86301 Immunoassay tumor ca 19-9
Also known as: CA 19-9, carbohydrate antigen 19-9
Carbohydrate antigen 19-9 (CA 19-9) immunoassay quantitatively measures tumor-associated antigen elevated in gastrointestinal cancers, particularly pancreatic and colon cancer.
In Plain Language
Pancreatic cancer marker; Gastrointestinal tumor indicator
Clinical Context
Elevated in pancreatic, gastric, and colorectal cancers. Used for monitoring treatment response and detecting recurrence. Not specific for cancer diagnosis.
RVU Information
CPT 86301 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 86301?
CPT 86301 (Immunoassay tumor ca 19-9) is a Pathology & Lab code. Carbohydrate antigen 19-9 (CA 19-9) immunoassay quantitatively measures tumor-associated antigen elevated in gastrointestinal cancers, particularly pancreatic and colon cancer.
Who uses CPT code 86301?
CPT 86301 is used by Oncology, Gastroenterology, Clinical Pathology. Elevated in pancreatic, gastric, and colorectal cancers. Used for monitoring treatment response and detecting recurrence. Not specific for cancer diagnosis.
When is CPT 86301 used?
Elevated in pancreatic, gastric, and colorectal cancers. Used for monitoring treatment response and detecting recurrence. Not specific for cancer diagnosis.
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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.