ICD-10 and CPT 2023

    Download a PDF of the CPT® Code Changes for 2022 Table

    Click here to view the latest ICD-10 and CPT 2023 updates

    The American Medical Association (AMA) has made Current Procedural Terminology CPT® code changes to the 2023 edition of the CPT.

    Diagnostic Laboratory of Oklahoma (DLO) will be implementing these changes effective January 1, 2023. Overall, the changes for 2023 AMA CPT coding affect the way we bill some of our tests. These tests may also be included in panels or profiles. The chart below lists some of the tests affected and the appropriate CPT code changes. Please refer to the Quest Diagnostics Test Directory for further detail on reflexing information.

     

          DLO Order Code

    DLO Test Name

    2023 CPT Coding

    2024 CPT Coding

    206

    Acetylcholine Receptor Binding Antibody

    83519

    86041

    94222

    Acetylcholine Receptor Binding

    Antibody with Reflex to MuSK Antibody

    83519 with reflex to 83519

    86041 with reflex to 86366

    38359

    Acetylcholine Receptor Binding

    Antibody with Reflex to

    MuSK/LRP4 Antibodies

    83519 with reflex to 83519,

    86255

    86041 with reflex to 86366, 86255

    34459

    Acetylcholine Receptor Blocking Antibody

    83519

    86042

    26474

    Acetylcholine Receptor Modulating Antibody

    83519

    86043

    11306

    Lambert-Eaton Syndrome Antibody Panel

    83519 (x2), 86596, 86255 with reflex to 86256

    86041, 86043, 86596, 86255 with reflex to 86256

    1490

    MuSK and LRP4 Antibodies Panel

    83519, 86255

    86366, 86255

    18842

    MuSK Antibody Test

    83519

    86366

    7550

    Myasthenia Gravis Panel 1

    83519, 86255 with reflex to

    86256

    86041, 86255 with reflex to 86256

    10104

    Myasthenia Gravis Panel 2

    83519 (x3)

    86041, 86042, 86043

    10211

    Myasthenia Gravis Panel 3

    83519 (x3), 86255 with reflex to 86256

    86041, 86042, 86043, 86255 with reflex to 86256

    93859

    Myasthenia Gravis Panel 2 with Reflex to MuSK Antibody

    83519 (x3) with reflex to

    83519

    86041, 86042, 86043 with reflex to 86366

    93876

    Paraneoplastic Antibody

    Evaluation w/Reflex to Titer and

    Line Blot, Basic

    86255 (x10), 83519 (x3),

    86596 (x2) with reflexes

    86255 (x10), 83519 (x3), 86596 (x2)

    If AChR Binding Antibody is positive (≥0.50) or Equivocal (0.31-0.49), then

    Paraneoplastic Antibody, LB, Basic and AChR Modulating Antibody will both be

    Quest

    Diagnostics

    Order Code

    Quest Diagnostics Test Name

    2023 CPT Coding

    2024 CPT Coding

     

     

     

    performed at additional charges (CPT code(s) 86043).

    93888

    Autoimmune Neurology Antibody

    Comprehensive Panel with

    Reflexes, Serum

    86255 (x20), 83519 (x3),

    86596 (x2), 86341 (x2),

    84182 (x11) with reflexes

    86255 (x20), 83519 (x3), 86596 (x2),

    86341 (x2), 84182 (x11)

    If AChR Binding is Negative, then AChR Modulating Ab will be performed at an additional charge (CPT code(s): 86043).

    If AChR Binding is Positive (≥0.50), then AChR Blocking Ab will be performed at an additional charge (CPT code(s):

    86042).

    If AChR Binding is Equivocal (0.31-0.49), then both AChR Blocking and AChR Modulating will be performed at additional charge (CPT code(s): 86042, 86043).

    37231

    Hepatitis D Virus (HDV) Antibody,

    Total with Reflex to HDV, Real- Time PCR

    86692 with reflex to 87799

    86692 with reflex to 87523

    37889

    Hepatitis D Virus RNA,

    Quantitative Real-Time PCR

    87799

    87523

    37227

    Anti-Mullerian Hormone (AMH), Female

    83520

    82166

    37226

    Anti-Mullerian Hormone (AMH), Male

    83520

    82166

    10350

    Enhanced Liver Fibrosis (ELF) Score

    0014M

    81517

    12736

    Comprehensive Metabolic Panel with FIB-4 Index with Reflex toELF Score

    80053, 85049 with reflex to

    0014M

    80053, 85049 with reflex to 81517

    12735

    Hepatic Function Panel with FIB-

    4 Index with Reflex to ELF Score

    80076, 85049 with reflex to

    0014M

    80076, 85049 with reflex to 81517

    12734

    FIB-4 Index Panel with Reflex to

    Enhanced Liver Fibrosis (ELF) Score

    84450, 84460, 85049 with reflex to 0014M

    84450, 84460, 85049 with reflex to

    81517

    93234

    Solid Tumor Core Panel

    81445, 81301, 81479

    81459

    36918

    COLONSEQ Panel

    81445, 81301

    81457

    36919

    COLONSEQPlus Panel

    81445, 81301

    81457

     

    We appreciate your support and look forward to continuing to serve all of your laboratory needs. DLO will make every effort to assist you with the transition to the 2023 AMA CPT coding being used for our test offerings.

    Thank you very much for using DLO for your laboratory testing needs.

    Note: The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

    June 27 is annually recognized as National HIV Testing Day in the United States. This day serves as a powerful reminder of the importance of knowing your HIV status.