Home » Categories » Laboratory Coding

General Health Panel Code 80050


Can we charge CPT 80053, 85025, and 84443 separately even though the General Health Panel (80050) includes these tests?  Medicare will not reimburse for the GHP, but if we charge them separately, would this be considered "unbundling?"


Medicare does not use code 80050.  The reason it’s not used is because Medicare can not set appropriate reimbursement since the code can contain different items. It can include 85027 or 85027 and 85004 or 85027 and 85007 or 85009.  Because each of these codes has a different reimbursement amount, Medicare can’t set a total price for the panel.  You must bill the components separately.

Disclaimer: All articles intended for general guidance only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Pap smear and Urine Cytology
Viewed 2183 times since Tue, Jun 14, 2011
Gram Stain Orders/Protocol For Cultures
Viewed 1343 times since Tue, Feb 22, 2011
ER Charging P9612
Viewed 1335 times since Wed, Aug 3, 2011
# of Units Rejecting
Viewed 3260 times since Fri, Sep 30, 2011
Difference in Antibody Screen (86850) and Indirect Coombs (86885)
Viewed 4065 times since Wed, Nov 17, 2010
Combining Lab Panels?
Viewed 928 times since Thu, Jun 16, 2011
GZ Modifier
Viewed 1565 times since Wed, Nov 17, 2010
Celiac Panel
Viewed 2311 times since Fri, Oct 14, 2011
CBC with Differential
Viewed 2329 times since Thu, Nov 18, 2010
Modifier 90
Viewed 3016 times since Wed, Jan 12, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506