US · guidance
CMS Pub. 100-02, ch. 11, App. A
Appendix A: Composite Rate Tests for Hemodialysis, IPD, CCPD, and Hemofiltration (Items in bold are non composite rate test)
Chemistry CPT
Code
Monthly Weekly 13 x
Quarter
Albumin 82040 X
Alkaline Phosphates 84075 X
ALT (SGPT) 84460
AST (SGOT) 84450 X
Bilirubin, total 82247
Bilirubin, direct 82248
Calcium 82310 X
Calcium ionized (billed with modifier
CD or CE) 82330 X
Calcium ionized (billed with modifier
CF) 82330 X
Chloride 82435 X
Cholesterol 82465
CK, CPK 82550
CO2 (bicarbonate) 82374 X
Creatinine 82565 X
GGT 82977
Glucose 82947
LDH 83615 X
Phosphorus 84100 X
Potassium 84132 X
Protein, total 84155 X
Sodium 84295
Triglycerides 84478
Urea nitrogen (BUN) 84520 X
Uric Acid 84550
History
(Rev. 171, Issued: 06-07-13, Effective: 01-01-11, Implementation: 09-09-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
9ddb1b5229042ca2c8edce2b8384514a6e99e58065f9eb9e2282d56b8e70d497
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