86430 Rheumatoid factor test qualitative
Also known as: RF qualitative, rheumatoid factor screen
Rheumatoid factor test qualitative detection determining presence or absence of rheumatoid factor in serum without quantification.
In Plain Language
arthritis antibody test; rheumatoid test
Clinical Context
Initial screening for rheumatoid factor to evaluate patients with suspected rheumatoid arthritis. Positive results suggest autoimmune disease but lack specificity; quantitative testing often follows positive screens.
RVU Information
CPT 86430 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 86430?
CPT 86430 (Rheumatoid factor test qualitative) is a Pathology & Lab code. Rheumatoid factor test qualitative detection determining presence or absence of rheumatoid factor in serum without quantification.
Who uses CPT code 86430?
CPT 86430 is used by Rheumatology, Immunology, Pathology. Initial screening for rheumatoid factor to evaluate patients with suspected rheumatoid arthritis. Positive results suggest autoimmune disease but lack specificity; quantitative testing often follows positive screens.
When is CPT 86430 used?
Initial screening for rheumatoid factor to evaluate patients with suspected rheumatoid arthritis. Positive results suggest autoimmune disease but lack specificity; quantitative testing often follows positive screens.
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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.