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The CPT® Code 86911 refers to the process of blood typing specifically for paternity testing. This procedure involves drawing blood samples from a male, presumed to be the father, and a child to ascertain the biological relationship between them. The primary objective of this test is to identify specific blood antibodies present in the samples, which are then compared to determine the likelihood that the male is indeed the biological father of the child. The results of this analysis yield a statistical probability, providing evidence that can support or refute claims of paternity. In cases where the initial test results are inconclusive, this code is applicable for further testing, which may involve additional antigen systems to enhance the accuracy of the paternity determination. This procedure is critical in legal contexts, such as custody disputes or child support cases, where establishing paternity is essential.
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The procedure associated with CPT® Code 86911 is indicated in specific scenarios where paternity needs to be established. The following conditions warrant the use of this blood typing test:
The procedure for blood typing for paternity testing as described by CPT® Code 86911 involves several key steps that ensure accurate results. The following outlines the procedural steps:
After the blood typing procedure is completed, there are several considerations for post-procedure care. Patients may experience minor discomfort or bruising at the site of blood collection, which typically resolves on its own. It is important for individuals to follow any specific instructions provided by the healthcare provider regarding follow-up testing or additional procedures if the initial results are inconclusive. In cases where further testing is required, the healthcare provider will discuss the next steps and any additional antigen systems that may be utilized to enhance the accuracy of the paternity determination. Additionally, the results of the paternity test may have significant implications for legal matters, so it is advisable for individuals to consult with legal counsel regarding the interpretation and use of the test results.
| Short Descr | BLOOD TYPING ANTIGEN SYSTEM | Medium Descr | BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS | Long Descr | Blood typing, for paternity testing, per individual; each additional antigen system | Status Code | Non-Covered Service | 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 | APC Status Indicator | Non-Covered Service, not paid under OPPS | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T1H - Lab tests - other (non-Medicare fee schedule) | MUE | 0 | CCS Clinical Classification | 235 - Other Laboratory |
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| 2011-01-01 | Changed | Short description changed. |
| 1994-01-01 | Added | First appearance in code book in 1994. |
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