86304 Immunoassay tumor ca 125
Also known as: CA 125, carbohydrate antigen 125
Carbohydrate antigen 125 (CA 125) immunoassay quantitatively measures tumor-associated antigen primarily used in ovarian cancer monitoring and diagnosis.
In Plain Language
Ovarian cancer marker; Tumor progression indicator
Clinical Context
Primary tumor marker for epithelial ovarian cancer monitoring and detection of recurrence. Elevated in many cancers and benign conditions limiting diagnostic specificity.
RVU Information
CPT 86304 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 86304?
CPT 86304 (Immunoassay tumor ca 125) is a Pathology & Lab code. Carbohydrate antigen 125 (CA 125) immunoassay quantitatively measures tumor-associated antigen primarily used in ovarian cancer monitoring and diagnosis.
Who uses CPT code 86304?
CPT 86304 is used by Oncology, Gynecology, Clinical Pathology. Primary tumor marker for epithelial ovarian cancer monitoring and detection of recurrence. Elevated in many cancers and benign conditions limiting diagnostic specificity.
When is CPT 86304 used?
Primary tumor marker for epithelial ovarian cancer monitoring and detection of recurrence. Elevated in many cancers and benign conditions limiting diagnostic specificity.
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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.