CellSearch: Coding and Claim Submission Guidelines
CellSearch™ is an FDA-approved in vitro diagnostic device for serial monitoring of metastatic disease, marketed by Veridex.
Claims for CellSearch must include:
- CPT code 86152 – Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood)
- In the rare instances in which a physician performs a formal interpretation and report, and not the laboratory technologist/laboratory scientist, submit CPT code 86153– physician interpretation and report.
- Enter '1' in the Days/Unit field
- The appropriate ICD-9-CM code appropriate for the diagnosed metastatic disease
- Enter 'CellSearch' in the comment/narrative field:
- Electronic claims: Loop 2400, NTE02, or SV101-7 field (note: if the claim includes both CPT codes 86152 and 86153, submit this information for both claim detail lines)
- Paper claims: submit 'CellSearch' in Block 19
Note: CGS will consider all other cell enumeration technologies investigational and noncovered by Medicare.

