2025 Coding Reference

Fee schedules do not reflect 2% Payment Adjustment (Sequestration).
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Hematology
Test Name
CPT Code
CPT Code Description
Medicare Coverage
National
Reimbursement
85004
Blood count; automated differential WBC count
$ 6.47
85048
Blood count; leukocyte (WBC), automated
$ 2.54
85049
Blood count; platelet, automated
$ 4.48
85041
Blood count; red blood cell (RBC), automated
$ 3.02
85045
Blood count; reticulocyte, automated
$ 3.99
85027
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)
$ 6.47
85025
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
$ 7.77
85014
Blood count; hematocrit (Hct)
$ 2.37
85018
Blood count; hemoglobin (Hgb)
$ 2.37
86361
T cells; absolute CD4 count
$ 26.78
86360
T cells; absolute CD4 and CD8 count, including ratio
$ 46.98
86359
T cells; total count
$ 37.73





The information contained in this document has been compiled by CodeMap, L.L.C. to assist Abbott customers in preparing and submitting claims to Federal health care programs or other third-party payers. The information provided is for general educational purposes only and may not be conclusive or exhaustive. Recent changes in applicable law, regulations, payer instructions/transmittals and interpretations may not be reflected in the information contained herein. CodeMap, L.L.C. remains solely responsible for its content. Abbott assumes no responsibility for omissions or errors contained in this document.

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Abbott customers rely on the information contained in this document at their own risk and should check with the individual payers to verify coverage, coding and payment. The customer is ultimately responsible for determining the appropriate codes, coverage, and payment policies for individual patients. Abbott customers are encouraged to seek individual legal and/or coding guidance.

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04/25/2025 04:14:24 18.222.182.107