ffriesen Posted May 19, 2011 Share Posted May 19, 2011 Does anyone use CPT code 86885. If so, in what circumstances do you use this code? (86885=Coombs test, indirect, qual). Link to comment Share on other sites More sharing options...
Bill Posted May 19, 2011 Share Posted May 19, 2011 I don't do the CPT codes in my current position, but previouly I used this for tube antibody screen (for each cell), autocontrol, tube AHG xmatch, tube ID panel (each cell). What code do you use for gel for these--is/are there specific codes for gel? Link to comment Share on other sites More sharing options...
ffriesen Posted May 19, 2011 Author Share Posted May 19, 2011 We use 86850 for the antibody screen, 86870 for antibody ID, and 86922 for antiglobulin crossmatch. There is no differentiation for gel techniques that I'm aware of. Link to comment Share on other sites More sharing options...
Bill Posted May 20, 2011 Share Posted May 20, 2011 That leaves autocontrol and other antigen types that are AHG tests. Link to comment Share on other sites More sharing options...
AFiddler Posted May 20, 2011 Share Posted May 20, 2011 My understanding is that 86885 is for the manual tube antibody screen and 86850 is for the PEG screen. PEG pays a lot more. Link to comment Share on other sites More sharing options...
AMcCord Posted December 21, 2011 Share Posted December 21, 2011 We use 86885 for antibody ID, each selected reagent cell. If we need to run a few extra cells for rule outs, not another full panel, this is the charge we use - 86885 X number of selected extra reagent cells. Link to comment Share on other sites More sharing options...
bmarotto Posted December 21, 2011 Share Posted December 21, 2011 We do the same but billing has received some payment refusals saying 86885 and 86850 (antibody screen) are mutually exclusive. I have explained to the best of my ability, including showing charge sheets from our reference lab with charges for 86850 along with multiple 86885 (selected cell) charges. Has anyone else had this problem? Billing said they need to add a modifier. Link to comment Share on other sites More sharing options...
AMcCord Posted December 22, 2011 Share Posted December 22, 2011 Apparently we haven't had any reimbursement rejections - yet - as I haven't heard anything from billing. I'll keep my fingers crossed, though. Link to comment Share on other sites More sharing options...
BBK710 Posted December 23, 2011 Share Posted December 23, 2011 We use 86885 for antibody ID, each selected reagent cell. If we need to run a few extra cells for rule outs, not another full panel, this is the charge we use - 86885 X number of selected extra reagent cells.We do the same. I have noticed that our reference lab no longer charges the 86870 AB ID/each panel and media. They just charge the 86885 for each selected cell. Sometimes we are charged for 25+ cells. I have not heard that we have had any problem with these charges going through. Link to comment Share on other sites More sharing options...
tupton Posted June 13, 2013 Share Posted June 13, 2013 Thread back from the dead.......... I just recently had an issue from the coders at my facility concerning 86885. They say I can only bill 3 of code 86885 per day. The problem is with reference lab testing. On AB ID's we get billed for 20+. If anyone has more input, I would welcome it. Thanks Link to comment Share on other sites More sharing options...
BBfuntimes Posted October 15, 2015 Share Posted October 15, 2015 (edited) That leaves autocontrol and other antigen types that are AHG tests.86885 specifies "indirect, qualitative, each reagent red cell", if you are doing an auto control and antigen typing, you are not using "reagent red cells". I do not believe this is the correct CPT code for thoses tests. There are two CPT codes for antigen typing: one for donor cells (86902) and one for the patient (86905). Edited October 15, 2015 by BBfuntimes Link to comment Share on other sites More sharing options...
Joanne P. Scannell Posted October 16, 2015 Share Posted October 16, 2015 Thread back from the dead.......... I just recently had an issue from the coders at my facility concerning 86885. They say I can only bill 3 of code 86885 per day. The problem is with reference lab testing. On AB ID's we get billed for 20+. If anyone has more input, I would welcome it. ThanksTranslate/Calculate them to 'panels' and bill 'per panel'. catchmenow51 1 Link to comment Share on other sites More sharing options...
Joanne P. Scannell Posted October 16, 2015 Share Posted October 16, 2015 Thread back from the dead.......... I just recently had an issue from the coders at my facility concerning 86885. They say I can only bill 3 of code 86885 per day. The problem is with reference lab testing. On AB ID's we get billed for 20+. If anyone has more input, I would welcome it. ThanksAnything over 3 cells is a panel = bill for a panel. Link to comment Share on other sites More sharing options...
BBfuntimes Posted October 19, 2015 Share Posted October 19, 2015 Anything over 3 cells is a panel = bill for a panel.Where do you find what specifies a panel? Thanks! Link to comment Share on other sites More sharing options...
goodchild Posted October 27, 2015 Share Posted October 27, 2015 Where do you find what specifies a panel? Thanks!Perhaps this is kind of cheating but we go with our primary panel = 11 cells. If reference lab charges 20 selected cells we calculate two panels. Link to comment Share on other sites More sharing options...
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