Procalcitonin Assay Added as a Benefit

Effective for dates of service on or after July 1, 2017, CPT code 84145 (procalcitonin [PCT]) assay is a new benefit. It is indicated in any of the following clinical situations: determine if antibiotic treatment should be started or stopped in recipients with lower respiratory tract infections; determine if an antibiotic should be stopped in recipients with sepsis; aid the risk assessment of critically ill recipients on their first day of intensive care unit (ICU) admission for progression to severe sepsis and septic shock and determine the change in PCT level over time as an aid in assessing the cumulative 28-day risk of all-cause mortality in conjunction with other laboratory findings and clinical assessments for recipients diagnosed with severe sepsis or septic shock in the ICU or when obtained in the emergency department or other medical wards prior to ICU admission.

SOURCE: General Medicine | June 2017 | Bulletin 516
INDUSTRY NEWS TAGS: California Medi Cal

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