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
Gram Stain Orders/Protocol For Cultures
Viewed 1259 times since Tue, Feb 22, 2011
Screening for Hepatitis B
Viewed 10720 times since Wed, Nov 17, 2010
# of Units Rejecting
Viewed 2785 times since Fri, Sep 30, 2011
Different Charges for Same CPT Code in Reflex Tests
Viewed 1352 times since Wed, May 16, 2012
Viewed 678 times since Wed, Jul 25, 2012
HSV IGG 86694 Modifier Assistance
Viewed 2183 times since Sat, Mar 5, 2011
Lab Charges With Edit Not Allowed
Viewed 1881 times since Wed, Sep 14, 2011
Celiac Panel
Viewed 2004 times since Fri, Oct 14, 2011
ER Charging P9612
Viewed 1208 times since Wed, Aug 3, 2011
Cortisol Stimulation Test
Viewed 3355 times since Fri, Aug 5, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506