What this is, in plain language
A blood test that measures red cells, white cells (with a breakdown by type), and platelets.
Why a clinician orders it
Evaluating fatigue, infection, anemia, bleeding/bruising, or monitoring medication and chronic conditions.
Medical necessity — what insurers usually look at
Covered when ordered for a medically supported indication. Medicare follows NCD 190.15 for CBC coverage.
Documentation to ask about
- ✓Diagnosis supporting the test
- ✓Symptoms or condition being monitored
Questions for your provider
- ?Is the lab in my network?
- ?Will I be billed separately for the lab?
Why this code is in our seed set
#3 on the CMS Top 100 Lab Procedures Ranked by Services (~27 million allowed services).
Validated against
- •CMS Top 100 Lab Procedures Ranked by Services
- •CMS National Coverage Determination 190.15 (Blood Counts)
- •AMA CPT code 85025 descriptor
Terms you'll see
Medical NecessityRead more →
The insurer is reviewing whether the service is clinically appropriate for your situation.
Important: AuraCode is an educational tool. It does not provide medical, legal, or insurance advice, claims decisions, or approval guarantees. Final coverage depends on your specific plan, eligibility, diagnosis, submitted documentation, and your insurer's review.