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Reimbursement and Coding Considerations CPT 86803 is commonly covered for preventive screening and diagnostic evaluation Coverage depends on medical necessity, risk factors, and payer guidelines Confirmatory testing (such as HCV RNA testing) is billed separately if needed Proper diagnosis coding is required to support medical necessity or preventive screening Verify payer-specific policies for Hepatitis C screening and laboratory testing Accurate coding and documentation help ensure proper reimbursement and reduce claim denials

doi:10.1002/mco2.200 Dzaye O, Razavi AC, Blaha MJ, Mortensen MB