CPT^® 87797, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87797 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 an infectious agent, not otherwise specified in another code, in the specimen using direct nucleic acid probe technique. Use this code if you know the laboratory technique is direct probe technique but do not find a code for the specific infectious agent.

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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

bundled versus unbundled laboratory coding.

[b]87801[/b] Because they are all specified, I would bill each separately. If they were [I]not[/I] specified, and reported as a single result, would go with 87801. "For each specific organism nucl... [ Read More ]

Assays for the Diagnosis of Vaginitis

Running the BD Affirm VP III test in our office. Medicare states if it is performed on same day by the DNA probe method, it is to be billed using CPT code 87797 (LCD L26777). Do not use codes 87480,... [ Read More ]

Not medically Necessary???

Male patient presents w/ yellow penial discharge. DX code submitted 597.80 (unspecified urethritis) Labs performed: 86803 (RPR) 87797 (Chlamydia DNA) 87592 (Gonorrhea DNA) 86803 (Hep C titer) 86706 ... [ Read More ]

Urine Gonorrhea DNA denied

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