CPT 0064U: Syphilis Total & RPR Immunoassay Panel
CPT code 0064U is a Proprietary Laboratory Analyses (PLA) CPT code for the BioPlex™ 2200 Syphilis Total & RPR Assay, a single immunoassay panel that measures total treponemal antibody and non-treponemal rapid plasma reagin (RPR) antibody to support syphilis diagnosis and treatment management. PLA codes like 0064U identify manufacturer‑ or lab‑specific tests and matter nationally because they affect laboratory billing transparency, payer coverage decisions, and the integration of novel diagnostics into clinical pathways.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a compact review of what 0064U represents clinically, the typical site of service, and which payers commonly evaluate coverage for PLA laboratory tests. The publication outlines benchmarks and policy-relevant considerations such as PLA code implications for claims processing, how payers may apply coverage criteria for proprietary syphilis assays, and typical billing contexts in which 0064U appears. Clinical context on the assay’s dual treponemal and non‑treponemal targets is included to clarify when the test is used in diagnosis and treatment monitoring.
Data not available in the input includes specific payer coverage policies, reimbursement rates, detailed denial patterns, associated taxonomies, and ICD-10 diagnosis pairings.
Customize your policy alerts
Sign up for cpt 0064U policy alerts
Get alerted when payer policies referencing 0064U are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 0064U is a Proprietary Laboratory Analyses (PLA) code for the BioPlex™ 2200 Syphilis Total & RPR Assay from Bio–Rad® Laboratories. This single immunoassay panel evaluates both total treponemal antibody and non-treponemal rapid plasma reagin (RPR) antibody in a patient specimen to aid in syphilis diagnosis or treatment management.
Service Type: Laboratory—serologic infectious disease testing (syphilis panel)
Typical Site of Service: Clinical laboratory or reference laboratory performing diagnostic serologic testing.