Question

question 2

a patient presents with right upper quadrant pain, nausea, and other symptoms of liver disease as well as complaints of decreased urination. a physician orders an albumin, bilirubin, both total and direct; alkaline phosphatase; total protein; alanine amino transferase; aspartate amino transferase, and creatinine. how should this be coded?

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

Explanation:

Analyze ordered tests against Hepatic Function Panel (CPT 80076)

The physician ordered:

• Albumin (82040)
• Bilirubin, total (82247)
• Bilirubin, direct (82248)
• Alkaline phosphatase (84075)
• Total protein (84155)
• Alanine amino transferase (ALT) (84460)
• Aspartate amino transferase (AST) (84450)

These 7 specific tests comprise all the required components of the Hepatic Function Panel, which is coded as CPT 80076.

Identify additional tests outside the panel

The physician also ordered:

• Creatinine (82565)

Creatinine is not a component of the Hepatic Function Panel (80076) and must be coded separately.

Determine correct code combination

• Hepatic Function Panel: 80076
• Creatinine: 82565
• Combined coding: 80076, 82565

Answer:

• 80076-22
• 80076
• 80076,82565 (Correct answer)
• 82040,82247,82248,84075,84460,84450,82565