2025 CPT code 80076
(Active) Effective Date: N/A Revision Date: N/A Pathology and Laboratory Procedures - Organ or Disease Oriented Panels Pathology and Laboratory Feed
Hepatic function panel. This panel must include the following: Albumin, Bilirubin (total), Bilirubin (direct), Phosphatase (alkaline), Protein (total), Transferase, alanine amino (ALT) (SGPT), and Transferase, aspartate amino (AST) (SGOT).
Modifiers may be applicable, such as modifier 91 (Repeat Clinical Diagnostic Laboratory Test) if the test is repeated. Modifier 59 may be appropriate in distinct situations as well as many other modifiers, depending on the clinical scenario and payer guidelines.
Medical necessity for 80076 is supported by ICD-10-CM codes related to liver diseases (such as hepatitis, cirrhosis, liver failure), abnormal liver function test results, and monitoring of medication effects on the liver.
A laboratory analyst performs this test to measure seven indicators of liver function in a blood sample. They may also collect the sample via venipuncture.The test is used to assess and diagnose liver disease or injury, monitor medication effects, and quantify specific substances related to liver function. All seven components (albumin, total bilirubin, direct bilirubin, alkaline phosphatase, total protein, ALT, and AST) must be performed to report this code.
In simple words: This is a blood test that checks how well your liver is working. It measures different things in your blood, like proteins, enzymes, and bilirubin, to see if your liver is healthy.
Hepatic function panel. This panel must include the following: Albumin (82040), Bilirubin, total (82247), Bilirubin, direct (82248), Phosphatase, alkaline (84075), Protein, total (84155), Transferase, alanine amino (ALT) (SGPT) (84460), Transferase, aspartate amino (AST) (SGOT) (84450).
Example 1: A patient presents with jaundice, abdominal pain, and fatigue, prompting the physician to order a hepatic function panel (80076) to assess liver health and rule out conditions like hepatitis or cirrhosis., A patient with a history of alcohol abuse undergoes routine testing, including a hepatic function panel (80076), to monitor liver function and detect potential complications., A patient taking medication known to affect the liver has regular hepatic function panels (80076) done to track the medication’s impact on their liver and identify any adverse reactions.
Documentation should include the reason for the test, the patient's symptoms, relevant medical history (e.g., alcohol use, medication use), and the results of all seven components of the panel.
- Revenue Code: T1B (LAB TESTS - AUTOMATED GENERAL PROFILES)
- Payment Status: Active
- Specialties:Hepatology, Gastroenterology, Internal Medicine, Family Medicine
- Place of Service:Independent Laboratory, Office, Inpatient Hospital, Outpatient Hospital