2024 Coding Reference

For questions, please email reimbursementsupport@quidelortho.com

Rapid & Molecular Reimbursement Summary

Fee schedules do not reflect 2% Payment Adjustment (Sequestration).
Click here for more information.


Rapid Diagnostics

Molecular Diagnostics

Cell Culture & Fluorescent Tests

ELISA

VITROS ECi/ECiQ

VITROS 350/XT 3400

VITROS 3600

VITROS 4600


VITROS 5600

VITROS 7600



VITROS® 4600 Chemistry System Download this page as PDF
Test Name CPT® Code(s) LOINC® Code     CPT® Description
Please Select a State
Medicare
Coverage
Medicare
Reimbursement
Acetaminophen
80143
3298-7
More
Acetaminophen
  CCI   MUE  
$ 18.64
Albumin
82040
1751-7
More
Albumin; serum, plasma or whole blood
  CCI   MUE  
$ 4.95
Alcohol
82077
5643-2
More
Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)
  CCI   MUE  
$ 17.27
Alkaline Phosphatase
84075
6768-6 Phosphatase, alkaline;
  CCI   MUE  
$ 5.18
Alpha 1-antitrypsin
82103
1825-9 Alpha-1-antitrypsin; total
  CCI   MUE  
$ 13.44
ALT
84460
1742-6 Transferase; alanine amino (ALT) (SGPT)
  CCI   MUE  
$ 5.30
ALTV
84460
1742-6 Transferase; alanine amino (ALT) (SGPT)
  CCI   MUE  
$ 5.30
Amikacin*
80150
35669-1 Amikacin
  CCI   MUE  
$ 15.08
Ammonia
82140
22763-7
More
Ammonia
  CCI   MUE  
$ 14.57
Amphetamines
80307
70138-3
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Amylase
82150
1798-8
More
Amylase
  CCI   MUE  
$ 6.48
Apolipoprotein A1
82172
1869-7 Apolipoprotein, each
  CCI   MUE  
$ 21.09
Apolipoprotein B
82172
1884-6 Apolipoprotein, each
  CCI   MUE  
$ 21.09
ASO
86060
5370-2 Antistreptolysin 0; titer
  CCI   MUE  
$ 7.30
AST
84450
1920-8 Transferase; aspartate amino (AST) (SGOT)
  CCI   MUE  
$ 5.18
Barbiturates
80307
20664-9
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Basic Metabolic Panel
80048
51990-0 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)
  CCI   MUE  
$ 8.46
Benzodiazepines
80307
70140-9
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
BuBc
82248
33898-8 Bilirubin; direct
  CCI   MUE  
$ 5.02
BUN/Urea
84520
3094-0
More
Urea nitrogen; quantitative
  CCI   MUE  
$ 3.95
Buprenorphine/Suboxone*
80307
3413-2
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
C3
86160
4485-9 Complement; antigen, each component
  CCI   MUE  
$ 12.00
C4
86160
4498-2 Complement; antigen, each component
  CCI   MUE  
$ 12.00
Caffeine
80155
3422-3
More
Caffeine
  CCI   MUE  
$ 38.57
Calcium
82310
17861-6
More
Calcium; total
  CCI   MUE  
$ 5.16
82331
17861-6
More
Calcium; after calcium infusion test
  CCI   MUE  
$ 13.34
82340
17861-6
More
Calcium; urine quantitative, timed specimen
  CCI   MUE  
$ 6.03
Carbamazepine
80156
3432-2
More
Carbamazepine; total
  CCI   MUE  
$ 14.57
Carbon Dioxide
82374
2024-8
More
Carbon dioxide (bicarbonate)
  CCI   MUE  
$ 4.88
Chloride
82435
2075-0
More
Chloride; blood
  CCI   MUE  
$ 4.60
82436
2075-0
More
Chloride; urine
  CCI   MUE  
$ 5.75
Cholesterol
82465
2093-3
More
Cholesterol, serum or whole blood, total
  CCI   MUE   NCD
$ 4.35
Cholinesterase
82480
2098-2 Cholinesterase; serum
  CCI   MUE  
$ 7.87
CK
82550
2157-6 Creatine kinase (CK), (CPK); total
  CCI   MUE  
$ 6.51
CK-MB
82553
49551-5 Creatine kinase (CK), (CPK); MB fraction only
  CCI   MUE  
$ 11.55
Cocaine Metabolites
80307
70146-6
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Comprehensive Metabolic Panel
80053
24323-8 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)
  CCI   MUE  
$ 10.56
Comprehensive Metabolic Panel
80053
24323-8 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)
  CCI   MUE  
$ 10.56
Creatinine
82565
2160-0
More
Creatinine; blood
  CCI   MUE  
$ 5.12
82570
2160-0
More
Creatinine; other source
  CCI   MUE  
$ 5.18
CRP
86140
1988-5 C-reactive protein;
  CCI   MUE  
$ 5.18
Cyclosporine*
80158
3520-4
More
Cyclosporine
  CCI   MUE  
$ 18.05
Cystatin C*
82610
33863-2
More
Cystatin C
  CCI   MUE  
$ 18.52
D-Dimer*
85379
91556-1
More
Fibrin degradation products, D-dimer; quantitative
  CCI   MUE  
$ 10.18
Digoxin
80162
10535-3
More
Digoxin; total
  CCI   MUE   NCD
$ 13.28
Direct HDL
83718
9322-9
More
Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)
  CCI   MUE   NCD
$ 8.19
Direct LDL
83721
18262-6
More
Lipoprotein, direct measurement; LDL cholesterol
  CCI   MUE   NCD
$ 10.50
dTIBC
83540
2500-7
More
Iron
  CCI   MUE   NCD
$ 6.47
83550
2500-7
More
Iron binding capacity
  CCI   MUE   NCD
$ 8.74
Ecstasy*
80307
18356-6
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Electrolytes Panel
80051
55231-5 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)
  CCI   MUE  
$ 7.01
Everolimus*
80169
50544-6 Everolimus
  CCI   MUE  
$ 13.73
Gentamicin
80170
35668-3
More
Gentamicin
  CCI   MUE  
$ 16.38
GGT
82977
2324-2 Glutamyltransferase, gamma (GGT)
  CCI   MUE   NCD
$ 7.20
Glucose
82947
2345-7
More
Glucose; quantitative, blood (except reagent strip)
  CCI   MUE   NCD
$ 3.93
Glucose (csf)
82945
2342-4
More
Glucose, body fluid, other than blood
  CCI   MUE  
$ 3.93
Glycated Serum Protein*
82985
1758-2 Glycated protein
  CCI   MUE   NCD
$ 16.76
Haptoglobin
83010
4542-7 Haptoglobin; quantitative
  CCI   MUE  
$ 12.58
HbA1c
83036
41995-2
More
Hemoglobin; glycosylated (A1C)
  CCI   MUE   NCD
$ 9.71
Hepatic Function Panel
80076
24325-3 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)
  CCI   MUE  
$ 8.17
Heroin Metabolite (6-MAM)*
80307
12788-6
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Homocysteine
83090
13965-9 Homocysteine
  CCI   MUE  
$ 17.92
hsCRP
86141
30522-7 C-reactive protein; high sensitivity (hsCRP)
  CCI   MUE  
$ 12.95
Hydrocodone*
80307
12786-0
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
IgA
82784
2458-8 Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each
  CCI   MUE  
$ 9.30
IgG
82784
2465-3 Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each
  CCI   MUE  
$ 9.30
IgM
82784
2472-9 Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each
  CCI   MUE  
$ 9.30
Iron
83540
2498-4
More
Iron
  CCI   MUE   NCD
$ 6.47
Kappa Free Light Chain*
83883
36916-5
More
Nephelometry, each analyte not elsewhere specified
  CCI   MUE  
$ 13.60
Lactate
83605
14118-4 Lactate (lactic acid)
  CCI   MUE  
$ 11.57
Lambda Free Light Chain*
83883
38178-0
More
Nephelometry, each analyte not elsewhere specified
  CCI   MUE  
$ 13.60
LDHi
83615
14804-9 Lactate dehydrogenase (LD), (LDH);
  CCI   MUE  
$ 6.04
Lipase
83690
3040-3 Lipase
  CCI   MUE  
$ 6.89
Lipid Panel
80061
100898-6 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)
  CCI   MUE   NCD
$ 13.39
Lithium
80178
14334-7 Lithium
  CCI   MUE  
$ 6.61
Lp(a)*
83695
1881-2
More
Lipoprotein (a)
  CCI   MUE  
$ 14.32
Magnesium
83735
19123-9
More
Magnesium
  CCI   MUE  
$ 6.70
Methadone
80307
70147-4
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Methadone Metabolite (EDDP)*
80307
60071-8
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Methotrexate*
80204
80969-9
More
Methotrexate
  CCI   MUE  
$ 38.57
Microalbumin
82043
14957-5 Albumin; urine (eg, microalbumin), quantitative
  CCI   MUE  
$ 5.78
Mycophenolic Acid*
80180
23905-3
More
Mycophenolate (mycophenolic acid)
  CCI   MUE  
$ 18.05
Opiates
80307

More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Oxycodone*
80307

More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
PCP
80307
19659-2
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Phenobarbital
80184
3948-7 Phenobarbital
  CCI   MUE  
$ 15.30
Phenytoin
80185
3968-5
More
Phenytoin; total
  CCI   MUE  
$ 13.25
Phosphorus
84100
2777-1
More
Phosphorus inorganic (phosphate);
  CCI   MUE  
$ 4.74
84105
2777-1
More
Phosphorus inorganic (phosphate); urine
  CCI   MUE  
$ 5.78
Potassium
84132
2823-3
More
Potassium; serum, plasma or whole blood
  CCI   MUE  
$ 4.76
84133
2823-3
More
Potassium; urine
  CCI   MUE  
$ 4.73
Prealbumin
84134
14338-8 Prealbumin
  CCI   MUE  
$ 14.59
Propoxyphene*
80307
3543-6
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Renal Function Panel
80069
24362-6 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)
  CCI   MUE  
$ 8.68
RF
86431
11572-5 Rheumatoid factor; quantitative
  CCI   MUE  
$ 5.67
ß-hydroxybuturate*
82010
29512-1
More
Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative
  CCI   MUE  
$ 8.17
Salicylate
80179
4024-6
More
Salicylate
  CCI   MUE  
$ 18.64
Sodium
84295
2951-2
More
Sodium; serum, plasma or whole blood
  CCI   MUE  
$ 4.81
84300
2951-2
More
Sodium; urine
  CCI   MUE  
$ 5.06
Tacrolimus*
80197
11253-2
More
Tacrolimus
  CCI   MUE  
$ 13.73
THC
80307
70143-3
More
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service
  CCI   MUE  
$ 62.14
Theophylline
80198
4049-3
More
Theophylline
  CCI   MUE  
$ 14.14
Tobramycin
80200
35670-9
More
Tobramycin
  CCI   MUE  
$ 16.13
Total Bilirubin
82247
1975-2
More
Bilirubin; total
  CCI   MUE  
$ 5.02
Total Protein
84155
2885-2 Protein, total, except by refractometry; serum, plasma or whole blood
  CCI   MUE  
$ 3.67
Total Protein (csf)
84157
2880-3 Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)
  CCI   MUE  
$ 4.00
Transferrin
84466
3034-6 Transferrin
  CCI   MUE   NCD
$ 12.76
Tricyclic antidepressants*
80337
10552-8 Antidepressants, tricyclic and other cyclicals; 6 or more
  CCI   MUE  
TBD
Triglycerides
84478
2571-8
More
Triglycerides
  CCI   MUE   NCD
$ 5.74
Uric Acid
84550
3084-1
More
Uric acid; blood
  CCI   MUE  
$ 4.52
84560
3084-1
More
Uric acid; other source
  CCI   MUE  
$ 5.08
Urine Protein
84156
2888-6 Protein, total, except by refractometry; urine
  CCI   MUE  
$ 3.67
Valproic Acid
80164
4086-5
More
Valproic acid (dipropylacetic acid); total
  CCI   MUE  
$ 13.54
Vancomycin
80202
20578-1
More
Vancomycin
  CCI   MUE  
$ 13.54
Wide-Range CRP*
86141
71426-1 C-reactive protein; high sensitivity (hsCRP)
  CCI   MUE  
$ 12.95

  For Medicare Clinical Laboratory Fee Schedule, go to www.cms.hhs.gov.

*QW modifier is added to report use of CLIA-waived test system(s) for Medicare/Medicaid claims.

CMS has set the effective date for the addition of the QW modifier with 87420 and 87430 as October 6, 2020 and an implementation date of July 6, 2021. That means Medicare/Medicaid have until July 6, 2021 to update their systems to accept the QW modifier with these codes. We recommend customers check with their payers prior to submitting claims to verify if their system has been updated.

Effective January 1, 2010, CPT 81025 DOES NOT require a QW modifier to be recognized as a waived test. Source: CMS Job Aid 6685.

This information is being provided as a reference, for informational purposes only, with no expressed or implied warranty and does not purport to provide legal or certified coding advice. Under Federal and State law, it is the individual provider's responsibility to determine appropriate coding, charges and claims for a particular service. Policies regarding appropriate coding and payment levels can vary greatly from payer to payer and change over time. Quidel Corporation strongly recommends that providers contact their contracted payers to determine appropriate coding and charge or payment levels prior to submitting claims.

The information contained in this website has been compiled by CodeMap, L.L.C. who remains solely responsible for its content. The information provided is for general educational purposes only and may not be conclusive or exhaustive. Reimbursement information does not indicate overage for these services. While every effort is made to ensure that all payment amounts and regulatory information is current and complete, it is the responsibility of each user to verify specific coverage and payment information with their Medicare contractors. Actual reimbursement for healthcare facilities will vary depending on local carrier coverage and payment policies. Recent changes in applicable law, regulations and interpretations may not be reflected in the information contained herein.

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05/24/2024 09:04:25 44.200.86.95