86780 Medical Necessity

Syphilis Test - Quest Diagnostics

https://www.questdiagnostics.com/content/dam/corporate/restricted/documents/mlcp/mlcp/jn-fsco/jn-fcso-mlcp-l33754-syphilis_test/JN-FCSO---MLCP---L33754---Syphilis-Test.pdf

PREVENTIVE SERVICES: SCREENING FOR SEXUALLY …

https://dlslab.com/documents/ncdlcd/sti-syphilis.pdf

PROCEDURE CODE(S): 86592, 86593, 86780 PREVENTIVE SERVICES:SCREENING FOR SEXUALLY TRANSMITTED INFECTIONS (STIs) AND HIGH INTENSITY …

NCD - Blood Counts (190.15) - Centers for Medicare

https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=61

Blood counts are used to evaluate and diagnose diseases relating to abnormalities of the blood or bone marrow. These include primary disorders such as …

NCD - Screening for Sexually Transmitted Infections …

https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=352&bc=AgAAgAAAAAAAAA%3D%3D

(a) Medicare Part B pays for additional preventive services not described in paragraph (1) or (3) of the definition of “preventive services” under §410.2, that identify …

NCD - Human Chorionic Gonadotropin (190.27)

https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=125

Human Chorionic Gonadotropin (hCG) is useful for monitoring and diagnosis of germ cell neoplasms of the ovary, testis, mediastinum, retroperitoneum, and central …

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 his/her …

STI Screening Under Medicare - AAPC Knowledge Center

https://www.aapc.com/blog/32415-sti-screening-under-medicare/

86780 Antibody; Treponema pallidum Hepatitis B 87340 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, …

NCD - Hepatitis Panel/Acute Hepatitis Panel (190.33)

https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?MCDId=11&ExpandComments=n&McdName=Monitoring+of+Erythropoietin+Stimulating+Agents+for+Beneficiaries+with+End+Stage+Renal+Disease&NCDId=166

This panel consists of the following tests: Hepatitis A antibody (HAAb), IgM Antibody; Hepatitis B core antibody (HBcAb), IgM Antibody; Hepatitis B surface …

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

It is not reasonable and necessary to perform hCGtesting more than once per month for diagnostic purposes. It may be performed as needed for monitoring of patient progress …

LCD - Brain Natriuretic Peptide (BNP) Level (L33422)

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33422&ContrId=395&ContrVer=1&CntrctrSelected=395*1&Cntrctr=395&DocType=2

CMS National Coverage Policy Title XVIII of the Social Security Act §1862 (a) (1) (A) allows coverage and payment for only those services that are considered to be …