Complete cbc w/auto diff wbc

What is CPT Code 85025?

A complete blood count with differential (CBC with diff) — measures red blood cells, white blood cells, hemoglobin, hematocrit, platelets, and a breakdown of the white cell types. One of the most commonly ordered diagnostic tests.

The Medicare reimbursement rate shown above is the amount the federal government has determined is a reasonable payment for this service. Hospitals and providers that participate in Medicare have agreed to accept these rates from Medicare patients.

Who typically bills this:Independent lab or hospital laboratory

Common Billing Errors for CPT 85025

• !85025 (with differential) and 85027 (without differential) both billed on the same date
• !Individual components (e.g., platelet count, hemoglobin) billed separately alongside the panel
• !Billed multiple times during a single ER visit without documented clinical need for repeat testing

Red Flags on Your Bill

Negotiation Tips for CPT 85025

1. 1The CLFS rate for 85025 is roughly $10–$12; a hospital charge of $150–$300 for a CBC is very negotiable
2. 2If 85025 and 85027 both appear on the same bill, one is a duplicate
3. 3Lab charges for routine blood work are frequently discounted 40–60% off chargemaster for self-pay patients

Codes That Often Appear With This One

These CPT codes commonly appear on the same bill. Review each one to spot potential bundling errors or duplicate charges.

Found CPT 85025 on Your Bill?

If you see CPT code 85025 on a hospital or medical bill, compare the charged amount to the Medicare rate above. If your bill shows a significantly higher charge, you may have grounds to negotiate.

1. Note the amount charged for CPT 85025 on your itemized bill
2. Compare it to the Medicare rate above — calculate the markup
3. Call the billing department and use the Medicare rate as your anchor:“I see CPT code 85025 billed at [amount]. The Medicare rate for this procedure is $7.77. I'd like to discuss a fair adjustment.”