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Describe a service in plain words, or type a CPT/HCPCS code.

General Health Panel

CPT 80050

Ordered as a bundled wellness check combining metabolic, blood-count, and thyroid testing.

No national payment amount

Status N: non-covered. Medicare covers no part of this service, so the PFS produces no payment amount.

Did Medicare pay separately for CPT 80050 in Q4 2023? Copy link

Not at a published national rate. CPT 80050 carries status N (non-covered) in the Q4 2023 release. Medicare covers no part of this service. Treat the blank amount as unpriced, not as $0.

Source: Physician relative value file (Q4 2023) · effective October 2023 · materially updated Aug 4, 2026 · compact facts

What Medicare pays for instead of 80050 Copy link

The tests that make up the panel are each covered and priced on the lab fee schedule, so they are billed as separate lines rather than as one panel code.

Code When it applies Medicare amount
80053 The comprehensive metabolic panel component. No national amount
85025 The blood count component, with an automated differential. A count billed with a manual differential uses a different code pair and prices slightly lower. No national amount
84443 The thyroid-stimulating hormone component. No national amount

Medicare does not pay for the panel as a single code. CMS addressed this code by name when it set the CY2018 lab fee schedule, saying it is not payable under Medicare and had never been listed on the Clinical Laboratory Fee Schedule at all. The widely repeated story that CMS removed it for overuse is not what CMS said.

Being non-covered is not the same as being bundled: there is no Medicare payment for 80050 to fold into another service. What that means for billing the patient depends on why the code is not covered — services excluded by statute are treated differently from services ruled out by a coverage determination — and the status letter alone does not record which applies. How status indicators work covers the distinction.

Amounts from the current CMS Clinical Laboratory Fee Schedule, which versions independently of the Q4 2023 Physician Fee Schedule release this page shows. Each code above was checked against that release before being shown here.

Can you bill it with another code? Copy link

Enter a second CPT or HCPCS code billed the same date of service to check the current NCCI procedure-to-procedure edit between it and 80050.

See every current NCCI pair for 80050 →

Common questions Copy link

Why is there no payment amount for 80050?

Its status indicator is N (non-covered). Medicare covers no part of this service. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.

Why would a Medicare claim for 80050 be denied or paid less?

Each item below comes from a CMS indicator on this page — not general billing advice.

  • Its status indicator is N (non-covered) — Medicare covers no part of this service. See status indicators

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Saw this code on your bill? Copy link

For patients
What does CPT code 80050 mean?

CPT code 80050: General Health Panel. Ordered as a bundled wellness check combining metabolic, blood-count, and thyroid testing.

Computation & policy

How this amount is computed Copy link

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Release Q4 2023
Component RVU
Work RVU blank
Practice expense RVU (non-facility) blank
Practice expense RVU (facility) blank
Malpractice RVU blank

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.

History & related

Rate history by release Copy link

National non-facility amount for 80050 across quarterly releases.

Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 – present N — —
Q2 2026 Mar 10, 2026 – Jun 29, 2026 N — —
Q1 2026 Dec 29, 2025 – Mar 9, 2026 N — —

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Source & method

Show sources

This is computed from CMS's Medicare Physician Fee Schedule Q4 2023 release (schedule pfs, effective October 2023). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them. Our methodology covers all of this in depth — sourcing, parsing, versioning, and how claims are cross-checked before they ship.

Description written from primary sources: CMS Medicare Physician Fee Schedule Relative Value Files. Not derived from AMA CPT descriptor text.

Physician relative value file (Q4 2023) · rvu23d.zip (PPRRVU23_OCT.csv row 14,680)

Conversion factor $33.8872 read from the same file, row 11, column 25.

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This link keeps pointing at the Q4 2023 figures, even after a newer release lands.

CPT 80050 Medicare Physician Fee Schedule rate (Q4 2023). Localis. https://localishealth.com/cpt/80050/2023/D