Rapid Strep Tests / Which code?
The first time I sent this for some reason it came through with no subject
and a bunch of extra garbage I hadn't put in the message, so I'm sending it
An additional note: Quidel's web site specifically refers to their rapid
strep as an "immunoassay".
>Michael Sachs wrote:
>> 87880 is for "Immunoassay with direct optical observation"
>> 87430 is for "Enzyme Immunoassay"
>> 87070 is for "Bacterial Culture"
>> 87081 is for "Bacterial Culture, Screening Only, Single Organisms"
>> So unless I'm mistaken, the rapid strep tests most of us do would be 87430
>> while the Biostar would be 87880. If a throat culture is only for strep,
>> then 87081 would be proper, while a throat culture looking for other
>> organisms in addition to strep should be 87070. There are other codes in
>> addition for organism typing and sensitivities, but we don't bill those
>> even when the culture is positive.
At 08:31 PM 02/18/2001 -0500, Graham Barden wrote:
>I think the "direct optical observation" could mean your eyeball is looking at
>it! I am not sure what the Enzyme Immunoassay is - I think all Rapid streps
>including the OIA use monoclonal antibodies to do the test and that would make
>it the immunoassay - right?
I was mistaken and Graham's correct.
Possible CPT Codes for BioStar Tests
STREP A OIA, STREP A OIA MAX, ACCEAVA Strep A tests*
86403 Particle agglutination; screen, each antibody.
87081 Culture, bacterial, screening only, for single organism.
87430 Infectious agent detection by enzyme immunoassay technique,
qualitative or semi-quantitative, multiple-step method; Streptococcus, group A.
87880 Infectious agent detection by immunoassay with direct optical
observation; Streptococcus, group A.
87880 QW For use with CLIA-waived tests
Of these, code 87880 would seem to most accurately define the STREP A OIA,
STREP A OIA MAX, and Acceava Strep A tests. Code 87880 seems to be more
accurate than 87430 because the AMA has stipulated that, "Code 87880
(direct observation) should be used for all immunologically-based
commercial Streptococcus Group A testing kits whose interpretation rely on
a visual reaction (observed by the naked eye)2
* While BioStar attempts to provide accurate information, it is always the
provider's responsibility to establish appropriate coding and charges.
I also checked because we use the QuickVue In-Line,
and they also recommended 87880.
So we'll start billing 87880 rather than 87430.
Does anyone know what kind of test would be an "Enzyme Immunoassay" and be
Michael Sachs, M.D.