The Current Procedural Terminology (CPT ®) code 87070 as maintained by American Medical Association, is a medical procedural code under the range-Microbiology Culture and Typing Procedures.
Colony count restrictions on coverage of CPT 87088 do not apply as they may be highly variable according to syndrome or other clinical circumstances (for example, antecedent therapy, collection time, degree of hydration).
Microbiology Procedures Microbiology CPT codes 87260 thru 87899 define the specific infectious agent and technique used to perform the test. The testing techniques include antigen detection, direct fluorescence microscopy, infectious agent detection and nucleic acid probe.
Diagnosis Index entries containing back-references to A49.8: Colibacillosis A49.8 Friedländer's B A49.8 (bacillus) - see also condition Infection, infected, infective (opportunistic) B99.9 ICD-10-CM Diagnosis Code B99.9. Unspecified infectious disease 2016 2017 2018 2019 2020 Billable/Specific Code
87070** Culture, bacterial; any other source but urine, blood or stool, with isolation and presumptive identification of isolates.
87086 Culture, bacterial; quantitative, colony count, urine.
Unspecified abnormal findings in urine R82. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R82. 90 became effective on October 1, 2021.
ICD-10-CM Code for Streptococcal pharyngitis J02. 0.
Healthcare providers often use urinalysis to screen for or monitor certain common health conditions, such as liver disease, kidney disease and diabetes, and to diagnose urinary tract infections (UTIs).
If culture is positive, CPT code(s): 87088 (each isolate) will be added with an additional charge. Identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149).
The CPT code for urinalysis are CPT 81000 – CPT 81099 and used to report different methods. Underneath an explanation of the urinalysis procedure, the CPT codes for urinalysis, billing guidelines and reimbursement.
ICD-10-CM Code for Encounter for preprocedural laboratory examination Z01. 812.
Testing for asymptomatic bacteriuria as part of a prenatal evaluation may be medically appropriate but is considered screening and, therefore, not covered by Medicare.
CPT CODE 87880, 87561 – strep test.
J02. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
There are two types of tests for strep throat: a rapid strep test and throat culture. A rapid strep test involves swabbing the throat and running a test on the swab. The test quickly shows if group A strep is causing the illness. If the test is positive, doctors can prescribe antibiotics.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..
Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered.
It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 70544, 70545, 70546, 70547, 70548, and 70549..
All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
CPT code 87905 (infectious agent enzymatic activity other than virus [eg, sialidase activity in vaginal fluid]) is not a split-billable service and must not be billed with modifier 26, 99 or TC.
CPT code 87902 (infectious agent genotype analysis by nucleic acid [DNA or RNA]; hepatitis C virus) is used for hepatitis C genotype testing. Code 87902 must be billed in conjunction with one of the following ICD-10-CM diagnosis codes:
CPT code 87563 (infectious agent detection by nucleic acid [DNA or RNA]; mycoplasma genitalium, amplified probe technique) must be billed with at least one ICD-10-CM diagnosis code in the following ranges: N34.0 thru N34.3 or N70.01 thru N77.1. This code is not split-billable and cannot be billed with modifier 26, TC or 99.
Pathology smear procedure code 87205, 87206 or 87210 will not be separately reimbursed if billed for the same date of service as culture codes (CPT codes 87040 thru 87158), unless specifically ordered separately by the requesting clinician. If the smear code is ordered separately, claims billed for the smear procedure code and a culture code by the same provider for the same recipient and date of service must contain the date of the stain for the primary source smear. A statement included in the Remarks field (Box 80)/Additional Claim Information field (Box 19) or attached to the claim that states the stain was ordered separately from the culture is also required. Claims without this documentation will be denied.