Bellin Health NCD and LMRP Laboratory Test Index ( J - R )

BELLIN HEALTH

Laboratory NCD sand LMRPs 

 Index (J - R)

 

CMS NCD Website

UGSMedicare LMRP Website

WPSMedicare Part B LMRP Website

 

A-I   J-R  S-Z

 

J  
   
K  
   
L  
Lipid Panel (NCD) 80061
Lipoprotein;  Electrophoretic Separation (NCD) 83700
Lipoprotein; High Resolution Fractionation (NCD) 83701
Lipoprotein; Quantitation of Lipoprotein Particle Numbers and Lipoprotein Subclasses (NCD) 83704
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M  
Magnesium (UGS) 83735
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N  
NTx-Telopeptide (Collagen Crosslinks) (NCD) 82523
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O  
   
P  
PAP Smear; Diagnostic (WPS) 88141  88142
88143  88147
88148  88150
88152
88153 88154  88164
88165 88166
88167 88174 88175
PAP Smear; Screening (WPS) G0101 G0123 G0124 G0141 G0143  G0144 G0145
G0147
G0148
P3000
P3001
Q0091
Partial Thromboplastin Time (PTT) (NCD) 85730
Platelet Count (PLT); Automated (NCD) 85049
Platelet Count (PLT); Manual (NCD) 85032
Protime (PT) (NCD) 85610
PSA; Total; Diagnostic (NCD) 84153
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Q  
   
R  
Red Blood Count (RBC); Manual (NCD) 85032
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Please Note: 

1.  Policies labeled as NCDs (National Coverage Determinations) apply to all testing, regardless of whether the test is submitted to WPSMedicare Part B or UGS, for payment.  All NCDs, indexed above, link directlyto the CMS (Centers for Medicare and Medicaid Services) Website.          

2.  Policies labeled as WPS (Wisconsin Physician Service) apply to only those tests submitted to WPS Medicare Part B, for payment.  (This wouldinclude those tests performed on-site within the Bellin Medical Group Clinics). The WPS LMRPs, indexed above, are individually linked to the WPS Website.

3.  Policies labeled as UGS (United Government Services) apply to only those tests submitted to UGS, for payment.  (This would include those testsreferred to the Bellin Outreach Laboratory).  The UGS LMRPS, indexed above,are individually linked to the UGS Website.    

4.  Policies labeled as AMERICHOICE (United Health MAHMO) apply to only those tests submitted to AMERICHOICE forpayment, either by the Bellin Medical Group or the Bellin OutreachLaboratory.  The AMERICHOICE LMRPs, indexed above, are individually linkedto the AMERICHOICE Website.

5.  All NCDs also apply to Medicare Part C (Humana Gold, MedicareComplete Essential, Unicare, etc).

6.  As of  11-20-08, UGS does not have a published LMRP for Pap Smears.At this time,  it is suggested to follow the WPS LMRP. 

7.   Also, as of 11-20-08, active WPS LMRPs not referencedin this Index include:   ALRG-001, PATH-001, PATH-002, PATH-016,PATH-026, PATH-027, PATH-028, and PATH-031. 

8.  Information regarding the Medicare Diabetes Screening Benefit can befound at http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0660.pdf

9.   Information regarding the Medicare Cardiovascular (LipoproteinPanel) Screening Benefit can be found at http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM3411.pdf

 

 

Updated 12-19-08

For comments or questions concerning this web page, please contact BrendaKoppa at blkopp@bellin.org