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Official Description

Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

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.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

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:

  • Inconclusive Results: When initial anaerobic cultures yield results that are not definitive, additional methods are required to clarify the findings.
  • Severe Infections: In cases of suspected severe infections caused by anaerobic bacteria, accurate identification is crucial for effective treatment.
  • Complicated Clinical Presentations: Patients presenting with complex symptoms that may involve anaerobic infections may necessitate further testing to ensure appropriate management.

2. Procedure

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:

  • Step 1: Sample Collection The process begins with the collection of a specimen from the patient, which may include tissue, fluid, or other biological materials suspected of harboring anaerobic bacteria. Proper collection techniques are essential to avoid contamination and ensure the integrity of the sample.
  • Step 2: Anaerobic Culture Setup The collected specimen is then inoculated into an anaerobic culture medium, which is designed to support the growth of anaerobic bacteria while inhibiting aerobic organisms. This step is crucial for isolating the target bacteria from the sample.
  • Step 3: Incubation The inoculated culture is incubated in an anaerobic environment, typically within a specialized incubator that maintains low oxygen levels. This incubation period allows the anaerobic bacteria to grow and multiply, making them easier to identify.
  • Step 4: Identification Testing Once growth is observed, additional methods are employed to identify the specific anaerobic isolates. This may include biochemical tests, molecular techniques, or other advanced identification methods that provide definitive results.
  • Step 5: Reporting Results After the identification process is complete, the laboratory generates a report detailing the findings, including the types of anaerobic bacteria identified and any relevant characteristics. This report is then communicated to the healthcare provider for further clinical decision-making.

3. Post-Procedure

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
Date
Action
Notes
2011-01-01 Changed Short description changed.
2001-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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