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Hepatitis C Virus (HCV) Antibody With Reflex to Quantitative Real-time PCR. TEST: 144050. CPT: 86803. If reflex test is performed, additional CPT codes may apply. Print Share Include LOINC® in print. Special Instructions. If reflex testing is performed, additional charges/CPT codes may apply.
Procedural Codes for Ordering or Billing for Hepatitis C Tests. 86803 – Hepatitis C antibody ; 86804 – Hepatitis C antibody; confirmatory test (e.g., immunoblot) 87520 – Infectious agent detection by nucleic acid (DNA or RNA); hepatitis c, direct probe technique
If Hepatitis C Antibody is reactive or borderline, then Hepatitis C Viral RNA, Quantitative, Real-Time PCR will be performed at an additional charge (CPT code(s): 87522).
Hepatitis C. Test Includes. Hepatitis A Virus (HAV) Antibody, Total with reflex to IgM [144226]; Hepatitis B Virus (HBV) Screening and Diagnosis [144473]; Hepatitis C Virus (HCV) Antibody with reflex to Quantitative Real-time PCR [144050] Special Instructions. If reflex test is performed, additional charges/CPT code (s) may apply.
Test Details. Includes. If Hepatitis C Antibody is reactive or borderline, then Hepatitis C Viral RNA, Quantitative, Real-Time PCR will be performed at an additional charge (CPT code (s): 87522).
The codes reflect our interpretation of CPT coding requirements based upon AMA guidelines published annually. CPT codes are provided only as guidance to assist clients with billing. ARUP strongly recommends that clients confirm CPT codes with their Medicare administrative contractor, as requirements may differ.
For patients with acute or recent HCV infections (<3 months from time of exposure) or are repeatedly reactive by screening tests and should be confirmed by a more HCV-specific test, order HCVQN / Hepatitis C Virus (HCV) RNA Detection and Quantification by Real-Time Reverse Transcription-PCR, Serum.
For testing such patients with or without risk factors for hepatitis C virus (HCV) infection, order HCSRN / Hepatitis C Virus (HCV) Antibody Screen with Reflex to HCV RNA, PCR, Asymptomatic, Serum.
The following is a selected list of Current Procedural Terminology (CPT) codes that may be used in the management of patients with HCV. For additional codes, please consult the AMA’s CodeManager®. a This HCPCS code is used for patients covered by Medicare and other payers following Medicare guidelines.
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering. Ordering Restrictions may apply. Please provide SERVICE AREA INFORMATION to find available tests you can order.