2025 CPT code 80048
(Active) Effective Date: N/A Revision Date: N/A Laboratory - Basic Metabolic Panel Organ or Disease Oriented Panels Feed
The Basic Metabolic Panel (BMP) measures eight blood chemicals: glucose, blood urea nitrogen (BUN), creatinine, sodium, potassium, chloride, carbon dioxide, and calcium.
Modifiers may be applicable depending on the circumstances of service.Refer to the current CPT guidelines and payer specific rules.
Medical necessity for a BMP is typically established by the presence of symptoms or risk factors suggesting kidney dysfunction, electrolyte imbalance, or metabolic disorders.The physician's clinical judgment and documentation are critical in establishing medical necessity.
The clinical responsibility lies with the ordering physician who interprets the results to make a diagnosis and treatment plan. The laboratory analyst performs the tests.
In simple words: This blood test checks eight important things in your blood to see how your kidneys, electrolytes, and blood sugar are doing. It helps doctors understand your overall health.
CPT code 80048 represents a Basic Metabolic Panel (BMP), a group of eight laboratory tests that assess kidney function, electrolyte balance, blood sugar, and calcium levels.The panel includes the following individual tests: Glucose (82947), Blood Urea Nitrogen (BUN) (84520), Creatinine (82565), Sodium (84295), Potassium (84132), Chloride (82435), Carbon Dioxide (bicarbonate) (82374), and Total Calcium (82310).All eight tests must be performed to report this panel code. If fewer tests are performed, each test should be reported individually.If additional tests are performed, they should be reported separately in addition to code 80048.This panel is often used to screen for or monitor various health conditions.
Example 1: A patient presents to the emergency department with symptoms of dehydration. A BMP is ordered to assess electrolyte balance and kidney function., A patient undergoing a routine physical examination has a BMP ordered as part of preventative health screening to assess general metabolic health., A patient with a history of diabetes has a BMP ordered to monitor blood glucose and kidney function.
The patient's medical record should include the physician's order for the BMP, the laboratory report with results for all eight tests, and the physician's interpretation of the results and the resultant treatment plan.
** The results of a BMP should be interpreted in the context of the patient's clinical presentation, medical history, and other laboratory findings.Always refer to the latest CPT guidelines and payer-specific rules for accurate coding and reimbursement.
- Revenue Code: This will vary depending on the payer and specific circumstances. Consult payer-specific guidelines for revenue code assignment.
- RVU: RVUs vary depending on geographic location and payer. Consult your local fee schedule or payer guidelines for specific RVU values.
- Global Days: Not applicable; this is a laboratory test.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Historical fee schedules are not available here.Consult payer-specific fee schedules or your billing system.
- Specialties:Internal Medicine, Family Medicine, Endocrinology, Nephrology, Emergency Medicine
- Place of Service:Office, Hospital (Inpatient and Outpatient), Urgent Care, Clinical Laboratory