Lipid Testing Frequency Limits

This article is in response to errors noted in medical review related to coverage and frequency of Lipid Testing per National Coverage Determination (NCD) 190.23.

Routine screening and prophylactic testing for lipid disorder is not covered by Medicare. While lipid screening may be medically appropriate, by statue Medicare does not pay for it. Lipid testing in asymptomatic individuals is considered to be screening regardless of the presence of other risk factors such as family history, tobacco use, etc.

Source: https://www.noridianmedicare.com