New Automated Test
March 3, 2008CMS issued Change Request (CR) 5874 to alert providers that existing CPT code 82330, Calcium; ionized is being paid as in individual test and was not included in the AMCC Panel Payment Algorithm. That changes effective July 1, 2008.
Key Points
- In order to determine payment for the new code 80047 using the AMCC Panel Payment Algorithm, existing code 82330, Calcium; ionized, will be added as an AMCC panel code.
- Payment code ATP23 has also been included in the clinical laboratory fee schedule data file to correspond to the AMCC panel code addition.
- The CPT code 80047 Basic metabolic panel (Calcium, ionized) is comprised of:
- Calcium; ionized (82330)
- Carbon dioxide (82374)
- Chloride (82435)
- Creatinine (82565)
- Glucose (82947)
- Potassium (84132)
- Sodium (84295)
- Urea Nitrogen (BUN) (84520)
For ESRD dialysis patients, CPT code 82330 Calcium; ionized will be included in the calculation for the 50/50 rule. The new panel code 80047 cannot be billed for services ordered through an ESRD facility. All tests billed for services ordered through an ESRD facility must be billed individually, not in an organ disease panel.