CPT^® 80050, Under Organ or Disease Oriented Panels

The Current Procedural Terminology (CPT^®) code 80050 as maintained by American Medical Association, is a medical procedural code under the range - Organ or Disease Oriented Panels.

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Summary

The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the general health panel specifically as a screening, so the panel code would not apply when the clinician orders the component tests for diagnostic purposes.

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LABS DONE AT DIFFERENT LOCATIONS

When billing 85025, 80053, and 84443 the guidance is to bill panel code 80050 instead. However, what happens when the cbc/85025 was done at the doctor's office but the rest of the rest were sent to o... [ Read More ]

LAB BUNDLING

If you are billing for the 80050, all three are included ( 84443, 80053 , 85025). If one is missing, it should be billed accordingly. In your case, if the outside lab is only performing the test for t... [ Read More ]

LAB BUNDLING

For years our Internists used an outside lab that we did billing for. Our docs interpreted all the results except for path samples and we billed the insurance for these outside labs. Recently, they pu... [ Read More ]

Kidney Health Eval for Patients - Ethnicity related question diabetes egfr fna adequacy hedis kidney kidney health evaluation

Hello, Is anyone familiar with including a code relating to ethnicity for the eGFR lab? This would be for kidney evaluation using the blood and urine for diabetic patient screenings. If anyone is f... [ Read More ]

CLIA Exempt Lab List

[QUOTE="jkyles@decisionhealth.com, post: 501607, member: 269282"] Hi there, try here. [URL]https://qcor.cms.gov/CLIA_wizard.jsp?which=4&report=active_CLIA.jsp[/URL] If you are looking for labs that h... [ Read More ]

80050

I know Medicare does not pay for the 80050, but I am having denials from an advantage plan for the individual codes - they are saying that they should be bundled. Has anyone else billed MAP the 80050... [ Read More ]

LAB bundling and place of service

BC denying CPT 80050

What was the reason for the denial that BC gave you? Denials can be for many different reasons. My guess in the situation you're giving here would be that 80050 is not a covered preventive care be... [ Read More ]

BC denying CPT 80050

Does anyone know why BC is denying CPT 80050? They paid it last year. I am using diagnosis code Z00.00. Any input would be greatly appreciated.... [ Read More ]

BCBS CO spine denials/ requesting I use a different code

Radiology isn't my specialty, but in reviewing the coding I think I would agree with the medical director's decision here. I can't find any direction in CPT or the supporting guidance that specifies ... [ Read More ]

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