CPT® Code 82383

Official Description

Catecholamines; blood

Common Language Description

The CPT® Code 82383 refers to the measurement of catecholamines in the blood. Catecholamines are a group of hormones produced by the adrenal glands and certain nerve tissues, including the brain. The primary catecholamines include dopamine, norepinephrine, and epinephrine (commonly known as adrenaline). These hormones play a crucial role in the body's response to stress and are involved in various physiological processes, such as regulating heart rate, blood pressure, and metabolism. Elevated levels of catecholamines in the blood can indicate the presence of neuroendocrine tumors, such as pheochromocytoma or neuroblastoma, which may require further investigation and management. The test for catecholamines can be performed using a blood sample obtained through venipuncture, and it is essential for the patient to be in a calm and supine position for at least 30 minutes prior to the blood draw to ensure accurate results. The analysis of the blood sample is conducted using quantitative high-performance liquid chromatography, a precise method that allows for the accurate measurement of catecholamine levels in the bloodstream.

1. Indications

The procedure associated with CPT® Code 82383 is indicated for the evaluation of catecholamine levels in the blood, which may be necessary under the following circumstances:

Neuroendocrine Tumors Elevated catecholamine levels may suggest the presence of neuroendocrine tumors such as pheochromocytoma or neuroblastoma.
Symptoms of Catecholamine Excess Patients exhibiting symptoms such as hypertension, palpitations, or episodes of sweating may require this test to assess catecholamine levels.
Monitoring Treatment The test may be used to monitor patients undergoing treatment for known catecholamine-secreting tumors.

2. Procedure

The procedure for CPT® Code 82383 involves several critical steps to ensure accurate measurement of catecholamine levels in the blood:

Patient Preparation Prior to the blood draw, the patient should be instructed to remain calm and in a supine position for at least 30 minutes. This preparation is essential to minimize any physiological stress that could affect catecholamine levels.
Venipuncture A blood sample is obtained through a separately reportable venipuncture. This step is crucial as it ensures that the sample collected is suitable for testing catecholamine levels.
Sample Analysis The collected blood sample is then analyzed using quantitative high-performance liquid chromatography. This method provides a precise measurement of total catecholamine levels in the blood, allowing for accurate diagnostic interpretation.

3. Post-Procedure

After the blood sample has been collected and sent for analysis, there are generally no specific post-procedure care requirements for the patient. However, it is advisable for the patient to follow any additional instructions provided by the healthcare provider regarding activity levels or follow-up appointments. The results of the test will typically be reviewed in conjunction with the patient's clinical history and any presenting symptoms to determine the next steps in diagnosis or treatment.

Short Descr	ASSAY BLOOD CATECHOLAMINES
Medium Descr	CATECHOLAMINES BLOOD
Long Descr	Catecholamines; blood
Status Code	Statutory Exclusion (from MPFS, may be paid under other methodologies)
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
CLIA Waived (QW)	No
APC Status Indicator	Conditionally packaged laboratory tests
Type of Service (TOS)	5 - Diagnostic Laboratory
Berenson-Eggers TOS (BETOS)	T1H - Lab tests - other (non-Medicare fee schedule)
MUE	1
CCS Clinical Classification	233 - Laboratory - Chemistry and Hematology

90	Reference (outside) laboratory: when laboratory procedures are performed by a party other than the treating or reporting physician or other qualified health care professional, the procedure may be identified by adding modifier 90 to the usual procedure number.