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Medicare Limited Coverage Policies Table of Contents ...

I Medicare Limited Coverage Policies Table of Contents Effective October 2019 This information is meant only as a guide. Please refer to the Center for Medicare & Medicaid Services (CMS) at or Noridian Medicare at for the most up-to-date Policies . You may also visit for electronic/printer-friendly versions of these Policies . Test Name CPT Code(s) Pages National Coverage Determination Policies Alpha-fetoprotein 82105 1-2 Blood Counts (CBC) 85004, 85007-8, 85013-14, 85018, 85025, 85027, 85032, 85048, 85049 3-6 Blood Glucose Testing 82947, 82948, 82962 7-8 Carcinoembryonic Antigen (CEA) 82378 9-10 Collagen Crosslinks 82523 11-12 Cytogenetic Studies 88230, 88235, 88237, 88249, 88262, 88263, 88264, 88269, 88271, 88273, 88274, 88275, 88280, 88289, 88291 13-14 Digoxin Therapeutic Drug Assay 80162 15-16 Fecal Occult Blood Test 82272 17-18 Gamma Gluta

Medicare’s limited coverage policy. If you are ordering this test for diagnostic reasons that are ... be applicable to the patient’s symptoms or conditions and must be consistent with documentation in the patient’s medical record. Sonora Quest Laboratories does not recommend any diagnosis codes and will only submit diagnosis information ...

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Fact Sheet for Patients Interpreting SARS-CoV-2 RNA ...

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Mar 09, 2020 · Interpreting SARS-CoV-2 RNA, Qualitative Real-Time RT-PCR Test Results Updated: March 9, 2020 You are being given this Fact Sheet because your sample(s) were tested for the Coronavirus Disease 2019 (COVID9) -1 using the Quest Diagnostic SARS-CoV-2 RNA, Qualitative Real-Time RT-PCR test (“Quest test”) available through Sonora Quest Laboratories.

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GlycoMark values <10 µg/mL indicate frequent hyperglycemic ...

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Bene˜ts for Diabetes Management – Personalized Care ... until 1,5-AG and A1C are within target 30-Day Visit + GlycoMark ... A1C average glucose levels can vary widely between patients, and fasting and infrequent ˚ngerstick glucoses often miss glucose peaks and their durations.

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B-type Natriuretic Peptide (BNP) Local Coverage …

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I42.0 Dilated cardiomyopathy I42.5 Other restrictive cardiomyopathy I42.8 Other cardiomyopathies I50.1 Left ventricular failure, unspecified I50.21 Acute systolic (congestive) heart failure I50.22 Chronic systolic (congestive) heart failure I50.23 Acute on chronic systolic (congestive) heart failure

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Hepatitis Panel/Acute Hepatitis Panel National Coverage ...

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R10.12 Left upper quadrant pain R10.13 Epigastric pain R10.2 Pelvic and perineal pain R10.30 Lower abdominal pain, unspecified R10.31 Right lower quadrant pain R10.32 Left lower quadrant pain R10.33 Periumbilical pain R10.811 Right upper quadrant abdominal tenderness R10.821 Right upper quadrant rebound abdominal tenderness R10.83 Colic R10.84 ...

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Thyroid Testing Including TSH National Coverage Determination

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D89.82 Autoimmune lymphoproliferative syndrome [ALPS] D89.89 Other specified disorders involving the immune mechanism, not elsewhere classified E00.0 Congenital iodine-deficiency syndrome, neurological type E00.1 Congenital iodine-deficiency syndrome, myxedematous type E00.2 Congenital iodine-deficiency syndrome, mixed type

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ICD-10-CM Common Codes for Gastroenterology - Sonora …

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ICD-10-CM Common Codes for Gastroenterology This list is intended to assist ordering physicians in providing ICD-10 Diagnostics codes as required by Medicare and other Insurers. It includes some commonly found ICD-10 codes. This list was compiled from the ICD-10-CM 2015 AMA manual. A current ICD-10-CM book should be used as a complete reference.

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TM ICD-10-CM Common Codes for Gynecology and …

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Advanced Maternal Age, Other Than First Pregnancy, First Trimester ICD-10 Code Diagnoses O09.522 ... Gestational Hypertensi on, O14.00 O14.02 Mild Pre-Eclampsia, Second Trimester ... O02.0 Molar Pregnancy ICD-10 Code Diagnoses O02.1 Missed Abortion

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TM ICD-10 Common Codes for Cardiovascular Disease

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I65.23 Carotid BArtery Occlusion, Bilateral I65.23 Carotid Artery Stenosis, Bilateral I65.29 Carotid Artery Occlusion I65.29 Carotid Artery Stenosis I67.2 Cerebral Atherosclerosis I67.9 Ischaemic Cerebrovascular Disease I73.9 Peripheral Vascular I11.Disease Circulatory System Diseases I20.9 Angina Pectoris, NOS I21.09

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Iron Studies, Serum National Coverage Determination

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A06.9 Amebiasis, unspecified A07.0 Balantidiasis A07.1 Giardiasis [lambliasis] A07.2 Cryptosporidiosis A07.3 Isosporiasis A07.4 Cyclosporiasis A07.8 Other specified protozoal intestinal diseases A07.9 Protozoal intestinal disease, unspecified A08.0 Rotaviral enteritis A08.11 Acute gastroenteropathy due to Norwalk agent ...

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Specimen Collection Guide - Sonora Quest

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Culture, Genital Test # 704713 Culture, Yeast Test # 708177 Gram Stain Test # 4000 Test # 906706 Test # 906704 Test # 901617 Supply Numbers: Bordetella Slides #6494 Nasopharyngeal Swab #22564 Cardboard Slide Holder #2490 Bordetella, DFA Test # 15053 Anaerobic Cultures and Deep Wound Cultures

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