AMA CPT® Assistant - 2007 Issue 8 (August)
Microbiology-Testing for Staphylococcus Aureus and Streptococcus, Group B (August 2007)
August 2007 pages 7-8 Coding Communication:Microbiology-Testing for Staphylococcus Aureus and Streptococcus, Group B MRSA Infections Methicillin-resistant Staphylococcus aureus (MRSA) is one of the major organisms associated with hospital-acquired infections, and the incidence of colonization and invasive disease has increased markedly worldwide. MRSA has been identified by the Society for Healthcare Epidemiology of America (SHEA) as one of the two "most out of control" antimicrobial-resistant pathogens in US hospitals (vancomycin-resistant Enterococcus (VRE) is the other). MRSA is encountered frequently in health care settings and now represents more than 50% of all S. aureus isolates in most areas of the country. In...
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Article Overview
This article explains microbiology coding guidance for molecular testing related to Staphylococcus aureus and Group B Streptococcus. It is aimed at coding professionals, laboratory billing staff, and clinicians who need to understand the CPT framework for reporting these tests, the rationale for new codes, and the clinical context in which the tests are commonly used. The discussion centers on CPT updates, comparisons with prior nonspecific reporting, and clinical examples that illustrate the testing scenarios.
Why This Topic Matters
Accurate reporting of microbiology molecular testing affects code selection consistency, claim integrity, and alignment with current CPT guidance. The article is relevant to facilities and practices that perform or bill for infectious disease testing in hospital, obstetric, and laboratory settings.
Article Sections
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August 2007 pages 7-8
Publication and page information for the CPT Assistant article.
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Coding Communication: Microbiology-Testing for Staphylococcus Aureus and Streptococcus, Group B
Overview of the microbiology coding topics addressed in the article.
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MRSA Infections
Background on methicillin-resistant Staphylococcus aureus, its clinical relevance, and infection control context.
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Rationale for New 2007 CPT codes 87640 and 87641
Discussion of the CPT update introducing more specific reporting for molecular testing related to Staphylococcus aureus and methicillin-resistant strains.
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Clinical Example (87641)
Example scenario involving molecular testing in a patient at risk for MRSA.
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Streptococcus, Group B
Background on Group B Streptococcus, screening context, and obstetric relevance.
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CPT Code 87653
Discussion of the CPT update introducing more specific reporting for Group B Streptococcus testing and its distinction from prior nonspecific reporting.
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Clinical Example (87653)
Example scenario involving Group B Streptococcus testing in an obstetric setting.
What You Will Learn
- The general purpose of the article’s microbiology coding guidance
- How the article frames CPT updates for molecular infectious disease testing
- What clinical settings and patient populations are discussed for MRSA and Group B Streptococcus
- How the article compares newer CPT reporting options with prior nonspecific reporting
- What kinds of laboratory and obstetric scenarios are used to illustrate the coding topics
Who Should Read This
- Medical coders
- Laboratory billing staff
- Compliance teams
- Clinical laboratory professionals
- Obstetric care billing staff
- Healthcare reimbursement specialists
Codes Discussed
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