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87467 Hepatitis b surface ag quan

What 87467 is

CMS fee schedule short descriptor: Hepatitis b surface ag quan.

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 87467 (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.

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Medically Unlikely Edit (MUE)

Medicare caps 87467 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 87467? These codes are bundled into it

87467 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 codeShort descriptionModifier indicator
87340Hepatitis b surface ag ia0 - no modifier bypassCheck pair
87341Hep b surface ag neutrlzj ia0 - no modifier bypassCheck pair
88346Imfluor 1st 1antb stain px1 - modifier may bypassCheck pair
88350Imfluor ea addl 1antb stn px1 - modifier may bypassCheck pair

87467 is bundled into these codes

87467 appears as a Column 2 code in 5 active edits. Reported with one of these Column 1 codes on the same date of service, 87467 is the code that denies.

Column 1 codeShort descriptionModifier indicator
80074Acute hepatitis panel0Check pair
80081Obstetric panel inc hiv tstg0Check pair
87147Culture type immunologic1Check pair
87253Virus inoculate tissue addl1Check pair
G0499Hepb screen high risk indiv0Check 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.