Advanced Search

CPT® 83036, Under Chemistry Procedures

The Current Procedural Terminology (CPT®) code 83036 as maintained by American Medical Association, is a medical procedural code under the range - Chemistry Procedures.

Subscribe to Codify by AAPC and get the code details in a flash.

Request a Demo 14 Day Free Trial Buy Now

Additional/Related Information

Tabs
Summary

Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months). The higher the amount of blood sugar, the more the quantity of sugar attached to the blood cells. This A1C test measures the amount of sugar sticking to the red blood cells, displaying the result as a percentage. This gives the physician an understanding about the blood sugar level of the patient for the preceding three months. A normal, healthy person should have A1C level below 7%.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs
Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.
View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.
Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.
View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 83036 ? Start a discussion here
Billing A Physical & Labs
I have some insight on this from my coding rejections and working denials in the laboratory field. Patient contacts their provider for their upcoming "physical" and wants their "annual" labs done. Pro... [ Read More ]
Cpt code issue new A1C codes
[QUOTE="Krystie312, post: 469890, member: 508968"] I am having an issue with BCBSM not recognizing any of the codes, 3045F, 3051F or 3052F. I have called them 3 times and was told I had to do an appe... [ Read More ]
Level II CPT Code for Quality Metrics
We were having issues with BCBS Medicare (VT Blue) denying 83036, when I called them I was told that we needed to submit the CPT level II code each time to get it paid. I just add the appropriate code... [ Read More ]
Professional/Technical component - Lab codes
I need help with laboratory codes getting denied as "payment based on professional/technical component." , Examples being - 87653, 80061, 83036, 82947 How do I resolve such denials?... [ Read More ]
WELLNESS LABS: Medicare and Private payers
I work for a provider based clinic, and now a Provider based Rural Health Clinic. All of of labs are billed through our Hospital as out patient Place of service. We have had patients come in for Welln... [ Read More ]
83036 A1c help with payment
We have to put a referring physician on the 83036 with the QW. Maybe they are looking into more specific dx code. Every payer and state is different. I would check with the payer.... [ Read More ]
83036 A1c help with payment
I work for Primary Care office. Patient came in for A1C check. DX was E11.9. Billed to BC insurance 99213, 83036- QW, 3051F Insurance denied payment of 83036 stating "We cant pay for this service unl... [ Read More ]
Glycated protein/Hemoglobin; glycated
We have billed both labs 82985 (QW for Medicare) and 83036 (QW for Medicare) and frequency limits are every 90 days.... [ Read More ]
Glycated protein/Hemoglobin; glycated glycated protein
We are trying to see if we are able to bill 82985 (Glycated protein) at the same time as 83036 (Hemoglobin; glycated) and if there are limitations on frequency. There is no Medicare LCD and very litt... [ Read More ]
Medicare denial for 83036
[QUOTE="SharonCollachi, post: 497994, member: 654943"] Put it on a line by itself, with a zero dollar charge, or if your system won't let you do that, put a one cent charge on it. like this: 83036..... [ Read More ]
View All

Coding Alert(s)

    Read a CPT® Assistant article by subscribing to Code Connect Today!
    Search across Medicare Manuals, Transmittals, and more. For FREE Trial, register now!

    Latest News

    New CLIA-waived Tests Effective April 2019
    There are 13 new CLIAwaived tests effective April 1 2019. The Center for Medicare 38 Medicaid Services CMS announced in CR11080 that these apply to facilities with a CLIA certificate of waiver. QW is ... [ Read More ]
    Correctly Code Patient Counseling
    Use sign symptom or condition to prevent confusion with Preventive Medicine Counseling codes 9940199404. By William P. Galvin CPC A patients statusnew established or consultationisnt the only element ... [ Read More ]
    FDA Approves New Waived Tests
    The Food and Drug Administration FDA recently approved a collection of new waived tests under the Clinical Laboratory Improvement Amendments of 1988 CLIA. CPT codes 83036 81003 82274 G0328 and 80101 m... [ Read More ]
    View All News