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The CPT® Code 86632 refers to the laboratory test for the detection of antibodies to Chlamydia, specifically the immunoglobulin M (IgM) class. This test is performed on a blood sample to identify the presence of antibodies that indicate a recent infection with Chlamydia, a genus of bacteria responsible for various infections in humans. The most notable species, Chlamydia trachomatis, is known for causing sexually transmitted diseases (STDs) that may not always present symptoms, yet can lead to severe complications such as infertility in women due to damage to the reproductive tract. In men, while symptoms such as burning and itching of the urethra may occur, they typically do not experience long-term reproductive issues from the infection. Other species within the Chlamydia genus, such as Chlamydia pneumoniae, are associated with respiratory infections, including pneumonia and bronchitis, while Chlamydia psittaci primarily affects birds but can cause flu-like symptoms in humans upon exposure. Various testing methods are utilized to detect Chlamydia antibodies, including the indirect fluorescent antibody test and the enzyme-linked immunosorbent assay (ELISA). It is important to note that CPT® Code 86631 should be used for screening tests for all chlamydial species and for tests that detect IgG antibodies, whereas CPT® Code 86632 is specifically designated for the detection of IgM antibodies. Each species and immunoglobulin class tested is reported separately to ensure accurate diagnosis and treatment planning.
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The test coded as CPT® 86632 is indicated for the detection of IgM antibodies to Chlamydia, which may suggest a recent infection. The following conditions and symptoms warrant the use of this test:
The procedure for conducting the test associated with CPT® 86632 involves several key steps, which are outlined below:
After the procedure, there are generally no specific post-procedure care requirements for the patient, as the blood draw is a routine procedure. Patients may experience minor discomfort or bruising at the site of venipuncture, which typically resolves quickly. It is important for healthcare providers to discuss the test results with the patient, including any necessary follow-up actions based on the findings. If the test indicates a positive result for IgM antibodies, further evaluation and treatment for Chlamydia infection may be warranted, including potential antibiotic therapy and counseling on safe sexual practices to prevent reinfection or transmission.
| Short Descr | CHLAMYDIA IGM ANTIBODY | Medium Descr | ANTIBODY CHLAMYDIA IGM | Long Descr | Antibody; Chlamydia, IgM | 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 | Service Paid under Fee Schedule or Payment System other than OPPS | 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. | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GA | Waiver of liability statement issued as required by payer policy, individual case | 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. | 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. | 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. | F9 | Right hand, fifth digit | G8 | Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure | GZ | Item or service expected to be denied as not reasonable and necessary |
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| 1993-01-01 | Added | First appearance in code book in 1993. |
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