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CPT 86580: Intradermal Tuberculosis Skin Test
CPT code 86580 denotes an intradermal skin test performed to detect tuberculosis exposure. Nationally, this code represents a common public health and occupational screening procedure used in outpatient clinics, public health departments, and occupational health settings. Accurate coding of this test is important for surveillance, reimbursement tracking, and ensuring appropriate documentation of preventive and diagnostic services.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, information on typical sites of service, and an explanation of why the code matters for billing workflows and capture of TB screening activity. The publication also covers typical payer coverage considerations, common billing modifiers used with procedure codes (list provided), and where to look for supporting diagnosis documentation.
This summary provides a national overview useful for billing staff, clinicians ordering TB screening, and administrators who manage outpatient and occupational health services. Data not available in the input prevents inclusion of payer-specific reimbursement benchmarks or state-level policy variations.
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Billing Code Overview
CPT code 86580 describes an intradermal skin test for tuberculosis administered by a laboratory analyst. The service involves placement of a purified protein derivative (PPD) or other tuberculin preparation intradermally to evaluate for a delayed hypersensitivity reaction indicating prior Mycobacterium tuberculosis exposure.
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Service type: Diagnostic skin testing procedure
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Typical site of service: Outpatient clinic, public health clinic, occupational health clinic, or laboratory setting where intradermal skin tests are performed