Advanced Search

Primary Care Coding Alert

Reader Question:

Stick With 86580 for TB Skin Test

Published on Fri Jan 14, 2011

Question: Can we bill for an administration fee or injection when giving a PPD test? Or is it considered part of the PPD?Iowa SubscriberAnswer: No, you should not bill an administration fee or injection fee for a PPD (tuberculosis) skin test. Explanation: Your staff is not administering a vaccine or a subcutaneous or intramuscular injection, so codes such as 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) do not apply. Instead: You'll only report 86580 (Skin test; tuberculosis, intradermal) for giving a PPD test.
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

Primary Care Coding Alert

View All