Preventive Medicine: Screening for STIs & HIBC to Prevent STIs

May 9th, 2018 - Find-A-Code™

Categories: CPT^® Coding HCPCS Coding Preventive Medicine Service

Screening for STIs and High Intensity Behavioral Counseling (HIBC) to Prevent STIs

Procedure Codes
86592: Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)
86593: Syphilis test, non-treponemal antibody; quantitative
86631: Antibody; Chlamydia
86632: Antibody; Chlamydia, IgM
86780: Antibody; Treponema pallidum
87110: Culture, chlamydia, any source
87270: Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis
87320: Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; Chlamydia trachomatis
87340: Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; hepatitis B surface antigen (HBsAg)
87341: Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; hepatitis B surface antigen (HBsAg) neutralization
87490: Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique
87491: Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique

87492: Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification
87590: Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique
87591: Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique
87800: Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique
87801: Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique
87810: Infectious agent antigen detection by immunoassay with direct optical observation; Chlamydia trachomatis
87850: Infectious agent antigen detection by immunoassay with direct optical observation; Neisseria gonorrhoeae
96150: Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; initial assessment
96152: Health and behavior intervention, each 15 minutes, face-to-face; individual
96153: Health and behavior intervention, each 15 minutes, face-to-face; group (2 or more patients)
G0445: Semiannual high intensity behavioral counseling to prevent STIs, individual, face-to-face, includes education skills training & guidance on how to change sexual behavior, 30 minutes

Additional Information
G0445, 96150-96153, 86631-86632, 87110, 87270, 87320, 87490-87491, 87810, 87590-87591, 87850, 87800, 86592-96593, 86780, 87340-87341

Coverage is indicated for beneficiaries that meet the following criteria:

Sexually active adolescents and adults at increased risk for STIs
Referred by a primary care provider
Services provided by an eligible primary care provider in a primary care center

ICD-10-CM
G0445: No specific diagnoses
96150-96153, 86631-86632, 87110, 87270, 87320, 87490-87491, 87810, 87590-87591, 87850, 87800, 86592-96593, 86780, 87340-87341: Varies widely, consult your payer

Frequency
G0445: Twice annually
96150-96153, 86631-86632, 87110, 87270, 87320, 87490-87491, 87810, 87590-87591, 87850, 87800, 86592-96593, 86780, 87340-87341: Varies widely, consult your payer

Find-A-Code™ - Preventive Services - The information in this document does not guarantee payment or that included codes meet applicable qualifications as preventive services for all insurances and insurance plans, please consult your payer.

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