Q&A: Reporting a repeat laboratory test as a distinct service using CPT codes

June 4th, 2019

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses a laboratory coding question involving a comprehensive metabolic panel and an additional blood glucose test reported on the same date. It discusses CPT reporting, NCCI laboratory panel edits, and the general circumstances under which a repeat test may be identified as separate for billing purposes. It is intended for coders, billers, and compliance staff who work with outpatient laboratory services, Medicare-related guidance, and laboratory edit rules.

Why This Topic Matters

Laboratory panel edits and repeat-test reporting can affect claim accuracy, compliance, and reimbursement. Understanding the general guidance helps coding professionals distinguish panel-inclusive testing from separately reportable laboratory services.

What You Will Learn

  • How the article frames a same-day laboratory panel and additional test scenario
  • What general NCCI and Medicare guidance the article discusses
  • What kinds of documentation and medical-necessity considerations are mentioned for repeat testing
  • How the article situates the question within laboratory coding compliance

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Laboratory revenue cycle staff
  • Physician practice coders

Codes Discussed

  • CPT: 80053
  • CPT: 82947

Modifiers Discussed

  • Unspecified: -91
  • Unspecified: -59

Subscribe or sign in to view the full article.

Access to this feature is available in the following products:
  • HCPro's JustCoding Newsletters +Archives

The JustCoding® Newsletter is a fantastic resource for coding professionals. Whether you're an inpatient or outpatient coder, a veteran or new to the job, JustCoding will keep your skills sharp and help you stay abreast of CMS changes.


demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?