2025 CPT code 86023
(Active) Effective Date: N/A Revision Date: N/A Laboratory - Immunology Procedures Pathology and Laboratory Procedures Feed
Analysis of platelet-associated immunoglobulins in a blood sample.
Modifiers may apply depending on the specific circumstances of service.Consult CPT guidelines for appropriate modifiers.
Medical necessity for this test is established when a patient presents with symptoms suggestive of thrombocytopenia (e.g., easy bruising, bleeding) and the physician needs to determine the underlying cause.The test is essential to distinguish between immune-mediated and non-immune thrombocytopenia, influencing treatment decisions.
The clinical responsibility lies with the ordering physician who interprets the results to make a diagnosis and treatment plan. The laboratory technician performs the technical aspects of the test.
In simple words: This lab test checks for antibodies attached to platelets in a blood sample. Platelets help stop bleeding, and low platelet counts can cause excessive bruising or bleeding.This test helps doctors find out why someone might have low platelets.
This CPT code encompasses the technical component of the laboratory procedure to identify and quantify platelet-associated immunoglobulins (PAIg) in a patient's blood sample.The test assesses the presence and levels of immunoglobulins bound to platelets, aiding in the diagnosis and management of thrombocytopenia (low platelet count). Different methods may be used, such as immunofluorescent assay or enzyme-linked immunosorbent assay (ELISA), to determine the type and amount of PAIg present. The results help distinguish between immune-mediated and non-immune causes of thrombocytopenia.
Example 1: A patient presents with easy bruising and prolonged bleeding after minor injuries.A complete blood count (CBC) reveals thrombocytopenia. The physician orders code 86023 to determine if the low platelet count is due to immune-mediated destruction., A patient with a history of autoimmune disease experiences recurrent episodes of thrombocytopenia.Code 86023 is used to monitor platelet-associated immunoglobulin levels and assess the effectiveness of treatment., A pregnant woman develops thrombocytopenia. Code 86023 is used to differentiate between gestational thrombocytopenia and immune thrombocytopenic purpura (ITP) to guide management decisions.
* Physician's order specifying the test.* Patient's complete blood count (CBC) results showing thrombocytopenia.* Detailed clinical history including symptoms, medications, and relevant past medical history.* Laboratory report with detailed results of the platelet-associated immunoglobulin assay, including the method used (e.g., flow cytometry, ELISA).
** Additional information may be needed to specify the type of immunoglobulin(s) analyzed or the specific method used for the assay. Refer to the specific laboratory's test report for details.
- Revenue Code: T1H (LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE))
- RVU: Information not available in source.
- Global Days: Not applicable to laboratory tests.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier is applicable to laboratory procedures.
- Fee Schedule: Information not available in source.
- Specialties:Hematology, Oncology, Immunology
- Place of Service:Laboratory, Hospital