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The CPT® Code 87350 refers to a laboratory test designed to detect the presence of the Hepatitis Be antigen (HBeAg) in serum or plasma samples. This test employs various immunoassay techniques, including enzyme immunoassay (EIA), enzyme-linked immunosorbent assay (ELISA), fluorescence immunoassay (FIA), and immunochemiluminometric assay (IMCA). The detection of HBeAg is crucial for monitoring active Hepatitis B viral (HBV) infections and assessing the response to therapeutic interventions. The presence of HBeAg indicates that the virus is actively replicating, which is significant for evaluating the infectivity of the virus alongside the Hepatitis B surface antigen (HBsAg). Hepatitis B is a viral infection that primarily affects the liver and can lead to severe complications such as cirrhosis and hepatocellular carcinoma in chronic cases. The virus can be transmitted through blood and body fluids, and symptoms may include fever, fatigue, abdominal pain, weight loss, nausea, vomiting, and joint pain, although some individuals may remain asymptomatic. The test requires a serum or plasma sample, which is processed in a laboratory setting using the specified immunoassay techniques to ensure accurate detection of the antigen.
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The HBeAg test is performed for several specific indications related to Hepatitis B infection. These include:
The procedure for conducting the HBeAg test involves several key steps:
After the HBeAg test is completed, the results are analyzed and reported to the healthcare provider. The interpretation of the results is crucial for determining the patient's viral replication status and guiding further management. If HBeAg is detected, it indicates active viral replication, which may necessitate closer monitoring and potential therapeutic intervention. Conversely, if HBeAg is not detected, it may suggest a lower risk of viral transmission and a different clinical management approach. Patients may be advised on follow-up testing and monitoring based on the results, and any necessary adjustments to treatment plans will be discussed with their healthcare provider.
| Short Descr | HEPATITIS BE AG IA | Medium Descr | IAAD IA HEPATITIS BE ANTIGEN | Long Descr | Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg) | 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 | 1 | 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. | 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. | 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. | GA | Waiver of liability statement issued as required by payer policy, individual case | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study |
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Notes
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| 2022-01-01 | Changed | First appearance of change in codebook. |
| 2022-01-01 | Note | Grammatical correction. |
| 2021-01-01 | Changed | First appearance of change in CPT® Code Set. |
| 2020-10-06 | Changed | Code changed. |
| 2016-01-01 | Changed | Description Changed |
| 2011-01-01 | Changed | Short description changed. |
| 2007-01-01 | Changed | Code description changed. |
| 1998-01-01 | Added | First appearance in code book in 1998. |
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