2025 CPT code 85025
Complete blood count (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count.
Modifiers may be applicable in certain situations.For example, modifier 59 may be used to indicate that the CBC was performed as a distinct procedural service. Modifier 91 is used for repeat laboratory tests.
Medical necessity for 85025 must be supported by the patient's clinical condition.Examples include evaluation of anemia, infection, bleeding disorders, or monitoring of existing hematologic conditions.
In simple words: A complete blood count (CBC) is a common blood test that gives your doctor information about the different types of cells in your blood.It's done by a machine that counts the number of red blood cells, white blood cells, and platelets. It also measures the amount of hemoglobin (the protein that carries oxygen) in your blood and the percentage of red blood cells in your total blood volume (hematocrit).A differential WBC count is also included, telling your doctor the proportions of different kinds of white blood cells, which is important for diagnosing infections and other conditions.
This code represents a complete blood count (CBC) test performed using automated methods. It includes hemoglobin (Hgb), hematocrit (Hct), red blood cell (RBC) count, white blood cell (WBC) count, platelet count, and an automated differential WBC count, which determines the percentages of different types of white blood cells.
Example 1: A 25-year-old female presents to her physician complaining of fatigue and shortness of breath.To evaluate for anemia or other blood disorders, the physician orders a CBC (85025)., A 60-year-old male with a history of leukemia is undergoing routine monitoring.His oncologist orders a CBC (85025) to assess his blood cell counts., A 4-year-old child is brought to the emergency room with a high fever.A CBC (85025) is ordered to help determine if the fever is due to a bacterial infection.
Medical record documentation should include the reason for the CBC, relevant signs and symptoms, and the physician's interpretation of the results.
- Specialties:Many medical specialties utilize CBCs, including family medicine, internal medicine, pediatrics, oncology, and emergency medicine.
- Place of Service:This test can be performed in various settings, including "Office", "Inpatient Hospital", "On Campus-Outpatient Hospital", "Independent Clinic", "Emergency Room - Hospital".