How To Use CPT Code 82652

CPT 82652 describes the measurement of vitamin D, specifically the hormonally active form known as vitamin D, 1, 25 dihydroxy. 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 82652?

CPT 82652 can be used to measure the level of vitamin D, 1, 25 dihydroxy, which is a fat-soluble steroid that plays a role in calcium absorption in the intestine. This code is used when a lab analyst quantitatively measures the vitamin D, 1, 25 dihydroxy level in a serum specimen using an immunoassay technique. It is commonly ordered by clinicians to assess the vitamin D status in patients with chronic renal failure. It’s important to note that if the lab analyst performs fractions, they are included in this test and should not be billed separately.

2. Official Description

The official description of CPT code 82652 is: ‘Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed.’

3. Procedure

1. The lab analyst receives a serum specimen for testing.
2. Using an immunoassay technique, the lab analyst measures the level of vitamin D, 1, 25 dihydroxy in the specimen.
3. If fractions are performed, they are included in the test and should not be billed separately.

4. Qualifying circumstances

CPT 82652 is typically ordered by clinicians to assess the vitamin D status in patients with chronic renal failure. It is important to note that the preferred test for accurately reflecting the body’s vitamin D stores is the vitamin D, 25 hydroxy form, which is represented by CPT code 82306. However, CPT 82652 provides useful information for patients with specific conditions, such as chronic renal failure.

5. When to use CPT code 82652

CPT code 82652 should be used when a lab analyst quantitatively measures the level of vitamin D, 1, 25 dihydroxy in a serum specimen using an immunoassay technique. It is commonly ordered by clinicians to assess the vitamin D status in patients with chronic renal failure. However, it is important to note that the preferred test for accurately reflecting the body’s vitamin D stores is the vitamin D, 25 hydroxy form, represented by CPT code 82306.

6. Documentation requirements

To support a claim for CPT 82652, the lab analyst must document the following information:

• Indication for testing, such as chronic renal failure
• Method used for measuring vitamin D, 1, 25 dihydroxy
• Date of the test
• Results of the test
• Signature of the lab analyst performing the test

7. Billing guidelines

When billing for CPT 82652, ensure that the test is performed by a lab analyst using an immunoassay technique to measure the level of vitamin D, 1, 25 dihydroxy. It is important to note that CPT 82652 should not be reported with other codes for fractions if they are performed as they are already included in this test. It is also crucial to educate clinicians about the difference between CPT 82652 and the preferred test, CPT 82306, to avoid ordering the wrong test.

8. Historical information

CPT 82652 was added to the Current Procedural Terminology system on January 1, 1990. There have been historical changes to the code, including code changes in 2009 and 2010, which modified the description of the test.

9. Examples

1. A lab analyst measures the level of vitamin D, 1, 25 dihydroxy in a serum specimen of a patient with chronic renal failure.
2. A clinician orders the test to assess the vitamin D status in a patient with chronic renal failure.
3. A lab analyst performs an immunoassay technique to measure the level of vitamin D, 1, 25 dihydroxy in a serum specimen.
4. A patient with chronic renal failure undergoes the test to evaluate their vitamin D status.
5. A lab analyst documents the results of the vitamin D, 1, 25 dihydroxy test performed on a patient with chronic renal failure.
6. A clinician reviews the test results of the vitamin D, 1, 25 dihydroxy test in a patient with chronic renal failure.
7. A lab analyst signs the report of the vitamin D, 1, 25 dihydroxy test performed on a patient with chronic renal failure.
8. A clinician discusses the implications of the vitamin D, 1, 25 dihydroxy test results with a patient with chronic renal failure.
9. A lab analyst compares the vitamin D, 1, 25 dihydroxy test results of a patient with chronic renal failure to the reference range.
10. A clinician orders additional tests based on the vitamin D, 1, 25 dihydroxy test results in a patient with chronic renal failure.