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The CPT® Code 86606 refers to the laboratory test for antibodies to Aspergillus, a type of fungus commonly found in various environments, including soil, decaying plant material, and certain food items. This test is performed on a blood or cerebrospinal fluid sample to detect the presence of antibodies that the immune system produces in response to Aspergillus infection. There are several species of Aspergillus, with A. fumigatus and A. flavus being the most prevalent. Infections caused by these fungi can lead to allergic bronchopulmonary disease, characterized by symptoms such as wheezing and coughing, although these conditions do not typically result in tissue damage. In contrast, more severe forms of infection, known as invasive aspergillosis, can occur, particularly in immunocompromised individuals. This serious condition primarily affects the lungs but can also impact other organs, including the central nervous system. Various testing methodologies are available to diagnose Aspergillus infections, including complement fixation, immunodiffusion, and enzyme-linked immunosorbent assay (ELISA). It is important to note that tests for Aspergillus typically measure IgG antibodies, and different methodologies may be employed to isolate these antibodies, with each method being reported separately.
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The antibody test for Aspergillus (CPT® Code 86606) is indicated for the following conditions:
The procedure for testing antibodies to Aspergillus involves several key steps:
After the antibody test for Aspergillus is completed, the patient may not require any specific post-procedure care. However, it is essential for healthcare providers to interpret the results in the context of the patient's clinical presentation and history. If the test indicates the presence of antibodies, further evaluation and management may be necessary, particularly for patients who are immunocompromised or exhibiting symptoms of infection. Follow-up consultations may be scheduled to discuss the results and any potential treatment options based on the findings.
| Short Descr | ASPERGILLUS ANTIBODY | Medium Descr | ANTIBODY ASPERGILLUS | Long Descr | Antibody; Aspergillus | 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 | 3 | CCS Clinical Classification | 235 - Other Laboratory |
| 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. | 91 | Repeat clinical diagnostic laboratory test: in the course of treatment of the patient, it may be necessary to repeat the same laboratory test on the same day to obtain subsequent (multiple) test results. under these circumstances, the laboratory test performed can be identified by its usual procedure number and the addition of modifier 91. note: this modifier may not be used when tests are rerun to confirm initial results; due to testing problems with specimens or equipment; or for any other reason when a normal, one-time, reportable result is all that is required. this modifier may not be used when other code(s) describe a series of test results (eg, glucose tolerance tests, evocative/suppression testing). this modifier may only be used for laboratory test(s) performed more than once on the same day on the same patient. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GA | Waiver of liability statement issued as required by payer policy, individual case | Q4 | Service for ordering/referring physician qualifies as a service exemption | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GW | Service not related to the hospice patient's terminal condition | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 1993-01-01 | Added | First appearance in code book in 1993. |
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