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Ask a Rev Cycle Expert: CPT® 0097U Replacement Option?

Question:

Our clinical lab was billing for 0097U code which was deleted on 3/31/2022. Do you have any suggestions on replacement codes?

Answer:

According to the MolDX site, Current Procedural Terminology (CPT®) code 87999 Unlisted microbiology procedure should be used to report the panel. Other panels for testing gastrointestinal (GI) panels only go up to 25 targets, the unlisted code would be appropriate.

Disclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. It is not intended to take the place of either the written policies or regulations. We encourage you to review the specific regulations and other interpretive materials as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).