January 2009 release of the clinical diagnostic laboratory NCDs

This article announces the changes that will be included in the January 2009 release of the edit module for clinical diagnostic laboratory National Coverage Determinations (NCDs).

• For HIV Testing:
  Add ICD-9-CM code 482.42 to the list of ICD-9-CM codes covered by Medicare for the HIV Testing (Diagnosis) (190.14) NCD.
• For Partial Thromboplastin Time (PTT):
  Add ICD-9-CM code range 249.40-249.41 to the list of ICD-9-CM codes covered by Medicare for the Partial Thromboplastin Time (PTT (190.16) NCD.
• For Prothrombin Time (PT):
  Add ICD-9-CM code range 249.40-249.41 and the ICD-9-CM codes 197.7, V15.21, V15.22, and V15.29 to the list of ICD-9-CM codes covered by Medicare for the Prothrombin Time (PT) (190.17) NCD.
• Delete ICD-9-CM code V15.2 from the list of ICD-9-CM codes covered by Medicare for the Prothrombin Time (PT) (190.17) NCD.
• For Serum Iron Studies:
  Add ICD-9-CM code ranges 249.00-249.01, 249.10-249.11, 249.20-249.21, 249.30-249.31, 249.40-249.41, 249.50-249.51, 249.60-249.61, 249.70-249.71, 249.80-249.81, and 249.90-249.91, 285.22, 285.29, V15.21, V15.22, and V15.29 to the list of ICD-9-CM codes covered by Medicare for the Serum Iron Studies (190.18) NCD.
• For Blood Glucose Testing:
  Add ICD-9-CM code 482.42 and the code ranges 249.00-249.01, 249.10-249.11, 249.20-249.21, 249.30-249.31, 249.40-249.41, 249.50-249.51, 249.60-249.61, 249.70-249.71, 249.80-249.81, and 249.90-249.91 to the list of ICD-9-CM codes covered by Medicare for the Blood Glucose Testing (190.20) NCD.
• For Glycated Hemoglobin/Glycated Protein:
  Add ICD-9-CM code ranges 249.00-249.01, 249.10-249.11, 249.20-249.21, 249.30-249.31, 249.40-249.41, 249.50-249.51, 249.60-249.61, 249.70-249.71, 249.80-249.81, and 249.90-249.91 to the list of ICD-9-CM codes covered by Medicare for the Glycated Hemoglobin/Glycated Protein (190.21) NCD.
• For Thyroid Testing:
  Add ICD-9-CM code ranges 249.00-249.01, 249.10-249.11, 249.20-249.21, 249.30-249.31, 249.40-249.41, 249.50-249.51, 249.60-249.61, 249.70-249.71, 249.80-249.81, and 249.90-249.91 to the list of ICD-9-CM codes covered by Medicare for the Thyroid Testing (190.22) NCD.
• For Lipid Testing:
  Add ICD-9-CM code ranges 249.00-249.01, 249.10-249.11, 249.20-249.21, 249.30-249.31, 249.40-249.41, 249.50-249.51, 249.60-249.61, 249.70-249.71, 249.80-249.81, and 249.90-249.91 to the list of ICD-9-CM codes covered by Medicare for the Lipids Testing (190.23) NCD.
• For Gamma Glutamyl Transferase:
  Add ICD-9-CM code 275.2 to the list of ICD-9-CM codes covered by Medicare for the Gamma Glutamyl Transferase (190.32) NCD.
• For Fecal Occult Blood Test (FOBT):
  Add ICD-9-CM codes 530.86 and 530.87 to the list of ICD-9-CM codes covered by Medicare for the Fecal Occult Blood Test (FOBT) (190.34 ) NCD.
• For All 23 NCDs (190.12-190.34):
  Add ICD-9-CM codes V16.52 and V73.81 to the list of denied ICD-9-CM codes for all 23 Lab NCDs.