CPT Code 87624 | Description, Procedure & Billing Guidelines (2022)
The 87624 CPT code can be billed for lab tests to detect high-risk human papillomavirus in patients with nucleic acid detection.
1. What Is CPT Code 87624?
CPT 87624 covers a test performed by a lab analyst to find out if HPV (human papillomavirus) is present in a patient.
The test is performed with nucleic acid detection for high-risk types. Examples are types 68, 59, 58, 56, 52, 51, 45, 39, 35, 33, 31, 18, and 16.
2. Description
The description for CPT 87624 can be found in the CPT book and is as follows: “Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68).”
3. Procedure
The lab analyst performs this procedure to detect high-risk types of human papillomavirus. You can find examples of these high-risk types in the official description of CPT 87624 above.
The 87624 CPT code procedure starts with a lab analyst performing the technical steps necessary for detecting human papillomavirus with nucleic acid detection tests.
A nucleic acid detection test identifies the RNA or DNA of microorganisms. This allows the assessment of treatment response.
4. How To Use CPT Code 87624
Use CPT 87624 only for high-risk HPV types. Use CPT 87626 if you report low-risk HPV types.
You can use CPT 87625 instead of CPT 87624 if you report the same service but only for types 16, 18, and 45.
4.1 Can CPT 87624 And 87625 Be Billed Together?
No, you can not report CPT 87624 and CPT 87625 together. Report CPT 87624 only if both low-risk and high-risk HPV types are performed.
5. Resources
https://provider.amerigroup.com/docs/gpp/TN_CAID_HEDISBenchmarksQualityCare.pdf?
