Medicare Coverage Policies —ICD-10

Medicare Coverage Policies —ICD-10

HNL’s Frequently Used Policies — Version January 2019

The policies listed here are the Medicare Local Coverage Determinations (LCDs) and the National Coverage Determinations (NCDs) and are intended to be a quick reference, not a substitute for the complete LCDs, NCDs or the ICD-10 manual.

The complete policies may be accessed through Please refer to the ICD-10 manual for a complete listing of ICD-10 codes. The ultimate responsibility for correct coding lies with the ordering physician. All ICD-10 codes must be medically appropriate for the patient's condition and consistent with the information found in the patient's medical record for the date of service.

Most Medicare Advantage Plans follow these coverage policies. Please consult the specific Medicare Advantage carrier for confirmation.

Acute Hepatitis Panel 2019
Allergy Testing Guidelines 2019
Assays of Vitamins and Metabolic Function 2019
Biomarkers for Oncology 2019
Biomarkers for Overview 2019
Blood Counts 2019 part 1
Blood Counts 2019 part 2
Blood Counts 2019 part 3
Blood Counts 2019 part 4
Blood Glucose 2019
C-Reactive Protein High Sensitivity Testing (hsCRP)
Carcinoembryonic Antigen (CEA) 2019
Collagen Crosslinks, Any Method
Controlled Substance Monitoring and Drugs of Abuse Testing 2019
Digoxin Therapeutic Drug Assay 2019
Fecal Occult Blood Test 2019
Flow Cytometry 2019
Gamma Glutamyl Transferase (GGT) 2019
Glycated Hemoglobin Glycated Protein 2019
Human Chorionic Gonadotropin (Beta HCG) 2019
Human Immunodeficiency Virus (HIV) Testing (Diagnosis)
Human Immunodeficiency Virus (HIV) Testing
Lipid Testing 2019
Molecular Diagnostics Genitourinary Infectiuos Disease Testing 2019
Partial Thromboplastin Time (PTT) 2019
Prostate Specific Antigen (PSA) 2019
Prothrombin Time (PT) 2019
Serum Iron Studies
Thyroid Testing 2019
Tumor Antigen by Immunoassay CA 125
Tumor Antigen by Immunoassay CA 15-3 CA 27.29
Tumor Antigen by Immunoassay CA 19-9
Urine Culture, Bacterial 2019

Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM).

Note: In order to view the PDF file you must have Adobe Acrobat Reader. If you do not, click here to download Adobe Acrobat Reader.

For additional information, please contact Customer Care at 1-877-402-4221 or Click here.

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