How To Use CPT Code 86707

CPT 86707 describes the laboratory procedure for evaluating a patient’s specimen, typically serum, for hepatitis Be antibody. 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 86707?

CPT 86707 can be used to describe the laboratory procedure performed by a lab analyst to test a patient’s serum for hepatitis Be antibody. This test is specific to the Be antibody, which is produced by the body in response to an acute hepatitis B infection. Clinicians often use this test to monitor the effectiveness of treatment for hepatitis B.

2. Official Description

The official description of CPT code 86707 is: ‘Hepatitis Be antibody (HBeAb).’ This code represents the laboratory procedure performed to evaluate a patient’s specimen for the presence of hepatitis Be antibody.

3. Procedure

1. The lab analyst receives the patient’s specimen, typically serum, for testing.
2. The analyst performs an immunoassay, such as enzyme-linked immunosorbent assay (ELISA), to detect the presence of hepatitis Be antibody in the specimen.
3. The test may involve various steps, including reacting the specimen with test antigens, incubating the mixture, adding an agent to detect the antigen-antibody complex, and interpreting the results.
4. The results of the test are reported as positive, negative, or as a semiquantitative value.

4. Qualifying circumstances

CPT 86707 is typically ordered by clinicians to monitor treatment progress in patients diagnosed with hepatitis B. It is also ordered if a patient exhibits symptoms such as general ill health, continuous mild fever, body aches, loss of appetite, nausea, vomiting, dark urine, or jaundice. Additionally, patients with high-risk behaviors for hepatitis, such as intravenous drug use, unprotected sex with multiple partners, or being a healthcare worker, may be candidates for this test.

5. When to use CPT code 86707

CPT code 86707 should be used when a clinician orders a laboratory test to evaluate a patient’s serum for hepatitis Be antibody. This test is specific to the Be antibody and is used to monitor treatment progress in patients with hepatitis B.

6. Documentation requirements

To support a claim for CPT 86707, the clinician must document the following information:

• Reason for ordering the test, such as monitoring treatment progress or evaluating symptoms
• Date the specimen was collected
• Results of the test, reported as positive, negative, or as a semiquantitative value
• Signature of the clinician ordering the test

7. Billing guidelines

When billing for CPT 86707, ensure that the laboratory procedure was performed to evaluate a patient’s specimen for hepatitis Be antibody. This code should not be reported with other codes for different hepatitis antigens or antibodies. It is important to use the correct code based on the specific test being performed.

8. Historical information

CPT 86707 was added to the Current Procedural Terminology system on January 1, 1998. There have been no updates to the code since its addition.

9. Examples

1. A clinician orders CPT 86707 to monitor the treatment progress of a patient diagnosed with hepatitis B.
2. A patient with high-risk behaviors for hepatitis undergoes CPT 86707 to evaluate their serum for hepatitis Be antibody.
3. A clinician orders CPT 86707 for a patient exhibiting symptoms of hepatitis, such as continuous mild fever and loss of appetite.
4. A healthcare worker undergoes CPT 86707 as part of routine screening for hepatitis B.
5. A clinician orders CPT 86707 to evaluate the serum of a patient with general ill health and persistent symptoms.
6. A patient with a history of intravenous drug use undergoes CPT 86707 to assess their risk for hepatitis B infection.
7. A clinician orders CPT 86707 to monitor the treatment progress of a patient with hepatitis B and assess the effectiveness of the prescribed medication.
8. A patient with a recent exposure to hepatitis B undergoes CPT 86707 to determine if they have developed the Be antibody.
9. A clinician orders CPT 86707 for a patient with persistent symptoms of hepatitis, such as dark urine and jaundice.
10. A patient with a history of unprotected sex with multiple partners undergoes CPT 86707 to assess their risk for hepatitis B infection.