HealthCare News

State Covered Laboratory Services (Update to HealthCare News #389)

Issue: #395 JUL2017

Topic: Coding/Billing


Blue Cross Blue Shield of North Dakota (BCBSND) has determined that CPT® Code 86780, (Antibody; Treponema, pallidum) identifies different lab tests. When a screening lab test is performed for the EIA/CIA (reverse algorithm), CPT® Code 86780 must be billed with modifier 33 to differentiate this test from the TP-PA or other Treponema test provided at no charge by the North Dakota Department of Health (NDDOH).