CPT code 87305 linked to revenue codes 302 and 306

Effective August 8, 2014, the Indiana Health Coverage Programs (IHCP) will link CPT® code 87305 – Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Aspergillus to the following revenue codes:

• 302 – Laboratory-Immunology
• 306 – Laboratory-Bacteriology and Microbiology

These linkages apply retroactively to fee-for-service claims with dates of service (DOS) on or after July 1, 2014. Beginning August 8, 2014, for reimbursement consideration, providers may bill procedure code 87305 and revenue code 302 or 306 together, as appropriate, for DOS on or after July 1, 2014. Claims for procedure code 87305 billed with revenue code 302 or 306 for DOS on or after July 1, 2014, which previously denied for explanation of benefits (EOB) 520 – Invalid revenue code and procedure code combination, may be resubmitted.