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General Health Panel Code 80050
|Article Number: 105 | Rating: Unrated | Last Updated: Wed, Nov 17, 2010 9:35 PM|
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.
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