Lab & pathology
80055 — Obstetric panel; CBC w/diff, HBsAg, rubella Ab, syphilis, RBC Ab screen, ABO/Rh
A required prenatal blood panel that checks for infections (hepatitis B, syphilis), immunity to rubella, blood type and Rh factor, and performs a complete blood count.
- Typical setting: Hospital lab, reference lab, doctor's office
- National avg charge (illustrative): $25–$60 Medicare/Medicaid allowed; $50–$180 commercial; varies by region
- Most-disputed reason: Billing individual component codes (87340, 86592, 86762, 85025, 86850, 86900, 86901) alongside 80055 — all components are included in the panel
What it means
What 80055 actually means
A required prenatal blood panel that checks for infections (hepatitis B, syphilis), immunity to rubella, blood type and Rh factor, and performs a complete blood count. This panel is typically ordered at the first prenatal visit to screen for conditions that could affect mother or baby.
Common errors with this code
What goes wrong on real bills.
Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).
- Billing individual component codes (87340, 86592, 86762, 85025, 86850, 86900, 86901) alongside 80055 — all components are included in the panel
- Using 80055 when only some (not all) panel components are ordered — all listed components must be performed
- Billing 80055 for non-pregnant patients or outside prenatal context, which may result in medical necessity denials
If you see 80055 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on 80055 often also see these adjacent codes on the same bill.
CPT
80050 — General health panel; includes CBC w/diff, CMP, TSH
Lab — check for unbundling and duplicate billing.
CPT
80051 — Electrolyte panel; CO2, chloride, potassium, sodium
Lab — check for unbundling and duplicate billing.
CPT
80053 — Comprehensive metabolic panel
If individual blood tests are also on your bill, you may have an unbundling error.
CPT
80061 — Lipid panel (cholesterol)
If you see HDL or LDL listed separately next to 80061, that's unbundling.
CPT
80069 — Renal function panel; albumin, creatinine, BUN, phosphorus, electrolytes, glucose, calcium
Lab — check for unbundling and duplicate billing.
Related BillBusted guides
Plain-English reads if you see 80055 on a bill.
80055 FAQ
Plain-English answers.
What does 80055 usually cost?
$25–$60 Medicare/Medicaid allowed; $50–$180 commercial; varies by region. Costs vary by region, payer contract, and whether the service was performed in a hospital outpatient department (which adds a facility fee) versus a free-standing clinic.
What's the most common billing error on 80055?
Billing individual component codes (87340, 86592, 86762, 85025, 86850, 86900, 86901) alongside 80055 — all components are included in the panel
What should I do if I see 80055 on my bill?
Request the itemized bill and the matching EOB from your insurer. Compare the units/quantity billed against what you actually received. Run a free BillBusted scan to flag the most likely errors specific to 80055 before paying.
Don't pay 80055 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.