Advanced Search

CPT® 85025, Under Hematology and Coagulation Procedures

The Current Procedural Terminology (CPT®) code 85025 as maintained by American Medical Association, is a medical procedural code under the range - Hematology and Coagulation 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

A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a technician conducts the test and provides the results of CBC to the requesting doctor. The blood is drawn from the patient's vein using a syringe and is stored in a test tube containing an anticoagulant (usually EDTA or citrate) to prevent clotting and transported to laboratory.  Nowadays, most often, the cell counting process is done in an automated way using an instrument known as an "automated analyzer". The automatic cell counter counts the number of different cells in the blood and the results are printed out for review by the physician.

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 85025 ? 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 ]
LABS DONE AT DIFFERENT LOCATIONS
I am with an insurance carrier, have a similar situation and the same question. In my case, all 3 codes were performed by the same medical group and even in the same building. 84444 and 80053 were bil... [ Read More ]
LABS DONE AT DIFFERENT LOCATIONS
When billing 85025, 80053, and 84443 the guidance is to bill panel code 80050 instead. However, what happens when the cbc/85025 was done at the doctor's office but the rest of the rest were sent to o... [ Read More ]
LAB BUNDLING
If you are billing for the 80050, all three are included ( 84443, 80053 , 85025). If one is missing, it should be billed accordingly. In your case, if the outside lab is only performing the test for t... [ Read More ]
LAB BUNDLING
For years our Internists used an outside lab that we did billing for. Our docs interpreted all the results except for path samples and we billed the insurance for these outside labs. Recently, they pu... [ Read More ]
Billing to Medicare for physician fee schedule
Example would be: 1) Pt had lab services done for UA reflex w/ culture, and non-gyn cytology, we billed to Medicare with Dx code N390 and CPT code used 88173 used with modifier 90. (CPT is under phys... [ Read More ]
80050
I know Medicare does not pay for the 80050, but I am having denials from an advantage plan for the individual codes - they are saying that they should be bundled. Has anyone else billed MAP the 80050... [ Read More ]
LAB bundling and place of service
For years our Internists used an outside lab that we did billing for. Our docs interpreted all the results except for path samples and we billed the insurance for these outside labs. Recently, they ... [ Read More ]
2021 E/M Guidelines - Cat 2 Ordering Unique Tests for labs
Correct me if I am wrong. Any lab, xray, EKG etc that we are billing for with a separate CPT can not be included in the elements of MDM? The ordering and interpretaion of the test is already built int... [ Read More ]
labs done in office
hi providers office performed in-house CBC which was abnormal resulting in sending out to lab for further testing. can both parties be paid for CBC? since lab billed first, they recieved payment and... [ 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

    2021 E/M Changes: Are You Coding Unique Tests Properly?
    Review the AMAs updated definition of what constitutes a unique test. Many coders are asking the question What is a unique test As always we must first turn to the guidelines to see how test is define... [ Read More ]
    Cure What Ails Your Chronic Lymphocytic Leukemia Coding
    From ICD10CM to CPT to HCPCS Level II capture correct codes in your CLL claims. Chronic lymphocytic leukemia CLL reported using ICD10CM code C91.10 Chronic lymphocytic leukemia of Bcell type not havin... [ Read More ]
    CLIA-Waived Tests, Effective April 2018
    The Clinical Laboratory Improvement Amendments of 1988 CLIA requires that only certified labs may bill for laboratory services unless the test in question has been granted a waiver. The Centers for Me... [ Read More ]
    2018 Annual Update for Clinical Laboratory Fee Schedule
    The codes that are considered a laboratory test under Clinical Laboratory Improvement Amendments CLIA change each year. These codes require a facility to have either a CLIA certificate of registration... [ Read More ]
    Dont Overlook Obstetric Panel Alternative
    Obstetric panel code 80081 is identical to 80055 with one exception 80081 includes HIV testing. Required components for both codes include Blood count complete CBC and automated differential WBC count... [ Read More ]
    View All News