AMA CPT® Assistant - 2008 Issue 4 (April)
Pathology and Laboratory Changes (April 2008)
April 2008 pages 5-7 Coding Communication:Pathology and Laboratory Changes Numerous changes were made to the Pathology and Laboratory section of CPT 2008. In this edition, 11 new codes were established, 11 existing codes were revised, and instructional parenthetical notes were added. Organ or Disease-Oriented Panels Several chemistry analyzers offer ionized calcium as part of their basic metabolic panel whereas traditional analyzers usually provide a result for total calcium. Code 80047 was added to report a basic metabolic panel that includes ionized calcium (code 82230). Code 80048 was revised with the addition of the phrase "calcium, total" in the code...
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Article Overview
This CPT Assistant article summarizes April 2008 pathology and laboratory coding changes across multiple subsections, including chemistry, immunology, transfusion medicine, microbiology, surgical pathology, and reproductive medicine procedures. It is useful for coders, billing staff, and compliance teams who need a high-level understanding of what types of CPT updates were introduced, revised, or clarified in 2008. The article also highlights related parenthetical notes and modifier updates that affect laboratory reporting and code selection within the broader pathology and laboratory section.
Why This Topic Matters
Understanding these CPT updates helps coding and billing professionals stay aligned with annual changes that affect laboratory test reporting, code structure, and related guidance. This is especially important for organizations that perform pathology and laboratory services and need to maintain accurate, current coding workflows.
Article Sections
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April 2008 pages 5-7
Introductory publication information and a brief overview of the scope of CPT 2008 pathology and laboratory changes. It frames the article as a summary of new, revised, and clarified content across multiple laboratory specialties.
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Organ or Disease-Oriented Panels
Updates related to laboratory panel reporting and related parenthetical guidance. The section discusses changes involving chemistry panel structure and associated reporting relationships.
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Chemistry
Revisions and additions affecting chemistry-related laboratory testing. The section covers changes to existing test reporting, newly established assay codes, and supporting notes.
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Immunology
Updates in immunology testing that include new code development, revised reporting language, deleted content, and related parenthetical notes. It also introduces a new modifier in the context of laboratory platform testing.
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Modifier 92: Alternative Laboratory Platform Testing
A focused discussion of the new modifier added in CPT 2008 for a specific laboratory testing setup. The section explains the general reporting context and includes an illustrative rapid testing scenario.
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Transfusion Medicine
Revisions to transfusion medicine laboratory testing and supporting notes. The section addresses updates to serologic testing terminology and related reporting references.
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Microbiology
Microbiology code changes involving newly established testing services and related explanatory material. The section also includes a brief example of how one of the services may be used in practice.
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Surgical Pathology
Changes in surgical pathology reporting related to microdissection services. The section distinguishes between separate methodologies and notes related molecular diagnostic reporting considerations.
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Reproductive Medicine Procedures
Updates to semen analysis and related reproductive medicine laboratory reporting. The section describes restructuring within the code family and additional guidance for urine-based sperm evaluation.
What You Will Learn
- Which broad pathology and laboratory areas were affected by CPT 2008 changes
- What kinds of code changes were introduced across chemistry, immunology, microbiology, surgical pathology, and reproductive medicine
- How the article frames related parenthetical notes and reporting clarifications
- What general purpose the new modifier serves in laboratory reporting
- How the article organizes updates to help coders review annual CPT changes
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Laboratory management
- Pathology practices
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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