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Glucose POCT CPT code.

Q As a point-of-care testing (POCT) coordinator getting ready to interface glucose meters with the laboratory and hospital information system (LIS/HIS), I'm unclear as to what current procedural terminology (CPT) code we should apply to in-house capillary glucose testing. I know a lot has to do with our local fiscal intermediary. CPT code 82948 is described in the 1999 book as "glucose, blood, reagent strip." My billing person tells me this CPT code is identified by HCFA regulations as a "non-billable" item. CPT code 82947 is described as "glucose, quantitative," and this is the CPT code used for our serum-based testing that is done on the laboratory chemistry analyzers. CPT code 82962 is described as "glucose, blood by glucose monitoring device(s) deared by the FDA specifically for home use."

A CPT code 82962 is the recommended code for in-house whole blood glucose testing on a meter. Although code 82948, "glucose, quantitative blood, reagent strip," is an acceptable code, some intermediaries have viewed this as a screening test and denied payment. Even though the descriptor for 82948 may seem more appropriate, in reality, the rapid changes in technology have made it a challenge for the coding manual editors to draft coding descriptors that are as specific and clear as we might like.[1]

Both codes are acceptable and identified by the Health Care Financing Administration as billable items. However, there may be a difference between fiscal intermediaries. I suggest you contact your HCFA regional office to verify the fee schedule for your region and locality and to find out if your fiscal intermediary's practices are consistent with this information.

Juanita Petersen, MT(ASCP),MBA Supervisor of the Core Laboratory Oregon Health Sciences University Hospital Portland, OR

Reference

(1.) Current Procedural Terminology, CPT 2000; Chicago, IL: American Medical Association; 2000.
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Title Annotation:point-of-care testing
Author:Petersen, Juanita
Publication:Medical Laboratory Observer
Article Type:Brief Article
Geographic Code:1USA
Date:Apr 1, 2000
Words:300
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