Tuberculosis testing

CPT code 86481 Tuberculosis testing by enumeration of gamma interferon-producing T-cells in cell suspension is open with manual review to providers with appropriate CLIA certification. Use of this code is for high-risk populations from countries of origin with high incidence of TB and/or clients inoculated with BCG. Manual review is required on claims for clients not identified by eligibility as in a high-risk population. Claims deny if within 12 months of paid claim for 86480 (Tuberculosis testing, cell mediated immunity antigen response measurement; gamma interferon).

Source: https://medicaid.utah.gov/Documents/manuals/pdfs/Medicaid Information Bulletins/Traditional Medicaid Program/2016/January2016-MIB.pdf