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The CPT® Code 82384 refers to the measurement of fractionated catecholamines, which are critical hormones produced by the adrenal glands and nerve tissues, including the brain. This test is essential for assessing the levels of three specific catecholamines: dopamine, norepinephrine, and epinephrine (commonly known as adrenaline). Elevated levels of these hormones can indicate the presence of neuroendocrine tumors, such as pheochromocytoma or neuroblastoma, which are conditions that may require further medical evaluation and intervention. The test can be performed using either a blood sample or a urine sample collected over a 24-hour period. For the blood test, it is recommended that the patient be calm and in a supine position for at least 30 minutes prior to the venipuncture to ensure accurate results. The analysis of the blood sample is conducted using quantitative high-performance liquid chromatography, while the urine sample is analyzed using quantitative tandem mass spectrometry. This fractionated approach allows for a detailed understanding of each hormone's levels, providing valuable information for diagnosis and treatment planning.
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The procedure associated with CPT® Code 82384 is indicated for the evaluation of conditions that may lead to elevated catecholamine levels. These indications include:
The procedure for CPT® Code 82384 involves the following steps:
After the procedure, there are no specific post-procedure care requirements mentioned. However, it is advisable for the patient to follow any additional instructions provided by the healthcare provider regarding medication or dietary restrictions that may affect the test results. The results of the test will be interpreted by a qualified healthcare professional, who will discuss the findings and any necessary follow-up actions based on the levels of catecholamines detected.
| Short Descr | ASSAY THREE CATECHOLAMINES | Medium Descr | CATECHOLAMINES FRACTIONATED | Long Descr | Catecholamines; fractionated | 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 | 2 | 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. | 91 | Repeat clinical diagnostic laboratory test: in the course of treatment of the patient, it may be necessary to repeat the same laboratory test on the same day to obtain subsequent (multiple) test results. under these circumstances, the laboratory test performed can be identified by its usual procedure number and the addition of modifier 91. note: this modifier may not be used when tests are rerun to confirm initial results; due to testing problems with specimens or equipment; or for any other reason when a normal, one-time, reportable result is all that is required. this modifier may not be used when other code(s) describe a series of test results (eg, glucose tolerance tests, evocative/suppression testing). this modifier may only be used for laboratory test(s) performed more than once on the same day on the same patient. | Q4 | Service for ordering/referring physician qualifies as a service exemption | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GA | Waiver of liability statement issued as required by payer policy, individual case | GZ | Item or service expected to be denied as not reasonable and necessary | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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