Cholesterol, serum or whole blood, total
Relative Value Units (RVUs)
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Clinical Information
When to Use
Quantitative measurement of total cholesterol level in blood
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
- Total cholesterol measurement
- May be billed with other lipid tests on same day
Exclusions
- Do not bill if included in lipid panel (80061)
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: $4.35
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Get instant answers about 82465 - pricing, bundling rules, or billing questions.
Ask a QuestionFrequently Asked Questions
CPT 82465 is the billing code for "Cholesterol, serum or whole blood, total". Quantitative measurement of total cholesterol level in blood
CPT 82465 has a total RVU of 0.34, broken down as: Work RVU 0.03, Practice Expense RVU 0.30, and Malpractice RVU 0.01. RVUs (Relative Value Units) determine Medicare reimbursement rates.
Key documentation requirements for CPT 82465 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 82465: Total cholesterol measurement. May be billed with other lipid tests on same day Use an NCCI bundling checker to verify specific code combinations before billing.
Common modifiers for CPT 82465 include: 26 (Professional component only (interpretation)), TC (Technical component only (performance)), 91 (Repeat clinical diagnostic laboratory test, same day). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.
The typical time requirement for CPT 82465 is Automated testing - results typically available within hours. Time-based codes require documentation of the actual time spent providing the service.