AMA CPT® Assistant - 2019 Issue 4 (April)

Pathology and Laboratory: Hematology and Coagulation (Q&A) (April 2019)

April 2019 page 11a Pathology and Laboratory: Hematology and Coagulation Question: A hospital offers thromboelastography to better optimize transfusion utilization. Is it appropriate to report the service with a combination of CPT codes 85576, Platelet aggregation (in vitro), each agent; code 85347, Coagulation time, activated; code 85384, Fibrinogen; activity; and code 85390, Fibrinolysins or coagulopathy screen, interpretation and report? Answer: No, CPT code 85396, Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day, is specific to this service. Unbundling of this test into individually reported...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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