New code G0307 is priced at the same rate as code 85027. New code G0306 is priced at the same rate as code 85025. New code 89235 is priced at the same rate as deleted code 89365. New code 89225 is priced at the same rate as deleted code 89355. New code 87660 is priced at the same rate as code 87470. New code 87329 is priced at the same rate as code 87328. New code 87269 is priced at the same rate as code 87272. New code 85055 is priced at the same rate as code 86361. New code 84157 is priced at the same rate as code 84155. New code 84156 is priced at the same rate as code 84155. Mapping Information for New and Revised Codes
The national limitation amount field on the data file is zero-filled. Similar to prior years, the 2004 pricing amounts for certain organ or disease panel codes and evocative/suppression test codes were derived by summing the lower of the fee schedule amount or the NLA for each individual test code included in the panel code. Billing modifiers can assist in reporting additional medically necessary CBC component test(s) or bundling testing service for the same patient on the same date of service, such as modifier -91 Repeat clinical laboratory test. hemoglobin (Hgb) or hematocrit (Hct) ) should be ordered and performed. G0306 Complete (CBC), automated (Hgb, Hct, RBC, WBC, without platelet count) and automated differential WBC count G0307 Complete (CBC), automated (Hgb, Hct, RBC, WBC, without platelet count) If additional CBC component test(s) are medically necessary, only the medically necessary components (e.g. For example, test codes 8504 should not be billed along with code 85025 which represents the bundled testing service.įurther information on the NCCI edits is available at Based on comments, codes G0306 and G0307 have been established to permit continued billing of common bundled CBC testing services without a platelet count. the ordering physician for additional documentation).ĬPT codes representing the bundled testing services include:Ĩ5025 Complete CBC, automated (Hgb, Hct, RBC, WBC, and platelet count) and automated WBC differential 85027 Complete CBC, automated (Hgb, Hct, RBC, WBC, and platelet count) National Correct Coding Initiative (NCCI) edits have been established to promote correct coding and prevent inappropriate payments. The provider may need to contact a third party to obtain the appropriate documentation (i.e. The report also showed the physician’s order was missing to support medical necessity. Providers are advised to make sure they are completing the tests ordered by the physician and only bill for those exact tests that were ordered. The report shows that the physician’s order is for CBC, not CBC with differential as billed. However, recent Comprehensive Error Rate Testing (CERT) analysis revealed an increase in errors due to incorrect coding for CPT 8507. Laboratory test results that show automated CBC as well as the differential WBC support the use of CPT 85025 (provided the physician ordered them). This hematology testing is commonly ordered by physicians to diagnose and treat a wide array of physical disorders. Also, a differential white blood cell (WBC) count measures the percentages of different types of white blood cells. 1, 2015, compliance deadline.ĪMA members receive a discount on these products and others from the AMA Store.Billing Complete Blood Counts (CBC) CPT code 8507Ĩ5025 – Blood count complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count – average fee amoount – $10 – $20Ī complete blood count consists of measuring a blood specimen for levels of hemoglobin, hematocrit, red blood cells, white blood cells, and platelets. Use the data file to begin testing your electronic coding and billing systems in preparation for the new Oct.
#Cpt codebook 2015 download
A summary of re-sequenced CPT codes as well as additions, deletions and revisions is included.Īlso available for immediate download is the ICD-10 2015 Date File, which includes essential code information and descriptions.Three descriptor lengths can be used as needed.Code descriptions are provided in fixed-field and tab-delimited file formats.These descriptors support objectives in Stage 2 of the electronic health record meaningful use program. Consumer-friendly descriptors explain each CPT code in language easily understood by the average patient or caregiver.CPT clinician descriptors clearly and specifically explain the procedure or service performed by a physician or qualified health care provider at the point of care.
This product consists of easy-to-understand features to support your daily coding needs, including:
#Cpt codebook 2015 software
Simplify CPT ® coding by importing the 2015 CPT code set into your claims and billing software using the CPT ® 2015 Data File on CD-ROM.
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