Laboratory Question for the Week of February 15, 2016

Laboratory Compliance Question of the Week

Question:

Does the new obstetric panel CPT code 80081 include HIV testing? 

Answer:

Yes, new code 80081 does include testing for HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result  (87389). Per the 2016 CPT Manual, it also must include the following: 

  • Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) 

OR 

Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) 

  • Hepatitis B surface antigen (HBsAg) (87340) HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result (87389) 
  • Antibody, rubella (86762) 
  • Syphilis test, non-treponemal antibody; qualitative (e.g., VDRL, RPR, ART) (86592)
  • Antibody screen, RBC, each serum technique (86850) 
  • Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901).

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.