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83550

Iron binding capacity

Pathology & Laboratory Clinical Chemistry 0.56 Total RVUs
Quick Reference
Quantitative measurement of total iron binding capacity (TIBC) in serum

Relative Value Units (RVUs)

Calculator →
Work RVU
0.05
Physician effort
PE RVU
0.50
Practice expense
MP RVU
0.01
Malpractice
Total RVU
0.56
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

Quantitative measurement of total iron binding capacity (TIBC) in serum

Time Requirement
Automated testing - results typically available within hours

Common Scenarios

Iron deficiency evaluation
Iron overload assessment
Anemia evaluation
Iron binding capacity assessment
Iron status evaluation

Documentation Requirements

  • Order from physician required
  • Test results documented
  • Normal range: 250-450 mcg/dL
  • Clinical interpretation if applicable

Coding Guidelines

Common Modifiers

26 Professional component only (interpretation)
TC Technical component only (performance)
91 Repeat clinical diagnostic laboratory test, same day

Bundling Rules

  • TIBC measurement
  • May be billed with iron (83540) and ferritin (82728) on same day

Exclusions

  • Do not bill if included in iron panel

Coding Notes

Common iron status test
Often paired with iron and ferritin
Automated testing

Clinical scenarios

Iron deficiency evaluation
Iron deficiency evaluation
When to use:Quantitative measurement of total iron binding capacity (TIBC) in serum
  • Order from physician required
  • Test results documented
  • Normal range: 250-450 mcg/dL
Iron overload assessment
Iron overload assessment
When to use:Quantitative measurement of total iron binding capacity (TIBC) in serum
  • Order from physician required
  • Test results documented
  • Normal range: 250-450 mcg/dL
Anemia evaluation
Anemia evaluation
When to use:Quantitative measurement of total iron binding capacity (TIBC) in serum
  • Order from physician required
  • Test results documented
  • Normal range: 250-450 mcg/dL

Who are you?

Code Details

Code 83550
Category Pathology & Laboratory
Subcategory Clinical Chemistry
Total RVUs 0.56

Medicare Pricing

PFS
2025 National Rate
$0.00
Facility
$0.00
Non-Facility
$0.00
RVU Breakdown
Work RVU:0.00PE RVU:0.00MP RVU:0.00Total RVU:0.00CF:$32.3465Global Days:XXX
OPPS Details
Status:Q4Copayment:$0.00

National Limit: $8.74

Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code 83550?

CPT 83550 is the billing code for "Iron binding capacity". Quantitative measurement of total iron binding capacity (TIBC) in serum

What are the RVUs for CPT 83550?

CPT 83550 has a total RVU of 0.56, broken down as: Work RVU 0.05, Practice Expense RVU 0.50, and Malpractice RVU 0.01. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 83550?

Key documentation requirements for CPT 83550 include: Order from physician required; Test results documented; Normal range: 250-450 mcg/dL; Clinical interpretation if applicable. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 83550 be billed with other codes?

Bundling considerations for CPT 83550: TIBC measurement. May be billed with iron (83540) and ferritin (82728) on same day Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 83550?

Common modifiers for CPT 83550 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.

What is the time requirement for CPT 83550?

The typical time requirement for CPT 83550 is Automated testing - results typically available within hours. Time-based codes require documentation of the actual time spent providing the service.

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