CPT code 80050: General health panel, four-test combination2026 Medicare rate & RVUs in Illinois
This panel combines metabolic, lipid, thyroid, and blood-count testing and is reported when all four component tests are performed.
CMS doesn’t publish an office rate for 80050 in Illinois.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 8 sections
What 80050 covers
The general health panel groups four laboratory services: a comprehensive metabolic panel, a lipid panel, a thyroid-stimulating hormone test, and a complete blood count with automated differential. Clinicians order the combined testing for broad health assessment, and clinical, hospital, or office laboratories perform the component tests. The chemistry, lipid, and thyroid tests use blood-derived specimens, while the blood count uses whole blood.
Medicare lists status N under the physician fee schedule, meaning Medicare does not cover this panel code. Report one unit for the complete combination when all four component tests are performed; if fewer are performed, report the individual tests performed rather than the panel. Do not separately report the same included tests in addition to the panel.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 80050 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | Unavailable |
| East St. Louis, IL | Unavailable | Unavailable |
| Rest of Illinois | Unavailable | Unavailable |
| Suburban Chicago, IL | Unavailable | Unavailable |
How the 80050 rate is calculated
Each of 80050’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 80050
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 80050
80050 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 80050
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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80050 isn’t priced in this setting.
80050 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 80053Metabolic panelFourteen blood chemistry tests
- This code represents a comprehensive metabolic panel alone. The general health panel also includes lipid, thyroid, and blood-count testing.
- 80048Basic metabolic panelTotal calcium
- This code represents a basic metabolic panel, not the broader metabolic profile in the general health panel. It also lacks the lipid, thyroid, and blood-count tests.
- 80055Obstetric panelWithout HIV testing
- This is an obstetric panel, rather than the general health panel’s combination of metabolic, lipid, thyroid, and blood-count testing.
- 80081Obstetric panelIncludes HIV testing
- This is an obstetric panel that includes HIV testing, not the general health panel combination.
80050 billing questions
Which tests are included in the panel?
It combines a comprehensive metabolic panel, a lipid panel, a thyroid-stimulating hormone test, and a complete blood count with automated differential.
When should the panel be reported instead of individual tests?
Report the panel when all four included tests are performed. If the full combination is not performed, report the individual tests that were performed.
Can the included tests also be reported separately?
Do not separately report the same included laboratory tests in addition to the complete panel.
How many units are reported?
One unit represents the complete panel, not one unit for each included test.
Does Medicare cover this code?
No. Medicare lists this code with status N, meaning the code is not covered by Medicare.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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