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The CPT® Code 86682 refers to a laboratory test that measures antibodies against helminths, which are parasitic worms. This specific code is utilized when testing for immunoglobulin G (IgG) antibodies in serum for various helminth infections that are not classified elsewhere. Helminths can include a wide range of parasitic worms, and the test is particularly relevant for detecting antibodies related to several specific conditions. Among these are cysticercosis, which is caused by the tapeworm Taenia solium and can lead to serious infections in the brain and other tissues; Toxocara, a roundworm primarily found in dogs and cats that can cause various symptoms in humans; Schistosoma, a parasite that is not endemic to the United States but poses risks in other regions; Strongyloides, which can lead to gastrointestinal and systemic symptoms; Filaria, a thread-like worm transmitted by mosquitoes that affects lymphatic tissues; and Echinococcus, a tapeworm that can cause cystic disease in vital organs. The test is crucial for diagnosing these infections, as it helps identify the presence of specific antibodies that indicate an immune response to these parasitic infections.
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The CPT® Code 86682 is indicated for use in the diagnosis of various helminth infections. The specific conditions for which this test may be performed include:
The procedure associated with CPT® Code 86682 involves the collection of a serum sample from the patient, which is then analyzed in a laboratory setting to detect the presence of IgG antibodies specific to helminths. The following steps outline the procedure:
After the procedure, the patient may experience minimal discomfort at the site of blood collection, which typically resolves quickly. The results of the antibody test will be communicated to the healthcare provider, who will interpret the findings in the context of the patient's clinical symptoms and history. Depending on the results, further diagnostic testing or treatment may be recommended. It is important for the healthcare provider to discuss the implications of the test results with the patient, including any necessary follow-up actions or additional testing that may be required.
| Short Descr | HELMINTH ANTIBODY | Medium Descr | ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED | Long Descr | Antibody; helminth, not elsewhere specified | 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 | 2 | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 1993-01-01 | Added | First appearance in code book in 1993. |
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