ICD-10-CM Code for Nonspecific reaction to tuberculin skin test without active tuberculosis R76. 11.
To bill for placing the purified protein derivative (PPD) skin test for tuberculosis, use CPT®code 86580. Use this code when the nurse or medical assistant places the test on the patient's skin.
CPT code 86580 is reported for the Mantoux test using the intradermal administration of purified protein derivative (PPD). Except in unusual circumstances, a nurse will typically read the PPD test.
The TST is an intradermal injection of 0.1 ml of tuberculin (PPD) on the inner surface of the forearm. The skin test reaction should be read between 48 and 72 hours after administration.
You should report only code 86580, which includes the intradermal injection.
For a purified protein derivative (PPD) check, bill with code 86580 Skin test; tuberculosis, intradermal. You wouldn't bill for an evaluation and management (E/M) because it takes about 1 second to run your hand over an arm to feel if there is induration.
Tb Testing And Immunization Administration (cpt's 86580 And 90471)
96372 CPT code is used for the administration of any diagnostic, therapeutic, or prophylactic substance (a drug, a fluid, etc.) by a physician or assistant.
CPT code 85680 is a global service and includes both the administration and interpretation. It cannot be billed with 96372, 90460, 90471, etc.
The TST is an intradermal injection. When placed correctly, the injection should produce a pale elevation of the skin (a wheal) 6 to 10 mm in diameter.
Tuberculin purified protein derivative (PPD) is used in a skin test to help diagnose tuberculosis (TB) infection in persons at increased risk of developing active disease.
The purified protein derivative (PPD) test is the foundation of tuberculosis control. Primary care clinicans are encountering increasing numbers of persons immigrating from countries in which BCG (bacille Calmette-Guérin) vaccination is common.
Medicare does pay for CPT code 86580 when the patient has had exposure to TB or has had a reaction to a recent TB screening test.
CPT code 86580 is in the lab/pathology section. It is not an immunization or vaccine. CPT code 85680 is a global service and includes both the administration and interpretation. It cannot be billed with 96372, 90460, 90471, etc.
The PPD skin test is a method used to diagnose silent (latent) tuberculosis (TB) infection. PPD stands for purified protein derivative.
A second PPD skin test is applied to those individual in whom the PPD skin test is negative. The second test is read. A positive test 2nd test indicates TB infection in the distant past. The individual is referred for a chest X-ray and evaluation by a physician.