How To Use CPT Code 88738

CPT 88738 describes the procedure for measuring the hemoglobin level in a patient transcutaneously, without puncturing the skin. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 88738?

CPT 88738 can be used to measure the hemoglobin level in a patient without the need to puncture the skin. This code is specifically for transcutaneous hemoglobin measurement, which involves using a probe or clip on the skin to obtain the hemoglobin reading. It is an alternative method to traditional blood tests and provides a fast and painless way to assess the patient’s hemoglobin level.

2. Official Description

The official description of CPT code 88738 is: ‘Hemoglobin (Hgb), quantitative, transcutaneous.’ This code is used to quantify the amount of hemoglobin present in a patient without the need for a skin puncture. It is important to note that this code is specifically for transcutaneous hemoglobin measurement and should not be confused with in vitro hemoglobin measurement, which has a different CPT code (85018).

3. Procedure

1. The lab analyst applies a probe or clip to the patient’s skin, typically on the finger or another suitable area.
2. A machine equipped with a spectroscope device, using near-infrared technology, measures the amount of hemoglobin present in the patient’s blood through the skin.
3. The result is obtained as a quantitative value, indicating the level of hemoglobin in the patient’s blood.

4. Qualifying circumstances

CPT 88738 is typically ordered when a patient is suspected of having anemia or when monitoring the hemoglobin level in patients with known anemia. Anemia is a condition characterized by decreased levels of hemoglobin, which can lead to insufficient oxygen supply to the body’s cells. This test provides a non-invasive way to assess the patient’s hemoglobin level without the need for blood drawing or finger puncture. It is important to note that this code is specifically for transcutaneous hemoglobin measurement and should not be used for other types of hemoglobin testing.

5. When to use CPT code 88738

CPT code 88738 should be used when a healthcare provider wants to measure the hemoglobin level in a patient without the need for a blood draw or finger puncture. It is a suitable option for patients suspected of having anemia or for monitoring the hemoglobin level in patients with known anemia. This code should not be used for in vitro hemoglobin measurement, which requires a laboratory and a blood sample.

6. Documentation requirements

To support a claim for CPT 88738, the healthcare provider must document the following information:

• Reason for ordering the transcutaneous hemoglobin measurement
• Date and time of the procedure
• Location on the patient’s body where the probe or clip was applied
• Quantitative result of the hemoglobin measurement
• Signature of the healthcare provider performing or ordering the procedure

7. Billing guidelines

When billing for CPT 88738, ensure that the procedure performed is transcutaneous hemoglobin measurement and not another type of hemoglobin testing. It is important to use the appropriate CPT code for the specific procedure being performed. If transcutaneous hemoglobin measurement is performed in addition to a lab complete blood count (CBC), modifier 59 may be appended to CPT 88738 to indicate a distinct procedural service. It is also important to note that there are other specific CPT codes for measuring transcutaneous carboxyhemoglobin and methemoglobin, which should be used if applicable.

8. Historical information

CPT 88738 was added to the Current Procedural Terminology system on January 1, 2010. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider uses CPT 88738 to measure the hemoglobin level in a patient suspected of having anemia, without the need for a blood draw.
2. During a routine check-up, a physician utilizes CPT 88738 to monitor the hemoglobin level in a patient with known anemia, providing a painless and convenient alternative to traditional blood tests.
3. A nurse practitioner orders CPT 88738 to assess the hemoglobin level in a patient with symptoms of fatigue and weakness, helping to determine if anemia is the underlying cause.
4. At a mobile health clinic, a medical assistant performs transcutaneous hemoglobin measurement using CPT 88738, providing quick results for patients without the need for laboratory facilities.
5. A pediatrician uses CPT 88738 to measure the hemoglobin level in a child with suspected iron deficiency anemia, avoiding the discomfort associated with blood drawing.
6. During a home visit, a visiting nurse utilizes CPT 88738 to assess the hemoglobin level in an elderly patient with a history of anemia, providing a convenient and non-invasive option for monitoring.
7. A healthcare provider in a remote area performs transcutaneous hemoglobin measurement using CPT 88738, ensuring access to essential diagnostic information without the need for laboratory facilities.
8. A primary care physician orders CPT 88738 to monitor the hemoglobin level in a patient undergoing treatment for anemia, allowing for timely adjustments to the treatment plan.
9. A nurse practitioner utilizes CPT 88738 to assess the hemoglobin level in a pregnant patient, ensuring early detection and management of any potential anemia.
10. A healthcare provider uses CPT 88738 to measure the hemoglobin level in a patient with chronic kidney disease, helping to monitor the impact of the condition on the patient’s blood health.