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CPT 85390: Interpretation and Report of Fibrinolysis and Coagulation
CPT code 85390 covers professional interpretation and reporting of laboratory tests that evaluate fibrinolysis and coagulation. This service is relevant nationally because coagulation testing informs diagnosis and management of bleeding and thrombotic disorders and often triggers downstream clinical decisions and additional testing. CPT code 85390 is used when a physician or qualified nonphysician laboratory professional reviews coagulation/fibrinolysis data and issues a formal interpretation and report.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of how CPT code 85390 is defined clinically, typical sites of service, and which payers commonly cover professional interpretation of coagulation studies. The publication outlines common modifiers associated with laboratory professional services and notes where input data are not available.
The report provides practical benchmarks and policy-relevant context for billing and coding teams, laboratory directors, and compliance staff. Topics covered include national reimbursement and coding considerations, clinical context for use of the code in evaluating hemostasis and fibrinolysis, and operational notes for laboratory service lines. Data not available in the input are identified as such where applicable.
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Billing Code Overview
CPT code 85390 describes a service in which a physician or a nonphysician laboratory professional provides interpretation and a written report of laboratory tests used to evaluate fibrinolysis and coagulation. This involves clinical review of laboratory data related to blood clotting and clot breakdown to inform diagnosis and management of coagulation disorders.
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Service type: Clinical laboratory interpretation and reporting
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Typical site of service: Clinical laboratory, hospital laboratory, or outpatient diagnostic laboratory setting