Assign Laboratory Panel Codes - Certified Professional Coder CPC

1. Which CPT code is reported for a Urinalysis, automated, without microscopy?

   81003. This code applies to automated urinalysis using dipstick or reagent without microscopic analysis.

2. Which option is correct if a panel name is documented but the ordered/performed tests do not match any CPT-defined panel?

   Code the individual tests; do not report an unmatched panel. CPT prohibits using panel codes without an exact match; individual test codes must be assigned instead.

3. Which CPT code is reported for an Electrolyte Panel?

   80051. This code is designated for the four key electrolyte tests: carbon dioxide, chloride, potassium, and sodium.

4. Which CPT code is reported for a Complete Blood Count (CBC) without automated differential?

   85027. This code reports automated complete blood count excluding the white blood cell differential.

5. What CPT code is reported for a C-reactive protein (CRP), used for inflammation assessment?

   86140. This code quantifies C-reactive protein, serving as a sensitive marker for systemic inflammation.

6. What CPT code is reported for Hemoglobin A1c (HbA1c), used for diabetes monitoring?

   83036. This code measures glycated hemoglobin levels, providing long-term glucose control assessment in diabetes.

7. What CPT code is reported for an Erythrocyte sedimentation rate (ESR), used for inflammation assessment?

   85652. This code reports automated measurement of erythrocyte sedimentation rate, indicating inflammation or infection.

8. Which CPT code is reported for a Prothrombin time (PT)?

   85610. This code measures the time for blood to clot, evaluating the extrinsic coagulation pathway.

9. Which CPT code is reported for a Complete Blood Count (CBC) with automated differential WBC count?

   85025. This code includes automated complete blood count with white blood cell differential for comprehensive hematology assessment.

10. Which CPT code is reported for a Thyroid Stimulating Hormone (TSH) test?

    84443. This code specifically denotes the immunoassay for measuring thyroid stimulating hormone levels.

11. What CPT code is reported for a Glucose test (quantitative), commonly used in metabolic and diabetes assessment?

    82947. This code denotes quantitative blood glucose measurement, integral to metabolic panels and diabetes management.

12. Which option is correct when a provider orders a panel but the lab performs fewer tests than the panel definition?

    Do not bill the panel; bill the individual tests performed. CPT rules require billing only for tests actually performed, using individual codes if below panel requirements.

13. Which CPT code is reported for a Hepatic Function Panel?

    80076. This code represents the seven tests specifically defined for assessing liver function, such as enzymes, bilirubin, and albumin.

14. Which option is correct when a provider orders individual tests but the lab performs exactly a defined panel set?

    Bill the CPT panel code (not the individual component codes). CPT guidelines specify reporting the panel code when performed tests exactly match a defined panel, irrespective of ordering method.

15. Identify the correct coding rule when additional tests are performed beyond a defined panel set on the same date.

    Bill the panel code plus the additional individual test code(s). CPT permits adding codes for extra tests not part of the panel when performed on the same date.

16. Which CPT code is reported for a Renal Function Panel?

    80069. This code includes ten tests focused on kidney function, incorporating electrolytes, glucose, albumin, and phosphorus.

17. What CPT code is reported for a Prostate specific antigen (PSA), total, used for prostate evaluation?

    84153. This code reports the immunoassay for total prostate-specific antigen, aiding in prostate cancer detection and monitoring.

18. Which CPT code is reported for a Partial thromboplastin time (PTT)?

    85730. This code assesses the intrinsic and common coagulation pathways through thromboplastin time measurement.

19. Which CPT code is reported for a Comprehensive Metabolic Panel (CMP)?

    80053. This code covers 14 tests assessing comprehensive metabolic status, including liver and kidney function, electrolytes, and proteins.

20. Which CPT code is reported for a Basic Metabolic Panel (BMP)?

    80048. This code encompasses the standard set of eight tests for evaluating basic metabolic functions, including electrolytes, glucose, and kidney markers.

21. What CPT code describes an Organ or Disease Oriented Panel (ODOP) when the test set matches a listed panel?

    Use the specific CPT panel code listed for that ODOP. CPT guidelines mandate using the designated panel code when the exact combination of tests matches a defined organ or disease oriented panel.

22. Which CPT code is reported for a Lipid Panel?

    80061. This code bundles tests for cholesterol, triglycerides, HDL, and calculated VLDL/LDL for lipid profile assessment.

23. Which CPT code is reported for a Urinalysis, automated, with microscopy?

    81001. This code includes automated urinalysis with additional microscopic examination of urine sediment.

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