Complete cbc automated

What is CPT Code 85027?

A complete blood count without differential — measures the same red cell, white cell, hemoglobin, hematocrit, and platelet counts as 85025, but does not include the detailed breakdown of white blood cell types.

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 85027

• !Billed alongside 85025 (with differential) — these are mutually exclusive
• !Upgrade to 85025 billed without a clinical reason for the differential

Red Flags on Your Bill

Negotiation Tips for CPT 85027

1. 1The CLFS rate for 85027 is roughly $8–$10; any hospital charge over $50 is negotiable
2. 2If your clinical situation required a differential (infection workup, etc.), 85025 is appropriate — if not, dispute the upcode

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 85027 on Your Bill?

If you see CPT code 85027 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 85027 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 85027 billed at [amount]. The Medicare rate for this procedure is $6.47. I'd like to discuss a fair adjustment.”