2025 CPT code 87623
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Laboratory - Microbiology Procedures Pathology and Laboratory Procedures Feed
Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (e.g., 6, 11, 42, 43, 44).
Modifiers 59 and 91 are applicable under specific circumstances as described in CPT guidelines.Other modifiers may be applicable depending on the specific clinical scenario and payer requirements.
Medical necessity for HPV DNA testing is typically established by the presence of clinical symptoms suggestive of HPV infection (such as genital warts) or as part of routine STI screening in high-risk populations.
The clinical responsibility lies with the laboratory analyst who performs the technical steps involved in HPV detection using nucleic acid techniques.
In simple words: This lab test checks for low-risk types of the human papillomavirus (HPV) using a DNA or RNA test.This helps determine if certain types of HPV are present.
This CPT code, 87623, represents the laboratory procedure for detecting low-risk types of Human Papillomavirus (HPV) using nucleic acid (DNA or RNA) detection methods.The test identifies the presence of specific HPV types such as 6, 11, 42, 43, and 44.Nucleic acid probes are utilized to identify the virus based on its genetic material. This procedure is typically performed by a laboratory analyst and helps assess the presence of low-risk HPV strains.
Example 1: A patient presents with genital warts.The physician orders an HPV DNA test to identify the specific type(s) of HPV present to guide treatment., A routine screening for sexually transmitted infections (STIs) is conducted, and the physician includes an HPV DNA test to check for low-risk HPV types., A patient is undergoing follow-up after treatment for genital warts. The physician orders an HPV DNA test to monitor the effectiveness of the treatment.
* Physician's order specifying the test (HPV DNA testing for low-risk types).* Patient's demographic information (name, date of birth, medical record number).* Specimen collection information (date, time, collection method, site).* Results of the HPV DNA test, indicating the specific types detected.
** Ensure proper specimen collection and handling to maintain the integrity of the sample for accurate results.The specific HPV types tested may vary depending on the laboratory's test panel.
- Revenue Code: T1H (LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE))
- RVU: Information not available in provided text.Consult current fee schedules for RVU information.
- Global Days: Not applicable. This is a laboratory test, not a surgical procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable. This is a laboratory test, not a procedure with technical and professional components.
- Fee Schedule: Information not available in provided text. Consult historical CPT fee schedules for relevant data.
- Specialties:Obstetrics and Gynecology, Family Medicine, Infectious Disease, Pathology
- Place of Service:Office, Hospital, Laboratory