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The CPT® Code 87511 refers to the detection of the infectious agent Gardnerella vaginalis through nucleic acid techniques, specifically utilizing an amplified probe technique. This method is crucial for identifying the presence of Gardnerella vaginalis, a bacterium associated with bacterial vaginosis, a common condition affecting the female genital tract. The amplified probe technique enhances the sensitivity of the test, allowing for the detection of low levels of the target microorganism that may not be identifiable through direct probe methods. This is particularly important in clinical scenarios where the presence of Gardnerella is suspected but may be present in insufficient quantities to yield a positive result with less sensitive testing methods. The use of nucleic acid amplification, such as polymerase chain reaction (PCR), enables the creation of multiple copies of the nucleic acids from Gardnerella, thereby facilitating their detection. This process not only aids in diagnosing bacterial vaginosis but also assists in monitoring the severity of the infection and evaluating the effectiveness of treatment interventions.
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The procedure associated with CPT® Code 87511 is indicated for the detection of Gardnerella vaginalis, particularly in cases where bacterial vaginosis is suspected. The following conditions may warrant the use of this test:
The procedure for CPT® Code 87511 involves several key steps to ensure accurate detection of Gardnerella vaginalis through nucleic acid amplification techniques. The following procedural steps are typically followed:
After the procedure associated with CPT® Code 87511, the results of the nucleic acid detection test are analyzed. If Gardnerella vaginalis is detected, the healthcare provider may discuss treatment options with the patient, which could include antibiotics or other therapeutic measures. Additionally, the results can be used to monitor the patient's response to treatment over time. It is important for patients to follow up with their healthcare provider to discuss the findings and any necessary next steps in their care.
| Short Descr | GARDNER VAG DNA AMP PROBE | Medium Descr | IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ | Long Descr | Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique | 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. | 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. | GW | Service not related to the hospice patient's terminal condition | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | GZ | Item or service expected to be denied as not reasonable and necessary | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | 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. | SA | Nurse practitioner rendering service in collaboration with a physician | 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. | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | GA | Waiver of liability statement issued as required by payer policy, individual case | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2011-01-01 | Changed | Short description changed. |
| 1998-01-01 | Added | First appearance in code book in 1998. |
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