2025 CPT code 82239
(Active) Effective Date: N/A Pathology and Laboratory Procedures - Chemistry Procedures Feed
Total bile acids analysis.
Modifiers such as 90 (reference [outside] laboratory), 91 (repeat clinical diagnostic laboratory test) and 99 (multiple modifiers) may be applicable.
Medical necessity must be established based on the patient's signs, symptoms, and clinical condition. The test should be ordered when there is clinical suspicion of liver disease or a need to monitor a specific liver condition, such as during treatment for chronic hepatitis C or when assessing pregnant women with symptoms suggestive of cholestasis.
Performed by laboratory personnel to quantitatively measure total bile acids, typically using enzymatic methods.
In simple words: This blood test checks the levels of bile acids, substances that help with digestion. High levels may indicate liver problems or complications during pregnancy.
This test measures the total amount of bile acids in the serum. Bile acids are produced in the liver and aid in digestion. This test helps assess liver function and diagnose conditions like hepatitis, cirrhosis, and cholestasis of pregnancy. It can also be used to monitor the effectiveness of treatments for chronic hepatitis C.
Example 1: A pregnant woman in her third trimester experiences persistent itching, raising concerns about cholestasis of pregnancy. This test helps assess the risk., A patient with chronic hepatitis C undergoes interferon treatment. This test monitors treatment effectiveness by tracking bile acid levels., A patient presents with symptoms suggestive of liver dysfunction. This test helps determine if liver disease, such as hepatitis or cirrhosis, might be the cause.
The physician's order for the test, relevant patient history (e.g. pregnancy, symptoms suggestive of liver dysfunction), and the date and time of sample collection should be documented.
- Revenue Code: T1H - LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE)
- Specialties:Gastroenterology, Hepatology, Obstetrics and Gynecology, Internal Medicine, Family Medicine
- Place of Service:Independent Laboratory, Hospital, Physician Office