How To Use CPT Code 3495F

CPT 3495F describes the CD4+ cell count range of 200 – 499 cells/mm3 for patients with HIV. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 3495F?

CPT 3495F can be used to report the CD4+ cell count range of 200 – 499 cells/mm3 in patients with HIV. This code is used to indicate the level of white blood cells in the patient’s body, which helps determine the strength of their immune system and the risk of developing opportunistic infections.

2. Official Description

The official description of CPT code 3495F is: ‘CD4+ cell count 200 – 499 cells/mm3 (HIV)’. This code is used to document the CD4+ cell count range in patients with HIV.

3. Procedure

1. The healthcare provider orders a CD4+ cell count test for a patient with HIV.
2. A blood sample is collected from the patient.
3. The blood sample is sent to a laboratory for analysis.
4. The laboratory measures the number of CD4+ cells in the blood sample.
5. The laboratory reports the CD4+ cell count range of 200 – 499 cells/mm3 to the healthcare provider.

4. Qualifying circumstances

CPT code 3495F is used for patients with HIV who have a CD4+ cell count range of 200 – 499 cells/mm3. This range indicates a weakening immune system and an increased risk for opportunistic infections. The CD4+ cell count is an important factor in determining the progression of HIV and the need for further medical interventions.

5. When to use CPT code 3495F

CPT code 3495F should be used when documenting the CD4+ cell count range of 200 – 499 cells/mm3 in patients with HIV. It is important to accurately report this code to provide a comprehensive picture of the patient’s immune system status and to guide further treatment decisions.

6. Documentation requirements

To support a claim for CPT code 3495F, the healthcare provider must document the following information:

• Date of the CD4+ cell count test
• CD4+ cell count range of 200 – 499 cells/mm3
• Signature of the healthcare provider ordering the test

7. Billing guidelines

When billing for CPT code 3495F, ensure that the CD4+ cell count range of 200 – 499 cells/mm3 is documented in the patient’s record. This code should be reported separately and should not be reported with other codes. It is important to follow the specific guidelines provided by the payer to ensure accurate and timely reimbursement.

8. Historical information

CPT code 3495F was added to the Current Procedural Terminology system on January 1, 2010. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider documents a CD4+ cell count range of 250 cells/mm3 in a patient with HIV.
2. A laboratory reports a CD4+ cell count range of 400 cells/mm3 in a patient with HIV.
3. A healthcare provider orders a CD4+ cell count test and receives a result of 300 cells/mm3 in a patient with HIV.
4. A laboratory analyzes a blood sample and reports a CD4+ cell count range of 450 cells/mm3 in a patient with HIV.
5. A healthcare provider documents a CD4+ cell count range of 350 cells/mm3 in a patient with HIV.
6. A laboratory reports a CD4+ cell count range of 480 cells/mm3 in a patient with HIV.
7. A healthcare provider orders a CD4+ cell count test and receives a result of 220 cells/mm3 in a patient with HIV.
8. A laboratory analyzes a blood sample and reports a CD4+ cell count range of 390 cells/mm3 in a patient with HIV.
9. A healthcare provider documents a CD4+ cell count range of 410 cells/mm3 in a patient with HIV.
10. A laboratory reports a CD4+ cell count range of 290 cells/mm3 in a patient with HIV.