How To Use CPT Code 80299

CPT code 80299 describes the quantitation of therapeutic drugs that do not have a specific code. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 80299?

CPT 80299 can be used to report therapeutic drug quantitation procedures that do not have a specific code. This code is used when there is no other specific procedure or service code available to accurately represent the service provided.

2. Official Description

The official description of CPT code 80299 is: ‘Quantitation of therapeutic drug, not elsewhere specified.’

3. Procedure

1. The lab analyst performs therapeutic drug quantitation procedures that are not represented by any of the standard and active CPT codes available.

4. Qualifying circumstances

There are no specific qualifying circumstances for CPT code 80299. This code is used when there is no other specific code available to accurately describe the therapeutic drug quantitation procedure performed.

5. When to use CPT code 80299

CPT code 80299 should be used when there is no other specific code available to accurately represent the therapeutic drug quantitation procedure performed. It is important to note that this code should only be used when there is no other appropriate code that closely approximates the service provided.

6. Documentation requirements

To support a claim for CPT code 80299, it is important to include a cover letter explaining the reason for choosing the unlisted code instead of a defined, active code. The cover letter should also include one or more similar codes and compare the service provided to those codes to justify the claim amount being billed. Additionally, relevant documentation such as operative notes should be included to strengthen the claim and avoid possible denial.

7. Billing guidelines

When billing for CPT code 80299, it is important to follow the guidelines provided by the payer. Each payer may have specific requirements for reporting unlisted procedure codes. It is recommended to include a cover letter explaining the reason for using the unlisted code and provide supporting documentation to justify the claim amount being billed.

8. Historical information

CPT code 80299 was added to the Current Procedural Terminology system on January 1, 1993. The code was later changed on January 1, 2015 to its current description of ‘Quantitation of therapeutic drug, not elsewhere specified.’

9. Examples

1. A lab analyst performs a therapeutic drug quantitation procedure for a drug that does not have a specific code available.
2. A patient requires quantitation of a therapeutic drug that is not covered by any of the standard CPT codes.
3. A physician orders a therapeutic drug quantitation procedure for a drug that does not have a specific code.
4. A lab technician performs a therapeutic drug quantitation procedure using a methodology that is not represented by any of the standard CPT codes.
5. A patient’s medication requires quantitation, but there is no specific code available for the drug.
6. A healthcare provider performs a therapeutic drug quantitation procedure for a drug that does not have a specific code in the CPT system.
7. A lab analyst quantitates a therapeutic drug using a methodology that is not covered by any of the standard CPT codes.
8. A patient’s medication needs to be quantitated, but there is no specific code for the drug in the CPT system.
9. A physician orders a therapeutic drug quantitation procedure for a drug that does not have a specific code available.
10. A lab technician performs a therapeutic drug quantitation procedure for a drug that is not represented by any of the standard CPT codes.