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Hepatitis Panel/Acute Hepatitis Panel National Coverage ...

Medicare Limited Coverage Tests Covered Diagnosis Codes Source: National Coverage Determinations Coding Policy Manual and Change Report (ICD-10-CM) July 2015 Effective October 1, 2015 Medicare Limited Coverage Tests Hepatitis Panel /Acute Hepatitis Panel National Coverage Determination CPT Code: 80074 Code Description Hepatitis A with hepatic coma Hepatitis A without hepatic coma Acute Hepatitis B with delta-agent with hepatic coma Acute Hepatitis B with delta-agent without hepatic coma Acute Hepatitis B without delta-agent with hepatic coma Acute Hepatitis B without delta-agent and without hepatic coma Acute delta-(super) infection of Hepatitis B carrier Acute Hepatitis C without hepatic coma Acute Hepatitis C with hepatic coma Acute Hepatitis E Other specified acute viral Hepatitis Acute viral Hepatitis , unspecified Chronic viral Hepatitis B with delta-agent Chronic viral Hepatitis B without delta-agent Chronic viral Hepatitis C Other chronic viral Hepatitis Chronic viral Hepatitis , unspecified Unspecified viral Hepatitis with hepatic coma Unspecified viral Hepatitis B without hepatic coma Unspecified viral Hepatitis B with hepatic coma Unspecified viral Hepatitis C without hepatic coma Unspecified viral Hepatitis C with hepatic coma Unspecified viral Hepatitis wi

B17.0 Acute delta-(super) infection of hepatitis B carrier B17.10 Acute hepatitis C without hepatic coma B17.11 Acute hepatitis C with hepatic coma B17.2 Acute hepatitis E B17.8 Other specified acute viral hepatitis B17.9 Acute viral hepatitis, unspecified B18.0 Chronic viral hepatitis B …

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