Question

what are the cpt codes?

1. A routine finger stick was used to obtain blood as a specimen for a lab test. How should this service be reported? 2. A pregnant patient presented to her OB/GYN's office for her first trimester exam. The OB/GYN ordered the practice's standard "obstetric panel to be performed by the OB/GYN's in-office lab. The panel included the following tests: hepatitis B surface antigen, rubella antibody, qualitative syphilis test, RBC antibody screen, ABO blood typing and Rh (D) blood typing. How would these services be reported? 3. An ED physician ordered the following lab tests: potassium, sodium, ionized calcium, chloride, creatinine, glucose, BUN and carbon dioxide. How would these lab tests be reported? 4. What is the difference between qualitative and quantitative drug testing? 5. A 17 year-old male presents to the ED unconscious. The family suspects that the boy either drank an excessive amount of vodka or took some of his mother's prescription Phenobarbital. Blood was drawn and sent to the lab for testing to determine whether either substance was present in the patient's blood. The lab ran a single drug screen procedure using a multiple drug class chromatographic method (consisting of one stationary phase and one mobile phase). How would these lab test(s) be reported? 6. Same patient as above. The screen revealed the presence of Phenobarbital. Because the patient remained unconscious, the ED physician ordered a follow-up lab test to determine the level of Phenobarbital in the patient's blood. How would the follow-up lab test be reported?

Answer 1

1) CPT Code: 36416, Collection of capillary blood specimen (eg, finger, heel, ear stick)

2) CPT Code: 80081

Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result (87389) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)

3) CPT code: 80047

Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)

4) A qualitative test tells you if a particular substance (analyte) is present in the specimen. A quantitative test tells you how much (the quantity) of an analyte is present.

After the presence of an analyte has been established (which may involve a second, confirmatory test), the amount of the analyte present in the sample then may be measured. For example, you could test for the presence of alcohol in the blood (qualitative), and/or may test for the actual blood alcohol level (quantitative).

CPT Code: 80375

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3

5) CPT Code: 80307

Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service

6) CPT Code: 80184, Phenobarbital Level, Blood.

7) A) CPT Code: 84244, Plasma Renin Activity (PRA).

B) CPT Code: 0007073, Plasma Renin Activity and Aldosterone.

8) CPT 80500, Clinical pathology consultation; limited, without review of patient's history and medical records.

9) A) CPT Code: 81001, Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy

B) CPT Code: 87086, Culture, bacterial; quantitative colony count, urine

10) CPT Code: 88307

Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse

11) CPT Code: 82436, Chloride; urine

Answer 2

1) CPT Code: 36416, Collection of capillary blood specimen (eg, finger, heel, ear stick)

2) CPT Code: 80081

Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result (87389) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)

3) CPT code: 80047

Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)

4) A qualitative test tells you if a particular substance (analyte) is present in the specimen. A quantitative test tells you how much (the quantity) of an analyte is present.

After the presence of an analyte has been established (which may involve a second, confirmatory test), the amount of the analyte present in the sample then may be measured. For example, you could test for the presence of alcohol in the blood (qualitative), and/or may test for the actual blood alcohol level (quantitative).

CPT Code: 80375

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3

5) CPT Code: 80307

Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service

6) CPT Code: 80184, Phenobarbital Level, Blood.

7) A) CPT Code: 84244, Plasma Renin Activity (PRA).

B) CPT Code: 0007073, Plasma Renin Activity and Aldosterone.

8) CPT 80500, Clinical pathology consultation; limited, without review of patient's history and medical records.

9) A) CPT Code: 81001, Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy

B) CPT Code: 87086, Culture, bacterial; quantitative colony count, urine

10) CPT Code: 88307

Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse

11) CPT Code: 82436, Chloride; urine