H. pylori Testing Reimbursement

The following CPT* codes may describe the procedure performed:
 
83013: Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (e.g., C-13)

83014: Helicobacter pylori; drug administration

The 2010 Medicare Clinical Laboratory Fee Schedule, with a state-by-state fee schedule, can be downloaded from http://www.cms.hhs.gov/ClinicalLabFeesched/02_clinlab.asp

 

* The use of these codes does not guarantee payment.

Use of the CPT Codes 83013 and 83014 can vary depending on site of service considerations, as well as state law, which may regulate the provision and billing of diagnostic and clinical lab tests, and insurance carriers.  It is the physician's and lab's responsibility to submit claims in full compliance with insurer requirements and state/federal law.

Exalenz assumes no responsibility for the consequences related to the use of information above. All codes presented in this document are for informational purposes only.  Healthcare providers must follow specific insurers' coding and billing instructions and must report the codes that most accurately reflect the patient's condition and the medically necessary
service(s) provided.  The information above does not constitute legal advice.

All five-digit numeric CPT codes, descriptions, instructions an guidelines are Copyright 2009 of the American Medical Association.