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Lipid Panel

Karen Posted Tue 26th of June, 2012 17:03:29 PM

The new AAP guidelines reccommend that all children have at least one cholesterol screning test during a preventive care visit between the age of 9 and 11 and again between the ages of 17 and 21. The tests have never been covered under routine preventive care, will they be covered now using CPT code 80061?

SuperCoder Answered Tue 26th of June, 2012 20:00:32 PM

Yes, Its true.

The following are covered under the Preventive Care benefit when billed with
V77.91 and additional criteria in column B:
80061 - Lipid panel. This panel must include the following: Cholesterol, serum, total
(82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol)
(83718) Triglycerides (84478)
82465 - Cholesterol, serum or whole blood, total
83718 - Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)
83719 - Lipoprotein, direct measurement; VLDL cholesterol
83721 - Lipoprotein, direct measurement; LDL cholesterol
84478 - Triglycerides

Karen Posted Wed 27th of June, 2012 14:12:18 PM

Can you code the "80061" to the V20.2 (routine infant or health check) at a preventive care visit? Please explain what you mean by "additional criteria in column B".

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