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Apurva Posted Sun 26th of January, 2020 22:41:02 PM
We are billing 87633 for 12 espiratory pathogen testing .Can we also bill additional CPT codes for influenza 87502 ,RSV 87634 and enterovirus 87498 in addtion to 87633 or only 87633 is is suffice.
SuperCoder Answered Mon 27th of January, 2020 03:49:34 AM

Hi,

 

As per the CCI edits, you can only bill 87633 and 87498. CPT codes 87502 and 87634 are inclusive in CPT 87633.

As per the descriptor of CPT 87633 (Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets), it includes the testing of influenza virus and syncytial virus.

 

Please also check below link:

https://www.supercoder.com/coding-newsletters/my-pathology-lab-coding-alert/reader-question-pick-most-extensive-respiratory-virus-code-article

 

Hope this helps!

 

Thanks

Apurva Posted Mon 27th of January, 2020 03:57:36 AM
Thank You for the reply. 87633 Also includes enterovirus ( Rhinovirus ). As Rhinoviruses belong to the genus Enterovirus in the family Picornaviridae hence we should we not be coding 87633 alone.
SuperCoder Answered Tue 28th of January, 2020 02:33:22 AM
Hi,
 
If you are testing for rhinovirus than only CPT 87633 will be coded. As per the descriptor of CPT 87633, it is specific to rhinovirus type. 
 
 
Thanks

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