2025 CPT code 80069
(Active) Effective Date: N/A Revision Date: N/A Pathology and Laboratory Procedures - Organ or Disease Oriented Panels Pathology and Laboratory Feed
Renal function panel. This panel includes: Albumin, Calcium, total, Carbon dioxide (bicarbonate), Chloride, Creatinine, Glucose, Phosphorus inorganic (phosphate), Potassium, Sodium, and Urea nitrogen (BUN).
Modifiers may be applicable to 80069. For example, modifier 91 is used to indicate a repeat clinical diagnostic laboratory test.
Medical necessity for 80069 is established when the test is used to evaluate, diagnose, or monitor kidney function in patients with suspected or confirmed kidney disease, or those at high risk of developing kidney disease.
The laboratory analyst performs the renal function panel test to measure the levels of various substances in the blood. They may also collect the blood sample via venipuncture.
In simple words: This blood test checks how well your kidneys are working. It measures different substances in your blood to see if your kidneys are removing waste and keeping a healthy balance of chemicals.
Renal function panel. This panel must include the following: Albumin (82040), Calcium, total (82310), Carbon dioxide (bicarbonate) (82374), Chloride (82435), Creatinine (82565), Glucose (82947), Phosphorus inorganic (phosphate) (84100), Potassium (84132), Sodium (84295), Urea nitrogen (BUN) (84520).
Example 1: A patient with a history of diabetes and hypertension presents for routine monitoring of kidney function. The physician orders a renal function panel (80069)., A patient presents to the emergency department with symptoms suggestive of kidney failure. The physician orders a renal function panel (80069) to help assess kidney function., A patient with chronic kidney disease is being monitored regularly for disease progression. The physician orders a renal function panel (80069) during a routine follow-up visit.
Documentation should include the reason for the test, relevant medical history (e.g., diabetes, hypertension, chronic kidney disease), and any associated signs or symptoms.
** It is important to note that the components of a renal function panel may vary slightly between laboratories. It is essential to check the specific components included in the panel by each laboratory for accurate billing.
- Revenue Code: T1H (LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE))
- Payment Status: Active
- Specialties:Nephrology, Internal Medicine, Family Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center, and other applicable places of service.