How To Use CPT Code 84830

CPT 84830 describes the use of ovulation tests to measure human luteinizing hormone (LH) levels using visual color comparison methods. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 84830?

CPT 84830 is used to evaluate infertility and diagnose the cause of amenorrhea by measuring human luteinizing hormone (LH) levels through visual color comparison methods. This code is specifically for ovulation tests that involve collecting a urine sample from the patient and applying it to a strip that changes color based on the amount of LH present. The color change is then compared to a standardized chart to determine the LH levels.

2. Official Description

The official description of CPT code 84830 is: ‘Ovulation tests, by visual color comparison methods for human luteinizing hormone.’

3. Procedure

1. The testing personnel collect a urine sample from the patient.
2. The urine sample is applied to a strip that changes color based on the amount of luteinizing hormone (LH) present.
3. The testing personnel compare the color change on the strip to a standardized chart to determine the LH levels.

4. Qualifying circumstances

CPT 84830 is used when clinicians order ovulation tests to evaluate infertility and diagnose the cause of amenorrhea. Amenorrhea refers to irregular or absent menstrual periods. LH is a hormone produced by the pituitary gland that stimulates ovulation midway through the menstrual cycle. Therefore, this test is relevant for assessing the patient’s ovulation status and fertility.

5. When to use CPT code 84830

CPT code 84830 should be used when clinicians order ovulation tests to evaluate infertility and diagnose the cause of amenorrhea. It is important to note that this code specifically applies to ovulation tests that use visual color comparison methods for measuring LH levels. If a different method or test is used, a different CPT code may be appropriate.

6. Documentation requirements

To support a claim for CPT 84830, the documentation should include:

• Reason for ordering the ovulation test
• Details of the visual color comparison method used
• Date of the test
• Results of the test, including the LH levels
• Signature of the testing personnel

7. Billing guidelines

When billing for CPT 84830, ensure that the ovulation test was performed using visual color comparison methods for measuring LH levels. It is important to follow the specific guidelines and requirements set by the payer for accurate billing. Additionally, consider any applicable modifiers or additional codes that may need to be reported alongside CPT 84830 for proper reimbursement.

8. Historical information

CPT 84830 was added to the Current Procedural Terminology system on January 1, 1993. There have been no updates or changes to the code since its addition.

9. Examples

1. A clinician orders an ovulation test using visual color comparison methods for a patient experiencing amenorrhea to assess their LH levels and determine the cause of their irregular menstrual periods.
2. A patient undergoing fertility treatment undergoes an ovulation test using visual color comparison methods to monitor their LH levels and determine the optimal timing for conception.
3. A clinician orders an ovulation test using visual color comparison methods for a patient with suspected ovulation issues to evaluate their LH levels and assess their fertility status.
4. A patient with irregular menstrual cycles undergoes an ovulation test using visual color comparison methods to track their LH levels and determine the timing of ovulation.
5. A clinician orders an ovulation test using visual color comparison methods for a patient with infertility concerns to assess their LH levels and determine the potential causes of their difficulty conceiving.
6. A patient with amenorrhea undergoes an ovulation test using visual color comparison methods to evaluate their LH levels and determine the cause of their absent menstrual periods.
7. A clinician orders an ovulation test using visual color comparison methods for a patient undergoing hormone therapy to monitor their LH levels and assess the effectiveness of the treatment.
8. A patient with irregular ovulation patterns undergoes an ovulation test using visual color comparison methods to track their LH levels and determine the optimal timing for conception.
9. A clinician orders an ovulation test using visual color comparison methods for a patient with polycystic ovary syndrome (PCOS) to assess their LH levels and evaluate their fertility status.
10. A patient with amenorrhea undergoes an ovulation test using visual color comparison methods to track their LH levels and determine the potential causes of their irregular menstrual periods.