2025 CPT code 86702
(Active) Effective Date: N/A Revision Date: N/A Laboratory - Immunology Procedures Pathology and Laboratory Procedures Feed
Immunoassay to detect HIV-2 antibodies in serum.
Modifiers may be applicable depending on the specific circumstances of service. Consult the CPT manual for guidance on appropriate modifier use.
Medical necessity for this test is established when there is clinical suspicion of HIV-2 infection based on the patient's symptoms, risk factors, or as part of routine screening guidelines in specific populations (e.g., pregnant women).
The clinical responsibility lies with the laboratory personnel who perform the immunoassay and interpret the results. The ordering physician is responsible for the medical decision-making related to ordering the test and interpreting the results in the context of the patient's clinical presentation.
In simple words: This blood test checks for antibodies to HIV-2, a virus that causes AIDS.The lab uses a special technique to see if these antibodies are present in your blood.A positive result suggests you may have been exposed to HIV-2.
This CPT code, 86702, represents an immunoassay performed to detect the presence of antibodies to Human Immunodeficiency Virus type 2 (HIV-2) in a patient's serum.The procedure involves several steps: reacting the serum specimen with HIV-2 specific antigens, incubating the mixture, and then employing a detection method (e.g., enzyme-linked immunosorbent assay, EIA) to identify the antigen-antibody complex. Results are interpreted as positive, negative, or semi-quantitative. This test aids in the diagnosis or exclusion of HIV-2 infection, a virus that causes Acquired Immunodeficiency Syndrome (AIDS).
Example 1: A patient presents with symptoms suggestive of HIV infection (e.g., unexplained weight loss, fever, lymphadenopathy). The physician orders an HIV-2 antibody test (86702) to determine if HIV-2 is a possible cause., A patient with a history of high-risk behaviors (e.g., intravenous drug use, unprotected sex) is screened for HIV-2 infection using this test (86702) as part of routine risk assessment., A pregnant woman undergoes testing for HIV-2 antibodies (86702) as part of prenatal care to protect the health of both mother and child.
** This code is specific to HIV-2 antibody testing.For HIV-1 antibody testing, or combination HIV-1/HIV-2 testing, different codes apply.Always verify payer-specific coverage and reimbursement policies.
- Revenue Code: T1H (LAB TESTS - OTHER)
- RVU: Information not available in provided data.Consult current Relative Value Units (RVUs) from CMS or your specific payer.
- Global Days: Not applicable to laboratory tests.
- Payment Status: Active
- Modifier TC rule: Technical Component (TC) modifiers are usually not applicable to laboratory tests.
- Fee Schedule: Information not available in provided data. Consult historical CPT fee schedules or your specific payer's historical records.
- Specialties:Infectious Disease, Internal Medicine, Clinical Laboratory
- Place of Service:Office, Hospital, Clinical Laboratory, Outpatient, Other Place of Service (as appropriate)