The CSHCN Services Program may reimburse procedure codes 82728, 83540, 83550, 84466, and 85536 when billed with any of the following diagnosis codes:
Diagnosis Code
Description
2750
Disorders of iron metabolism
2800
Iron deficiency anemia secondary to blood loss (chronic)
2801
Iron deficiency anemia secondary to inadequate dietary iron intake
2808
Other specified iron deficiency anemias
2809
Unspecified iron deficiency anemia
2810
Pernicious anemia
2811
Other vitamin B12 deficiency anemia
2812
Folate-deficiency anemia
2819
Unspecified deficiency anemia
28241
Sickle-cell thalassemia without crisis
28242
Sickle-cell thalassemia with crisis
28249
Other thalassemia
28264
Sickle-cell/Hb-C disease with crisis
28268
Other sickle-cell disease without crisis
2828
Other specified hereditary hemolytic anemias
2829
Unspecified hereditary hemolytic anemia
2839
Unspecified acquired hemolytic anemia
2850
Sideroblastic anemia
28521
Anemia in chronic kidney disease
28522
Anemia in neoplastic disease
28529
Anemia of other chronic illness
2859
Unspecified anemia
5360
Achlorhydria
5728
Other sequelae of chronic liver disease
5738
Other specified disorders of liver
5739
Unspecified disorder of liver
5793
Other and unspecified postsurgical nonabsorption
5798
Other specified intestinal malabsorption
5799
Unspecified intestinal malabsorption
5851
Chronic kidney disease, stage I
5852
Chronic kidney disease, stage II (mild)
5853
Chronic kidney disease, stage III (moderate)
5854
Chronic kidney disease, stage IV (severe)
5855
Chronic kidney disease, stage V
5856
End-stage renal disease
5859
Chronic kidney disease, unspecified
586
Unspecified renal failure
70900
Dyschromia, unspecified dialysis
V560
Encounter for extracorporeal
V5631
Encounter for adequacy testing for hemodialysis
V5632
Encounter for adequacy testing for peritoneal dialysis
V568
Encounter other dialysis
If ferritin and iron procedures are billed on the same day, procedure code 82728 is denied and procedure code 83540 is paid. Procedure codes 82728 and 83540 are payable on the same day with the following diagnosis codes:
Diagnosis Code
Description
2750
Disorders of iron metabolism
28521
Anemia in chronic kidney disease
585
Chronic renal failure
5851
Chronic kidney disease, stage I
5852
Chronic kidney disease, stage II (mild)
5853
Chronic kidney disease, stage III (moderate)
5854
Chronic kidney disease, stage IV (severe)
5855
Chronic kidney disease, stage V
5856
End-stage renal disease
5859
Chronic kidney disease, unspecified
Texas Medicaid & Healthcare Partnership CPT only copyright 2008 American Medical Association. All rights reserved.
