87164 Insurance Policy Changes

CPT 87164, in plain terms, covers A microscope test using special lighting to look for spiral-shaped bacteria in body fluid samples. CPT 87164 is referenced in 4 tracked payer policy changes from Harvard Pilgrim Health Care, Capital Blue Cross, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 87164 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 87164 on AAPC