87391 Hiv-2 ag ia
What 87391 is
CMS fee schedule short descriptor: Hiv-2 ag ia.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 87391 (CY2026)
This code has no Physician Fee Schedule rate: Statutory exclusion - not payable under the Physician Fee Schedule. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps 87391 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 87391? These codes are bundled into it
87391 is a Column 1 code in 4 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
87206 | Smear fluorescent/acid stai | 1 - modifier may bypass | Check pair |
88346 | Imfluor 1st 1antb stain px | 1 - modifier may bypass | Check pair |
88350 | Imfluor ea addl 1antb stn px | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
87391 is bundled into these codes
87391 appears as a Column 2 code in 2 active edits. Reported with one of these Column 1 codes on the same date of service, 87391 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
87147 | Culture type immunologic | 1 | Check pair |
87253 | Virus inoculate tissue addl | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.