CPT code 86696 linked to revenue code 300

Effective September 15, 2014, the Indiana Health Coverage Programs (IHCP) will link CPT code 86696 ‒ Herpes Simplex Type 2 Test to revenue code 300 ‒ Laboratory. This linkage applies retroactively to fee-for-service claims with dates of service (DOS) on or after July 1, 2014. Beginning September 15, 2014, for reimbursement consideration, providers may bill CPT code 86696 and revenue code 300 together, as appropriate. Claims with DOS on or after July 1, 2014, that previously denied for explanation of benefits (EOB) 520 – Invalid revenue code/procedure code combination may be resubmitted for processing.