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Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)

HCPCS code

Medical Policies and Guidelines for Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)

Related policies from health plans

Preventive Care Services - (A004)

Similar Codes


ICD10CM codes

P09.1 - Abnormal findings on neonatal screening for inborn errors of metabolism
Z05.42 - Observation and evaluation of newborn for suspected metabolic condition ruled out
Z00.11 - Newborn health examination
Z05.4 - Observation and evaluation of newborn for suspected genetic, metabolic or immunologic condition rule
P74.9 - Transitory metabolic disturbance of newborn, unspecified
Z00.110 - Health examination for newborn under 8 days old
Z00.111 - Health examination for newborn 8 to 28 days old
P19 - Metabolic acidemia in newborn
P09.2 - Abnormal findings on neonatal screening for congenital endocrine disease
P09 - Abnormal findings on neonatal screening

HCPCS codes

S3620 - Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by
S9435 - Medical foods for inborn errors of metabolism
H1000 - Prenatal care, at-risk assessment
A4252 - Blood ketone test or reagent strip, each
D0190 - Screening of a patient
H0003 - Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs
G9357 - Post-partum screenings, evaluations and education performed
A4253 - Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
G0115 - NETT; PSYCHOLOGICAL TESTING
H2000 - Comprehensive multidisciplinary evaluation

CPT4 codes

80053 - Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, tota
80048 - Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310)
80047 - Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82
81512 - Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglyco
80050 - General health panel This panel must include the following: Comprehensive metabolic panel (80053) Bl
81511 - Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA)
81508 - Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG [any form]), utilizi
80051 - Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chlori
80069 - Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) C
99462 - Subsequent hospital care, per day, for evaluation and management of normal newborn