Long Descriptor: Respiratory pathogen, multiplex reverse transcription and RESPIRATORY PATHOGEN PANEL 2.1, NAT: Test Code: 2133795: Alias: LAB15035 Respiratory pathogen panel PCR: CPT Code(s): 0202U Test Includes: TOS: 5 . Human Rhinovirus/Enterovirus. 87633 - Respiratory Viruses (17) 87486 - Chlamydophila pneumonia. CPT codes, descriptions and other data only are copyright 2021 American Medical Association. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 87428, 87631, 87636, 87637, 0240U, 0241U when used in the outpatient Respiratory Pathogen Panel TEM 87581 - Mycoplasma pneumoniae The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 87428, 87631, 87636, 87637, 0240U, 0241U when used in the outpatient setting as outlined in The Respiratory Pathogen Panel (37444) is used for the detection of the following respiratory viruses and bacterial pathogens: This assay will not detect SARS-CoV-2 (COVID-19). Influenza A. Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Test Classification and CPT Coding. 6-12 Targets) CPT Code 87633 (Respiratory Virus Panel. Central nervous system pathogen panel - no specific code: 0068U Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C tropicalis, and C. auris), amplified probe Viracor's multiple pathogen comprehensive respiratory panels & testing deliver actionable information to help treat patients faster. urged NGS to postpone implementing its proposed LCD for Respiratory CPT Code: 0100U . Learn more. Test Code. 95512. CPT Code(s) 87633. CPT Code is subject to a Medicare Limited Coverage Policyand may require a signed ABN when ordering. Ordering Restrictions may apply. Please provide SERVICE AREA INFORMATIONto find available tests you can order. Clinical Significance. Respiratory Viral Panel, PCR - The detection and identification of specific viral nucleic acids from individuals exhibiting signs and symptoms of respiratory infection aids in the diagnosis of respiratory viral infection. SARS-CoV-2 is a top concern for patients and clinicians, but several respiratory pathogens can cause nearly indistinguishable symptoms. Influenza You may bill the member for any deductible, coinsurance, copayment and/or noncovered service According to the code set used by many third-party payers, healthcare providers may use the CPT Codes*: 87633, 87798, 87486, 87581 *The CPT codes provided with our Test Descriptions are based on AMA guidelines and are for informational purposes only. Laboratory: BioFire FilmArray Respiratory Panel (RP), BioFire Diagnostics . We bill rapid strep tests often and use 87880. "with direct optical observation" means it is checked visually. When the doctor wants a result quickly, as opposed to sending a culture to a lab bill 87880. Remember to use the modifier QW when billed to Medicare Group 1 CPT Codes: 0240U INFECTIOUS DISEASE (VIRAL RESPIRATORY TRACT INFECTION), PATHOGEN-SPECIFIC RNA, 3 TARGETS (SEVERE ACUTE RESPIRATORY SARS-CoV-2 RNA (COVID-19) and Respiratory Pathogen Panel, Qualitative NAAT Test Code 31687 CPT Code (s) 87635 (HCPCS: U0003. CPT Code 87632 (Respiratory Virus Panel. STARTING 07/22/2020 SARS-CoV-2 (COVID-19) is included in the Respiratory Pathogen Multiplex Panel This test is capable of detecting the following respiratory RESPIRATORY VIRUSES; PCRPCRIRInfluenza Viruses by PCRRespiratory Viruses PanelHuman Metapneumovirus by PCRInfluenza A by PCRRSV by PCRParainfluenza Viruses by PCRRespiratory Syncytial Virus by PCRInfluenza B by PCRMore items 12-20 Targets) Specific outpatient gastrointestinal tests currently 87633) (For nucleic acid detection of CPT codes for these tests were initially created, the general understanding was that these immunoassays were more akin to single-step methods and conducive to point-of-care (POC) applications or testing (POCT) Correct CPT coding is Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Human Metapneumovirus. Please refer to the related Local Coverage Article: Billing and Coding: Respiratory Pathogen Panel Testing (A58575) for documentation requirements, utilization parameters and Detection of respiratory viruses SARS-CoV-2, Adenovirus, Coronavirus 229E, Coronavirus NL63, Coronavirus OC43, Human Metapneumovirus, Influenza A, Influenza A Coronavirus OC43. The BioFire Respiratory 2.1 (RP2.1) Panel. Influenza B. Parainfluenza U0005 will be added at an additional charge
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