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
GZ Modifier
Viewed 1412 times since Wed, Nov 17, 2010
Blood Glucose
Viewed 1851 times since Fri, Jan 7, 2011
Screening for Hepatitis B
Viewed 11025 times since Wed, Nov 17, 2010
Amnisure Test
Viewed 2116 times since Wed, Nov 17, 2010
OB Panel for Medicare Patients
Viewed 2146 times since Wed, Nov 17, 2010
Thyroid Testing
Viewed 5134 times since Wed, Nov 17, 2010
Modifier 90
Viewed 2783 times since Wed, Jan 12, 2011
Quad Screen
Viewed 835 times since Wed, Nov 23, 2011
Gram Stain Orders/Protocol For Cultures
Viewed 1284 times since Tue, Feb 22, 2011
Difference in Antibody Screen (86850) and Indirect Coombs (86885)
Viewed 3769 times since Wed, Nov 17, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506