General health panel
Relative Value Units (RVUs)
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Clinical Information
When to Use
General health panel including comprehensive metabolic panel, lipid panel, and complete blood count
Common Scenarios
Documentation Requirements
- Order from physician required
- Test results documented
- Normal/abnormal values reported
- Clinical interpretation if applicable
Coding Guidelines
Common Modifiers
Bundling Rules
- Panel includes multiple individual tests
- Cannot bill individual component tests separately
- Includes comprehensive metabolic panel, lipid panel, and CBC
Exclusions
- Do not bill individual component codes if panel billed
- Do not bill component panels on same day
Coding Notes
Clinical scenarios
- Order from physician required
- Test results documented
- Normal/abnormal values reported
- Order from physician required
- Test results documented
- Normal/abnormal values reported
- Order from physician required
- Test results documented
- Normal/abnormal values reported
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Code Details
Medicare Pricing
PFSRVU Breakdown
OPPS Details
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Ask a QuestionFrequently Asked Questions
CPT 80050 is the billing code for "General health panel". General health panel including comprehensive metabolic panel, lipid panel, and complete blood count
CPT 80050 has a total RVU of 1.29, broken down as: Work RVU 0.08, Practice Expense RVU 1.20, and Malpractice RVU 0.01. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 80050 include: Order from physician required; Test results documented; Normal/abnormal values reported; Clinical interpretation if applicable. Missing or incomplete documentation is a leading cause of claim denials for this code.
Bundling considerations for CPT 80050: Panel includes multiple individual tests. Cannot bill individual component tests separately Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 80050 include: 26 (Professional component only (interpretation)), TC (Technical component only (performance)). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.
The typical time requirement for CPT 80050 is Automated testing - results typically available within hours. Time-based codes require documentation of the actual time spent providing the service.