Reticulocyte count using automated hematology analyzer

Description

This code refers to a laboratory test that measures the reticulocyte count, which is crucial for assessing red blood cell production. The test utilizes an automated hematology analyzer to provide accurate results, aiding in the evaluation of hematologic health and potential anemias.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Top Modifiers

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HCPCS/CPT Q1Routine clinical service in an approved clinical research study(6.62%)

HCPCS/CPT GWService unrelated to hospice patient's terminal condition(6.36%)

HCPCS/CPT 90Reference laboratory services performed by an outside laboratory(4.58%)

HCPCS/CPT GVAttending physician not employed by hospice provider(4.07%)

HCPCS/CPT 26Professional component of diagnostic services(2.29%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(1.78%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(1.78%)

HCPCS/CPT Q6Service provided by a locum tenens physician(1.27%)

HCPCS/CPT Q0Investigational clinical service in an approved research study(1.02%)

HCPCS/CPT 91Repeat clinical diagnostic laboratory test performed on the same day(1.02%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)