ICD-10-CM Documentation 2021 (Essential Chartin Guidance to Support medical Necessity) first Edition Set)

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Basics the CPT password 85025 & 85027

These tests might be ordered as a finish automated blood count (CBC). The specimen is entirety blood. Technique is automated cabinet counter. This codes include the measurement of erythrocytes (red blood cells or RBC), leukocytes (white blood cells or WBC), hemoglobin, hematocrit (volume of packed red blood cell or VPRC), platelet or thrombocyte count, and indices (mean corpuscular hemoglobin or MCH, mean corpuscular hemoglobin concentration or MCHC, median corpuscular volume or MCV, and also red cell distribution width or RDW). CPT password 85025 consists of an automatically differential that the white blood cell or “diff” in which the following leukocytes space differentiated: neutrophils or granulocytes, lymphocytes, monocytes, eosinophils, and also basophils. Usage CPT code 85027 if the finish CBC, or automated blood count, is excellent without the differential WBC count.

85025 Blood count; finish (CBC), automatic (Hgb, Hct, RBC, WBC and platelet count) and also automated differential WBC count

85027 Blood count; finish (CBC), automatic (Hgb, Hct, RBC, WBC and also platelet count)


The symptom of hematological obstacle are frequently nonspecific, and also are typically encountered in patient who may or may not prove to have a disorder that the blood or bone marrow. Furthermore, countless medical problems that are not primarily as result of abnormalities that blood or bone marrow may have hematological manifestations that result from the disease or that treatment. Together a result, the CBC is among the most generally indicated activities tests

The nationwide Correct Coding initiative Policy hands-on for Medicare Services, states:

If a treating physician orders one automated finish blood count v automated differential WBC count (CPT password 85025) or without automated differential WBC count (CPT password 85027), the laboratory sometimes examines a blood smear in stimulate to complete the notified test based on laboratory selected criteria flagging the outcomes for additional verification. The laboratory must NOT report CPT code 85007 (microscopic blood smear check with hands-on WBC differential count) or CPT password 85008 (microscopic blood smear examination without hand-operated WBC differential count) for the check of a blood smear to finish the ordered automated hemogram check (CPT codes 85025 or 85027)…… If a treating doctor orders an automatic hemogram (CPT code 85027) and a manual differential WBC count (CPT password 85007), both codes might be reported.

85007 Blood count; blood smear, microscopic examination with hands-on differential WBC count

85008 Blood count; blood smear, microscopic examination without hand-operated differential WBC count

The repertoire of the specimen by venipuncture (e.g., 36415) is not thought about an integral component of the laboratory procedure performed. If both the collection of the specimen(s) through venipuncture and also the laboratory procedure(s) are performed, then it would be proper to report a code for the arsenal of the specimen(s) in addition to the proper code(s) native the 80000 series for the activities procedure(s) performed.

Read also: Coding guide for Evacuation that Hematoma for various techniques

Top ICD 10 diagnosis supporting CPT password 85004, 85007, 85008, 85013 , 85014, 85018, 85025, 85027, 85032, 85048, 85049

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