Advanced Search

Pathology/Lab Coding Alert

Reader Question:

Code Specific Fecal WBC

Published on Sat Feb 01, 2003

Question: What is the correct code for a stool white blood cells (WBC) test? Physicians sometimes request this test in addition to a stool culture for patients with acute diarrhea. Kansas Subscriber Answer: CPT 2003 added a new code for stool WBC, also called a fecal leukocyte test. Physicians often order the test with a fecal culture, but you should report the two services separately.

The new CPT code is 89055 (Leukocyte count, fecal). Previously, Medicare provided a HCPCS Level II code for this procedure: G0026 (Fecal leukocyte examination). Because this was a temporary professional service code (G code), CMS deleted G0026 in the 2003 HCPCS with the advent of the new CPT code. Prior to the addition of 89055, coders used a nonspecific CPT code to report fecal leukocytes to many payers other than Medicare. Because CPT added a more specific code, you should no longer report fecal leukocytes using 87205 (Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types).  
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pathology/Lab Coding Alert

View All