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The CPT Manual assigns CPT codes to organ or disease oriented panels consisting of a group of specified tests. If all tests of a CPT defined panel are performed, the provider may bill the panel code or the individual component test codes. The panel codes may be used when the tests are ordered as that panel or if the individual component tests of a panel are ordered separately. For example, if the individually ordered tests are cholesterol (CPT code 82465), triglycerides (CPT code 84478), and HDL cholesterol (CPT code 83718), the service could be billed as a lipid panel (CPT code 80061). The service could not be billed with CPT code 80061 (Lipid Panel) with CPT code 82465 (cholesterol) as the Lipid Panel would include the individual test.
An encounter with CPT 80061 and 82465 CPT codes will show on the Claim Production Status report with the following claim edit.