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
Occult Blood Codes
Viewed 2185 times since Wed, Nov 17, 2010
Glucose Monitoring
Viewed 1843 times since Thu, Jan 6, 2011
New Drug Screen HCPCS Code
Viewed 5047 times since Wed, Nov 17, 2010
General Health Panel 80050
Viewed 1 times since Wed, Nov 17, 2010
ER Charging P9612
Viewed 1498 times since Wed, Aug 3, 2011
Nuclear Matrix Protein 22
Viewed 865 times since Wed, Sep 12, 2012
Correct Modifier for Molecular Testing
Viewed 1604 times since Thu, May 26, 2011
Amnisure Test
Viewed 2378 times since Wed, Nov 17, 2010
Coding for Urine Specimen
Viewed 3007 times since Mon, Nov 19, 2012
Blood Glucose
Viewed 2181 times since Fri, Jan 7, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506