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CPT 87101: Mycology Culture and Identification from Skin, Hair, or Nail
CPT code 87101 covers laboratory mycology culture and identification from skin, hair, or nail specimens, reporting organism identification to the least specific level (for example, genus). This code matters nationally because fungal skin, hair, and nail infections are common outpatient and inpatient diagnostic concerns that drive laboratory utilization and affect antimicrobial management. Major payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise overview of clinical context for fungal cultures, typical sites of service, and common billing considerations tied to CPT code 87101. The publication summarizes benchmarks for laboratory utilization and reimbursement patterns, highlights relevant coding and billing nuances for labs and hospital laboratories, and outlines policy or payer updates that affect coverage and claim adjudication. It also provides guidance on where CPT code 87101 sits among related laboratory services and what operational stakeholders should expect when ordering or processing these tests. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 87101 describes a laboratory procedure in which a lab analyst performs a culture using material from skin, hair, or nail and identifies any isolated fungus to the least specific level, such as genus. This service is a microbiology mycology culture and identification procedure.
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Service type: Laboratory diagnostic mycology culture and organism identification
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Typical site of service: Clinical laboratory or hospital laboratory setting
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