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What is the HCPCS code for blood glucose test?

Published in Blood Glucose Coding 2 mins read

The HCPCS code for a standard quantitative blood glucose test is 82947.

Understanding Blood Glucose Test Codes

Blood glucose tests are essential for diagnosing and managing conditions like diabetes. While a general "blood glucose test" most commonly refers to a quantitative measurement in a lab setting, various other tests measure glucose in different contexts or for different purposes. Accurate medical coding is crucial for appropriate billing and healthcare record-keeping.

Key HCPCS/CPT Codes for Glucose Testing

The following table outlines common codes related to glucose testing, providing clarity on their specific applications:

HCPCS/CPT Code Code Descriptor
82947 Glucose; quantitative, blood (except reagent strip)
82950 Glucose; post glucose dose (includes glucose)
82951 Glucose Tolerance Test (GTT); three specimens (includes glucose)
83036 Hemoglobin A1C

Practical Insights into Glucose Test Codes:

  • 82947 (Glucose; quantitative, blood (except reagent strip)): This is the primary code for a routine blood glucose measurement performed in a laboratory, providing a precise quantitative value. It specifically excludes tests performed using reagent strips, which are typically point-of-care or at-home tests.
  • 82950 (Glucose; post glucose dose (includes glucose)): This code is used when a blood glucose level is measured after a patient has consumed a specific amount of glucose. This often occurs during glucose challenge tests or as part of a glucose tolerance test's later stages.
  • 82951 (Glucose Tolerance Test (GTT); three specimens (includes glucose)): This comprehensive code covers a Glucose Tolerance Test that involves collecting and analyzing three separate blood specimens. GTTs are commonly performed to diagnose impaired glucose tolerance, prediabetes, or gestational diabetes.
  • 83036 (Hemoglobin A1C): While related to glucose, this code is for the Hemoglobin A1C test, which measures the average blood sugar level over the past two to three months. It is distinct from a single blood glucose measurement and provides a long-term indicator of glycemic control.

Importance of Accurate Medical Coding

Accurate medical coding is paramount in healthcare for several reasons:

  • Reimbursement: Correct codes ensure that healthcare providers receive appropriate payment for services rendered from insurance companies.
  • Patient Records: Precise coding contributes to comprehensive and accurate patient medical records, aiding in continuity of care and future treatment decisions.
  • Data Analysis: Properly coded data can be used for public health statistics, research, and improving healthcare quality.

For more detailed information on HCPCS codes and their guidelines, you can refer to official resources such as the Centers for Medicare & Medicaid Services (CMS).