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    v1.0.30
    OpenPayerBilling CodesProprietary Laboratory AnalysesCPT cpt-0604u-bradykinin-quantitative-lc-msms
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    CPT 0604U: Bradykinin, Quantitative, LC–MS/MS

    CPT code 0604U is a Proprietary Laboratory Analyses (PLA) code for a quantitative bradykinin panel performed by Virant Diagnostics Inc., measuring four bradykinin peptides in whole blood using liquid chromatography–tandem mass spectrometry (LC–MS/MS) to help assess disorders such as chronic recurrent angioedema; service type: laboratory test (specialty biochemical assay); typical site of service: clinical laboratory or reference laboratory.

    For related coverage guidance, see recent payer policy updates: Prenatal (Fetal) Diagnostic Testing, Oral Cancer Screening and Testing, RTM Testing for Alpha-1 Antitrypsin Deficiency.

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    Clinical & Coding Specifications

    Clinical Context

    A 38-year-old patient presents to an allergy/immunology clinic with a history of recurrent, nonpruritic angioedema episodes affecting the face and extremities over several months. Routine allergy testing and C1 esterase inhibitor studies were inconclusive. The treating allergist orders a specialized biochemical assay to quantify circulating bradykinin peptides to evaluate for bradykinin-mediated angioedema. A whole blood specimen is collected in the outpatient clinic and sent to Virant Diagnostics Inc. for the proprietary test reported with 0604U (Bradykinin, Quantitative, by LC–MS/MS). The laboratory performs liquid chromatography–tandem mass spectrometry analysis of four bradykinin peptides and returns a numeric report with peptide concentrations and interpretive comments. Results are reviewed by the ordering clinician to support diagnosis of chronic recurrent angioedema subtypes and guide further management decisions, such as considering targeted therapies or referral to specialized clinics. Typical site of service is outpatient clinic or outpatient phlebotomy with testing performed at the reference laboratory (Virant Diagnostics Inc.).

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    36415Collection of venous blood by venipuncturePrimary specimen collection method used to obtain whole blood for 0604U testing in outpatient settings.

    99000 | Handling and/or conveyance of specimen for transfer from patient to laboratory (usually bundled) | May be used by some facilities when separately billable specimen handling or courier services are charged in addition to laboratory testing.

    82784 | Amino acids, quantitative, plasma or serum, amino acids (Note: not the same analyte) | Represents other quantitative mass spectrometry–based assays; listed as a related lab technology code but not a substitute for the proprietary PLA code 0604U.

    0000U | Proprietary Laboratory Analyses example code (placeholder) | Illustrates that PLA tests use unique Category I PLA codes specific to a single manufacturer's test; 0604U is the PLA code for the Virant Diagnostics bradykinin assay.

    99213 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | A typical E/M visit during which the clinician documents recurrent angioedema history and orders 0604U testing.

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    91Modifier 91 — “Repeat Clinical Diagnostic Laboratory Test” — is appended when the exact same CPT laboratory test is performed more than once for the same patient on the same day because serial,…- Use modifier 91 when the exact same CPT laboratory test is performed more than once on the same patient on the same date because serial or repeated testing is medically necessary to monitor…
    24Modifier 24 denotes an unrelated evaluation and management (E/M) service performed by the same physician or qualified healthcare professional during a postoperative global period. Per CPT guidance,…- Use modifier 24 when you report an evaluation and management (E/M) service performed by the same physician or same-specialty group during a procedure’s postoperative global period that is unrelated…
    25CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207K00000X
    207RR0500X
    208000000X
    2084P0800X
    363L00000X
    2472D0500X
    2085H0002X
    3336H0001X

    Related ICD-10-CM Codes

    22 rows

    ICD-10-CM CodeDescription
    D84.9Immunodeficiency, unspecified
    D89.9Disorder involving the immune mechanism, unspecified
    E86.0Dehydration
    E86.9Volume depletion, unspecified
    G60.9Hereditary and idiopathic neuropathy, unspecified
    G72.89Other specified myopathies
    I83.90Asymptomatic varicose veins of unspecified lower extremity
    I88.9Nonspecific lymphadenitis, unspecified
    I99.9Unspecified disorder of circulatory system
    J30.2Other seasonal allergic rhinitis

    Showing 1–10 of 22

    Related Payer Policy Updates

    Specialty: Genetic & Molecular Testing1 / 3

    10 rows

    PolicyPayerEffective Date
    Prenatal (Fetal) Diagnostic TestingBlue Cross Blue Shield - Rhode Island2027-01-01
    Oral Cancer Screening and TestingOscar Health2027-01-01
    RTM Testing for Alpha-1 Antitrypsin DeficiencyOscar Health2027-01-01
    Cytochrome P450 Genotype-Guided Treatment Strategy Corporate Medical Policybcbsvermont2027-01-01
    Polygenic Risk ScoreBlue Cross Blue Shield - Rhode Island2026-12-01
    Gene Expression Profiling for Cutaneous MelanomaBlue Cross Blue Shield - Rhode Island2026-12-01
    Genetic Testing for Diagnosis and Management of Mental Health ConditionsBlue Cross Blue Shield - Rhode Island2026-11-01
    Molecular Testing in the Management of Pulmonary NodulesBlue Cross Blue Shield - Rhode Island2026-11-01
    Genetic Testing for Hereditary Cancer (for North Carolina Only)Colorado Rocky Mountain Health Plans2026-10-01
    Expanded Molecular Testing of Cancers to Select Targeted TherapiesBlue Cross Blue Shield - North Dakota2026-10-01

    Related Codes

    CPT-0001U-PRECISETYPE-HEA-MULTIPLEX-RBC-ANTIGEN-GENOTYPING

    CPT 0001U: PreciseType HEA Erythrocyte Antigen Genotyping

    CPT-0002U-POLYPDX-URINE-METABOLOMIC-ASSAY-ADENOMATOUS-POLYP-RISK

    CPT 0002U: PolypDX™ Urine Metabolomic Risk Assay

    CPT-0003U-OVAR-A-NEXT-GENERATION-OVARIAN-CANCER-RISK-ASSAY

    CPT 0003U: Overa (MIA2G) Ovarian Cancer Risk Assay

    CPT-0005U-PROSTATE-EXOSOMEDX-INTELLISCORE-GENE-EXPRESSION-URINE-TEST

    CPT 0005U: ExosomeDx Prostate (IntelliScore) urine gene expression test

    CPT-0007U-TOXPROTECT-URINE-DRUG-SCREEN-WITH-DNA-AUTHENTICATION

    CPT 0007U: ToxProtect Urine Drug Screen With DNA Authentication

    CPT-0008U-H-PYLORI-ANTIBIOTIC-RESISTANCE-SEQUENCING-PANEL

    CPT 0008U: H. pylori Antibiotic Resistance Gene Panel

    CPT-0009U-DEPARRAY-HER2-FISH-TUMOR-CELL-ISOLATION

    CPT 0009U: DEPArray HER2 Tumor‑Cell Isolation with FISH Analysis

    CPT-0010U-BACTERIAL-TYPING-WHOLE-GENOME-SEQUENCING-MAYO-CLINIC

    CPT 0010U: Bacterial Typing by Whole Genome Sequencing, Mayo Clinic

    CPT-0011U-CORDANT-CORE-ALGORITHMIC-ORAL-FLUID-DRUG-TEST

    CPT 0011U: Oral Fluid Drug Test with Algorithmic Steady‑State Comparison

    CPT-0016U-BCR-ABL1-MAJOR-MINOR-FUSION-TRANSCRIPT-TESTING

    CPT 0016U: BCR–ABL1 Major and Minor Breakpoint Fusion Transcripts

    Showing 1–10 of 536

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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