CPT code 80061 describes a lipid panel test that measures total cholesterol, HDL cholesterol, and triglycerides in a patient’s blood and is used to evaluate cardiovascular risk and monitor lipid levels over time.
What Is CPT Code 80061?
CPT code 80061 describes a lipid panel test. This test is a comprehensive assessment of a patient’s lipid profile and includes the measurement of various lipids present in the blood.
A healthcare provider usually orders CPT 80061 to help assess cardiovascular disease risk and monitor the patient’s lipid levels over time.
The description of the code 80061 states that the lipid panel must include the following:
- CPT 82465: Cholesterol, serum, total
- CPT 83718: Lipoprotein, direct measurement, high-density cholesterol (HDL cholesterol)
- CPT 84478: Triglycerides
The CPT book describes CPT code 80061 as: “Lipid panel.
This panel must include the following:
- Cholesterol, serum, total (CPT 82465);
- Lipoprotein, direct measurement, high-density cholesterol (HDL cholesterol) (CPT 83718); and
- Triglycerides (CPT 84478).”
The lipid panel test is a standard blood test used to assess a patient’s lipid profile and includes measuring the levels of various lipids present in the blood.
Lipids are a diverse biomolecule essential for various bodily functions, including energy storage, cell membrane structure, and hormone synthesis. Among the lipids commonly measured in a lipid panel test are cholesterol and triglycerides.
Cholesterol is a steroid alcohol found in the bloodstream and is a vital component of cell membranes and hormones.
However, high cholesterol levels in the blood can lead to a buildup of plaque in the blood vessels, increasing the risk of cardiovascular disease.
Therefore, it is essential to measure cholesterol levels to monitor cardiovascular health regularly.
On the other hand, triglycerides are fat found in the blood. They are an essential energy source for the body, but high triglycerides can also increase the risk of cardiovascular disease, particularly when combined with high cholesterol levels.
The lipid panel test is typically performed using a serum sample and is collected by the lab analyst utilizing a needle to withdraw blood from a vein.
The serum sample is then analyzed in a laboratory to determine the levels of various lipids in the blood.
How To Use CPT 80061
CPT 80061 can only be used if the panel includes the following three components:
- CPT 82465 for total cholesterol measures the overall amount of cholesterol in the blood.
- CPT 83718, for HDL cholesterol. This type of cholesterol is referred to as “good” cholesterol because it helps remove excess cholesterol from the bloodstream and reduces the risk of cardiovascular disease.
- CPT 84478 for triglyceride measures the amount of this type of fat present in the blood.
When billing for a lipid panel test, it’s important to note that some payers may have separate reimbursement policies for collecting the specimen. CPT 36415 may be used to bill for the blood sample collection in the test.
When reporting the CPT code for the lipid panel test, make sure that the lab analyst has performed every test included in the panel’s code definition.
If fewer tests than listed in the panel code have been performed, it’s appropriate to bill for each test individually instead of using the panel code.
If more tests than listed in the panel code have been performed, it’s best to bill CPT code 80061 along with the other CPT codes for the additional tests.