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CPT 87169: Parasitology Examination Without Microscope
CPT code 87169 denotes a macroscopic parasitology laboratory examination performed without a microscope to identify parasites associated with human disease, such as tapeworms. This procedural code matters nationally because accurate identification of parasitic infections informs patient management, public health reporting, and laboratory service billing across inpatient and outpatient settings. It is relevant to hospital laboratories, reference labs, and clinical diagnostic services that handle gross parasitic specimens.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for macroscopic parasitology exams, common sites of service, and typical use cases. The publication provides benchmarks and billing context where available, clarifies coding scope for laboratory workflows, and notes payer coverage patterns and policy considerations at a national level. Data not available in the input is acknowledged where applicable.
This summary equips laboratory managers, billing professionals, and policy analysts with a concise reference on the purpose and placement of CPT code 87169 within laboratory services, and highlights areas—such as documentation and site of service—that commonly affect coding and reimbursement discussions.
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Billing Code Overview
CPT code 87169 describes a laboratory examination of a parasite associated with human disease performed without the use of a microscope. The service involves a laboratory analyst visually inspecting parasite material to identify organisms such as tapeworms or other macroparasites.
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Service type: Parasitology examination, macroscopic visual inspection
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Typical site of service: Clinical laboratory or laboratory section within a hospital or outpatient facility