CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
Enter a CPT code or keyword to search
Search Results
Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 86803
Related Codes Table
| Code | Description |
|---|---|
| 86804 | Hepatitis C RNA, Qualitative Real-Time PCR |
| 80074 | Acute Hepatitis Panel |
| 87522 | Infectious Agent Antigen Detection by Immunoassay Technique |
| 80076 | Hepatitis Panel/Acute with Confirmation |
| 86709 | Hepatitis C Virus RNA Detection by Probe Technique |
Commonly Billed With
CPT 86803 is commonly billed with CPT codes 80061 (Lipid Panel) and 36415 (Routine Venipuncture).
Clinical Scenarios
Scenario 1: Initial Screening for Hepatitis C Infection
In this scenario, CPT code 86803 is used for the initial screening of Hepatitis C infection in a high-risk individual.
Scenario 2: Monitoring Treatment Response
CPT code 86803 may be used to monitor the response to treatment in a patient undergoing therapy for Hepatitis C.
Scenario 3: Preoperative Testing
In preoperative settings, CPT code 86803 can be utilized to assess the Hepatitis C status of a patient before surgery.
Scenario 4: Blood Donation Screening
Blood donation centers often use CPT code 86803 to screen potential donors for Hepatitis C infection.
Scenario 5: Routine Health Check-up
CPT code 86803 may be included in routine health check-ups to screen for Hepatitis C in asymptomatic individuals.
FAQ Section
Q: Can CPT 86803 detect active Hepatitis C infection?
A: No, CPT 86803 detects antibodies to the Hepatitis C virus, indicating past or current exposure.
Q: Is prior fasting required before undergoing the test with CPT code 86803?
A: No, fasting is not required for the Hepatitis C antibody test (CPT 86803).
Q: How soon after exposure can Hepatitis C antibodies be detected with CPT 86803?
A: It may take several weeks to months for the body to produce detectable antibodies after exposure to the virus.
Q: Can a positive result from CPT 86803 confirm active Hepatitis C infection?
A: A positive result from the antibody test (CPT 86803) requires further testing to confirm active infection.
Q: Are there any specific post-test instructions following a Hepatitis C antibody test (CPT 86803)?
A: Post-test counseling and follow-up testing may be recommended based on the results of the antibody test.
Add CPT Lookup to Your Desktop
Install this free AI tool on your desktop for quick access to accurate CPT codes anytime.