Renal function panel
Relative Value Units (RVUs)
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Clinical Information
When to Use
Renal function panel including albumin, creatinine, and estimated glomerular filtration rate (eGFR)
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 renal function tests
- Cannot bill individual component tests separately
- Includes albumin, creatinine, and eGFR
Exclusions
- Do not bill individual renal function codes if panel billed
- Do not bill component tests 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
National Limit: $8.68
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Ask a QuestionFrequently Asked Questions
CPT 80069 is the billing code for "Renal function panel". Renal function panel including albumin, creatinine, and estimated glomerular filtration rate (eGFR)
CPT 80069 has a total RVU of 0.92, broken down as: Work RVU 0.06, Practice Expense RVU 0.85, and Malpractice RVU 0.01. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 80069 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 80069: Panel includes renal function tests. Cannot bill individual component tests separately Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 80069 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 80069 is Automated testing - results typically available within hours. Time-based codes require documentation of the actual time spent providing the service.