Find policies, billing codes, payers, states, and providers
CPT 87185: Enzyme Detection for Antimicrobial Susceptibility Testing
CPT code 87185 denotes a laboratory technical procedure to evaluate a cultured organism’s susceptibility to antimicrobial agents by detecting enzyme production (for example, beta-lactamase) that can render certain antibiotics ineffective. This molecular/biochemical susceptibility test is central to guiding targeted antimicrobial therapy, supporting antimicrobial stewardship, and informing infection control practices across inpatient and outpatient settings. Nationally, accurate reporting of such diagnostic codes affects laboratory billing, public health surveillance, and clinical decision support.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find context on clinical purpose and typical sites of service, an outline of what this code represents for laboratory workflows, and direction on where to find additional billing and policy guidance. The publication addresses benchmark considerations and policy updates relevant to laboratory reimbursement and documentation practices, and clarifies the clinical role of enzyme-detection susceptibility testing in informing antibiotic selection.
The report is intended for laboratory managers, billing professionals, hospital administrators, and clinicians who need a concise reference to the clinical meaning and billing context of CPT code 87185 for national practice settings. Data not available in the input are noted where applicable.
Customize your policy alerts
Sign up for cpt 87185 policy alerts
Get alerted when payer policies referencing 87185 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 87185 describes a laboratory procedure in which a lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility to antimicrobial agents by detecting organism production of a specific enzyme (for example, beta-lactamase) that interferes with certain antibiotics. This is a microbiology susceptibility or resistance test focused on enzyme-mediated antibiotic interference.
-
Service type: Laboratory diagnostic susceptibility testing (technical component)
-
Typical site of service: Clinical microbiology laboratory or hospital laboratory performing culture-based antimicrobial susceptibility testing
Data not available in the input for payers, associated taxonomies, ICD-10 diagnoses, and related codes.