80504 Path clin consltj mod 21-40
Also known as: pathology consultation moderate, moderate complexity lab consultation
Pathology clinical consultation on test results or patient care, moderate complexity, twenty-one to forty minutes of professional time.
In Plain Language
lab doctor moderate consultation
Clinical Context
Used for more involved pathology consultation requiring additional analysis and interpretation time.
RVU Breakdown
| Work RVU | 0.91 |
| Total RVU | 0.91 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Lab and pathology codes require an order from the treating provider with clinical indication. For molecular pathology and genetic testing, document the specific analytes tested and clinical rationale.
How This Code Compares
With a work RVU of 0.91, this code ranks in the 71st percentile among Pathology & Lab codes — 1.3x the median (0.68). The highest wRVU in this category is 2.78.
Specialties
Frequently Asked Questions
What is CPT code 80504?
CPT 80504 (Path clin consltj mod 21-40) is a Pathology & Lab code. Pathology clinical consultation on test results or patient care, moderate complexity, twenty-one to forty minutes of professional time.
Who uses CPT code 80504?
CPT 80504 is used by Pathology, Laboratory Medicine, Clinical Pathology. Used for more involved pathology consultation requiring additional analysis and interpretation time.
When is CPT 80504 used?
Used for more involved pathology consultation requiring additional analysis and interpretation time.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.