Hepatitis C CPT Codes

The following is a selected list of Current Procedural Terminology (CPT) codes that may be used in the management
of patients with HCV. For additional codes, please consult the AMA’s CodeManager®.
CPT CPT Other screening and test codes CPT
HCV-related tests Hematology (continued)
Code Code (continued) Code
Collection of venous blood by Complete blood count (CBC) (continued) Obesity preventive medicine
36415
venipuncture counseling and/or risk factor
Blood count; complete (CBC), reduction intervention(s) provided to 99402
Hepatitis C antibody screening, for an individual (separate procedure);
automated (Hgb, HCT, RBC, WBC, 85027
an individual at high risk and other G0472 approximately 30 minutes
and platelet count)
covered indication(s)a
Coagulation tests Drug screening 80100
Hepatitis C antibody 86803

Hepatitis C antibody, confirmatory Prothrombin time 85610 CPT

86804 Diagnostic codes
test (with reflex) Code
Thromboplastin time, partial (PTT);
Hepatitis C, direct probe technique 87520 85730
plasma or whole blood Diagnostic procedures on liver 50.1
Hepatitis C, amplified probe Thromboplastin time, partial (PTT); Closed (percutaneous) [needle]
87521 85732 50.11
technique substitution, plasma fractions, each biopsy of liver
Hepatitis C, quantification 87522 Open biopsy of liver 50.12

Hepatitis C virus (HCV) genotype test 87902 CPT

Pregnancy test codes Transjugular liver biopsy 50.13
Code
Hepatitis C, genotype test 3266F Urine pregnancy test UhCG 81025 Laparoscopic liver biopsy 50.14
Anti-Nuclear Antibodies (ANA),
86038 Blood pregnancy test BhCG 84163 Other diagnostic procedures on liver 50.19
IgG by ELISA
Upper endoscopy
CPT CPT
Other hepatitis-related tests Other screening and test codes (esophagogastroduodenoscopy 43235
Code Code [EGD])
Hepatitis A antibody (HAAb); total 86708 86701
Antibody; HIV-1 (rapid test Abdominal ultrasound 76700
Hepatitis B surface antigen 87340 modifier 92)
Abdominal CT scan 74150
Alcohol and/or substance (other
Hepatitis B core antibody (HBcAb); than tobacco) abuse structured
86704 MRI abdomen with contrast 74181
IgM antibody screening (e.g., AUDIT, DAST), 99408
and brief intervention services; 15
Hepatitis B surface antibody (HBsAb) 86706 to 30 minutes MRI abdomen without contrast 74182

Alpha-fetoprotein (AFP); serum 82105 Alcohol and/or substance (other MRI abdomen with and without
74183
than tobacco) abuse structured contrast
CPT screening (e.g., AUDIT, DAST), and 99409
Hematology Unlisted multianalyte assay with
brief intervention services; greater
Code algorithmic analysis (FibroSure, 81599
than 30 minutes
ActiTest, FibroTest)
Complete blood count (CBC) Obesity preventive medicine
counseling and/or risk factor FibroScan 91200
Blood count; complete (CBC), reduction intervention(s) provided to 99401 This HCPCS code is used for patients covered by Medicare and other payers following
a

automated (Hgb, HCT, RBC, WBC, an individual (separate procedure); Medicare guidelines.
85025 approximately 15 minutes
and platelet count) and automated This listing of codes is for informational purposes only. Each provider must make an
differential WBC count individualized decision for each patient’s needs. Gilead does not guarantee the coverage
or reimbursement of any item or service through the use of these codes.
Hepatitis C CPT Codes
(continued)
CPT CPT CPT
Chemistry Chemistry (continued) Chemistry (continued)
Code Code Code

Comprehensive metabolic panel Individual tests (continued) Individual tests (continued)

This panel must include the following: Calcium; total 82310 Sodium; serum, plasma, or
84295
Albumin; Bilirubin, total; Calcium, whole blood
total; Carbon dioxide (bicarbonate); Chloride; blood 82435
Chloride; Creatinine; Glucose; Thyroxine; total 84436
Phosphatase, alkaline; Potassium; 80053 Creatine kinase (CK), (CPK); total 82550
Protein, total; Sodium; Transferase, Thyroxine; free 84439
alanine amine (ALT) (SGPT); Creatinine; blood 82565
Transferase, aspartate amino (AST) Thyroid stimulating hormone (TSH) 84443
(SGOT); Urea Nitrogen (BUN) Ferritin 82728
Thyroid hormone (T3 or T4)
Glucose; quantitative, blood uptake or thyroid hormone binding 84479
82947
Hepatic function panel (except reagent strip) ratio (THBR)
Glucose; finger stick 82962
This panel must include the following: TIBC 83550
Albumin; Bilirubin, total; Bilirubin, Glutamyltransferase, gamma (GGT) 82977
direct; Phosphatase, alkaline; Protein, Transferase; aspartate amino (AST)
80076 84450
total; Transferase, alanine amine (ALT) Haptoglobin, quantitative 83010 (SGOT)
(SGPT); Transferase, aspartate amino
(AST) (SGOT) Transferase; alanine amino (ALT)
Insulin resistance (Hem A1C) 83036 84460
(SGPT)
Basic metabolic panel Iron 83540
Urea nitrogen; quantitative 84520
This panel must include the following: Lactate (lactic acid) 83605
BUN/Creatinine Ratio (calculated), CPT
Calcium, Carbon Dioxide, Chloride, Lactate dehydrogenase (LD), (LDH) 83615 Vaccine administration
80048 Code
Creatinine with GFR Estimated,
Glucose, Potassium, Sodium, Urea Lactate dehydrogenase (LD),
(LDH); isoenzymes, separation and 83625 Hepatitis A vaccine, adult dosage, for
Nitrogen (BUN) 90632
quantitation intramuscular use

Individual tests Hepatitis A and hepatitis B vaccine,

Nephelometry 83883 90636
adult dosage, for intramuscular use
Albumin; serum, plasma or
82040 Phosphatase, alkaline 84075 Hepatitis B vaccine, adult dosage, for
whole blood 90746
intramuscular use
Apolipoprotein 82172 Phosphatase, alkaline; isoenzymes 84080

Bilirubin; total 82247 Potassium; serum, plasma or

84132
whole blood
Bilirubin; direct 82248 SUPPORT PATH, the SUPPORT PATH logo, and GILEAD are
Reticulocyte count 85044
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