BCBS Kansas – Identification of Microorganisms Using Nucleic Acid Testing

REVISIONS effective 8/25/2022

Updated Description Section \ Updated Policy Section:

• Section E: “The Respiratory Virus Panel …may be considered medically necessary.”
  • Removed termed codes: 0098U, 0099U, 0100U
  • Added: 87636, 87637, 0225U, 0240U, 0241U

Updated Rationale Section / Updated Coding Section:

• Added CPT/HCPCS codes: 87563, 87636, 87637, 0225U, 0240U, 0241U
• Removed Coding Bullets
  • CPT codes 87797, 87798, and 87799 describe the use of direct probe, amplified probe, and quantification, respectively, for infectious agents not otherwise specified. A discussion of every infectious agent that might be detected with a probe technique is beyond the scope of this policy.
• Removed ICD-10 codes and replaced with “An appropriate ICD-10 diagnosis code should be used when reporting Identification of Microorganisms Using Nucleic Acid Testing”

Source: https://www.bcbsks.com/medical-policies/identification-microorganisms-using-nucleic-acid-testing