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The CPT® Code 87150 refers to a laboratory procedure that involves the culture and identification of microorganisms, such as bacteria, viruses, fungi, or parasites, using advanced nucleic acid probe techniques. This process allows for the definitive identification of the microorganism to the genus or species level. Initially, a culture is performed to achieve a presumptive identification of the microorganism, which is a separate reportable procedure. Once this initial identification is established, additional cultures may be conducted to refine the identification further. The identification process utilizes either a direct or an amplified probe technique. In the case of the direct probe technique, as described in CPT® Code 87149, lysate is employed to rupture the cells and release their nucleic acids, which are then tested for the presence of specific organisms. The amplified probe technique, as indicated by CPT® Code 87150, employs methods such as polymerase chain reaction (PCR) to create multiple copies of the nucleic acids, which is particularly useful when the microorganism is present in low quantities that may not be detectable by direct probing methods. This comprehensive approach ensures accurate identification of the organism, facilitating appropriate clinical decisions and treatment options.
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The procedure described by CPT® Code 87150 is indicated for the identification of microorganisms in cases where definitive identification is necessary. This includes situations where:
The procedure for CPT® Code 87150 involves several key steps to ensure accurate identification of the microorganism:
Post-procedure care following the identification process using CPT® Code 87150 typically involves monitoring the patient for response to treatment based on the identified microorganism. Clinicians may adjust antibiotic or antiviral therapies according to the results obtained from the amplified probe technique. Additionally, it is essential to document the findings accurately in the patient's medical record to ensure continuity of care and facilitate any necessary follow-up actions. There are no specific recovery protocols associated with this laboratory procedure, but timely communication of results is critical for effective patient management.
| Short Descr | DNA/RNA AMPLIFIED PROBE | Medium Descr | CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM | Long Descr | Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed | 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 | 12 | CCS Clinical Classification | 206 - Microscopic examination (bacterial smear, culture, toxicology) |
| 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. | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | 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. | GW | Service not related to the hospice patient's terminal condition | T5 | Right foot, great toe | 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. | T7 | Right foot, third digit | T4 | Left foot, fifth digit | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | TA | Left foot, great toe | T1 | Left foot, second digit | 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. | T6 | Right foot, second digit | 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) | T3 | Left foot, fourth digit | T8 | Right foot, fourth digit | GF | Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital | RT | Right side (used to identify procedures performed on the right side of the body) | T2 | Left foot, third digit | 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. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | F3 | Left hand, fourth digit | F5 | Right hand, thumb | GA | Waiver of liability statement issued as required by payer policy, individual case | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | SA | Nurse practitioner rendering service in collaboration with a physician | SU | Procedure performed in physician's office (to denote use of facility and equipment) | T9 | Right foot, fifth digit |
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| 2013-01-01 | Changed | Guideline information changed. |
| 2011-01-01 | Changed | Short description changed. |
| 2010-01-01 | Added | - |
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