How To Use CPT Code 89230

CPT 89230 describes the procedure of sweat collection by iontophoresis, which involves using an electric current to introduce salts into the body. 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 89230?

CPT 89230 can be used to describe the procedure of sweat collection by iontophoresis. This involves an analyst performing technical steps to collect sweat for a sweat test, typically used to evaluate patients for cystic fibrosis (CF). The analyst applies a small amount of liquid that stimulates sweat production on a patch of skin, places an electrode over the patch, and applies an electric current to stimulate the area. The sweat is then collected for testing.

2. Official Description

The official description of CPT code 89230 is: ‘Sweat collection by iontophoresis.’

3. Procedure

1. An analyst performs technical steps to collect sweat for a sweat test.
2. The analyst places a small amount of liquid that stimulates sweat production on a patch of skin.
3. An electrode is placed over the patch.
4. An electric current is applied to stimulate the area for a few minutes.
5. The electrode is removed, and the sweat is collected from the area for about 30 minutes onto a piece of gauze or paper for testing.

4. Qualifying circumstances

CPT 89230 is typically used to evaluate patients for cystic fibrosis (CF), a genetic disease causing frequent respiratory infections. It may also be ordered for patients with a family history of CF, excessively salty sweat, chronic cough, or recurrent respiratory infections.

5. When to use CPT code 89230

CPT code 89230 should be used when performing sweat collection by iontophoresis for the purpose of evaluating patients for cystic fibrosis or other related conditions. It should not be used for other purposes or procedures.

6. Documentation requirements

To support a claim for CPT 89230, the documentation should include:

• Reason for performing the sweat collection procedure
• Details of the procedure, including the use of iontophoresis and the specific area where sweat was collected
• Duration of the sweat collection process
• Any relevant findings or observations during the procedure
• Signature of the analyst performing the procedure

7. Billing guidelines

When billing for CPT 89230, ensure that the procedure performed is sweat collection by iontophoresis. It should not be reported with other codes unless there are additional services provided. Follow the appropriate coding guidelines and modifiers if necessary.

8. Historical information

CPT 89230 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates or changes to the code since its addition.

9. Examples

1. An analyst performing sweat collection by iontophoresis to evaluate a patient with a family history of cystic fibrosis.
2. A clinician ordering sweat collection by iontophoresis for a patient with excessively salty sweat and recurrent respiratory infections.
3. An analyst performing sweat collection by iontophoresis to evaluate a patient with chronic cough and a suspected respiratory condition.
4. A patient undergoing sweat collection by iontophoresis to assess their respiratory health due to a history of respiratory infections.
5. A clinician ordering sweat collection by iontophoresis for a patient with symptoms suggestive of cystic fibrosis.
6. An analyst performing sweat collection by iontophoresis to evaluate a patient with a persistent cough and a family history of cystic fibrosis.
7. A patient undergoing sweat collection by iontophoresis to assess their respiratory health after experiencing recurrent respiratory infections.
8. A clinician ordering sweat collection by iontophoresis for a patient with excessively salty sweat and a suspected respiratory condition.
9. An analyst performing sweat collection by iontophoresis to evaluate a patient with a chronic cough and a family history of respiratory conditions.
10. A patient undergoing sweat collection by iontophoresis to assess their respiratory health due to a history of respiratory symptoms.