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CPT 87181: Antimicrobial Susceptibility Testing, Gradient Diffusion
CPT code 87181 represents a laboratory technical procedure to assess a microbial culture isolate’s susceptibility to a specific antimicrobial agent using a gradient diffusion test on an agar plate. This test informs targeted antimicrobial therapy, supports antimicrobial stewardship, and has broad clinical importance for infection management across inpatient and outpatient settings. Nationally, accurate reporting of this code affects laboratory service tracking, quality measurement, and reimbursement for microbiology testing.
Key payers referenced in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for CPT code 87181, typical sites of service, and the service type. The publication outlines expected benchmarks and utilization patterns, common modifier usage, and policy updates relevant to lab billing and documentation where available. The content provides guidance on coding context, operational implications for clinical laboratories, and considerations for payers and compliance teams. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 87181 describes a laboratory procedure in which a lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility to a specific antimicrobial agent using a gradient diffusion test device placed on an agar plate inoculated with the isolate. This procedure determines the antibiotic sensitivity of a microbial isolate and supports targeted antimicrobial therapy.
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Service type: Microbiology antimicrobial susceptibility testing (technical component)
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Typical site of service: Clinical laboratory or hospital microbiology laboratory (inpatient or outpatient lab settings)
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