Medicare
CMS National Coverage Determinations
Reasons for Denial for All Lab NCDs
Non-covered ICD-10-CM Codes for All Lab NCDs
Coding Guidelines for All Lab NCDs
190.12 - Urine Culture, Bacterial
190.13 - Human Immunodeficiency Virus (HIV)Testing (Prognosis Including Monitoring)
190.14 - Human Immunodeficiency Virus (HIV) Testing (Diagnosis)
190.16 - Partial Thromboplastin Time (PTT)
190.17 - Prothrombin Time (PT)
190.19 - Collagen Crosslinks, Any Method
190.20 - Blood Glucose Testing
190.21 - Glycated Hemoglobin/Glycated Protein
190.24 - Digoxin Therapeutic Drug Assay
190.26 - Carcinoembryonic Antigen
190.27 - Human Chorionic Gonadotropin
190.28 - Tumor Antigen by Immunoassay CA 125
190.29 - Tumor Antigen by Immunoassay CA 15-3/CA 27.29
190.30 - Tumor Antigen by Immunoassay CA 19-9
190.31 - Prostate Specific Antigen
190.32 - Gamma Glutamyl Transferase
CMS Local Coverage Determinations
UnitedHealthcare®
UHC Policy Coverage
United Healthcare® Community Plan
CLINICAL DIAGNOSTIC LABS POLICY
CLINICAL DIAGNOSTIC LABS POLICY
• Acute Hepatitis Panel Approved ICD-10 Codes
• Alpha Fetoprotein (AFP) Approved ICD-10 Codes
• CA-125 Approved ICD-10 Codes
• CA 15-3/CA27.29 Approved ICD-10 Codes
• CA 19-9 Approved ICD-10 Codes
• Carcinoembryonic Antigen (CEA) Approved ICD-10 Codes
• Digoxin Approved ICD-10 Codes
• Gamma Glutamyl Transferase (GGT) Approved ICD-10 Codes
• Hemoglobin A1C Approved ICD-10 Codes
• Human Chorionic Gonadotropin (hCG) Approved ICD-10 Codes
• Iron Serum Approved ICD-10 Codes
• Lipid Panel Approved ICD-10 Codes
• PSA Approved ICD-10 Codes
• Prothrombin Time (PT) Approved ICD-10 Codes
• Partial Thromboplastin Time (PTT) Approved ICD-10 Codes
• Thyroid Approved ICD-10 Codes
• Urine Culture Approved ICD-10 Codes