Saturday, August 20, 2011

Cardiovascular Disease & Diabetes Screening Tests CPT code - dx

Cardiovascular Disease Screenings CPT codes

80061 – Lipid Panel
82465 – Cholesterol
83718 – Lipoprotein
84478 – Triglycerides

Report one or more of the following codes:
V81.0, V81.1, V81.2

All Medicare beneficiaries without apparent signs or symptoms of cardiovascular disease 12-hour fast is required prior to testing 

Every 5 years

Copayment/coinsurance waived
Deductible waived

Diabetes Screening Tests CPT code
82947 – Glucose, quantitative, blood (except reagent strip)
82950 – Glucose, post-glucose dose (includes glucose)
82951 – Glucose Tolerance Test (GTT), three specimens (includes glucose)

Covered DX
Medicare beneficiaries with certain risk factors for diabetes or diagnosed with pre-diabetes
Beneficiaries previously diagnosed with diabetes are not eligible for this benefit

2 screening tests per year for beneficiaries diagnosed with pre-diabetes
1 screening per year if previously tested, but not diagnosed with pre-diabetes, or if
never tested
Copayment/coinsurance waived
Deductible waived

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