Download Hepatitis C CPT Codes

Hepatitis C CPT Codes
The following is a selected list of Current Procedural Terminology (CPT) codes that may be used in the management
of patients with HCV. For additional codes, please consult the AMA’s CodeManager®.
HCV-related tests
CPT
Code
Hematology (continued)
Collection of venous blood by
venipuncture
36415
Complete blood count (CBC) (continued)
Hepatitis C antibody screening, for
an individual at high risk and other
covered indication(s)a
G0472
Hepatitis C antibody
86803
Hepatitis C antibody, confirmatory
test (with reflex)
86804
Hepatitis C, direct probe technique
Blood count; complete (CBC),
automated (Hgb, HCT, RBC, WBC,
and platelet count)
CPT
Code
85027
Coagulation tests
Other screening and test codes
(continued)
CPT
Code
Obesity preventive medicine
counseling and/or risk factor
reduction intervention(s) provided to
an individual (separate procedure);
approximately 30 minutes
99402
Drug screening
80100
Diagnostic codes
CPT
Code
Diagnostic procedures on liver
50.1
Closed (percutaneous) [needle]
biopsy of liver
50.11
Open biopsy of liver
50.12
Prothrombin time
85610
87520
Thromboplastin time, partial (PTT);
plasma or whole blood
85730
Hepatitis C, amplified probe
technique
87521
Thromboplastin time, partial (PTT);
substitution, plasma fractions, each
85732
Hepatitis C, quantification
87522
Hepatitis C virus (HCV) genotype test
87902
Pregnancy test codes
CPT
Code
Transjugular liver biopsy
50.13
Hepatitis C, genotype test
3266F
Urine pregnancy test UhCG
81025
Laparoscopic liver biopsy
50.14
Anti-Nuclear Antibodies (ANA),
IgG by ELISA
86038
Blood pregnancy test BhCG
84163
Other diagnostic procedures on liver
50.19
Other hepatitis-related tests
CPT
Code
Other screening and test codes
CPT
Code
Upper endoscopy
(esophagogastroduodenoscopy
[EGD])
43235
Hepatitis A antibody (HAAb); total
86708
Abdominal ultrasound
76700
Hepatitis B surface antigen
87340
Abdominal CT scan
74150
MRI abdomen with contrast
74181
MRI abdomen without contrast
74182
MRI abdomen with and without
contrast
74183
Unlisted multianalyte assay with
algorithmic analysis (FibroSure,
ActiTest, FibroTest)
81599
FibroScan
91200
Hepatitis B core antibody (HBcAb);
IgM antibody
86704
Hepatitis B surface antibody (HBsAb)
86706
Alpha-fetoprotein (AFP); serum
82105
Hematology
CPT
Code
Complete blood count (CBC)
Blood count; complete (CBC),
automated (Hgb, HCT, RBC, WBC,
and platelet count) and automated
differential WBC count
85025
Antibody; HIV-1
Alcohol and/or substance (other
than tobacco) abuse structured
screening (e.g., AUDIT, DAST),
and brief intervention services; 15
to 30 minutes
86701
(rapid test
modifier 92)
99408
Alcohol and/or substance (other
than tobacco) abuse structured
screening (e.g., AUDIT, DAST), and
brief intervention services; greater
than 30 minutes
99409
Obesity preventive medicine
counseling and/or risk factor
reduction intervention(s) provided to
an individual (separate procedure);
approximately 15 minutes
99401
This HCPCS code is used for patients covered by Medicare and other payers following
Medicare guidelines.
a
This listing of codes is for informational purposes only. Each provider must make an
individualized decision for each patient’s needs. Gilead does not guarantee the coverage
or reimbursement of any item or service through the use of these codes.
Hepatitis C CPT Codes
(continued)
Chemistry
CPT
Code
Chemistry (continued)
CPT
Code
Comprehensive metabolic panel
Individual tests (continued)
This panel must include the following:
Albumin; Bilirubin, total; Calcium,
total; Carbon dioxide (bicarbonate);
Chloride; Creatinine; Glucose;
Phosphatase, alkaline; Potassium;
Protein, total; Sodium; Transferase,
alanine amine (ALT) (SGPT);
Transferase, aspartate amino (AST)
(SGOT); Urea Nitrogen (BUN)
Calcium; total
82310
Chloride; blood
82435
Creatine kinase (CK), (CPK); total
82550
Creatinine; blood
82565
Ferritin
82728
Glucose; quantitative, blood
(except reagent strip)
82947
Glucose; finger stick
82962
Glutamyltransferase, gamma (GGT)
82977
Haptoglobin, quantitative
83010
Insulin resistance (Hem A1C)
83036
Basic metabolic panel
Iron
83540
This panel must include the following:
BUN/Creatinine Ratio (calculated),
Calcium, Carbon Dioxide, Chloride,
Creatinine with GFR Estimated,
Glucose, Potassium, Sodium, Urea
Nitrogen (BUN)
Lactate (lactic acid)
83605
Lactate dehydrogenase (LD), (LDH)
80053
Hepatic function panel
This panel must include the following:
Albumin; Bilirubin, total; Bilirubin,
direct; Phosphatase, alkaline; Protein,
total; Transferase, alanine amine (ALT)
(SGPT); Transferase, aspartate amino
(AST) (SGOT)
80076
80048
Individual tests
Chemistry (continued)
CPT
Code
Individual tests (continued)
Sodium; serum, plasma, or
whole blood
84295
Thyroxine; total
84436
Thyroxine; free
84439
Thyroid stimulating hormone (TSH)
84443
Thyroid hormone (T3 or T4)
uptake or thyroid hormone binding
ratio (THBR)
84479
TIBC
83550
Transferase; aspartate amino (AST)
(SGOT)
84450
Transferase; alanine amino (ALT)
(SGPT)
84460
Urea nitrogen; quantitative
84520
83615
Vaccine administration
CPT
Code
Lactate dehydrogenase (LD),
(LDH); isoenzymes, separation and
quantitation
83625
Hepatitis A vaccine, adult dosage, for
intramuscular use
90632
Nephelometry
83883
Hepatitis A and hepatitis B vaccine,
adult dosage, for intramuscular use
90636
Hepatitis B vaccine, adult dosage, for
intramuscular use
90746
Albumin; serum, plasma or
whole blood
82040
Phosphatase, alkaline
84075
Apolipoprotein
82172
Phosphatase, alkaline; isoenzymes
84080
Bilirubin; total
82247
84132
Bilirubin; direct
82248
Potassium; serum, plasma or
whole blood
Reticulocyte count
85044
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