TMPPM 2008 > Texas Medicaid Services > Independent Laboratory > Benefits and Limitations

   
 

26.4.9 Ferritin and Iron Studies

Procedure codes 5-82728, 5-83540, 5-83550, 5-84466, and 5-85536, are payable for the following diagnoses:

Diagnosis Codes

2750

2800

2801

2808

2809

2810

2811

2812

2819

28241

28242

28249

28264

28268

2828

2829

2839

2850

28521

28522

28529

2859

5360

5728

5738

5739

5793

5798

5799

5851

5852

5853

5854

5855

5856

5859

586

64820

64821

64822

64823

64824

70900

V560

V5631

V5632

V568

If a ferritin and an iron study are billed on the same day, procedure code 5-82728 will be denied and procedure code 5-83540 will be paid. Ferritin and iron studies will be payable on the same day with the diagnosis of 2750.

Procedure codes 5-82728 and 5-83540 are payable on the same day, same provider, with the following diagnoses:

Diagnosis Codes

28521

5851

5852

5853

5854

5855

5856

5859


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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