How To Use CPT Code 86376

CPT 86376 describes the analysis of microsomal antibodies, such as liver, kidney, or thyroid antibodies, using a technical test performed by a lab analyst. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 86376?

CPT 86376 can be used to describe the analysis of microsomal antibodies, including liver, kidney, or thyroid antibodies, using a technical test performed by a lab analyst. This code is used when the lab analyst performs all steps of the technical analysis to detect and measure the quantity or functional activity of these antibodies in a patient’s serum sample.

2. Official Description

The official description of CPT code 86376 is: ‘Microsomal antibodies (eg, thyroid or liver-kidney), each.’

3. Procedure

1. The lab analyst performs a technical test to analyze a patient’s serum sample for microsomal antibodies, such as liver, kidney, or thyroid antibodies.
2. The technical analysis may involve methods like enzyme-linked immunosorbent assay (ELISA) or electrochemiluminescence assay (ECLIA) to detect and measure the quantity or functional activity of the antibodies.
3. The lab analyst identifies and quantifies the specific microsomal antibodies present in the patient’s sample.
4. The results of the analysis are recorded and reported to the healthcare provider for further interpretation and diagnosis.

4. Qualifying circumstances

CPT 86376 is used when there is a clinical suspicion of liver disease, hypothyroidism, or the need to monitor the progression of these diseases. The test is ordered by a healthcare provider to detect and measure the presence of microsomal antibodies, such as liver, kidney, or thyroid antibodies, in a patient’s serum sample.

5. When to use CPT code 86376

CPT code 86376 should be used when a lab analyst performs a technical test to analyze a patient’s serum sample for microsomal antibodies, such as liver, kidney, or thyroid antibodies. This code is appropriate when there is a clinical indication for testing and the healthcare provider orders the test to aid in the diagnosis or monitoring of liver disease or hypothyroidism.

6. Documentation requirements

To support a claim for CPT 86376, the healthcare provider must document the following information:

• Clinical indication for testing, such as suspected liver disease or hypothyroidism
• Date of the test
• Results of the analysis, including the presence and quantity of microsomal antibodies
• Signature of the lab analyst who performed the test

7. Billing guidelines

When billing for CPT 86376, ensure that the test is performed by a lab analyst and that the results are reported to the healthcare provider. This code should be reported separately for each microsomal antibody analyzed. There are no specific guidelines regarding reporting CPT 86376 with other codes.

8. Historical information

CPT 86376 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A lab analyst performs a technical test to analyze a patient’s serum sample for liver-kidney microsomal antibodies.
2. A healthcare provider orders a test to detect and measure thyroid peroxidase antibodies in a patient’s serum sample.
3. A lab analyst performs an analysis to identify and quantify kidney antibodies in a patient’s serum sample.
4. A patient with suspected liver disease undergoes a test to detect and measure liver antibodies in their serum sample.
5. A healthcare provider orders a test to monitor the progression of hypothyroidism by analyzing thyroid antibodies in a patient’s serum sample.
6. A lab analyst performs a technical test to detect and measure microsomal antibodies in a patient’s serum sample, aiding in the diagnosis of a specific autoimmune disease.
7. A patient with suspected kidney disease undergoes a test to detect and measure kidney antibodies in their serum sample.
8. A healthcare provider orders a test to detect and measure liver-kidney microsomal antibodies in a patient’s serum sample, aiding in the diagnosis of a specific autoimmune liver disease.
9. A lab analyst performs an analysis to identify and quantify thyroid antibodies in a patient’s serum sample, aiding in the diagnosis of a specific thyroid disorder.
10. A patient with suspected autoimmune disease undergoes a test to detect and measure multiple specific antibodies in their serum sample.