• CPT Divided into fourteen subsections:
Organ or Disease Oriented Panels 80048* - 80076
Drug Testing 80100 - 80103
Therapeutic Drug Assays 80150 - 80299
Evocative/Suppression Testing 80400 - 80440
Consultations (Clinical Pathology) 80500 - 80502
Urinalysis 81000 - 81099
Chemistry 82000 - 84999
Hematology and Coagulation 85002 - 85999
Immunology 86000 - 86849
Transfusion Medicine 86850 - 86999
Microbiology 87001 - 87999
Anatomic Pathology 88000 - 88099
Cytopathology 88104 - 88199
Cytogenetic Studies 88230 - 88299
Surgical Pathology 88300 - 88399
Transcutaneous Procedures 88400
Other Procedures 89050 - 89399
Laboratory and pathology cpt code 80500, 80502, 88300,88309, 88342
Laboratory and pathology codes during colonoscopy episode
Description CPT/HCPCs
Consultations (Clinical pathology)
Clinical Pathology Consultation, Limited, Without Review Of Patient's History And Medical Records : 80500
Clinical Pathology Consultation, Comprehensive, For A Complex
Diagnostic Problem, With Review Of Records : 80502
Surgical Pathology
Level I - Surgical Pathology, Gross Examination Only : 88300
Level III - Surgical Pathology, Gross And Microscopic (Abscess, Colon, Colsotomy, Hematoma, Soft Tissue Debridement) : 88304
Level IV - Surgical Pathology, Gross And Microscopic (Colon Biopsy, Lymph Node Biopsy, Colorectal Polyp) : 88305
Level V - Surgical Pathology, Gross And Microscopic (Colon, Segmental Resection, Other Than For Tumor, Liver Biopsy Or Partial Resection) : 88307
Level VI - Surgical Pathology, Gross And Micoscopic (Colon,
Resection For Tumor, Total Colon Resection) : 88309
Special Stains, Histochemical With Frozen Section : 88314
Consultation And Report On Referred Slides Prepared Elsewhere : 8321
Consultation And Report On Referred Material Requiring Preparation Of Slides : 88323
Consultation, Comprehensive, With Review Of Records And Specimens : 88325
Immunohistochemistry (including tissue immunoperoxidase), each antibody : 88342
Pathology service under ASC setup - Would insurance reimburse
Non-ASC Facility Services
Non-ASC facility services include a number of items and services furnished in an ASC that can be reimbursed under other Florida Workers’ Compensation Manuals which are not reimbursable to an ASC facility.
The following are examples of non-ASC facility services that must be billed and reimbursed to those providers under other Florida Workers’ Compensation Reimbursement Manual policies and guidelines:
• Physician and other recognized health care practitioner services;
• Sale, lease, or rental of durable medical equipment for ASC patients to use at home;
• Services furnished by an independent laboratory; and
• Hospital-based Ambulance services.
Pathology/Laboratory Services
Preadmission pathology or laboratory services, when required by the physician and performed by the ASC on a date other than the date of surgery, shall be reimbursed in accordance with the Fee Schedule established for health care providers in the Florida Workers Compensation Health Care Provider Reimbursement Manual, Rule 69L-7.020, F.A.C.
Pathology or laboratory services provided by an Independent Clinical Laboratory shall be billed and reimbursed directly to the laboratory service provider according to the fee schedule in rule 69L-7.020, F.A.C. However, the ASC shall be reimbursed for procedure code 36415 for the collection of a blood specimen that must be conveyed to an independent laboratory.
Lab CPT codes list which can be performed by CLIA certified providers. Providers with a CLIA certificate may conduct the following laboratory tests in their offices:
Description Codes Description Codes
Urinalysis 81000- 81003
Crystal Identification 89060
Glucose 82947- 82948
ESR 85651, 85652
Prothrombin time 85610
BM Aspiration 85097
Tuberculosis Intra-Dermal Skin Test 86580
Platelet 85007
Urine Pregnancy Test 81025
Bilirubin Direct 82248
Tissue Exam (KOH) Prep 87220
Bilirubin Total 82247
Wet Mounts 87177, 87210
Hemoglobin Glycated 83036
FOBT (Hemocult) 82270
Blood Smear 85060
Strep Test Group A 87070, 87880
Molecular Cytogenetics Chromosomal 88273
CBC 85025- 85048
Molecular Cytogenetics Interphase 88274
BUN, Creatinine 82565
Special Stains Group I 88312
Potassium 84132
Special Stains Group II 88313
Hemoglobin 85018
Clinical Pathology Consultation Limited 80500
Semen Analysis 89300 - 89320
Clinical Pathology Consultation Comprehensive 80502
Sperm Evaluation 89329
Lead Testing 83655
Cervical Mucus Penetration Test 89330
Rapid Flu Test 87804
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