86294 Immunoassay tumor qualitative
Also known as: Tumor marker qualitative, tumor antigen screen
Immunoassay tumor antigen qualitative test detects the presence of tumor-associated antigens using immunoassay methodology without quantitative measurement.
In Plain Language
Cancer marker detection; Tumor protein screening
Clinical Context
Screens for tumor-associated antigens useful in cancer diagnosis, prognosis, and monitoring. Positive results require quantitative follow-up and clinical correlation.
RVU Information
CPT 86294 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
Lab and pathology codes require an order from the treating provider with clinical indication. For molecular pathology and genetic testing, document the specific analytes tested and clinical rationale.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the Pathology & Lab category, 94% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code 86294?
CPT 86294 (Immunoassay tumor qualitative) is a Pathology & Lab code. Immunoassay tumor antigen qualitative test detects the presence of tumor-associated antigens using immunoassay methodology without quantitative measurement.
Who uses CPT code 86294?
CPT 86294 is used by Oncology, Clinical Pathology, Immunology. Screens for tumor-associated antigens useful in cancer diagnosis, prognosis, and monitoring. Positive results require quantitative follow-up and clinical correlation.
When is CPT 86294 used?
Screens for tumor-associated antigens useful in cancer diagnosis, prognosis, and monitoring. Positive results require quantitative follow-up and clinical correlation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.