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The CPT® Code 86768 refers to a laboratory test specifically designed to measure antibodies against Salmonella, particularly Salmonella typhi, the bacterium responsible for typhoid fever. Typhoid fever is a serious illness that can be transmitted through fecal contamination, often via contaminated food and water supplies. Individuals infected with S. typhi may not exhibit symptoms but can still carry and shed the bacterium, posing a risk of infection to others. The symptoms associated with typhoid fever include high fever, weakness, abdominal pain, headache, loss of appetite, and a characteristic body rash. The antibody test for Salmonella encompasses various serotypes, including S. typhi H type A, B, D, and O type D and VI. A positive result from this test indicates that the individual has had past exposure to S. paratyphi, either through infection or vaccination. It is important to note that this test is not intended for confirming an acute infection of salmonellosis. The procedure involves obtaining a blood sample through venipuncture, which is reported separately, and the serum is then analyzed using a qualitative immunoblot method to detect the presence of antibodies.
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The antibody test for Salmonella, coded as CPT® 86768, is indicated for the following conditions:
The procedure for conducting the Salmonella antibody test involves several key steps:
After the procedure, the patient may experience minor discomfort or bruising at the venipuncture site, which typically resolves quickly. There are no specific post-procedure care instructions required for this test, but patients should be advised to monitor the site for any signs of infection, such as increased redness or swelling. The results of the test will be communicated to the patient by their healthcare provider, who will discuss the implications of the findings and any necessary follow-up actions based on the results.
| Short Descr | SALMONELLA ANTIBODY | Medium Descr | ANTIBODY SALMONELLA | Long Descr | Antibody; Salmonella | 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 | 5 | 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. | GW | Service not related to the hospice patient's terminal condition | 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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