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The CPT® Code 82985 refers to a laboratory test that measures glycated protein levels in the blood. Glycated proteins are formed when glucose molecules bind to proteins, and this test is not limited to a specific type of glycated protein. It can be utilized to evaluate various glycated proteins, including glycated albumin, fructosamine, and alpha 1 acid glycoprotein (A1AG). The measurement of glycated albumin or fructosamine is particularly relevant for diabetic patients, as it helps in monitoring blood glucose levels over a period of 2 to 3 weeks. This timeframe is crucial for assessing the effectiveness of any changes made to the patient's treatment plan. An increase in glycated albumin or fructosamine levels indicates that the average blood glucose levels have been elevated during this period. Additionally, the test can be used to evaluate A1AG levels, which is an acute-phase protein produced by the liver. Elevated levels of A1AG are associated with inflammation and an increased risk of cardiovascular disease. The test requires a blood sample, which is obtained through a separately reportable venipuncture. The methodologies for testing include quantitative boronate affinity chromatography/immunoturbidimetric for glycated albumin, quantitative spectrophotometry for fructosamine, and quantitative nephelometry for A1AG. It is important to note that ascorbic acid (Vitamin C) can affect the results of fructosamine testing, and patients should refrain from consuming it 24 hours prior to the blood draw.
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The test associated with CPT® Code 82985 is indicated for the following conditions:
The procedure for conducting the test associated with CPT® Code 82985 involves several key steps:
After the procedure, the blood sample is analyzed in the laboratory, and results are typically available within a specified timeframe, depending on the laboratory's processing capabilities. Patients may be advised to follow up with their healthcare provider to discuss the results and any necessary adjustments to their treatment plan based on the findings. It is important for healthcare professionals to interpret the results in the context of the patient's overall health and medical history.
| Short Descr | ASSAY OF GLYCATED PROTEIN | Medium Descr | ASSAY OF GLYCATED PROTEIN | Long Descr | Glycated protein | 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) | Yes | 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. | 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. | GZ | Item or service expected to be denied as not reasonable and necessary | QW | Clia waived test | GA | Waiver of liability statement issued as required by payer policy, individual case | 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. | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GW | Service not related to the hospice patient's terminal condition | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 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. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AY | Item or service furnished to an esrd patient that is not for the treatment of esrd | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | LT | Left side (used to identify procedures performed on the left side of the body) | Q4 | Service for ordering/referring physician qualifies as a service exemption | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | 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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| 2013-01-01 | Changed | Description Changed |
| Pre-1990 | Added | Code added. |
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