CPT 87593: Orthopoxvirus Nucleic Acid Probe Test
CPT code 87593 represents an amplified nucleic acid probe test performed on patient specimens (for example, skin-lesion swabs) to detect orthopoxvirus nucleic acids, including monkeypox virus. This molecular diagnostic code is nationally relevant for public health surveillance, outbreak response, and clinical diagnosis of suspected orthopoxvirus infections. Laboratories use this test to confirm viral presence and guide infection-control actions.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for use of the test, typical sites of service, and the kinds of benchmarks and policy considerations that affect coverage and billing for molecular infectious-disease diagnostics. The publication addresses reimbursement benchmarks, common billing modifiers encountered in practice, and coding considerations relevant to laboratory and hospital billing workflows.
The content is intended to inform laboratory administrators, billing professionals, and policy analysts about how CPT code 87593 is used in practice, what payers commonly cover, and where to look for policy updates that affect testing for orthopoxviruses. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 87593 policy alerts
Get alerted when payer policies referencing 87593 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 87593 describes a laboratory test that uses an amplified nucleic acid probe to detect nucleic acids (DNA or RNA) of an orthopoxvirus, such as monkeypox virus, from a patient specimen (for example, a skin-lesion swab). This is a molecular diagnostic procedure performed on collected clinical specimens to identify viral genetic material.
-
Service type: Molecular diagnostic testing (amplified nucleic acid probe test)
-
Typical site of service: Clinical laboratory or hospital laboratory receiving skin–lesion swabs or similar patient specimens
Data not available in the input.