(2023) List With CBC CPT Codes | Lay-Term, Long & Short Descriptions
A Complete Blood Count tests the overall health of a patient by identifying seven types of blood cells to look for abnormalities and is used to find a wide range of conditions.
The CPT manual describes two CPT codes for Complete Blood Count (CBC) procedures. CPT 85025 can be reported for CBC with diff., and CPT 85027 for CBC without diff. We also added CPT 80050, CPT 80055, and CPT 80081 to this list because they include CBC in their panel.
CPT Code 85025
Lay-term: Use CPT 85025 for automated complete blood counts with differential white blood cell count.
Long description: Blood count complete [CBC], automated [Hgb, Hct, RBC, WBC and platelet count] and automated differential WBC count.
Short description: CBC with diff.
CPT Code 85027
Lay-term: CPT 85027 can be billed for automated complete blood counts without differential WBC.
Long description : Blood count complete [CBC], automated [Hgb, Hct, RBC, WBC and platelet count].
Short description: CBC without diff.
CPT Code 80050
Lay-term: Use CPT 80050 for a general health panel.
Long description : General health panel this panel must include the following: Comprehensive metabolic panel [80053] Blood count, complete [CBC], automated and automated differential WBC count [85025 or 85027 and 85004] OR Blood count, complete [CBC], automated [85027] and appropriate manual differential WBC count [85007 or 85009] Thyroid stimulating hormone [TSH] [84443].
Short description: General health panel.
CPT Code 80055
Lay-term: For an obstetric panel without HIV testing use CPT 80055.
Long description : Obstetric panel This panel must include the following: Blood count, complete [CBC], automated and automated differential WBC count [85025 or 85027 and 85004] OR Blood count, complete [CBC], automated [85027] and appropriate manual differential WBC count [85007 or 85009] Hepatitis B surface antigen [HBsAg] [87340] Antibody, rubella [86762] Syphilis test, non-treponemal antibody; qualitative [eg, VDRL, RPR, ART] [86592] Antibody screen, RBC, each serum technique [86850] Blood typing, ABO [86900] AND Blood typing, Rh [D] [86901].
Short description: Obstetric panel.
CPT Code 80081
Lay-term: For an obstetric panel with HIV testing use CPT 80081.
Long description : Obstetric panel [includes HIV testing] This panel must include the following: Blood count, complete [CBC], and automated differential WBC count [85025 or 85027 and 85004] OR Blood count, complete [CBC], automated [85027] and appropriate manual differential WBC count [85007 or 85009] Hepatitis B surface antigen [HBsAg] [87340] HIV-1 antigen[s], with HIV-1 and HIV-2 antibodies, single result [87389] Antibody, rubella [86762] Syphilis test, non-treponemal antibody; qualitative [eg, VDRL, RPR, ART] [86592] Antibody screen, RBC, each serum technique [86850] Blood typing, ABO [86900] AND Blood typing, Rh [D] [86901].
Short description: Obstetric panel with HIV testing.
Sources
https://www.mountsinai.org/health-library/tests/cbc-blood-test
https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=N&calid=88
