2025 CPT code 84512
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Laboratory - Chemistry Procedures Pathology and Laboratory Procedures Feed
Qualitative assay for troponin in a patient's blood sample.
Modifiers may apply depending on the circumstances of the service.Refer to the CPT manual and payer-specific guidelines for more details on appropriate modifiers.
Medical necessity for this test is established when there is clinical suspicion of myocardial injury or cardiac damage. For example, a patient presenting with chest pain, shortness of breath, or other symptoms suggestive of a heart attack would be appropriate for this test.Payers may have specific criteria or guidelines for medical necessity that should be consulted.
Laboratory personnel perform the technical aspects of the test, including specimen handling, mixing with reagents, and measurement of the antigen-antibody complex. Clinicians interpret the results in the context of patient history and other clinical findings to diagnose conditions such as myocardial infarction.
In simple words: This blood test checks for troponin, a protein that indicates heart muscle damage.A positive result may suggest a heart attack.
This CPT code (84512) represents a qualitative assay to detect the presence of troponin in a patient's blood sample.The test uses methods such as immunoassay, where troponin antigens react with reagent antibodies. The amount of antigen-antibody complex formed is measured to determine the presence of troponin, a protein found in skeletal and heart muscle, specifically indicating myocardial infarction. This is a qualitative test; for a quantitative assay, use CPT code 84484.
Example 1: A patient presents to the emergency room with chest pain. An EKG is normal, but the physician orders a troponin qualitative test (84512) to rule out a myocardial infarction. The result is negative, indicating no evidence of heart muscle damage., A patient undergoing cardiac surgery has serial troponin levels monitored.Qualitative troponin testing (84512) is performed post-operatively to assess for post-operative myocardial injury. Results are used to guide further management decisions., A patient experiences sudden onset of chest pain. The physician orders both troponin qualitative (84512) and quantitative (84484) assays. The quantitative result provides specific levels for more precise assessment of the cardiac injury.
* Patient demographics and relevant medical history.* Reason for ordering the test.* Date and time of specimen collection.* Proper labeling and handling of the specimen.* Test results.* Physician's interpretation of the results.
** This code is used for a qualitative assessment of troponin.For quantitative results, use CPT code 84484. Pay close attention to payer specific requirements and local coverage determinations as they may influence coverage and reimbursement for this test.
- Revenue Code: T1H (LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE))
- RVU: Information not available in sources. Consult AMA's CPT codebook or payer-specific guidelines for RVU data.
- Global Days : Not applicable. This is a laboratory test.
- Payment Status: Active (as of 03 December 2024)
- Modifier TC rule: A Technical Component (TC) modifier is not applicable to this code.This is a professional component only.
- Fee Schedule : Historical fee schedule information is not available from the provided sources. Please consult fee schedules from relevant payers or the AMA for historical data.
- Specialties:Cardiology, Emergency Medicine, Internal Medicine, Critical Care Medicine
- Place of Service:Office, Hospital, Laboratory, Urgent Care, Emergency Room