CPT Code 80050
Lab panel: general health screening blood tests
2026 Medicare pricing
CPT 80050 is not priced under the Medicare Physician Fee Schedule (status N). Laboratory tests are reimbursed under the Clinical Laboratory Fee Schedule (CLFS), not the PFS.
Common ICD-10 diagnoses billed with 80050
Diagnoses frequently paired with 80050 on claims. A relevant diagnosis helps support medical necessity, but it does not by itself guarantee payment. Documentation, the service performed, and payer/CMS policy all apply. Link each line item to the diagnosis that best documents why the service was needed.
Laboratory pricing note
Clinical laboratory tests like 80050 are generally reimbursed under the Medicare Clinical Laboratory Fee Schedule (CLFS), which sets a national limitation amount per test rather than RVU-based PFS pricing. Bill the test on a CMS-1500/837P with the ordering diagnosis; payment follows the CLFS amount for the date of service.
Related Pathology & Laboratory codes
Related guides
Medical billing disclaimer
Rates shown are 2026 Physician Fee Schedule amounts and are for educational reference. Commercial payers, locality, and plan rules vary. Always verify current rates and coverage with the payer before billing. D3rx is not responsible for claim outcomes.