Test Code Test Name CPT HBCOR Hepatitis B Core Total Antibody 86704 (HBcAb) HBCAB Hepatitis B Core Antibody IgM 86705 (HBcAb IgM) HBSAB Hepatitis B Surface Antibody 86706 (HBsAb) HBEAB Hepatitis Be Antibody 86707 (HBeAb) HEPA2 Hepatitis A Virus Total Antibodies 86708 (HAV) HAV Hepatitis A IgM Antibody 86709 (HAV IgM) HEPC3 Hepatitis C Antibody 86803 (HCV) HBSAG Hepatitis B Surface Antigen 87340 (HBsAg) HBEAG Hepatitis Be Antigen 87350 (HBe Ag) HEPIM Hepatitis Immunity Panel 86704 (HBcAb & HBsAb) 86706 Other CPT Codes that must have supporting ICD-9 codes 86692 Antibody; Hepatitis, Delta Agent 86804 Hepatitis C Antibody Confirmatory Test (eg. Immunoblot) 87341 Infectious Agent Antigen Detection by Enzyme Immunoassay Technique, Qualitative or Semiquantitative, Multiple-Step Method; Hepatitis B Surface Antigen (HBsAg) 87380 Infectious Agent Antigen Detection by Enzyme Immunoassay Technique, Qualitative or Semiquantitative, Multi-Step Method; Hepatitis Delta Agent
Narrative Description ICD9 ABDOMINAL PAIN EPIGASTRIC 789.06 ABDOMINAL PAIN GENERALIZED 789.07 ABDOMINAL PAIN LEFT LOWER QUADRANT 789.04 ABDOMINAL PAIN LEFT UPPER QUADRANT 789.02 ABDOMINAL PAIN OTHER SPECIFIED SITE 789.09 ABDOMINAL PAIN PERIUMBILIC 789.05 ABDOMINAL PAIN RIGHT LOWER QUADRANT 789.03 ABDOMINAL PAIN RIGHT UPPER QUADRANT 789.01 ABDOMINAL PAIN UNSPECIFIED SITE 789.00 ABNORMAL WEIGHT GAIN 783.1 ABSCESS OF LIVER 572.0 ACUTE ALCOHOLIC HEPATITIS 571.1 ACUTE AND SUBACUTE NECROSIS OF LIVER 570 ACUTE HEPATITIS C WITH HEPATIC COMA 070.41 ACUTE HEPATITIS C WITHOUT MENTION OF HEPATIC COMA 070.51 ACUTE RENAL FAILURE UNSPECIFIED 584.9 AFTERCARE INVOLVING EXTRACORPOREAL DIALYSIS V56.0 AFTERCARE INVOLVING OTHER DIALYSIS V56.8 ALCOHOLIC CIRRHOSIS OF LIVER 571.2 ALCOHOLIC FATTY LIVER 571.0 ALCOHOLIC LIVER DAMAGE UNSPECIFIED 571.3 AMYLOIDOSIS, UNSPECIFIED 277.3 AMYLOIDOSIS, UNSPECIFIED 277.30 ANOREXIA 783.0 AUTOIMMUNE HEPATITIS 571.42 BILIARY CIRRHOSIS 571.6 BILIOUS EMESIS 787.04 BUDD CHIARI SYNDROME 453.0 CARRIER OR SUSPECTED CARRIER OF HEPATITIS B V02.61 CARRIER OR SUSPECTED CARRIER OF HEPATITIS C V02.62
CARRIER OR SUSPECTED CARRIER OF OTHER VIRAL HEPATITIS V02.69 CARRIER OR SUSPECTED CARRIER OF VIRAL HEPATITIS UNSPECIFIED V02.60 CHRONIC FATIGUE SYNDROME 780.71 CHRONIC HEPATITIS C WITH HEPATIC COMA 070.44 CHRONIC HEPATITIS C WITHOUT HEPATIC COMA 070.54 CHRONIC HEPATITIS UNSPECIFIED 571.4 CHRONIC KIDNEY DISEASE, STAGE III (MODERATE) 585.3 CHRONIC KIDNEY DISEASE, STAGE IV (SEVERE) 585.4 CHRONIC KIDNEY DISEASE, STAGE V 585.5 CHRONIC PERSISTENT HEPATITIS 571.41 CHRONIC VIRAL HEPATITIS B WITH HEPATIC COMA WITH HEPATITIS DELTA 070.23 CHRONIC VIRAL HEPATITIS B WITH HEPATIC COMA WITHOUT HEPATITIS DELTA 070.22 CHRONIC VIRAL HEPATITIS B WITHOUT HEPATIC COMA WITH HEPATITIS DELTA 070.33 CHRONIC VIRAL HEPATITIS B WITHOUT HEPATIC COMA WITHOUT HEPATITIS DELTA 070.32 CIRRHOSIS OF LIVER WITHOUT ALCOHOL 571.5 COLIC 787.7 COMPLEX FEBRILE CONVULSIONS 780.32 COMPLICATIONS OF TRANSPLANTED LIVER 996.82 CONTACT OR EXPOSURE TO OTHER VIRAL DISEASES V01.79 CORNEAL ULCER UNSPECIFIED 370.00* DELAYED MILESTONES 783.42 DISORDERS OF COPPER METABOLISM 275.1 DISORDERS OF COPPER METABOLISM 275.1 DISORDERS OF IRON METABOLISM 275.0 DISORDERS OF PORPHYRIN METABOLISM 277.1 DISORDERS OF PORPHYRIN METABOLISM 277.1 END STAGE RENAL DISEASE 585.6 ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE WITH BLEEDING 456.2
ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE WITHOUT BLEEDING 456.21 ESOPHAGEAL VARICES WITH BLEEDING 456.0 ESOPHAGEAL VARICES WITHOUT BLEEDING 456.1 FAILURE TO THRIVE 783.41 FAMILIAL MEDITERRANEAN FEVER 277.31 FAMILIAL MEDITERRANEAN FEVER 277.31 FEBRILE CONVULSIONS (SIMPLE), UNSPECIFIED 780.31 FEEDING DIFFICULTIES AND MISMANAGEMENT 783.3 HEPATIC COMA 572.2 HEPATITIS DELTA WITHOUT ACTIVE HEPATITIS B DISEASE OR HEPATIC COMA 070.52 HEPATITIS DELTA WITHOUT ACTIVE HEPATITIS B DISEASE WITH HEPATIC COMA HEPATITIS DELTA WITH HEPATITIS B CARRIER STATE 070.42 HEPATITIS E WITH HEPATIC COMA 070.43 HEPATITIS E WITHOUT HEPATIC COMA 070.53 HEPATITIS IN OTHER INFECTIOUS DISEASES CLASSIFIED ELSEWHERE 573.2 HEPATITIS IN VIRAL DISEASES CLASSIFIED ELSEWHERE 573.1 HEPATITIS UNSPECIFIED 573.3 HEPATORENAL SYNDROME 572.4 HUMAN IMMUNODEFICIENCY VIRUS (HIV) DISEASE 042 IDIOPATHIC FIBROSING ALVEOLITIS 516.3 JAUNDICE UNSPECIFIED NOT OF NEWBORN 782.4 LICHEN PLANUS 697.0 LOSS OF WEIGHT 783.21 MONONEURITIS MULTIPLEX 354.5 NAUSEA ALONE 787.02 NAUSEA WITH VOMITING 787.01 NEPHRITIS AND NEPHROPATHY NOT SPECIFIED AS ACUTE OR CHRONIC WITH LESION OF MEMBRANOUS GLOMERULONEPHRITIS 583.1 NONSPECIFIC ABNORMAL RESULTS OF FUNCTION STUDY OF LIVER 794.8 NONSPECIFIC ELEVATION OF LEVELS OF TRANSAMINASE OR LACTIC ACID DEHYDROGENASE (LDH) 790.4
OBSERVATION AND EVALUATION FOR SUSPECTED EXPOSURE TO OTHER BIOLOGICAL AGENT V71.83* OTHER AMYLOIDOSIS 277.39 OTHER CHRONIC HEPATITIS 571.49 OTHER CHRONIC NONALCOHOLIC LIVER DISEASE 571.8 OTHER MALAISE AND FATIGUE 780.79 OTHER PARAPROTEINEMIAS 273.2 OTHER SEQUELAE OF CHRONIC LIVER DISEASE 572.8 OTHER SERUM REACTION NOT ELSEWHERE CLASSIFIED 999.5 OTHER SPECIFIED DISORDERS OF LIVER 573.8 OTHER SPECIFIED EXAMINATION V72.85* OTHER SPECIFIED LOCAL INFECTIONS OF SKIN AND SUBCUTANEOUS TISSUE 686.8 OTHER SPECIFIED VIRAL HEPATITIS WITH HEPATIC COMA 070.49 OTHER SPECIFIED VIRAL HEPATITIS WITHOUT HEPATIC COMA 070.59 OTHER SYMBOLIC DYSFUNCTION 784.69 PERSONAL HISTORY OF EXPOSURE TO POTENTIALLY HAZARDOUS BODY FLUIDS V15.85 PERSONAL HISTORY OF MALIGNANT NEOPLASM OF LIVER V10.07 POLYARTERITIS NODOSA 446.0 POLYDIPSIA 783.5 POLYPHAGIA 783.6 PORTAL HYPERTENSION 572.3 PORTAL PYEMIA 572.1 PORTAL VEIN THROMBOSIS 452 RENAL DIALYSIS STATUS V45.11 SHORT STATURE 783.43 UNDERWEIGHT 783.22 UNSPECIFIED CHRONIC LIVER DISEASE WITHOUT ALCOHOL 571.9 UNSPECIFIED DISORDER OF LIVER 573.9 UNSPECIFIED LACK OF NORMAL PHYSIOLOGICAL DEVELOPMENT 783.40 UNSPECIFIED VIRAL HEPATITIS C WITH HEPATIC COMA 070.71 UNSPECIFIED VIRAL HEPATITIS C WITHOUT HEPATIC COMA 070.70
UNSPECIFIED VIRAL HEPATITIS WITH HEPATIC COMA 070.6 UNSPECIFIED VIRAL HEPATITIS WITHOUT HEPATIC COMA 070.9 VIRAL HEPATITIS A WITH HEPATIC COMA 070.0 VIRAL HEPATITIS A WITHOUT HEPATIC COMA 070.1 VIRAL HEPATITIS B WITH HEPATIC COMA ACUTE OR UNSPECIFIED WITH HEPATITIS DELTA 070.21 VIRAL HEPATITIS B WITH HEPATIC COMA ACUTE OR UNSPECIFIED WITHOUT HEPATITIS DELTA 070.20 VIRAL HEPATITIS B WITHOUT HEPATIC COMA ACUTE OR UNSPECIFIED WITH HEPATITIS DELTA 070.31 VIRAL HEPATITIS B WITHOUT HEPATIC COMA ACUTE OR UNSPECIFIED WITHOUT HEPATITIS DELTA 070.30 VOMITING ALONE 787.03
ICD Codes Numerical Order 042 070.0 070.1 070.20 070.21 070.22 070.23 070.30 070.31 070.32 070.33 070.41 070.42 070.43 070.44 070.49 070.51 070.52 070.53 070.54 070.59 070.6 070.70 070.71 070.9 273.2 275.0 275.1 275.1 277.1 277.1 277.3 277.30 277.31 277.31 277.39 354.5 370.00* 446.0 452 453.0 456.0 456.1 456.2 456.21 516.3 570 571.0 571.1 571.2 571.3 571.4 571.41 571.42 571.49 571.5 571.6 571.8 571.9 572.0 572.1 572.2 572.3 572.4 572.8 573.1 573.2 573.3 573.8 573.9 583.1 584.9 585.3 585.4 585.5 585.6 686.8 697.0 780.31 780.32 780.71 780.79 782.4 783.0 783.1 783.21 783.22 783.3 783.40 783.41
783.42 783.43 783.5 783.6 784.69 787.01 787.02 787.03 787.04 787.7 789.00 789.01 789.02 789.03 789.04 789.05 789.06 789.07 789.09 790.4 794.8 996.82 999.5 V01.79 V02.60 V02.61 V02.62 V02.69 V10.07 V15.85 Viral Hepatitis Serology Tests ICD Codes Numerical Order V45.11 V56.0 V56.8