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The CPT® Code 87076 refers to a specific laboratory procedure known as a bacterial culture, specifically focusing on anaerobic isolates. This procedure is utilized when additional methods are necessary to definitively identify anaerobic bacteria that have been isolated from a tissue culture. Anaerobic bacteria are those that thrive in environments devoid of oxygen, and their identification can be critical in diagnosing infections that may not be apparent through standard aerobic culture methods. The use of this code indicates that further testing is required to confirm the presence and type of anaerobic bacteria, ensuring accurate diagnosis and appropriate treatment. It is important to note that for cases requiring further testing for aerobic bacteria, the appropriate code to use is 87077. This distinction is crucial for proper coding and billing practices in laboratory settings.
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The CPT® Code 87076 is indicated for use in specific clinical scenarios where further testing is necessary to confirm the identity of anaerobic bacterial isolates. The following conditions may warrant the use of this code:
The procedure associated with CPT® Code 87076 involves several critical steps to ensure accurate identification of anaerobic bacterial isolates. The following procedural steps are typically followed:
Post-procedure care following the use of CPT® Code 87076 typically involves monitoring the patient for any clinical changes based on the results of the anaerobic culture. Healthcare providers may need to adjust treatment plans according to the identified bacteria and their susceptibility to antibiotics. Additionally, it is essential to ensure that the laboratory report is reviewed promptly to facilitate timely intervention, especially in cases of severe or complicated infections. Follow-up testing or additional cultures may be warranted based on the initial findings to ensure comprehensive patient care.
| Short Descr | CULTURE ANAEROBE IDENT EACH | Medium Descr | CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL | Long Descr | Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate | 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) | T1F - Lab tests - bacterial cultures | MUE | 2 | CCS Clinical Classification | 206 - Microscopic examination (bacterial smear, culture, toxicology) |
| 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. | 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. | 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. | Q4 | Service for ordering/referring physician qualifies as a service exemption | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | GW | Service not related to the hospice patient's terminal condition | AY | Item or service furnished to an esrd patient that is not for the treatment of esrd | 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. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GA | Waiver of liability statement issued as required by payer policy, individual case | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | LT | Left side (used to identify procedures performed on the left side of the body) | 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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| 2011-01-01 | Changed | Short description changed. |
| 2001-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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