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CPT 86750: Plasmodium Antibody Immunoassay
CPT code 86750 designates a laboratory immunoassay for detection of antibodies to Plasmodium, the parasite that causes malaria. This serologic assay supports clinical diagnosis when parasitemia is low, for epidemiologic investigations, or when supplemental testing for malaria exposure is needed. Nationally, standardized reporting and appropriate laboratory coding for infectious disease serology are important for surveillance, billing consistency, and public health tracking.
Key payers in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of what CPT code 86750 represents, the clinical context for ordering the test, expected sites of service, and typical considerations for laboratory-based infectious disease testing. The publication summarizes benchmarking concepts, common reimbursement considerations, and relevant policy or coding updates where available.
This summary provides a national perspective useful to laboratory managers, billing professionals, and clinicians seeking clarity on the clinical role and billing identity of CPT code 86750. Data not available in the input is noted where applicable in detailed sections.
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Billing Code Overview
CPT code 86750 describes a laboratory immunoassay procedure performed by a lab analyst to evaluate a patient’s serum for antibodies to Plasmodium (the malaria parasite). This test is a serologic antibody assay used to detect immune response to Plasmodium species.
Service Type: Laboratory — Infectious Disease Serology
Typical Site of Service: Clinical laboratory or hospital laboratory