Pathology Tests Billing Update

Effective for dates of service on or after May 1, 2008, in regards to CPT-4 codes 80061 (lipid panel test) and 83721 (LDL cholesterol test), if the triglyceride level of the recipient is less than 400 mg/dl and both CPT-4 codes 80061 and 83721 are billed on the same date of service, for the same recipient, and by the same provider, the claim will be subject to a combination audit that will cut back the reimbursement so as only code 80061 is reimbursed.