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

CPT 80050

Excluded from PFS — out of payment scope by statute, regulation, non-coverage, or reporting-only status.

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 Q1 2024? Copy link

Not at a published national rate. CPT 80050 carries status N (non-covered) in the Q1 2024 release. Medicare covers no part of this service. Treat the blank amount as unpriced, not as $0.

Source: Physician relative value file (Q1 2024) · effective January 2024 · materially updated Aug 4, 2026 · compact facts

Why isn't there a national PFS amount?

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

CMS evidence · 2 sources

Open evidence
Physician relative value file (Q1 2024) · rvu24ar-posted-04-01-2024.zip (PPRRVU24_JAN.csv row 14,978)

See full source & method below

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 Q1 2024 Physician Fee Schedule release this page shows. Each code above was checked against that release before being shown here.

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?

These come from CMS indicators 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.

Payment rules

Applicable payment rules Copy link

Only the rules that can matter for 80050, each linking to its detail on this page.

Facility/non-facility Not modeled Professional/technical component Does not apply Bilateral adjustment Does not apply Multiple-procedure reduction Does not apply Assistant/co-surgeon treatment Does not apply Global surgery Does not apply NCCI same-day edits Not modeled MUE behavior Not modeled Other fee-schedule routing Does not apply Contractor pricing Does not apply

Global period: what 80050's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Modifiers that report work outside 80050's global period
Modifier Reports
-25 A significant, separately identifiable E/M on the same day as the procedure, beyond its usual pre- and post-operative care.

A modifier reports what happened; it does not by itself make a service payable. Documentation has to support it.

Can you bill it with another code? Copy link

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

See every current NCCI pair for 80050 →

History

Rate history by release Copy link

National non-facility amount for 80050 across quarterly releases.

Release Status Non-facility Facility
Q3 2026 Jul 1, 2026 – present N — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 N — —
Q1 2026 Jan 1, 2026 – Mar 31, 2026 N — —

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Source & method

Show sources

This is computed from CMS's Medicare Physician Fee Schedule Q1 2024 release (schedule pfs, effective January 2024). 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. Our methodology covers the depth: sourcing, parsing, versioning, and how we cross-check claims before they ship.

Physician relative value file (Q1 2024) · rvu24ar-posted-04-01-2024.zip (PPRRVU24_JAN.csv row 14,978)

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 Q1 2024 figures, even after a newer release lands.

CPT 80050 Medicare Physician Fee Schedule rate (Q1 2024). Localis. https://localishealth.com/cpt/80050/2024/A