CardioChek PA - Reimbursement CPT Codes

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CardioChek PA - Reimbursement CPT Codes

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Immediate, On-The-Spot lipid testing is about: Efficiency - Effectiveness - Economy

The CLIA-waived CardioChek PA System was designed for use by healthcare professionals to test patients on-the-spot, in the office.

Designed for use by healthcare professionals to test patients on-the-spot, in the office The CLIA-waived CardioChek PA System

Lipids.* Glucose.* Ketones.* Creatinine.

Efficiency: In about two minutes* - in an exam room, waiting room or office - nurses or technicians with a hand-held CardioChek PA can obtain results from a quick and easy fingerstick. No blood tube draw. No centrifugation or shipping. No waiting for the lab. No re-charting. No telephone calls to give the patient results.

Effectiveness: Accurate results are in the chart for the physician-patient encounter. Deal immediately with the situation. Counsel the patient face-to-face with immediate test results.

Economy: Increase Revenues - Covered by Medicare and most carriers. Reduce Costs - Free up nursing and staff time.


Reimbursement

Medicare and most private payers accept Claims for CLIA-waived, point-of-care lipid testing. Over 75 ICD-9 codes apply to CLIA-waived, point-of-care lipid testing.

The following CPT Codes generally apply: CPT Code¹ HCPCS
Fee Schedule²
Lipid Panel(Total Chol, HDL, LDL (calc), Trig, TC/HDL) 80061 QW $18.72
Total Cholesterol 82465 QW $6.08
HDL-Cholesterol 83718 QW $11.42
LDL-Cholesterol (direct measurement) 83721 QW $13.33
Triglycerides 84478 QW $8.04
Glucose (diagnostic measurement) 82947 QW $5.48
Ketones 82010 QW $11.71
Creatinine³ 82565   $7.16
  1. CPT codes, description, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS clauses Apply. The "QW" modifier is used for CLIA-waived tests.
  2. HCPCS Fee Schedule published November 2004, effective January 2005. Rates shown are maximum. Certain states or zones may have lower rates.
  3. Creatinine is not CLIA-waived.

CardioChek Home Use Information Links:

CardioChek Manual Multi-Chemistry Controls PTS PANELS Cholesterol Test Strips PTS PANELS Glucose Test Strips PTS PANELS HDL Cholesterol Controls PTS PANELS Ketone Test Strips PTS PANELS Triglycerides Test Strips

CardioChek Professional Use Information Links:

CardioChek PA Manual Accuracy Study CHOL and HDL Test Strips CHOL+LDL Panel Test Strips LDL Cholesterol Test Strips LDL Lipid Panel Test Strips LDL Lipid Panel Performance

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Cardio Chek Cholesterol Monitor Product Directory Lancets and Lancing Devices Home Blood Testing Supplies Professional Blood Testing Diagnostic Medical Equipment