What is the CPT code for a C-Reactive Protein (CRP) test?

C-Reactive Protein (CRP) testing is an essential tool used to detect inflammation in the body. Whether you’re a healthcare provider, medical coder, or patient seeking clarity, knowing the correct CPT (Current Procedural Terminology) code for CRP testing is critical for accurate billing and smooth reimbursement processes.

What is CRP Testing?

CRP is a protein produced by the liver in response to inflammation. A CRP test measures the level of this protein in the blood and helps identify conditions such as infections, autoimmune disorders, and chronic inflammatory diseases.

High CRP levels indicate significant inflammation, but it’s important to note that CRP testing cannot detect small elevations associated with cardiovascular risk. For more details on CRP testing, you can visit Quest Diagnostics.

CPT Codes for CRP Testing

The CPT code for a standard CRP test is 86140, used for quantitative measurement of CRP levels in blood.

For high-sensitivity CRP (hs-CRP) testing, which assesses cardiovascular risk, the CPT code is 86141. Using the correct CPT code ensures accurate billing and compliance with regulations. For official guidance, see the CMS CPT Code Reference.

Clinical Significance of CRP Testing

Elevated CRP levels may indicate:

• Bacterial infections
• Rheumatic fever
• Active arthritis
• Myocardial infarction
• Malignancies
• Post-operative inflammation

Proper CRP testing assists healthcare providers in diagnosis and treatment planning, making it a vital component of clinical care.

Billing and Coding Considerations

Accurate coding is essential for proper reimbursement. When billing for CRP testing:

• Use 86140 for standard CRP testing
• Use 86141 for hs-CRP testing

Errors in CPT coding can lead to claim denials or delays. Understanding these codes is also critical for healthcare practices offering specialized services like Orthopedic Medical Billing, Gastroenterology Medical Billing, and Medical Billing Services.

Internal Resources You Can Explore

• Orthopedic Medical Billing
• Gastroenterology Medical Billing
• Medical Billing Services

These resources provide guidance on coding, billing, and managing revenue cycles across various medical specialties.

Final Thoughts

Understanding the correct CPT code for CRP testing is crucial for medical coders, billing specialists, and healthcare providers. Using the proper codes ensures accurate reimbursement, compliance, and efficiency in practice management. Accurate coding of CRP tests ultimately contributes to better patient care and streamlined healthcare operations.