2025 CPT code 85002
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pathology and Laboratory Procedures - Bleeding Time Hematology and Coagulation Procedures Feed
This test measures the time it takes for bleeding to stop after a small incision, assessing platelet function and the body's ability to form a clot.
Modifiers may apply based on the specific circumstances.For example, modifier 90 (Reference (Outside) Laboratory) may be used if the test is performed at an outside laboratory.Consult current CPT guidelines for additional modifier application rules.
Medical necessity for the bleeding time test is established when there is clinical suspicion of a bleeding disorder, platelet dysfunction, or vascular abnormality; before invasive procedures to evaluate bleeding risk; or to monitor the response to treatment.The physician's documentation should clearly justify the need for the test.
The clinical responsibility lies with the physician who orders the test and interprets the results in the context of the patient's overall clinical presentation. The laboratory personnel performs the technical aspects of the test, including creating the incision and measuring the bleeding time.
In simple words: This blood test checks how quickly a small cut stops bleeding. It helps doctors see if your blood is clotting properly. The test involves a tiny cut on your arm, and a healthcare professional measures how long it takes to stop bleeding.
The bleeding time test evaluates the primary phase of hemostasis, specifically platelet adhesion to injured capillaries and subsequent activation and aggregation.It involves making a standardized incision (e.g., Ivy or Duke method) and measuring the time until bleeding ceases.This assessment helps diagnose bleeding disorders, platelet dysfunction, and vascular abnormalities, and can be used as a screening tool before invasive procedures.Results are interpreted in the context of other coagulation studies and patient history.
Example 1: A patient presents with easy bruising and prolonged bleeding after minor cuts.The bleeding time test is ordered to assess platelet function and rule out conditions like von Willebrand disease or thrombocytopenia., A patient is scheduled for surgery, and the physician orders a bleeding time test as part of the pre-operative evaluation to assess the risk of perioperative bleeding., A patient with a history of bleeding disorders undergoes a bleeding time test to monitor the effectiveness of their treatment regimen and to assess the potential need for adjustments.
The order for the bleeding time test, including the reason for ordering; the patient's medical history, including any medications (especially those affecting coagulation, such as aspirin or warfarin); a record of the procedure performed (e.g., Ivy or Duke method); and the recorded bleeding time.
** The bleeding time test is considered less reliable than other tests for platelet function assessment (like PFA-100).It's crucial to correlate the bleeding time results with other clinical findings and laboratory data, such as complete blood count (CBC) with differential, platelet aggregometry, and other coagulation studies.The accuracy of the test is highly dependent on the proper technique employed.
- Revenue Code: T1H (LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE))
- RVU: Not specified in provided data; consult current fee schedules and local Medicare Administrative Contractor (MAC) guidelines for payment rates.
- Global Days: Not applicable. This is a laboratory test, not a surgical procedure with a global period.
- Payment Status: Active
- Modifier TC rule: Not applicable; this is a lab test, not a procedure with a technical component.
- Fee Schedule: Not available in provided data.Consult historical CPT fee schedules for past reimbursement information.
- Specialties:Hematology, General Surgery, Internal Medicine, Family Medicine
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center, Laboratory