Forum - Questions & Answers

Aug 31st, 2012 - connieb

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!

Aug 31st, 2012 - youngblood 278 

re: LAB BILLING - MEDICAL NECESSITY

http://www.cms.gov/Medicare/Coverage/CoverageGenInfo/downloads/manual201207.pdf

Aug 31st, 2012 - RJULA 6 

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.

Aug 31st, 2012 -

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?



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association