Any diagnosis submitted must have documentation in the patient's record to support coverage and medical necessity. The submitted medical record must support the ...

CPT codes 87797, 87798, and 87799 describe the use of direct probe, amplified probe, and quantification, respectively, for infectious agents not otherwise ...

11 авг. 2019 г. · CPT book states 87798 - Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each ...

30 авг. 2022 г. · 87798 may be considered medically necessary: 1. There is no available code or panel to bill and the microbiology test is required for the ...

26 окт. 2023 г. · Use of Not Otherwise Specified (NOS) CPT codes: 87797, 87798, 87799, for molecular microbe testing is not covered or reimbursable when a more ...

The use of nucleic acid testing using a direct or amplified probe technique (without quantification of viral load) may be considered medically necessary.

Chikungunya rRT-PCR only - use CPT® 87798; If billing for both Dengue and Chikungunya rRT-PCR - use CPT® 87801 once. Diagnosis coding should include at least ...

11 авг. 2021 г. · Diagnosis code Z36.89 is excluded from Non-Coverage for CPT codes 87662, 87798, 87801, and 87999 when reported for Zika Virus Testing by PCR.

CPT codes considered medically necessary when billed with an ICD-10-CM code in Table 2. Page 6. CLINICAL POLICY. Testing for Select GU Conditions. Page 6 of 17.