AMA CPT® Assistant - 2015 Issue 10 (October)

Pathology and Laboratory: Microbiology (Q&A) (October 2015)

October 2015 page 10 Pathology and Laboratory: Microbiology Question: Is it appropriate to report a single qualitative multiplex assay that detects a total of 14 high-risk HPV types while providing a single result for 12 types and differentiating types 16 and 18 with both CPT codes 87624 and 87625? Answer: No, CPT code 87624, Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), which represents a single service for multiple HPV high-risk types, is the only CPT code that should be reported for the described procedure. The testing results...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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