CPT^® 87430, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87430 as maintained by American Medical Association, is a medical procedural code under the range - Infectious Agent Antigen Detection.

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Summary

The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.

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Forum

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Labs performed at office

Hi, What documentation requirements are need in order to bill for labs in office? It seems like an odd question but we're finding that we usually only have results not how the specimen was obtain (CP... [ Read More ]

2017 change for strep cpt 87430? 87430 j02.9 laboratory pharyngitis sore throat

Has anyone had any issues with ordering cpt 87430 with J02.9 sore throat as a diagnosis? As of 10.1.16, since our ICD 10 update, our computer system is not allowing 87430 to be ordered for this dx. ... [ Read More ]

CLIA Waived Quick Strep

Humana Gold is starting to deny 87430 with modifier "QW" as "CLIA services billed are above PPM certification." This "swab" of the throat for a quick diagnosis of strep is done in the office, before... [ Read More ]

87430 vs 87880

I need help. We have always coded 87430 for rapid strep. Now our new billing dept says it should be 87880. The CPT book is somewhat vague. It just says 87430 Streptococcus group A. The 87880 says Stre... [ Read More ]

Strep Test and Cultures - Can anyone tell me

Can anyone tell me if they have had problems receiving reimbursement on cpt code 87430 when billed in conjunction 87147 and 87081? We are starting to see insurances bundle 87430 with the last two code... [ Read More ]

87430 & 87804

Do you bill mcare the 87430 and if so do you need modifer qw? [QUOTE="trep72, post: 102760, member: 58734"]the way we bill 87430 depend on the insurance company. If it is bcbs hmo/oa/pos we bill a c... [ Read More ]

Bundling problem with United Healthcare....

[b]Bundling problem[/b] Check you ICD code if they correspond to the CPT line up. Injection come first, then the drug, then the office visit with modifier. the rest can be listed the way it is liste... [ Read More ]

Bundling problem with United Healthcare....

Hi!! I am having a problem with United Healthcare paying a claim, I am billing the E/M 99204 with a 25 modifier, 96372, J0696 X 3, 51701 with a modifier 59, 87804, 87430, 85025, 81003, 36415. In exac... [ Read More ]

Does anybody know?

[QUOTE="amoviedo@hotmail.com, post: 148981, member: 135983"]Wha is the correct code to report Strp test in office 87430 or 87880? Thank you for your help[/QUOTE] Rapid strep is 87880... [ Read More ]

Does anybody know?

[b]Strep Test CPT[/b] Wha is the correct code to report Strp test in office 87430 or 87880? Thank you for your help... [ Read More ]

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