How To Use CPT Code 82154

CPT 82154 describes the quantitative measurement of androstanediol glucuronide, a hormone that is used in the clinical evaluation of excessive hair growth in females or androgen problems in males. 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 82154?

CPT 82154 can be used to measure the level of androstanediol glucuronide, a hormone that plays a role in the evaluation of excessive hair growth in females or androgen-related issues in males. This code is used when a lab analyst quantitatively measures the androstanediol glucuronide level in a serum sample using various methodologies, such as chromatographic techniques.

2. Official Description

The official description of CPT code 82154 is: ‘Quantitative measurement of androstanediol glucuronide.’

3. Procedure

1. The lab analyst receives a serum sample for testing.
2. The analyst applies chromatographic methodologies to selectively absorb and separate the androstanediol glucuronide from the sample.
3. The analyst then quantitatively measures the level of androstanediol glucuronide in the sample.
4. The results are recorded and reported to the healthcare provider for further evaluation.

4. Qualifying circumstances

CPT 82154 is used when there is a clinical need to evaluate excessive hair growth in females or androgen problems in males. The test measures the level of androstanediol glucuronide, which is a hormone associated with these conditions. It is typically ordered by a healthcare provider based on the patient’s symptoms and medical history.

5. When to use CPT code 82154

CPT code 82154 should be used when there is a clinical suspicion of excessive hair growth in females or androgen-related issues in males. It is important to consider the patient’s symptoms and medical history before ordering this test. The healthcare provider should determine if the measurement of androstanediol glucuronide is necessary for the evaluation and management of the patient’s condition.

6. Documentation requirements

To support a claim for CPT 82154, the healthcare provider must document the following information:

• Clinical indication for ordering the test
• Date of the test
• Results of the androstanediol glucuronide measurement
• Signature of the healthcare provider ordering the test

7. Billing guidelines

When billing for CPT 82154, ensure that the test is performed by a qualified lab analyst using appropriate methodologies. The test measures the quantitative level of androstanediol glucuronide, and the results should be reported to the healthcare provider for further evaluation. It is important to follow the specific billing guidelines of the payer and use the appropriate diagnosis codes to support medical necessity.

8. Historical information

CPT 82154 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider orders CPT 82154 to evaluate excessive hair growth in a female patient who presents with hirsutism and other androgen-related symptoms.
2. A male patient with suspected androgen problems undergoes CPT 82154 to measure the level of androstanediol glucuronide as part of the diagnostic workup.
3. A healthcare provider orders CPT 82154 to monitor the effectiveness of androgen-blocking medication in a transgender patient undergoing hormone therapy.
4. A female patient with polycystic ovary syndrome undergoes CPT 82154 to assess androgen levels and guide treatment decisions.
5. A healthcare provider orders CPT 82154 to evaluate a male patient with suspected androgen excess, such as in cases of congenital adrenal hyperplasia.