CPT code 80069: Renal panel, kidney-focused chemistry panel2026 Medicare lab fee · Clinical Laboratory Fee Schedule
A kidney-focused blood chemistry panel measuring renal markers, electrolytes, and related analytes, reported when clinicians assess or monitor kidney function.
Medicare pays $8.68 for 80069 under the 2026 Clinical Laboratory Fee Schedule: one national amount, the same in every state and setting.
Medicare lab fee · CLFS 2026 Q4
National CLFS amount
$8.68
In effect since Jan 1, 2026. The same amount in every state, payment locality and setting.
- Geographic adjustment
- None
- Office vs facility
- Same
- Since 2020
- Unchanged
- QW · CLIA-waived test
- $8.68
Medicare pays the lesser of the lab’s charge and this amount. Patients usually owe no Part B deductible or coinsurance for covered clinical lab tests.
On this page 8 sections
What 80069 covers
This panel combines ten blood chemistry measurements: albumin, total calcium, bicarbonate, chloride, creatinine, glucose, inorganic phosphorus, potassium, sodium, and urea nitrogen. Clinicians order it when evaluating or monitoring kidney function, electrolyte balance, and related metabolic status, including in patients with known or suspected renal disease. Testing is generally performed by a clinical laboratory, with results used by the treating clinician to assess the patient’s chemistry profile.
Report 80069 for the complete panel rather than separately reporting its included analytes for the same testing. For one completed panel, report one unit. CMS also identifies a CLIA-waived version; sites with a CLIA certificate of waiver performing that version use modifier QW. Medicare pays the test under the CLFS, with one national amount across localities and no office-versus-facility payment difference. The 2026 national CLFS amount is $8.68, unchanged since 2020. The test is paid only from the CLFS, not the physician fee schedule.
This summary was written with AI assistance from CMS Clinical Laboratory Fee Schedule data. Amounts on this page come directly from CMS files.
How Medicare pays 80069
Clinical lab tests aren’t priced like physician services. They’re paid from their own fee schedule, with its own rules. See the whole lab fee schedule.
One national amount
CMS sets a single Clinical Laboratory Fee Schedule amount for 80069. There’s no geographic (GPCI) adjustment, so it pays the same in every state and payment locality.
No office or facility rate
Lab tests aren’t built from relative value units, so there’s no office and facility split: the place of service doesn’t change the CLFS amount.
Updated every quarter
CMS republishes the CLFS each quarter. New tests, often proprietary laboratory analyses (PLA codes), join during the year; existing amounts are updated each January.
Excluded from the physician fee schedule
The physician fee schedule lists 80069 with status X (excluded by statute), so the test itself is paid only from the CLFS.
CLIA-waived version (QW)
CMS also lists 80069 with modifier QW, the version labs holding a CLIA certificate of waiver bill. It pays $8.68.
80069 on the lab fee schedule since 2020
80069 · CLFS 2026 Q4 (current)
$8.68
Unchanged since Jan 1, 2020
27 quarterly CLFS releases on file, first CLFS 2020 Q1. A code missing from a quarter wasn’t on that release.
80069 compared with similar tests
- 80048Basic metabolic panelTotal calcium$8.46
- The basic metabolic panel has a narrower test combination. Choose 80069 when the complete renal panel, including albumin and inorganic phosphorus, was performed.
- 80047Basic metabolic panelIonized calcium$13.73
- This basic metabolic panel is distinguished by ionized calcium. The renal function panel includes total calcium and additional kidney-focused analytes.
- 80053Metabolic panelFourteen blood chemistry tests$10.56
- The comprehensive metabolic panel is a broader chemistry panel. Select based on which complete panel was performed, rather than treating the codes as interchangeable.
- 80051Electrolyte panelFour blood electrolytes$7.01
- The electrolyte panel is limited to electrolyte testing. Use 80069 when the full renal function panel was performed.
80069 billing questions
When should I report the renal function panel instead of a basic metabolic panel?
Use 80069 when the complete kidney-focused combination is performed, including albumin and inorganic phosphorus. The basic metabolic panel has a different, narrower set of tests.
Can I also bill the individual tests included in the panel?
The panel represents the ten included analytes. Do not separately report those same tests for the same testing.
How many units should I report?
Report one unit for one completed renal function panel.
When is modifier QW appropriate?
Use QW for the CLIA-waived version when performed by a site holding a CLIA certificate of waiver.
How does Medicare pay for 80069?
Medicare pays it under the CLFS at one national amount, with no locality or office-versus-facility adjustment. It is paid only from the CLFS.
Where this amount comes from
FeeBase reads lab amounts directly from the CMS Clinical Laboratory Fee Schedule file for the quarter: one row per code, with its payment indicator and national amount. Contractor-priced tests are labeled, never given a made-up amount. Amounts are Medicare payment limits, not a patient’s bill or a commercial rate.
CMS CLFS 2026 Q4 · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file line behind this amount
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