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The CPT® Code 82600 refers to a laboratory test specifically designed to measure the levels of cyanide in the blood. Cyanide is a highly toxic compound that can be found in various natural sources, including certain seeds and stone fruits, as well as being produced by certain bacteria, fungi, and algae. Additionally, cyanide can be released into the atmosphere as a toxin during the combustion of specific materials. This blood test is crucial for assessing potential cyanide poisoning, which can occur through ingestion or inhalation of cyanide-containing substances. It is important to note that this test should not be conducted on patients who are currently undergoing nitroprusside therapy, as the presence of nitroprusside can lead to inaccurate test results. The procedure for obtaining a blood sample involves a venipuncture, which is a separate reportable service. The analysis of the blood sample is performed using spectrophotometry, a method that measures the amount of light absorbed by the sample, allowing for the quantification of cyanide levels present in the blood.
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The cyanide blood test (CPT® Code 82600) is indicated for the evaluation of potential cyanide exposure or poisoning. The following conditions warrant the performance of this test:
The procedure for conducting the cyanide blood test involves several key steps, which are outlined below:
After the blood sample has been collected and sent for analysis, there are no specific post-procedure care instructions required for the patient. However, it is important for healthcare providers to monitor the patient for any symptoms of cyanide toxicity, especially if there was a high suspicion of exposure. The results of the test will guide further clinical management and treatment decisions based on the detected cyanide levels.
| Short Descr | ASSAY OF CYANIDE | Medium Descr | ASSAY OF CYANIDE | Long Descr | Cyanide | 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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| 2013-01-01 | Changed | Medium Descriptor changed. |
| Pre-1990 | Added | Code added. |
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