How To Use CPT Code 83582

CPT 83582 describes the measurement of ketogenic steroid fractions, typically in a 24-hour urine specimen, to assess adrenal function. 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 83582?

CPT 83582 can be used to measure the fractions of ketogenic steroids in a 24-hour urine specimen. This test is primarily performed to evaluate adrenal function. It quantitates the levels of 17-ketosteroids, which are excreted in the urine after other steroids oxidize. While this test was once commonly used, newer and more specific immunoassays for cortisol, testosterone, and dehydroepiandrosterone have made it largely obsolete for clinicians. However, research facilities may still utilize this test for specific purposes.

2. Official Description

The official description of CPT code 83582 is: ‘Ketogenic steroids, fractionation.’

3. Procedure

1. The lab analyst collects a 24-hour urine specimen from the patient.
2. The lab analyst performs the technical steps to measure the fractions of ketogenic steroids in the urine specimen.
3. The test quantitates the levels of 17-ketosteroids, which are precursors of 17 ketones, such as 17 hydroxycorticosteroids, cortisols, cortisones, and pregnanetriols.
4. The fractions of ketogenic steroids are measured to assess adrenal function.

4. Qualifying circumstances

CPT 83582 is typically ordered by research facilities rather than clinicians. It is used to evaluate adrenal function by measuring the fractions of ketogenic steroids in a 24-hour urine specimen. Clinicians are unlikely to order this test as more specific immunoassays for cortisol, testosterone, and dehydroepiandrosterone are now available.

5. When to use CPT code 83582

CPT code 83582 should be used when there is a specific need to measure the fractions of ketogenic steroids in a 24-hour urine specimen to assess adrenal function. However, it is important to note that this test is now considered largely obsolete for clinical purposes, and newer immunoassays are preferred for evaluating adrenal function.

6. Documentation requirements

To support a claim for CPT 83582, the documentation should include:

• Indication for the test and the need to evaluate adrenal function
• Date and time of the collection of the 24-hour urine specimen
• Results of the measurement of ketogenic steroid fractions
• Signature of the lab analyst performing the test

7. Billing guidelines

When billing for CPT 83582, it is important to note that this test is primarily used by research facilities. Clinicians are unlikely to order this test, and it should not be reported to Medicare as a research test. It is important to follow the specific billing guidelines provided by the payer and ensure accurate coding and documentation.

8. Historical information

CPT 83582 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A research facility performing CPT 83582 to evaluate adrenal function in a study on the effects of a specific medication on steroid metabolism.
2. A laboratory conducting CPT 83582 to assess adrenal function in patients with suspected adrenal disorders.
3. A research institution utilizing CPT 83582 to investigate the impact of stress on adrenal function in a specific population.
4. A study comparing the levels of ketogenic steroid fractions in different age groups using CPT 83582.
5. A research project examining the relationship between ketogenic steroid fractions and certain health conditions by employing CPT 83582.
6. A laboratory conducting CPT 83582 to evaluate adrenal function in patients with unexplained symptoms such as fatigue and weight loss.
7. A research study investigating the impact of dietary interventions on adrenal function by measuring ketogenic steroid fractions using CPT 83582.
8. A research facility utilizing CPT 83582 to evaluate adrenal function in athletes participating in a high-intensity training program.
9. A study investigating the effects of chronic stress on adrenal function by measuring ketogenic steroid fractions using CPT 83582.
10. A research project examining the impact of certain medications on adrenal function by measuring ketogenic steroid fractions using CPT 83582.