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AMA CPT® Assistant - 2013 Issue 6 (June)
Pathology and Laboratory (Q&A) (June 2013)
June 2013 page 14b
Pathology and Laboratory
Question: When performing an amplified DNA probe test for both GC and Chlamydia on the same specimen at the same time, is code 87801 the correct code to report? Or should codes 87491 and 87591 both be reported?
Answer: The reporting of codes 87491, 87591, and 87801 will depend on how the results of the combination analysis are reported. If the test results differentiate between Chlamydia trachomatis and Neisseria gonorrhoeae, then it would be appropriate to report codes 87491, Chlamydia trachomatis, amplified probe technique, for the Hybrid capture Chlamydia trachomatis test and...
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Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This June 2013 Pathology and Laboratory Q&A reviews two common coding scenarios in pathology and lab work. It discusses how reporting may vary for amplified nucleic acid testing when results are combined or separated, and it explains unit-of-service considerations for consultation services involving referred slides and specimens. The article is aimed at coders, billers, and pathology/laboratory professionals seeking CPT guidance on test reporting and specimen consultation conventions.
Why This Topic Matters
Accurate reporting in pathology and laboratory services depends on selecting the right CPT approach for test result structure and for consultation services tied to surgical or cytopathology cases. This article helps readers understand the scope of the coding questions involved so they can evaluate whether the full guidance is relevant to their workflows.
Article Sections
Molecular testing question and answer
Addresses a coding question involving combined infectious disease amplification testing on the same specimen. The discussion centers on how result reporting format affects code selection.
Consultation reporting question and answer
Addresses consultation coding for referred slides and other material received from an outside physician. The discussion focuses on reporting at the case or unit-of-service level when multiple specimens are involved.
What You Will Learn
How this article frames coding questions in pathology and laboratory services
The general relationship between molecular test result reporting and CPT code selection
How consultation services for referred pathology materials are grouped for reporting purposes
What kinds of pathology/lab scenarios are covered in this Q&A format
Who Should Read This
Pathology coders
Laboratory billing staff
CPT users
Pathologists
Revenue cycle professionals
Codes Discussed
CPT: 87801
CPT: 87491
CPT: 87591
CPT: 88321
CPT: 88323
CPT: 88325
Code Ranges Discussed
CPT: 88321-88325
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