Here’s when you’ll use 80081 for panels.
If you are coding for an OB-GYN office, you should know about a couple of changes coming your way in CPT® 2016.
The skinny: there will be a new OB panel code, and several changes to fetal magnetic resonance imaging (MRI) coding. Read on for a sneak peek at the changes your OB office can expect starting January 1.
Once CPT® 2016 takes effect, you will have 80081 as a new option for coding obstetric panels (see detailed descriptor in box below):
This code is similar to the OB panel code 80055 (Obstetric panel…), but 80081 includes “HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result (87839).”
No matter which code you choose for your panel, all claims containing either 80055 or 80081 must include all of the elements listed in their respective descriptors.
CPT® 2016 will also include a pair of new fetal MRI codes your OB-GYN office might find handy. Use 74712 (Magnetic resonance [e.g., proton] imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation) or 74713 (… each additional gestation [List separately in addition to code for primary procedure]) for fetal MRIs when the encounter calls for these codes.
Remember, in order to use 74712 and/or 74713, you need to prove medical necessity. A fetal MRI could be necessary when: