2025 CPT code 87539
(Active) Effective Date: N/A Revision Date: N/A Laboratory - Microbiology Procedures Pathology and Laboratory Procedures Feed
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed.
Modifiers 59 (distinct procedural service) and 91 (repeat clinical diagnostic laboratory test) are applicable as per CPT guidelines.
Medical necessity for this test is established when a patient presents with symptoms suggestive of HIV-2 infection, requires diagnosis confirmation, or when monitoring the viral load is necessary to assess treatment response in patients already diagnosed with HIV-2.
The clinical responsibility lies with the laboratory performing the test.The physician orders the test, interprets the results, and incorporates them into the patient's overall care plan.
In simple words: This lab test measures the amount of HIV-2 virus in a sample of your blood.It helps doctors monitor how well treatment is working.
This CPT code encompasses the laboratory quantification of HIV-2 in a patient specimen using nucleic acid (DNA or RNA) detection methods.The procedure includes reverse transcription if performed, where a complementary DNA strand is synthesized from an RNA template. The test measures the amount of HIV-2 viral load present in the sample, typically blood serum.Results provide valuable information for monitoring disease progression and treatment response.
Example 1: A patient with a history of HIV-2 infection is undergoing regular viral load monitoring to assess treatment efficacy.The physician orders test code 87539 to quantify the amount of HIV-2 present in the patient's blood serum. The results will help guide treatment adjustments if necessary., A patient presents with symptoms suggestive of HIV-2 infection.After initial screening, the physician orders code 87539 to confirm the diagnosis and determine the viral load. The result will help determine the stage of infection and guide treatment decisions., A patient already diagnosed with HIV-2 is experiencing a suspected treatment failure.The physician orders code 87539 to assess the viral load.A significantly increased viral load would confirm treatment failure, prompting a change in medication or treatment strategy.
* Physician's order specifying the test (code 87539).* Patient's demographic information and medical history.* Proper specimen collection and handling procedures documented.* Complete and accurate laboratory report including quantitative results.* Date and time of specimen collection.
** This code should not be used in conjunction with molecular diagnostic codes (e.g., 81161, 81200-81408).
- Revenue Code: T1H (LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE))
- Payment Status: Active
- Specialties:Infectious Disease, Clinical Microbiology, Virology
- Place of Service:Laboratory