tloeb
Networker
Our providers order Xpert Xpress MVP to test for BV, Tric,GC/Ch often and I am confused as to whether this is considered a panel or separate tests. The results do come back as one report however I find some information on Encoder pro that suggests more than one cpt code may be billed so based on data guidelines that is no longer a panel. We do not bill for the lab and I want to give my providers the correct data points if more than one. The code I find in a google search for Xpert Xpress MVP is 87801. Below is the added knowledge regarding the code selection in Encoder pro that suggest more than one code may be billed:
Encoder Pro Knowledge Base:
87801:
Results in my current case if helpful to determine what was analyzed to determine final codes:
Xpert Xpress MVP
Results
Abnormal Abnormal
Status: Final result (Collected: 10/9/2024 17:04)
Specimen Information
Source: Vaginal
Collection Date & Time: 10/9/2024 1704
Specimen Information: Vaginal; Genital
Component Observation
BV Result Abnormal 10/10/2024 1:52 PM
POSITIVE
Candida Glab-Krus Result 10/10/2024 1:52 PM
NOT DETECTED
Candida Group Result 10/10/2024 1:52 PM
NOT DETECTED
TV Result 10/10/2024 1:52 PM
NOT DETECTED
UPDATE:
I learned from ACOG that this test is billed with 0352U and is considered a panel therefore only 1 data order.
Encoder Pro Knowledge Base:
87801:
| KnowledgeBase | 87801: When performing an amplified probe test that detects respiratory syncytial virus (RSV) subtypes A and B and reports a single result (positive or negative), is code 87801 (Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique) the appropriate code to report? Or should code 87798 (Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism) be reported? | The reporting of code 87801, Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique, depends on how the results of the combination analysis are reported. If the test is performed once and does not differentiate between either subtype but reports a positive or negative only, then it may be appropriate to report code 87801. However, if the testing derives two individual test results for the subtype A and subtype B respiratory syncytial virus, code 87998, Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism, would be reported with 2 units: once for the testing of subtype A and once for subtype B. When separate results are reported for different species or strains, each result would be coded separately. The modifier 59, Distinct procedural service, would be appended when separate results are reported for a different species or strain described by the same code. |
| KnowledgeBase | 87801: When performing an amplified DNA probe test for both GC and Chlamydia on the same specimen at the same time, is code 87801 the correct code to report? Or should codes 87491 and 87591 both be reported? | The reporting of codes 87491, 87591, and 87801 will depend on how the results of the combination analysis are reported. If the test results differentiate between Chlamydia trachomatis and Neisseria gonorrhoeae, then it would be appropriate to report codes 87491, Chlamydia trachomatis, amplified probe technique, for the Hybrid capture Chlamydia trachomatis test and 87591, Neisseria gonorrhoeae, amplified probe technique, for the Hybrid capture Nesseria gonorrhoeae test. If the results do not differentiate, then it would be appropriate to report code 87801, Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique. |
Results in my current case if helpful to determine what was analyzed to determine final codes:
Xpert Xpress MVP
Results
Abnormal Abnormal
Status: Final result (Collected: 10/9/2024 17:04)
Specimen Information
Source: Vaginal
Collection Date & Time: 10/9/2024 1704
Specimen Information: Vaginal; Genital
Component Observation
BV Result Abnormal 10/10/2024 1:52 PM
POSITIVE
Candida Glab-Krus Result 10/10/2024 1:52 PM
NOT DETECTED
Candida Group Result 10/10/2024 1:52 PM
NOT DETECTED
TV Result 10/10/2024 1:52 PM
NOT DETECTED
UPDATE:
I learned from ACOG that this test is billed with 0352U and is considered a panel therefore only 1 data order.
Last edited:
