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The CPT® Code 87169 refers to a macroscopic examination specifically aimed at identifying the presence of parasites. This examination is crucial in diagnosing infections caused by various disease-causing organisms, particularly arthropods such as lice and ticks. In a clinical setting, this procedure involves a thorough visual inspection of the patient to detect any signs of these parasites. The term 'macroscopic' indicates that the examination is performed without the aid of a microscope, relying instead on the naked eye to observe any visible parasites or their effects on the host. It is important to note that this code is applicable for the examination of non-arthropod parasites as well, broadening its utility in clinical diagnostics. The examination is a vital step in determining the appropriate treatment and management of parasitic infections, ensuring that patients receive timely and effective care.
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The macroscopic examination coded as CPT® 87169 is indicated for the assessment of various conditions associated with parasitic infections. This examination is performed when there is a clinical suspicion of the presence of disease-causing parasites, particularly in the following scenarios:
The procedure for CPT® 87169 involves several key steps to ensure a thorough examination for the presence of parasites. Each step is critical for accurate diagnosis and includes the following:
After the macroscopic examination coded as CPT® 87169, the clinician will typically discuss the findings with the patient. If parasites are identified, appropriate treatment options will be recommended, which may include topical or systemic medications. The clinician may also provide guidance on preventive measures to avoid future infestations. Follow-up appointments may be scheduled to monitor the patient's response to treatment and ensure the complete resolution of the parasitic infection. Additionally, if no parasites are found, the clinician may explore other potential causes for the patient's symptoms and recommend further testing or referrals as necessary.
| Short Descr | MACROSCOPIC EXAM PARASITE | Medium Descr | MACROSCOPIC EXAMINATION PARASITE | Long Descr | Macroscopic examination; parasite | 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 | 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. | 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. | GZ | Item or service expected to be denied as not reasonable and necessary |
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| 2001-01-01 | Added | First appearance in code book in 2001. |
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