Forum - Questions & Answers
Lab billing - medical necessity
My doctor is asking for a list of specific dx's that medicare will pay for labs that there is no LCD for; i.e.,
CBC, Liver Panel, Renal Panel, Lipid Panel, TSH, AIC, PSA, UA.
Any suggestions where I might find this info all in one place?
Thanks!
re: LAB BILLING - MEDICAL NECESSITY
http://www.cms.gov/Medicare/Coverage/CoverageGenInfo/downloads/manual201207.pdf
re: LAB BILLING - MEDICAL NECESSITY
Look under ncd there is a whole list of lab tests. You can find this information on the Medicare web site.
re: LAB BILLING - MEDICAL NECESSITY
Thank you. That was very helpful.
But, there were no NCDs for 80053 (CMP) nor 80076 - Liver/Hepatic Function.
Any thoughts?