CPT^® 86317, Under Qualitative or Semiquantitative Immunoassays

The Current Procedural Terminology (CPT^®) code 86317 as maintained by American Medical Association, is a medical procedural code under the range - Qualitative or Semiquantitative Immunoassays.

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Summary

The lab analyst performs an immunoassay to quantitate the patient’s specimen for antibodies to an infectious agent, not specified in another code.

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86317 Denial

Trying to bill a strep test - 86317. It keeps electronically denying by BCBS stating it was billed without a narrative explanation. I have tried adding a narrative and it still denied, same reason. S... [ Read More ]

billing lab 86317 for medicare

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88304 MUE limit

What are the MUE limits to Medicare for CPT 88304 Level III pathology? If there are multiple limits how should the units be split line by line? I have another post regarding the same type of situatio... [ Read More ]

Immunoassay - 86317

Does anyone have an idea what the "hidden" MUE is for 86317 for Medicare? We've billed it with 23 units, and 30 units etc. based on the tests done thru the lab. Medicare denies it every time stating '... [ Read More ]

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