Current Procedural Terminology (CPT) codes are used to report medical procedures and services to payers for reimbursement. A specific diagnostic evaluation assessing small intestinal bacterial overgrowth (SIBO) utilizes a breath test. The assignment of the correct numeric identifier is critical for accurate billing and claims processing when this test is performed.
Appropriate coding ensures healthcare providers receive proper compensation for the resources and expertise involved in conducting and interpreting the SIBO breath test. Accurate code selection avoids claim denials and facilitates efficient revenue cycle management. Historically, consistent application of standard coding practices has been essential for tracking the prevalence and management of conditions like SIBO across different healthcare settings.