86703 Medical Necessity

HIV Testing (Diagnosis) National Coverage …

https://www.sonoraquest.com/media/2493/hiv-testing_diagnosis_icd10_updated_040118.pdf

Billing and Coding: Respiratory Pathogen Panel Testing

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58575&LCDId=38916

The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 87428, 87631, 87636, 87637, 87913, 0240U, and 0241U when …

Human Immunodeficiency Virus (HIV) Testing (Diagnosis)

https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=53

Diagnosis of HIV infection is primarily made through the use of serologic assays. These assays take one of two forms: antibody detection assays and specific HIV …

Medicare National Coverage Determination Policy …

https://www.questdiagnostics.com/content/dam/corporate/restricted/documents/mlcp/mlcp/national-guides/national-mlcp-190-14-human-immunodeficiency_virus_-diagnosis/National---MLCP---190-14---Human-Immunodeficiency-Virus-(Diagnosis).pdf

patient’s medical record. Quest Diagnostics does not recommend any diagnosis codes and will only submit diagnosis informationprovided to us by the ordering physician or …

Article - Billing and Coding: Vitamin B12 Injections (A57755)

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57755&LCDId=33967&CptHcpcsCode=J3420

The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT code: J3420. It is the provider’s responsibility to select codes …

HIV Screening CPT and ICD -10 Codes - University …

https://www.umc.edu/UMMC/Outreach-Programs/MS-AIDS-Education-Training-Center/files/Medical-Codes-for-HIV-Testing.pdf

86703 92 Antibody; HIV-1 and HIV-2, single assay 87534 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct ... Patient seen as part of a routine medical …

Medicare National Coverage Determination Policy …

https://www.questdiagnostics.com/content/dam/corporate/restricted/documents/mlcp/mlcp/national-guides/national-mlcp-190-27-human_chorionic_gonadotropin/National---MLCP---190-27---Human-Chorionic-Gonadotropin.pdf

Coverage Indications, Limitations, and/or Medical Necessity Human Chorionic Gonadotropin (hCG) is useful for monitoring and diagnosis of germ cell neoplasms of the …

Vitamin D Assay Testing - Quest Diagnostics

https://www.questdiagnostics.com/content/dam/corporate/restricted/documents/mlcp/mlcp/jk-ngs/jk_ngs-mlcp-l33556-vitamin_d/JK-NGS---MLCP---L33556---Vitamin-D.pdf

The patient's medical record must contain documentation that fully supports the medical necessity for services included within this LCD. (See "Indications and …

Medicare National Coverage Determination Policy …

https://www.questdiagnostics.com/content/dam/corporate/restricted/documents/mlcp/mlcp/national-guides/national-mlcp-190-26-carcinoembryonic_antigen/National---MLCP---190-26---Carcinoembryonic-Antigen.pdf

Coverage Indications, Limitations, and/or Medical Necessity Carcinoembryonic antigen (CEA) is a protein polysaccharide found in some carcinomas. It is effective as a …

CMS Manual System - Centers for Medicare

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3215CP.pdf

The medical record should be a reflection of the service provided. NOTE: (1) For services provided to beneficiaries born between the years 1945 and 1965 who are not considered …