CPT^® 90586, Under Vaccines, Toxoids

The Current Procedural Terminology (CPT^®) code 90586 as maintained by American Medical Association, is a medical procedural code under the range - Vaccines, Toxoids.

Additional/Related Information

Tabs

Summary

The Bacillus Calmette–Guerin vaccine (BCG) consists of live bacteria derived from an attenuated strain of tubercle bacilli. A BCG treatment is used to treat bladder cancer by hampering tumor growth.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 90586 ? Start a discussion here

BCG - 90586 or J9030?

[QUOTE="Mwischhusen, post: 514003, member: 677789"] [B]What is the difference between these two codes? If we are instilling (51720) BCG into a patient's bladder as a treatment for bladder cancer shoul... [ Read More ]

BCG - 90586 or J9030?

[B]What is the difference between these two codes? If we are instilling (51720) BCG into a patient's bladder as a treatment for bladder cancer should we be using 90586 or J9030?[/B]... [ Read More ]

BCG - 90586 or J9030?

[B]What is the difference between these two codes? If we are instilling (51720) BCG into a patient's bladder as a treatment for bladder cancer should we be using 90586 or J9030?[/B]... [ Read More ]

Help when coding bladder instillation assign 90586?

If patient is given mitomycin as a bladder instillation would you assign 90586 (bacillun calmette guerin vaccine for bladder cancer, live, for intravesical use) along with 51720 (bladder instillation ... [ Read More ]

Home Sleep Studies

When billing the interpretation for a home sleep study, should we bill 90586-26 or G0399-26? We originally billed G0399-26 with POS 22 but Medicare is denying for POS not matching. I'm also seeing o... [ Read More ]

BCG Shortage and Coding

I'm sure you have all heard there is a BCG shortage. The latest recommendation for subsequent treatments is to use 1/3 dosage and treat 3 patients from one vial. We have been searching for proper codi... [ Read More ]

90586 +- j9031 v05.8 vs v07.39

I have provider give e/m, 51720,90586,J0931,81001 for medicare and icd-9 233.9. My ? is will 90586 be covered with this Dx or do I need to add V58.1 along with 233.9. Any input helps. Thanks... [ Read More ]

BCG immunotherapy

I have to code for intravesical BCG immunotherapy. I did some research and think that CPT 51720 is the code to use. There is also CPT 90586 for the BCG serum. Are these codes correct, and should bo... [ Read More ]

BCG Coding

Use CPT 90586 & CPT 51720... [ Read More ]

What does BCG stand for? Help!

I have been coding the BCG injections as 51720 and 90586 but was told I need to put the code 96402? any thoughts?... [ Read More ]

View All