ICD-10 and CPT 2023

Download a PDF of the CPT Code Changes for 2024 Table

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The American Medical Association (AMA) has made Current Procedural Terminology CPT® code changes to the 2023 edition of the CPT.

Diagnostic Laboratory of Oklahoma (DLO) will be implementing these changes effective January 1, 2023. Overall, the changes for 2023 AMA CPT coding affect the way we bill some of our tests. These tests may also be included in panels or profiles. The chart below lists some of the tests affected and the appropriate CPT code changes. Please refer to the Quest Diagnostics Test Directory for further detail on reflexing information.

Download a PDF of the CPT® Code Changes for 2022 Table

 

      DLO Order Code

DLO Test Name

2023 CPT Coding

2024 CPT Coding

206

Acetylcholine Receptor Binding Antibody

83519

86041

94222

Acetylcholine Receptor Binding

Antibody with Reflex to MuSK Antibody

83519 with reflex to 83519

86041 with reflex to 86366

38359

Acetylcholine Receptor Binding

Antibody with Reflex to

MuSK/LRP4 Antibodies

83519 with reflex to 83519,

86255

86041 with reflex to 86366, 86255

34459

Acetylcholine Receptor Blocking Antibody

83519

86042

26474

Acetylcholine Receptor Modulating Antibody

83519

86043

11306

Lambert-Eaton Syndrome Antibody Panel

83519 (x2), 86596, 86255 with reflex to 86256

86041, 86043, 86596, 86255 with reflex to 86256

1490

MuSK and LRP4 Antibodies Panel

83519, 86255

86366, 86255

18842

MuSK Antibody Test

83519

86366

7550

Myasthenia Gravis Panel 1

83519, 86255 with reflex to

86256

86041, 86255 with reflex to 86256

10104

Myasthenia Gravis Panel 2

83519 (x3)

86041, 86042, 86043

10211

Myasthenia Gravis Panel 3

83519 (x3), 86255 with reflex to 86256

86041, 86042, 86043, 86255 with reflex to 86256

93859

Myasthenia Gravis Panel 2 with Reflex to MuSK Antibody

83519 (x3) with reflex to

83519

86041, 86042, 86043 with reflex to 86366

93876

Paraneoplastic Antibody

Evaluation w/Reflex to Titer and

Line Blot, Basic

86255 (x10), 83519 (x3),

86596 (x2) with reflexes

86255 (x10), 83519 (x3), 86596 (x2)

If AChR Binding Antibody is positive (≥0.50) or Equivocal (0.31-0.49), then

Paraneoplastic Antibody, LB, Basic and AChR Modulating Antibody will both be

Quest

Diagnostics

Order Code

Quest Diagnostics Test Name

2023 CPT Coding

2024 CPT Coding

 

 

 

performed at additional charges (CPT code(s) 86043).

93888

Autoimmune Neurology Antibody

Comprehensive Panel with

Reflexes, Serum

86255 (x20), 83519 (x3),

86596 (x2), 86341 (x2),

84182 (x11) with reflexes

86255 (x20), 83519 (x3), 86596 (x2),

86341 (x2), 84182 (x11)

If AChR Binding is Negative, then AChR Modulating Ab will be performed at an additional charge (CPT code(s): 86043).

If AChR Binding is Positive (≥0.50), then AChR Blocking Ab will be performed at an additional charge (CPT code(s):

86042).

If AChR Binding is Equivocal (0.31-0.49), then both AChR Blocking and AChR Modulating will be performed at additional charge (CPT code(s): 86042, 86043).

37231

Hepatitis D Virus (HDV) Antibody,

Total with Reflex to HDV, Real- Time PCR

86692 with reflex to 87799

86692 with reflex to 87523

37889

Hepatitis D Virus RNA,

Quantitative Real-Time PCR

87799

87523

37227

Anti-Mullerian Hormone (AMH), Female

83520

82166

37226

Anti-Mullerian Hormone (AMH), Male

83520

82166

10350

Enhanced Liver Fibrosis (ELF) Score

0014M

81517

12736

Comprehensive Metabolic Panel with FIB-4 Index with Reflex toELF Score

80053, 85049 with reflex to

0014M

80053, 85049 with reflex to 81517

12735

Hepatic Function Panel with FIB-

4 Index with Reflex to ELF Score

80076, 85049 with reflex to

0014M

80076, 85049 with reflex to 81517

12734

FIB-4 Index Panel with Reflex to

Enhanced Liver Fibrosis (ELF) Score

84450, 84460, 85049 with reflex to 0014M

84450, 84460, 85049 with reflex to

81517

93234

Solid Tumor Core Panel

81445, 81301, 81479

81459

36918

COLONSEQ Panel

81445, 81301

81457

36919

COLONSEQPlus Panel

81445, 81301

81457

 

We appreciate your support and look forward to continuing to serve all of your laboratory needs. DLO will make every effort to assist you with the transition to the 2023 AMA CPT coding being used for our test offerings.

Thank you very much for using DLO for your laboratory testing needs.

Note: The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.