CPT^® 86803, Under Qualitative or Semiquantitative Immunoassays

The Current Procedural Terminology (CPT^®) code 86803 as maintained by American Medical Association, is a medical procedural code under the range - Qualitative or Semiquantitative Immunoassays.

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Summary

A lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Hepatitis C, HCV, a virus that causes liver infection and chronic liver disease.

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MODIFIERS
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G0472- Hep C Screening for Medicare

I'm helping a fellow coder who has been receiving denials for G0472. Humana Medicare has been paying but Medicare has been denying AM130 and CAS-50. She has verified age appropriate (51-71) and the ... [ Read More ]

History of blood transfusion

Is this for hep C? Medicare directs you to Z72.89 which, to me, seems wrong. This document even specifies blood transfusions but offers no code for it: [url]https://www.cms.gov/Outreach-and-Educatio... [ Read More ]

Screening Codes

I'm assuming then that you only need the ICD-9 code? Person only came in for a prophylactic vaccination? CPTs to consider 86803, 86804. Exposure suspected? If so, under what conditions? Should conside... [ Read More ]

CDC Hepatitis C testing

With the CDC announcement that all "Baby Boomers", those of us born between 1946 and 1965, should be screened for Hepatitis C - 86803 - Anti-HCV ab test, the question has been put to me, "What diagnos... [ Read More ]

Not medically Necessary???

Male patient presents w/ yellow penial discharge. DX code submitted 597.80 (unspecified urethritis) Labs performed: 86803 (RPR) 87797 (Chlamydia DNA) 87592 (Gonorrhea DNA) 86803 (Hep C titer) 86706 ... [ Read More ]

Urine Gonorrhea DNA denied

Hep A, B, C for STD check

Have a patient who came into office states husband left her for another woman. Wants all the tests for Hep A, B, C. Sent to insurance company. They are rejecting 87340 and 86803. I am using V73.89 ... [ Read More ]

GTT testing

forgot to mention that your diagnosis code is going to depend on whether there is a complication of pregnancy or not and how your provider documents. so you are either going to chose one of the Vcode ... [ Read More ]

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