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Here is an example to help clarify the issue: If a patient presents with signs or symptoms of pregnancy or has had a positive home pregnancy test and is there to confirm pregnancy, this visit may be reported with the appropriate level E/M services code.
Serum pregnancy tests measure human chorionic gonadotropin (hCG) which is produced by placental syncytiotrophoblasts following implantation. hCG is composed of 2 subunits: alpha and beta. The hCG, Total, Quantitative test (test code 8396[X]) detects intact hCG molecules and free beta-subunits of the hCG molecule. The serum hCG test can be positive as early as 7-10 days following conception. However, in some pregnant women, the test is not positive 7-10 days after conception. This is because the time to implantation (and production of hCG) can be longer in some women. So a negative result does not rule out pregnancy, and repeat testing may be indicated. Question 3.