TABLE E.1 1998 Medicare Carrier Denial Rates for Top 100 CPT Codes
Obs. No. |
CPT |
Description |
Total Claims |
Allowed Services |
Denied Claims |
Percent Denied |
1 |
G0001 |
Venipuncture |
54,308,311 |
50,522,357 |
3,785,954 |
7 |
2 |
80061 |
Lipid panel |
10,012,394 |
8,112,908 |
1,899,486 |
19 |
3 |
85025 |
Automated hemogram |
13,484,091 |
10,641,281 |
2,842,810 |
21 |
4 |
84443 |
Assay TSH |
5,871,658 |
4,579,775 |
1,291,883 |
22 |
5 |
80054 |
Comp metabolic panel |
10,290,202 |
9,491,333 |
798,869 |
8 |
6 |
85024 |
Automated hemogram |
8,662,269 |
7,358,832 |
1,303,437 |
15 |
7 |
84153 |
Assay of PSA, total |
4,756,531 |
3,284,409 |
1,472,122 |
31 |
8 |
80092 |
Thyroid panel w/TSH |
2,534,185 |
1,974,563 |
559,622 |
22 |
9 |
85610 |
Prothombin time |
14,291,139 |
12,574,088 |
1,717,051 |
12 |
10 |
83036 |
Glycated hemoglobin test |
5,066,357 |
4,162,652 |
903,705 |
18 |
11 |
80049 |
Metabolic panel, basic |
5,828,554 |
5,468,084 |
360,470 |
6 |
12 |
81000 |
Urinalysis, nonauto w/scope |
10,333,195 |
9,197,005 |
1,136,190 |
11 |
13 |
87086 |
Urine culture/colony count |
3,470,828 |
2,977,871 |
492,957 |
14 |
14 |
83970 |
Assay of parathormone |
607,387 |
563,481 |
43,906 |
7 |
15 |
88342 |
Immunocytochemistry |
773,537 |
679,395 |
94,142 |
12 |
16 |
80162 |
Assay of digoxin |
2,217,224 |
1,719,286 |
497,938 |
22 |
17 |
82607 |
Vitamin B-12 |
1,293,984 |
1,148,163 |
145,821 |
11 |
18 |
82728 |
Assay of ferritin |
1,676,425 |
1,206,352 |
470,073 |
28 |
19 |
82947 |
Assay of glucose, quant |
6,808,196 |
5,095,476 |
1,712,720 |
25 |
20 |
83718 |
Assay of lipoprotein |
2,735,590 |
1,971,582 |
764,008 |
28 |
21 |
80058 |
Hepatic function panel |
3,257,316 |
2,793,817 |
463,499 |
14 |
22 |
83550 |
Iron-binding test |
2,222,641 |
1,672,426 |
550,215 |
25 |
23 |
83540 |
Assay of iron |
3,125,180 |
2,065,183 |
1,059,997 |
34 |
24 |
85023 |
Automated hemogram |
1,679,112 |
1,482,497 |
196,615 |
12 |
25 |
87186 |
Antibiotic sensitivity, mic |
1,541,216 |
1,423,826 |
117,380 |
8 |
26 |
88312 |
Special stains |
750,231 |
691,029 |
59,202 |
8 |
27 |
82746 |
Blood folic acid serum |
912,478 |
791,881 |
120,597 |
13 |
28 |
80185 |
Assay of phenytoin, total |
839,618 |
778,174 |
61,444 |
7 |
29 |
87340 |
Hep B surface antigen, EIA |
1,066,065 |
990,005 |
76,060 |
7 |
30 |
82378 |
Carcinoembryonic antigen |
717,046 |
523,034 |
194,012 |
27 |
31 |
88180 |
Cell marker study |
765,834 |
578,032 |
187,802 |
25 |
32 |
87088 |
Urine bacteria culture |
1,421,349 |
1,208,672 |
212,677 |
15 |
33 |
81001 |
Urinalysis, auto w/scope |
3,123,900 |
2,832,521 |
291,379 |
9 |
34 |
82108 |
Assay of aluminum |
374,227 |
347,575 |
26,652 |
7 |
35 |
83721 |
Assay of blood lipoprotein |
1,016,926 |
890,414 |
126,512 |
12 |
36 |
85651 |
RBC sed rate, nonautomated |
2,852,933 |
2,382,302 |
470,631 |
16 |
37 |
84439 |
Assay of free thyroxine |
1,043,574 |
875,160 |
168,414 |
16 |
38 |
81002 |
Urinalysis nonauto w/o scope |
3,672,390 |
3,040,808 |
631,582 |
17 |
39 |
84132 |
Assay of serum potassium |
3,228,326 |
2,903,922 |
324,404 |
10 |
40 |
85027 |
Automated hemogram |
1,347,928 |
1,117,113 |
230,815 |
17 |
41 |
80051 |
Electrolyte panel |
1,686,997 |
1,564,619 |
122,378 |
7 |
42 |
84460 |
Alanine (alt) (SGPT) |
4,473,439 |
4,022,030 |
451,409 |
10 |
43 |
82565 |
Assay of creatine |
3,690,794 |
3,361,129 |
329,665 |
9 |
44 |
83735 |
Assay of magnesium |
1,658,816 |
1,051,152 |
607,664 |
37 |
45 |
84436 |
Assay of total thyroxine |
1,328,819 |
967,532 |
361,287 |
27 |
46 |
87070 |
Culture specimen, bacteria |
795,903 |
732,725 |
63,178 |
8 |
47 |
88313 |
Special stains |
714,671 |
644,559 |
70,112 |
10 |
48 |
82270 |
Test for blood, feces |
3,582,984 |
2,406,732 |
1,176,252 |
33 |
49 |
84480 |
Assay, triiodothyronine (t3) |
478,533 |
427,966 |
50,567 |
11 |
50 |
86038 |
Antinuclear, antibodies |
490,385 |
449,731 |
40,654 |
8 |
51 |
86235 |
Nuclear antigen antibodies |
355,112 |
310,794 |
44,318 |
12 |
52 |
80059 |
Hepatitis panel |
111,194 |
89,049 |
22,145 |
20 |
53 |
84165 |
Assay of serum proteins |
478,051 |
441,159 |
36,892 |
8 |
54 |
82962 |
Glucose blood test |
2,025,904 |
1,624,456 |
401,448 |
20 |
55 |
83615 |
Lactate (LD) (LDH) enzyme |
3,590,958 |
3,229,463 |
361,495 |
10 |
56 |
82465 |
Assay of serum cholesterol |
3,796,842 |
2,545,361 |
1,251,481 |
33 |
57 |
84550 |
Assay of blood uric acid |
3,631,496 |
3,269,558 |
361,938 |
10 |
58 |
80164 |
Assay, dipropylaoctic acid |
384,222 |
358,712 |
25,510 |
7 |
59 |
86316 |
Immunoassay, tumor antigen |
380,049 |
230,267 |
149,782 |
39 |
Obs. No. |
CPT |
Description |
Total Claims |
Allowed Services |
Denied Claims |
Percent Denied |
60 |
84520 |
Assay of urea nitrogen |
3,142,103 |
2,829,708 |
312,395 |
10 |
61 |
84134 |
Assay of prealbumin |
369,369 |
337,573 |
31,796 |
9 |
62 |
80091 |
Thyroid panel |
494,986 |
341,512 |
153,474 |
31 |
63 |
87184 |
Antibiotic sensitivity, each |
710,761 |
662,935 |
47,826 |
7 |
64 |
84466 |
Assay of transferrin |
412,205 |
368,777 |
43,428 |
11 |
65 |
85021 |
Automated hemogram |
945,869 |
785,785 |
160,084 |
17 |
66 |
88311 |
Decalcify tissues |
521,382 |
476,714 |
44,668 |
9 |
67 |
84450 |
Transfarase (AST) (SGOT) |
2,472,065 |
2,207,233 |
264,832 |
11 |
68 |
84403 |
Assay of total testosterone |
182,640 |
166,282 |
16,358 |
9 |
69 |
80198 |
Assay of theophylline |
316,372 |
296,049 |
20,323 |
6 |
70 |
85730 |
Thromboplastin time, partial |
1,011,362 |
672,243 |
339,119 |
34 |
71 |
84100 |
Assay of phosphrus |
3,277,539 |
2,945,742 |
331,797 |
10 |
72 |
88358 |
Analysis, tumor |
45,022 |
33,684 |
11,338 |
25 |
73 |
82784 |
Assay of gammaglobulin IGM |
475,411 |
443,826 |
31,585 |
7 |
74 |
80156 |
Assay of carbamazepine |
290,031 |
270,482 |
19,549 |
7 |
75 |
87536 |
HIV-1 DNA, guant |
61,753 |
50,847 |
10,906 |
18 |
76 |
88156 |
Cytopath cerv/vag tbs |
1,123,563 |
705,034 |
418,529 |
37 |
77 |
p3000 |
Screen Pap by tech w md spuv |
|
696,620 |
|
|
78 |
86677 |
Helicobacter pylori |
294,970 |
261,064 |
33,906 |
11 |
79 |
87163 |
Special microbiology culture |
365,712 |
332,893 |
32,819 |
9 |
80 |
85022 |
Automated hemogram |
721,987 |
625,796 |
96,191 |
13 |
81 |
86706 |
Hepatitis B surface antibody |
318,970 |
291,801 |
27,169 |
9 |
82 |
82977 |
Assay of GGT |
2,710,498 |
1,776,256 |
934,242 |
34 |
83 |
82985 |
Glycated protein |
267,351 |
207,433 |
59,918 |
22 |
84 |
82310 |
Assay of calcium |
1,835,714 |
1,627,676 |
208,038 |
11 |
85 |
84478 |
Assay of triglycerides |
2,325,893 |
1,547,433 |
778,460 |
33 |
86 |
82150 |
Assay of amylase |
522,595 |
457,640 |
64,955 |
12 |
87 |
81003 |
Urinalysis, auto w/o scope |
1,524,186 |
1,304,784 |
219,402 |
14 |
TABLE E.2 1998 Medicare Carrier Denial Rates for the Top 20 Clinical Laboratory Tests, by State
|
|
Denial Rate (percentage) |
||||||||
|
|
510 |
511 |
520 |
521 |
522 |
528 |
590 |
621 |
623 |
CPT Code |
Description |
AL |
GA |
AR |
NM |
OK |
LA |
FL |
IL |
MI |
G0001 |
Venipuncture |
5 |
7 |
5 |
8 |
6 |
7 |
7 |
7 |
5 |
80061 |
Lipid panel |
14 |
17 |
5 |
25 |
14 |
16 |
15 |
23 |
17 |
85025 |
Automated hemogram |
27 |
35 |
5 |
29 |
5 |
17 |
14 |
34 |
35 |
84443 |
Assay TSH |
19 |
26 |
23 |
30 |
17 |
30 |
26 |
8 |
7 |
80054 |
Comp metabol panel |
6 |
8 |
5 |
6 |
4 |
6 |
6 |
9 |
6 |
85024 |
Automated hemogram |
18 |
16 |
4 |
6 |
8 |
13 |
12 |
19 |
19 |
84153 |
Assay of PSA, totala |
41 |
33 |
53 |
32 |
11 |
50 |
41 |
29 |
30 |
80092 |
Thyroid panel w/TSHb |
25 |
8 |
30 |
20 |
14 |
27 |
21 |
22 |
8 |
85610 |
Prothrombin time |
9 |
12 |
4 |
14 |
12 |
12 |
13 |
15 |
15 |
83036 |
Glycated hemoglobin test |
14 |
20 |
13 |
20 |
14 |
19 |
17 |
17 |
18 |
80049 |
Metabolic panel, basic |
4 |
6 |
4 |
5 |
3 |
4 |
5 |
7 |
4 |
81000 |
Urinalysis, nonauto w/scope |
20 |
16 |
13 |
7 |
12 |
5 |
8 |
9 |
6 |
87086 |
Urine culture/colony count |
12 |
18 |
6 |
7 |
3 |
18 |
15 |
23 |
19 |
83970 |
Assay of parathormone |
4 |
28 |
3 |
8 |
4 |
9 |
5 |
5 |
6 |
88342 |
Immunocytochemistry |
21 |
6 |
12 |
33 |
25 |
12 |
10 |
31 |
21 |
80162 |
Assay of digoxin |
30 |
49 |
26 |
17 |
12 |
22 |
24 |
47 |
53 |
82607 |
Vitamin B-12 |
5 |
6 |
6 |
6 |
3 |
8 |
6 |
9 |
6 |
82728 |
Assay of ferritin |
32 |
33 |
53 |
38 |
17 |
55 |
9 |
15 |
17 |
82947 |
Assay of glucose, quant |
25 |
27 |
21 |
14 |
8 |
19 |
29 |
26 |
39 |
83718 |
Assay of lipoprotein |
19 |
27 |
7 |
45 |
29 |
37 |
34 |
40 |
41 |
80058 |
Hepatic function panel |
48 |
46 |
6 |
5 |
4 |
47 |
5 |
7 |
4 |
|
|
Denial Rate (percentage) |
||||||||
|
|
630 |
640 |
650 |
655 |
660 |
740 |
751 |
801 |
803 |
CPT Code |
Description |
IN |
IA |
KS |
NE |
KY |
MO |
MT |
NY(W) |
NY(E) |
G0001 |
Venipuncture |
7 |
4 |
2 |
3 |
5 |
4 |
32 |
7 |
12 |
80061 |
Lipid panel |
15 |
9 |
23 |
25 |
15 |
34 |
19 |
7 |
20 |
85025 |
Automated hemogram |
7 |
5 |
5 |
9 |
31 |
5 |
65 |
12 |
33 |
84443 |
Assay TSH |
38 |
16 |
9 |
11 |
21 |
15 |
39 |
24 |
33 |
80054 |
Comp metabol panel |
7 |
10 |
3 |
6 |
10 |
5 |
16 |
6 |
11 |
85024 |
Automated hemogram |
9 |
7 |
3 |
6 |
14 |
4 |
29 |
6 |
27 |
84153 |
Assay of PSA, totala |
54 |
46 |
30 |
30 |
26 |
36 |
41 |
46 |
46 |
80092 |
Thyroid panel w/TSHb |
39 |
15 |
12 |
10 |
23 |
15 |
34 |
20 |
26 |
85610 |
Prothrombin time |
16 |
2 |
7 |
6 |
43 |
9 |
34 |
12 |
21 |
83036 |
Glycated hemoglobin test |
17 |
3 |
8 |
9 |
5 |
12 |
41 |
19 |
39 |
80049 |
Metabolic panel, basic |
6 |
5 |
3 |
3 |
7 |
3 |
24 |
4 |
10 |
81000 |
Urinalysis, nonauto w/scope |
6 |
13 |
4 |
5 |
12 |
7 |
38 |
14 |
22 |
87086 |
Urine culture/colony count |
5 |
7 |
6 |
14 |
7 |
11 |
44 |
21 |
24 |
83970 |
Assay of parathormone |
8 |
10 |
6 |
75 |
7 |
6 |
13 |
12 |
58 |
88342 |
Immunocytochemistry |
7 |
11 |
5 |
8 |
23 |
7 |
1 |
7 |
10 |
80162 |
Assay of digoxin |
17 |
2 |
12 |
12 |
7 |
13 |
33 |
21 |
30 |
82607 |
Vitamin B-12 |
10 |
42 |
3 |
5 |
8 |
4 |
43 |
18 |
20 |
82728 |
Assay of ferritin |
49 |
19 |
24 |
23 |
33 |
26 |
62 |
42 |
46 |
82947 |
Assay of glucose, quant |
12 |
9 |
17 |
16 |
27 |
20 |
22 |
43 |
41 |
83718 |
Assay of lipoprotein |
17 |
14 |
46 |
40 |
17 |
34 |
68 |
34 |
28 |
80058 |
Hepatic function panel |
6 |
4 |
3 |
4 |
15 |
4 |
15 |
4 |
9 |
|
|
Denial Rate (percentage) |
|||||||||
|
|
820 |
824 |
825 |
831 |
832 |
833 |
834 |
835 |
836 |
860 |
CPT Code |
Description |
N/SD |
CO |
WY |
AK |
AZ |
HI |
NV |
OR |
WA |
NJ |
G0001 |
Venipuncture |
4 |
10 |
7 |
4 |
12 |
4 |
10 |
5 |
6 |
4 |
80061 |
Lipid panel |
8 |
23 |
15 |
16 |
33 |
7 |
26 |
14 |
6 |
29 |
85025 |
Automated hemogram |
5 |
17 |
7 |
10 |
21 |
14 |
12 |
8 |
6 |
5 |
84443 |
Assay TSH |
17 |
32 |
23 |
24 |
41 |
19 |
36 |
25 |
27 |
16 |
80054 |
Comp metabol panel |
5 |
15 |
7 |
5 |
17 |
11 |
9 |
5 |
5 |
4 |
85024 |
Automated hemogram |
7 |
8 |
9 |
15 |
6 |
10 |
6 |
12 |
7 |
6 |
84153 |
Assay of PSA, totala |
53 |
54 |
46 |
36 |
33 |
20 |
35 |
26 |
27 |
21 |
80092 |
Thyroid panel w/TSHb |
15 |
29 |
17 |
24 |
31 |
19 |
27 |
16 |
20 |
13 |
85610 |
Prothrombin time |
5 |
14 |
9 |
10 |
24 |
13 |
24 |
10 |
14 |
10 |
83036 |
Glycated hemoglobin test |
6 |
22 |
12 |
26 |
31 |
17 |
29 |
18 |
5 |
29 |
80049 |
Metabolic panel, basic |
4 |
11 |
4 |
6 |
13 |
11 |
12 |
4 |
5 |
3 |
81000 |
Urinalysis, nonauto w/scope |
12 |
25 |
15 |
7 |
9 |
10 |
21 |
8 |
7 |
10 |
87086 |
Urine culture/colony count |
10 |
19 |
12 |
7 |
11 |
4 |
7 |
5 |
5 |
15 |
83970 |
Assay of parathormone |
6 |
12 |
5 |
0 |
21 |
14 |
12 |
4 |
9 |
5 |
88342 |
Immunocytochemistry |
5 |
12 |
11 |
40 |
14 |
5 |
3 |
4 |
9 |
8 |
80162 |
Assay of digoxin |
1 |
13 |
7 |
4 |
15 |
4 |
8 |
4 |
5 |
20 |
82607 |
Vitamin B-12 |
50 |
57 |
49 |
3 |
20 |
4 |
11 |
6 |
6 |
5 |
82728 |
Assay of ferritin |
24 |
46 |
39 |
28 |
47 |
17 |
38 |
24 |
32 |
46 |
82947 |
Assay of glucose, quant |
10 |
24 |
12 |
22 |
48 |
26 |
44 |
28 |
10 |
25 |
83718 |
Assay of lipoprotein |
12 |
42 |
23 |
33 |
36 |
18 |
36 |
23 |
7 |
19 |
80058 |
Hepatic function panel |
5 |
10 |
6 |
19 |
66 |
9 |
75 |
24 |
5 |
4 |
|
|
Denial Rate (percentage) |
|||||||||
|
|
865 |
870 |
880 |
900 |
901 |
902 |
903 |
910 |
951 |
973 |
CPT Code |
Description |
PA |
RI |
SC |
TX |
MD |
DE |
DC |
UT |
WI |
PR/VI |
G0001 |
Venipuncture |
4 |
15 |
6 |
5 |
6 |
18 |
5 |
7 |
4 |
6 |
80061 |
Lipid panel |
20 |
16 |
34 |
13 |
13 |
19 |
27 |
25 |
13 |
7 |
85025 |
Automated hemogram |
5 |
34 |
19 |
33 |
33 |
39 |
37 |
36 |
25 |
6 |
84443 |
Assay TSH |
12 |
27 |
31 |
24 |
25 |
35 |
27 |
48 |
18 |
9 |
80054 |
Comp metabol panel |
4 |
10 |
9 |
6 |
7 |
16 |
5 |
12 |
7 |
7 |
85024 |
Automated hemogram |
5 |
8 |
25 |
18 |
21 |
5 |
14 |
24 |
21 |
5 |
84153 |
Assay of PSA,totala |
18 |
35 |
61 |
21 |
27 |
36 |
31 |
27 |
24 |
23 |
80092 |
Thyroid panel w/TSHb |
10 |
22 |
72 |
22 |
20 |
35 |
27 |
49 |
54 |
10 |
85610 |
Prothrombin time |
6 |
20 |
17 |
15 |
15 |
16 |
18 |
15 |
12 |
6 |
83036 |
Glycated hemoglobin test |
20 |
32 |
16 |
19 |
21 |
25 |
21 |
20 |
11 |
6 |
80049 |
Metabolic panel, basic |
4 |
9 |
7 |
4 |
6 |
14 |
4 |
8 |
4 |
5 |
81000 |
Urinalysis, nonauto w/scope |
6 |
8 |
9 |
7 |
10 |
18 |
9 |
7 |
4 |
6 |
87086 |
Urine culture/colony count |
9 |
8 |
15 |
15 |
17 |
19 |
24 |
14 |
20 |
6 |
83970 |
Assay of parathormone |
25 |
11 |
13 |
5 |
7 |
4 |
5 |
13 |
5 |
7 |
88342 |
Immunocytochemistry |
5 |
28 |
12 |
4 |
3 |
1 |
5 |
5 |
4 |
12 |
80162 |
Assay of digoxin |
15 |
9 |
34 |
23 |
24 |
38 |
31 |
17 |
19 |
4 |
82607 |
Vitamin B-12 |
4 |
12 |
9 |
9 |
8 |
38 |
5 |
20 |
39 |
5 |
82728 |
Assay of ferritin |
26 |
45 |
30 |
30 |
33 |
47 |
34 |
59 |
21 |
6 |
82947 |
Assay of glucose, quant |
15 |
19 |
30 |
22 |
33 |
41 |
39 |
34 |
9 |
23 |
83718 |
Assay of lipoprotein |
21 |
28 |
46 |
24 |
19 |
42 |
30 |
36 |
19 |
15 |
80058 |
Hepatic function panel |
3 |
8 |
8 |
5 |
7 |
9 |
4 |
9 |
4 |
7 |
G0001 |
Venipuncture |
10 |
8 |
8 |
7 |
15 |
11 |
6 |
11 |
7 |
6 |
80061 |
Lipid panel |
26 |
18 |
18 |
19 |
14 |
9 |
24 |
41 |
14 |
21 |
|
|
Denial Rate (percentage) |
|||||||||
|
|
2050 |
5130 |
5440 |
5535 |
10071 |
10230 |
10240 |
10250 |
10490 |
11260 |
CPT Code |
Description |
CA(T) |
ID |
TN |
NC |
RR |
CT |
MN |
MS |
VA |
MO |
85025 |
Automated hemogram |
29 |
6 |
61 |
35 |
15 |
9 |
13 |
26 |
6 |
33 |
84443 |
Assay TSH |
15 |
28 |
34 |
24 |
15 |
13 |
13 |
23 |
14 |
23 |
80054 |
Comp metabol panel |
9 |
7 |
11 |
16 |
15 |
8 |
4 |
8 |
4 |
10 |
85024 |
Automated hemogram |
19 |
8 |
32 |
31 |
16 |
9 |
40 |
26 |
7 |
22 |
84153 |
Assay of PSA, totala |
25 |
40 |
32 |
44 |
15 |
7 |
52 |
34 |
18 |
46 |
80092 |
Thyroid panel w/TSHa |
20 |
30 |
33 |
27 |
15 |
10 |
11 |
|
9 |
25 |
85610 |
Prothrombin time |
7 |
14 |
14 |
12 |
15 |
7 |
7 |
17 |
8 |
13 |
83036 |
Glycated hemoglobin test |
19 |
23 |
19 |
15 |
15 |
10 |
11 |
7 |
14 |
23 |
80049 |
Metabolic panel, basic |
9 |
8 |
8 |
10 |
15 |
12 |
4 |
6 |
3 |
9 |
81000 |
Urinalysis, nonauto w/scope |
15 |
7 |
11 |
17 |
16 |
13 |
18 |
21 |
13 |
7 |
87086 |
Urine culture/colony count |
14 |
23 |
20 |
16 |
15 |
7 |
11 |
4 |
8 |
19 |
83970 |
Assay of parathormone |
8 |
3 |
8 |
9 |
12 |
13 |
5 |
12 |
8 |
5 |
88342 |
Immunocytochemistry |
14 |
8 |
12 |
11 |
24 |
14 |
16 |
12 |
11 |
27 |
80162 |
Assay of digoxin |
9 |
13 |
20 |
27 |
15 |
8 |
12 |
16 |
7 |
16 |
82607 |
Vitamin B-12 |
11 |
5 |
11 |
38 |
16 |
11 |
3 |
12 |
7 |
5 |
82728 |
Assay of ferritin |
31 |
42 |
16 |
38 |
13 |
44 |
10 |
20 |
8 |
30 |
82947 |
Assay of glucose, quant |
20 |
38 |
29 |
30 |
19 |
13 |
4 |
24 |
18 |
41 |
83718 |
Assay of lipoprotein |
16 |
30 |
28 |
20 |
19 |
14 |
21 |
22 |
9 |
25 |
80058 |
Hepatic function panel |
11 |
5 |
9 |
9 |
14 |
10 |
4 |
6 |
4 |
53 |
|
|
Denial Rate (percentage) |
|||||||
|
|
14330 |
16360 |
16510 |
31140 |
31142 |
31143 |
31144 |
31145 |
CPT Code |
Description |
NY(G) |
OH |
WV |
CA(N) |
ME |
MA |
NH |
VT |
G0001 |
Venipuncture |
8 |
6 |
5 |
9 |
4 |
5 |
6 |
5 |
80061 |
Lipid panel |
15 |
18 |
12 |
37 |
9 |
9 |
12 |
15 |
85025 |
Automated hemogram |
24 |
7 |
6 |
12 |
9 |
7 |
11 |
10 |
84443 |
Assay TSH |
16 |
24 |
16 |
47 |
16 |
15 |
19 |
22 |
80054 |
Comp metabol panel |
7 |
7 |
5 |
14 |
6 |
5 |
10 |
4 |
85024 |
Automated hemogram |
20 |
4 |
3 |
6 |
7 |
10 |
10 |
7 |
84153 |
Assay of PSA, totala |
29 |
24 |
19 |
38 |
27 |
28 |
32 |
38 |
80092 |
Thyroid panel w/TSHb |
16 |
40 |
37 |
44 |
14 |
10 |
16 |
11 |
85610 |
Prothrombin time |
14 |
13 |
12 |
6 |
10 |
7 |
10 |
9 |
83036 |
Glycated hemoglobin test |
14 |
15 |
10 |
10 |
14 |
11 |
16 |
22 |
80049 |
Metabolic panel, basic |
4 |
5 |
4 |
8 |
3 |
4 |
5 |
5 |
81000 |
Urinalysis, nonauto w/scope |
24 |
7 |
3 |
11 |
5 |
9 |
6 |
7 |
87086 |
Urine culture/colony count |
16 |
14 |
8 |
6 |
17 |
11 |
18 |
16 |
83970 |
Assay of parathormone |
8 |
15 |
4 |
3 |
10 |
5 |
7 |
NA |
88342 |
Immunocytochemistry |
12 |
4 |
3 |
10 |
5 |
11 |
4 |
2 |
80162 |
Assay of digoxin |
17 |
24 |
22 |
7 |
21 |
15 |
19 |
25 |
82607 |
Vitamin B-12 |
13 |
7 |
6 |
1 |
8 |
6 |
10 |
4 |
82728 |
Assay of ferritin |
41 |
33 |
27 |
5 |
29 |
19 |
22 |
30 |
82947 |
Assay of glucose, quant |
44 |
22 |
15 |
15 |
19 |
25 |
28 |
19 |
83718 |
Assay of lipoprotein |
14 |
27 |
20 |
56 |
16 |
21 |
21 |
19 |
80058 |
Hepatic function panel |
6 |
5 |
4 |
69 |
5 |
4 |
7 |
5 |