How To Use CPT Code 80366

CPT 80366 describes the measurement or detection of pregabalin, a drug used to treat nerve pain and seizures, in a patient specimen. 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 80366?

CPT 80366 can be used to measure or detect the presence of pregabalin in a patient specimen. This code is used when a lab analyst performs a test using methodologies such as liquid chromatography to separate and analyze the pregabalin substance in the specimen. The test may be quantitative, qualitative, or a combination of both.

2. Official Description

The official description of CPT code 80366 is: ‘Measurement or detection of pregabalin.’

3. Procedure

1. The lab analyst receives a patient specimen, which can be urine, plasma, or serum.
2. The lab analyst performs a test using methodologies such as liquid chromatography to separate and analyze the pregabalin substance in the specimen.
3. The test may be quantitative, measuring the exact amount of pregabalin, or qualitative, showing whether the specimen is positive or negative for pregabalin.
4. The lab analyst may use a combination of quantitative and qualitative methods to provide a comprehensive analysis of the pregabalin substance in the specimen.

4. Qualifying circumstances

CPT 80366 can be ordered by clinicians to help diagnose whether a patient has taken an overdose of pregabalin or to determine whether a patient is complying with a prescribed regimen. It is not limited to testing for a specific condition.

5. When to use CPT code 80366

CPT code 80366 should be used when there is a need to measure or detect the presence of pregabalin in a patient specimen. It is appropriate to bill this code when the lab analyst performs the test using methodologies such as liquid chromatography and provides a quantitative, qualitative, or combination analysis of the pregabalin substance.

6. Documentation requirements

To support a claim for CPT 80366, the lab analyst must document the following information:

• Patient’s information and the type of specimen used (urine, plasma, or serum)
• Methodology used for the test, such as liquid chromatography
• Date and time of the test
• Results of the test, including quantitative measurements or qualitative findings
• Signature of the lab analyst performing the test

7. Billing guidelines

When billing for CPT 80366, ensure that the test is performed by a lab analyst using appropriate methodologies such as liquid chromatography. There are no specific guidelines regarding reporting CPT code 80366 with other codes. However, it is important to follow any payer-specific guidelines and provide accurate documentation to support the claim.

8. Historical information

CPT 80366 was added to the Current Procedural Terminology system on January 1, 2015. There have been no updates to the code since its addition.

9. Examples

1. A lab analyst measures the amount of pregabalin in a urine specimen to determine if a patient has taken an overdose of the drug.
2. A lab analyst detects the presence of pregabalin in a plasma specimen to assess a patient’s compliance with a prescribed regimen.
3. A lab analyst performs a quantitative analysis of pregabalin in a serum specimen to monitor the therapeutic levels of the drug in a patient.
4. A lab analyst uses liquid chromatography to measure the amount of pregabalin in a urine specimen for forensic purposes.
5. A lab analyst performs a qualitative analysis of pregabalin in a plasma specimen to confirm the presence of the drug in a patient suspected of substance abuse.
6. A lab analyst combines quantitative and qualitative methods to measure and detect pregabalin in a serum specimen for research purposes.
7. A lab analyst measures the amount of pregabalin in a urine specimen to assess the effectiveness of a patient’s current dosage.
8. A lab analyst detects the presence of pregabalin in a plasma specimen to assist in the diagnosis of a patient’s condition.
9. A lab analyst performs a quantitative analysis of pregabalin in a serum specimen to determine the appropriate dosage for a patient.
10. A lab analyst uses liquid chromatography to measure and detect pregabalin in a urine specimen for a clinical trial.