Billing Beat

New 2010 Pathology and Laboratory CPT Codes

November 3, 2009

New 2010 CPT Codes:

83987 pH; exhaled breath condensate
84145 Procalcitonin (PCT)
84431 Thromboxane metabolite(s), including thromboxane if performed, urine
86305 Human epididymis protein 4 (HE4)
86352 Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP)
86780 Antibody; Treponema pallidum
86825 Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution
86826 Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure)
87150 Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed
87153 Culture, typing; identification by nucleic acid sequencing method, each isolate
87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique
88387 Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies; each tissue preparation
88388 Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies; in conjunction with a touch imprint, intraoperative consultation, or frozen section, each tissue preparation (List separately in addition to code for primary procedure)
88738 Hemoglobin (Hgb), quantitative, transcutaneous
89398 Unlisted reproductive medicine laboratory procedure

New 2010 HCPCS Codes:

CMS proposes to create two new G codes to replace 80100 and 80101 for Medicare patients starting in 2010.

G0430 Drug screen, qualitative; multiple drug classes, any method, each procedure (e.g. multiple drug assay kit)
G0431 Drug screen, qualitative; single drug class method, each procedure (e.g. immunoassay and enzyme assay) each drug class

Deleted CPT Codes:

82307 Calciferol (Vitamin D)
86781 Treponema pallidum, confirmatory test (eg, FTA-abs). This code will be replaced with 86780. 86780 Treponema pallidum antibody tests are used to both screen and confirm syphilis. The above new code replaces existing CPT code 86781 which can only be used to report confirmatory treponema antibody tests.

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