Hepatic function panel
Relative Value Units (RVUs)
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Clinical Information
When to Use
Hepatic function panel including albumin, bilirubin (total and direct), ALT, AST, and alkaline phosphatase
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 liver function tests
- Cannot bill individual component tests separately
- Includes albumin, bilirubin, ALT, AST, and alkaline phosphatase
Exclusions
- Do not bill individual liver 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: $8.17
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Ask a QuestionFrequently Asked Questions
CPT 80076 is the billing code for "Hepatic function panel". Hepatic function panel including albumin, bilirubin (total and direct), ALT, AST, and alkaline phosphatase
CPT 80076 has a total RVU of 1.02, broken down as: Work RVU 0.06, Practice Expense RVU 0.95, and Malpractice RVU 0.01. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 80076 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 80076: Panel includes liver function tests. Cannot bill individual component tests separately Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 80076 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 80076 is Automated testing - results typically available within hours. Time-based codes require documentation of the actual time spent providing the service.