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The CPT® Code 82415 refers to the laboratory test for chloramphenicol, a broad-spectrum antibiotic that is utilized in the treatment of serious bacterial infections. This blood test is specifically designed to monitor the therapeutic drug levels of chloramphenicol in a patient's system. Monitoring is crucial because elevated levels of chloramphenicol can lead to significant adverse effects, including bone marrow suppression, which is typically reversible, and aplastic anemia, a potentially fatal condition. The procedure involves obtaining a blood sample through venipuncture, which is a separate reportable procedure. The analysis of the serum or plasma is conducted using high-performance liquid chromatography (HPLC), a sophisticated technique that allows for precise measurement of drug concentrations in the blood. This testing is essential for ensuring that patients receive the appropriate dosage of chloramphenicol while minimizing the risk of serious side effects associated with its use.
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The blood test for chloramphenicol (CPT® Code 82415) is indicated for the following conditions:
The procedure for testing chloramphenicol levels involves several key steps:
After the procedure, the patient may experience minor discomfort at the venipuncture site, which typically resolves quickly. There are no specific post-procedure care instructions related to the blood test itself; however, healthcare providers should monitor the patient for any signs of adverse reactions to chloramphenicol, especially if elevated levels are detected. The results of the test will guide further treatment decisions, including potential dosage adjustments to mitigate the risk of side effects associated with high drug levels.
| Short Descr | ASSAY OF CHLORAMPHENICOL | Medium Descr | CHLORAMPHENICOL | Long Descr | Chloramphenicol | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | CLIA Waived (QW) | No | APC Status Indicator | Conditionally packaged laboratory tests | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T1H - Lab tests - other (non-Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 233 - Laboratory - Chemistry and Hematology |
| 90 | Reference (outside) laboratory: when laboratory procedures are performed by a party other than the treating or reporting physician or other qualified health care professional, the procedure may be identified by adding modifier 90 to the usual procedure number. |
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| Pre-1990 | Added | Code added. |
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