Manual automated enumeration of circulating blood platelets are used in evaluating total marrow function as part of the CBC as well as following the recovery of the marrow after cytotoxic treatment and managing thrombocytopenic states. Hemogram and platelet count, automated. Medicare does not reimburse for tests that are routine or screening.
Diagnostic codes are to be used at their highest level of specificity.
Fourth and fifth digits should be utilized when they are available. EMC and hard copy claims will be monitored for appropriateness and frequency. Medicare will deny claims when the ordering physician's documentation in the patient's medical record does not support medical necessity. 85595 should be billed when only a platelet count is medically indicated. If there are no clear medical indications for the platelet count, the CPT code will be reduced to 85022.