What does CPT 80053 include?

80053 Comprehensive metabolic panel: This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) …

Does 80053 need a modifier?

I reported CPT® code 80053 (comprehensive metabolic panel) and 84132 (potassium; serum, plasma or whole blood) resulting in an NCCI conflict. This code pair does allow modifier -59 (distinct procedural service) to be appended to one of the codes to be paid for both tests.

Can I bill codes 80047 and 80053 together on the same claim form Why or why not?

CPT coding guidelines indicate that a Basic Metabolic Panel (Calcium, ionized), CPT code 80047 should not be reported in conjunction with CPT code 80053. If a submission includes CPT 80047 and CPT 80053, both codes will be denied; the services will need to be resubmitted with CPT 80053 to be reimbursed.

Can 80053 and 82947 be billed together?

Q: A physician orders a comprehensive metabolic panel (CPT code 80053) and an additional quantitative blood sample to measure blood glucose level (CPT code 82947). A: The physician should report CPT code 80053 for the panel and code 82947 for the additional blood sample with modifier -91.

Is 80053 covered by Medicare?

CPT code 80050, 80053 – General health panel. It is our policy that new services, procedures, drugs, or technology must be evaluated and approved either nationally or by our local medical review policy process before they are considered Medicare covered services. Furthermore, national non-covered services may not be covered by local contractors.

Does Medicare cover 80053?

For this particular claim, Medicare paid all labs except 80053 (CMP). The dx codes are V77.99, V77.91 and 780.79 Denial reason: “Patient responsibility – These are non-covered services because this is routine exam or screening procedure done in conjunction with a routine exam.”

What is medical billing code 80053?

The comprehensive metabolic panel, or chemical screen, (CMP; CPT code 80053) is a panel of 14 blood tests which serves as an initial broad medical screening tool. The CMP provides a rough check of kidney function, liver function, diabetic and parathyroid status, and electrolyte and fluid balance, but this type of screening has its limitations.

What is Medicare code 80053?

CPT code 80050, 80053 – General health panel, CBC AND WBC, CBS Medical Billing and Coding – Procedure code, ICD CODE. Medicare payment Guidelines.