CPT codes. We understand that 87623 is for the low risk panel, 87624 is for the hi... [ Read More ]

NEW HPV CPTs - which are you using?

NOT EFFECTIVE: 87620 Infectious agent detection by nucleic acid (DNA or RNA); papillomavirus, human, direct probe technique 87621 papillomavirus, human, amplified probe technique 87622 papillomavirus,... [ Read More ]

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