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The CPT® Code 87632 refers to a diagnostic test that detects infectious agents through the analysis of nucleic acids, specifically DNA or RNA, in respiratory specimens. This test is crucial for identifying various respiratory viruses, which may include adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus (RSV), and rhinovirus. The procedure involves collecting a respiratory specimen, which can be obtained through methods such as bronchoalveolar lavage, nasal wash, nasopharyngeal swab, or pleural fluid aspiration. Once the specimen is collected, it undergoes a sophisticated testing process that utilizes multiplex reverse transcription polymerase chain reaction (RT-PCR). This technique allows for the simultaneous extraction and amplification of nucleic acids from multiple types or subtypes of respiratory viruses. The amplified DNA or RNA fragments are then sized and analyzed to determine the specific viral types or subtypes present in the specimen. It is important to note that this code is specifically used when the test targets between 6 to 11 different types or subtypes of respiratory viruses. For tests targeting fewer types, such as 3-5, CPT® Code 87631 should be used, while CPT® Code 87633 is applicable for tests that target 12-25 types.
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The CPT® Code 87632 is indicated for use in the detection of specific respiratory viral infections. The following conditions or symptoms may warrant the performance of this test:
The procedure for CPT® Code 87632 involves several key steps to ensure accurate detection of respiratory viruses. The following outlines the procedural steps:
After the procedure associated with CPT® Code 87632, the following post-procedure considerations should be noted: The results of the test are typically available within a specified timeframe, depending on the laboratory's processing capabilities. Clinicians should review the results in conjunction with the patient's clinical presentation to make informed decisions regarding treatment and management. Additionally, it is essential to monitor the patient for any changes in their condition following the test, especially if a viral infection is confirmed. Proper documentation of the procedure and results is crucial for compliance and billing purposes.
| Short Descr | RESP VIRUS 6-11 TARGETS | Medium Descr | IADNA RESPIRATRY PROBE & REV TRNSCR 6-11 TARGETS | Long Descr | Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets | 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) |
| CR | Catastrophe/disaster related | 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. | GW | Service not related to the hospice patient's terminal condition | 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 | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2015-01-01 | Changed | Description Changed |
| 2013-01-01 | Added | Added |
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