CPT 85060: Peripheral Blood Smear Review and Interpretation
CPT code 85060 identifies a physician-performed peripheral blood smear review with interpretation and a written report. This pathology service is an essential diagnostic step for evaluating blood cell morphology in conditions such as anemia, infection, hematologic malignancy, and monitoring therapy. Nationally, accurate coding for 85060 ensures appropriate recognition of the professional interpretive work performed by clinical pathologists and supports consistent clinical documentation and claims processing across payers.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical and billing context for 85060, typical sites of service, common modifier considerations, and which payers are commonly referenced in benchmarking. The publication outlines where 85060 fits within laboratory and pathology service lines and highlights how the code is used to document professional review distinct from technical laboratory processing.
The article provides practical benchmarks and policy context relevant to national payer practices, plus clarifications on documentation and reporting expectations for the interpreting physician. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 85060 describes a peripheral blood smear review performed by a physician, typically a clinical pathologist. The service includes microscopic examination of a prepared peripheral blood smear, interpretation of findings, and a written report documenting the results and clinical significance.
Service Type: Pathology/Clinical Laboratory — professional interpretation and reporting
Typical Site of Service: Clinical laboratory or hospital pathology department, performed by a physician qualified to interpret peripheral blood smears. If a separate collection occurs, that component is not represented by this code.
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