How To Use CPT Code 83718

CPT 83718 describes the direct measurement of high density lipoprotein (HDL) cholesterol 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 83718?

CPT 83718 can be used to describe the direct measurement of high density lipoprotein (HDL) cholesterol in a patient specimen. This code is used when a lab analyst performs a test to directly measure the concentration of HDL cholesterol in a patient’s blood or other specimen. The test involves using a methodology such as an enzymatic colorimetric method to detect the presence of HDL cholesterol.

2. Official Description

The official description of CPT code 83718 is: ‘Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol).’ This code is used to report the direct measurement of HDL cholesterol in a patient specimen.

3. Procedure

1. The lab analyst collects a patient specimen, typically blood, for testing.
2. The analyst performs a direct measurement test on the specimen to determine the concentration of HDL cholesterol.
3. The test may involve using an enzymatic colorimetric method, where the analyst adds the sample with polyethylene glycol (PEG) and enzymes to produce a reaction that results in the formation of a dye.
4. The color intensity of the dye is then measured photometrically, using the properties of light, to determine the concentration of HDL cholesterol in the specimen.
5. The results of the test are recorded and reported to the healthcare provider for further evaluation and interpretation.

4. Qualifying circumstances

CPT 83718 is used when a direct measurement of HDL cholesterol is performed on a patient specimen. This test may be ordered by clinicians to evaluate patients for any fluctuations in their HDL cholesterol levels. HDL cholesterol is responsible for removing excess fat from the blood, and higher values are considered healthy. Patients who may require this test include those at risk for heart disease or those with existing conditions that may affect their HDL cholesterol levels.

5. When to use CPT code 83718

CPT code 83718 should be used when a direct measurement of HDL cholesterol is performed on a patient specimen. This code is appropriate when the test specifically measures the concentration of HDL cholesterol and not other lipoproteins. It should be used when the test is performed as a standalone procedure and not as part of a panel or profile that includes other lipid measurements.

6. Documentation requirements

To support a claim for CPT code 83718, the following documentation is required:

• Indication for the test, such as the patient’s risk factors or existing conditions
• Details of the specimen collected for testing
• Methodology used for the direct measurement of HDL cholesterol
• Date and time of the test
• Results of the test, including the concentration of HDL cholesterol
• Signature of the lab analyst performing the test

7. Billing guidelines

When billing for CPT code 83718, ensure that the test performed is a direct measurement of HDL cholesterol. This code should not be reported if other lipoproteins, such as LDL or VLDL cholesterol, are directly measured. It is important to follow the specific guidelines provided by payers regarding the reporting of this code and any associated codes for specimen collection. Additionally, it is recommended to review the documentation requirements and ensure that all necessary information is included in the claim.

8. Historical information

CPT code 83718 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A lab analyst performs a direct measurement test on a patient’s blood specimen to determine the concentration of HDL cholesterol.
2. A healthcare provider orders a direct measurement of HDL cholesterol for a patient with a family history of heart disease.
3. A patient undergoes a direct measurement test for HDL cholesterol as part of a routine lipid panel.
4. A lab analyst performs a direct measurement test on a patient’s blood specimen to monitor the effectiveness of cholesterol-lowering medication.
5. A healthcare provider orders a direct measurement of HDL cholesterol for a patient with a recent diagnosis of metabolic syndrome.
6. A patient undergoes a direct measurement test for HDL cholesterol as part of a preoperative evaluation.
7. A lab analyst performs a direct measurement test on a patient’s blood specimen to assess their cardiovascular health.
8. A healthcare provider orders a direct measurement of HDL cholesterol for a patient with a history of high cholesterol.
9. A patient undergoes a direct measurement test for HDL cholesterol as part of a wellness screening.
10. A lab analyst performs a direct measurement test on a patient’s blood specimen to evaluate their response to lifestyle modifications.