2025 CPT code 86706
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Laboratory - Immunology Procedures Pathology and Laboratory Procedures Feed
Qualitative or semiquantitative immunoassay for Hepatitis B surface antibody (HBsAb).
Modifiers may apply depending on the circumstances of service and payer requirements.Common modifiers include those related to technical component (TC) vs professional component (26), place of service (POS), and multiple testing scenarios (e.g., modifier 91 for repeat testing).
Medical necessity for this test is established when there is clinical suspicion of Hepatitis B infection based on the patient's symptoms, history, or exposure risk. The test is also medically necessary to assess immunity following Hepatitis B vaccination. Documentation should support the clinical indication for the test.
The clinical responsibility lies with the laboratory analyst who performs the technical aspects of the immunoassay, including specimen preparation, test execution, result interpretation, and reporting.
- Pathology and Laboratory Procedures
- Immunology Procedures > Qualitative or Semiquantitative Immunoassays
In simple words: This lab test checks your blood for antibodies to Hepatitis B. Antibodies show if you've had Hepatitis B in the past or if you are immune after a vaccine. The results will be positive, negative, or show a partial amount.
This CPT code represents a qualitative or semiquantitative immunoassay used to detect the presence of Hepatitis B surface antibody (HBsAb) in a patient's serum.The test employs methods such as enzyme-linked immunosorbent assay (ELISA) to analyze the serum sample and determine the presence of HBsAb. Results are reported as positive, negative, or with a semiquantitative value.This test is crucial in diagnosing past or current Hepatitis B infection and assessing immunity following vaccination.
Example 1: A patient presents with symptoms suggestive of Hepatitis B, and the physician orders the 86706 test to confirm the presence or absence of HBsAb, aiding in the diagnosis of current or past infection., An individual who received the Hepatitis B vaccine several months prior undergoes testing using code 86706 to verify the development of immunity, indicated by the presence of HBsAb., As part of a comprehensive liver function panel, a patient's blood is tested for HBsAb using 86706.The results are used to assess overall liver health and rule out any potential Hepatitis B-related complications.
* Physician's order specifying the test (86706).* Patient demographics and unique identifier.* Date and time of specimen collection.* Proper specimen labeling and handling.* Test results (positive, negative, or semiquantitative value).* Interpretation of results by qualified personnel.* Supporting clinical information (patient history, symptoms).
** Always ensure accurate documentation and proper coding practices align with current CPT guidelines, payer policies, and medical necessity requirements. Consult the official CPT codebook for the most up-to-date information.
- Revenue Code: T1H (LAB TESTS - OTHER)
- RVU: Information not available in provided sources.Consult the current year's CPT codebook or your payer's fee schedule for RVU information.
- Global Days : Not applicable.
- Payment Status: Active
- Modifier TC rule: Modifier 26 (Professional Component) might apply if the physician interprets results and there is a separate technical component billed by the lab.
- Fee Schedule : Historical fee schedule information not available in provided sources. Contact your payer or refer to a historical CPT codebook for this data.
- Specialties:Infectious Disease, Gastroenterology, Hepatology, Internal Medicine
- Place of Service:Office, Hospital (Inpatient/Outpatient), Laboratory, Ambulatory Surgical Center