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The CPT® Code 86708 refers to the testing of a blood sample for the presence of hepatitis A antibody (HAAb). Hepatitis A is an infectious disease characterized by acute inflammation of the liver, which is caused by the hepatitis A virus (HAV). During the acute phase of the infection, the liver experiences inflammation, but it typically heals completely without leading to chronic liver disease. Following recovery from hepatitis A, the patient develops lifelong immunity to the virus, which is a critical aspect of the body's response to the infection. The test associated with CPT® Code 86708 employs an enzyme immunoassay method to detect the presence of HAAb in the blood. This test is capable of identifying both IgG and IgM antibodies in a single assay, although it does not differentiate between the two types of antibodies. The primary purpose of this test is to assess the immune response to a previous hepatitis A vaccination, thereby determining whether the patient has developed immunity to hepatitis A. In contrast, CPT® Code 86709 is specifically used for testing IgM antibodies to HAAb, which is essential for diagnosing a current, acute hepatitis A infection.
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The hepatitis A antibody (HAAb) test, represented by CPT® Code 86708, is indicated for the following:
The procedure for conducting the hepatitis A antibody test involves several key steps:
After the blood sample has been collected and sent for testing, there are generally no specific post-procedure care requirements for the patient. The patient may resume normal activities immediately following the blood draw. Results from the hepatitis A antibody test are typically available within a few days, and the healthcare provider will discuss the findings with the patient, including any necessary follow-up actions based on the results.
| Short Descr | HEPATITIS A ANTIBODY | Medium Descr | HEPATITIS A ANTIBODY HAAB | Long Descr | Hepatitis A antibody (HAAb) | 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 | 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. | Q4 | Service for ordering/referring physician qualifies as a service exemption | GZ | Item or service expected to be denied as not reasonable and necessary | QJ | Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b) | 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 | 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. | 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. | AY | Item or service furnished to an esrd patient that is not for the treatment of esrd | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GX | Notice of liability issued, voluntary under payer policy | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study |
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| 2016-01-01 | Changed | Description Changed |
| 2013-01-01 | Changed | Short Descriptor changed. |
| 2011-01-01 | Changed | Short description changed. |
| 2001-01-01 | Changed | Code description changed. |
| 1998-01-01 | Added | First appearance in code book in 1998. |
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