cbc œ wbc œ rbc œ hemoglobin œ hematocrit · pdf filemedicaid coding...

MEDICAID CODING GUIDELINE

CBC � WBC � RBC � HEMOGLOBIN � HEMATOCRIT CPT CODES: 85007 Blood count; manual differential WBC count (includes RBC

morphology and platelet estimation) 85008 manual blood smear examination w/o differential parameters 85009 differential WBC count, buffy coat 85013 spun microhematocrit 85014 other than spun hematocrit 85018 hemoglobin

85021 hemogram, automated (RBC, WBC, Hb, Hct and indices only) 85022 hemogram, automated and manual differential WBC count

(CBC) 85023 hemogram and platelet count, automated and manual

differential WBC count (CBC) 85024 hemogram and platelet count, automated and automated

partial differential WBC count (CBC) 85025 hemogram and platelet count, automated and automated

complete differential WBC count (CBC) 85027 hemogram and platelet count, automated

85031 Blood count; hemogram, manual, complete CBC (RBC, Hgb, Hct, differential and indices)

85048 White blood cell (WBC) COVERED DIAGNOSIS: 001.0-139.8 150.0-159.9 162.2-163.9 172.0-172.9 174.0-176.9 179 180.0-189.9 200.0-208.9 233.0-233.9 235.2-235.5 236.0-236.99 238.4-238.7 245.0 261 262 263.0-263.9 280.0-285.9 287.0-287.9 320.0-326 390-392.9 446.0 460 �466.1

480.0-487.8 533.00-535.61 537.82-537.83 555.0-558.9 562.00-562.13 566 567.0-567.9 569.82-569.82 574.00-575.4 576.1 577.0 578.1-578.9 590.0-590.81 593.81 599.7 601.2 602.1 604.0-604.91 608.0 608.4 608.83 611.0 614.0-616.0 616.3-616.4 626.0-627.1 633.0-633.9 634.0-634.02 634.10-634.12 634.50-634.52 635.00-635.02 635.10-635.12 635.50-635.52 637.00-637.01 637.10-637.12 637.50-637.52 638.00-638.01 638.10-638.12 638.50-638.50 639.0-639.1 639.5 640.00-640.93 641.00-641.93 647.00-647.94 648.20-648.24 658.4 666.00-667.14 669.10-669.4 670.00-670.44 672.00-672.04 675.00-675.04 675.80-675.94 680.0-680.9 681.00-682.9 683-686.9 710.0-710.9 711.10-711.49

713.2 714.0-714.49 719.40-719.49 720.0-720.9 730.00-730.09 730.10-730.19 730.20-730.29 759.0 780.6 780.7 782.61 782.7 790.0 792.1 860.0-869.1 900.00-901.9 995.2 996.60-996.69 V12.3 V58.0 V58.1 V58.61 V58.69 V67.0-V67.2 V67.51 MC Part B news � Aug, 2000 Effective: 10-01-01 Revised: SP/2-01-02