Question

question 18

a patient presents with right upper quadrant pain, nausea and other symptoms of liver disease as well as complaints of decreased urination. her physician orders an albumin; bilirubin, both total and direct; alkaline phosphatase; total protein; alanine amino transferase; aspartate amino transferase, and creatinine. what cpt® code(s) is/are reported?

80076, 82565
80076-22
82040, 82247, 82248, 84075, 84155, 84460, 84450, 82565
80076

Explanation:

Identify the components of the hepatic function panel

The physician ordered: albumin; bilirubin (both total and direct); alkaline phosphatase; total protein; alanine amino transferase (ALT); and aspartate amino transferase (AST). These seven specific tests comprise the complete Hepatic Function Panel, which is reported using CPT code 80076.

Identify additional ordered tests

The physician also ordered a creatinine test. Creatinine is not a component of the hepatic function panel (CPT 80076). Therefore, it must be coded separately using its individual CPT code, which is 82565.

Determine the correct CPT code combination

Combining the panel code and the individual test code yields CPT codes 80076 and 82565.

Answer:

• (A) 80076, 82565 (Correct answer)
• (B) 80076-22
• (C) 82040, 82247, 82248, 84075, 84155, 84460, 84450, 82565
• (D) 80076