Data analysis and claim review findings by the Comprehensive Error Rate Testing (CERT) contractor have identified increased errors related to incorrect billing of CPT 85025 and CPT 85027. Providers are billing CPT 85025 when the documentation clearly supports the billing of CPT 85027. CMS regulations state only services ordered by the physician should be performed…
CPT 82565 is a code used for measuring the amount of creatinine in a patient’s blood. This article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT code 82565 procedures. 1. What is CPT 82565? CPT 82565 is a code used by medical professionals…
Thyroid Stimulating Hormone (TSH) plays a crucial role in regulating the thyroid gland’s function, which is responsible for controlling metabolism, growth, and development. Below you can find the CPT codes for TSH, the ICD 10 codes, and the relevant HCPCS codes. We will end the article with modifier usage and ten clinical examples for TSH…
CPT 86480 is a tuberculosis test that measures cell-mediated immunity antigen response to gamma interferon. This article will cover the description, procedure, qualifying circumstances, billing guidelines, documentation requirements, historical information, similar codes, and examples of CPT code 86480 procedures. 1. What is CPT 86480? CPT 86480 is a laboratory test used to evaluate a patient’s…
CPT 85730 is a code used for measuring partial thromboplastin time (PTT) in plasma or whole blood, which helps diagnose bleeding disorders and monitor anticoagulant therapy. This article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 85730 procedures. 1. What is CPT 85730?…
CPT 81000 is a code used for manual urinalysis with microscopy, a diagnostic test that examines urine for various constituents and cellular elements. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 81000 procedures. 1. What is CPT 81000? CPT 81000…
CPT 82274 is a code for fecal occult blood testing using immunoassay methodology, primarily used for colorectal cancer screening or diagnosing lower gastrointestinal tract bleeding. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 82274 procedures. 1. What is CPT 82274?…
CPT 86003 refers to the allergen-specific IgE lab test using crude allergen extract, with quantitative or semiquantitative results. This article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 86003. 1. What is CPT 86003? CPT 86003 is a code used for the laboratory…
CPT 83540 refers to the measurement of iron levels in the body, primarily in serum, and is often used to diagnose conditions such as anemia, leukemia, and chronic liver disease. This article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT code 83540. 1….
CPT 88321 refers to a consultation and report on referred slides prepared elsewhere, typically performed by a pathologist. This article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 88321. 1. What is CPT 88321? CPT 88321 is a medical billing code used to…
