Billing and Coding: CPT Code 87641 (Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique)
J6 · Effective Apr 1, 2026
1 active Medicare policy lists Z11.8, and 5 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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5 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of Z11.8 |
|---|---|---|
| Diagnosis of Vaginitis | Jan 3, 2024 | Covered |
| Herpes Simplex Virus - Screening and Diagnosis | Aug 22, 2023 | Covered |
| Polymerase Chain Reaction Testing: Selected Indications | Feb 9, 2024 | Covered |
| Policy | Effective | Status of Z11.8 |
|---|---|---|
| Testing for Select Genitourinary Conditions | Not recorded | Covered |
| Policy | Effective | Status of Z11.8 |
|---|---|---|
| Transvaginal Ultrasound, Non-Obstetrical |
| Mar 15, 2026 |
| Not covered |