Hi Everyone,

do you have a billing code(s) for TEG 6S?

Good morning everyone, 

    I am validating a TeG 6S and need to submit my test request to the LIS department.  How did you set up the CPT Codes?

 

Platelet Mapping- 85576 times ?  (platelet aggregation each agent)

                          85396- interpretation for platelet mapping

TEG citrated assay-    85347- Coagulation Time, activated

                               85384- Fibrinogen Time, activated

                               85390-coagulopathy screen  & interpretation   

 

 

 

 

 

I used 85576 x 3 for the Platelet Mapping and 85347 x 2, 85576 x 2, and 85384 for the citrated assay.  We just started doing these so I don't really have any feedback from the payers to say if that is correct, but I got them off google for another hospital that used them.  I can't find the exact one now so can't tell you what hospital that was, sorry.
 

Thank you.  I have reached out to the vendor.  They haven't responded yet. 

I doubt that they will respond.  I asked and was told that they are not supposed to give out that information because they are not coders.

We are implementing the ROTEM (same type of testing, different manufacturer).  We were told by the manufacturer that cpt 85396 is what should be used.  Makes sense - "Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment)".  Problem is that this cpt code is only a charge of once per day.  Looking to see what others are doing for billing...

Stephanie

I'm resurrecting this old thread to see if anyone has updates on how you charge for TEG or ROTEM testing.