The doctor orders a CBC with an auto diff: cpt code 85025.
The doctor orders a CBC with an auto diff and lab reflexes a manual diff due to indices meeting criteria for a manual diff: cpt codes 85027 and 85007.
Are these correct? Also, I'm not sure what cpt code/codes should be used if the doctor orders CBC with a manual diff. or if a CBC auto diff is ordered and a morphology review (or platelet scan) is reflexed by lab.
Any help would be appreciated.
Teresa Pervine MT (ASCP)
Clinical Support Specialist
Information Systems
Murray Calloway County Hospital
270-762-1160
tper...@murrayhospital.org
How many times is it appropriate to say "What?" before you just nod and smile because you still didn't hear what they said? ~Anonymous
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CBC w/manual diff (CBCD): 85027 + 85007 (This test has a unique charge code from the CBC test above, with a different charge since we do get reimbursed for doctor-ordered manual diffs, but not for manual diffs reflexed from a CBC order based on our lab criteria).
DIFF: Manual differential. No charge attached, so will only charge for physician-ordered diffs. If a physician requests a DIFF on a CBC order, we change the order to a CBCD for reimbursement purposes.
CBC w/reflexed Smear Review: 85025 + 85008
CBC, no diff: 85027
Hope this is helpful. I remember when I needed to figure it all out, my BAR person helped lot [that's as in the Meditech module, versus the local bartender..:)].
Britt Watters, MT(ASCP)
Laboratory Systems Analyst
Bartlett Regional Hospital