Billing and Coding
Medicare Coverage and Coding Guides
Policies for Medicare Region JM Palmetto
Below, you’ll find a list of Medicare Coverage Policies for tests or test groups applicable to your state. Diagnosis codes are required for all Medicare orders to document medical necessity.
Click on the links below to find the associated diagnosis codes and frequency information within the policy for the test you want to order. Some links will provide a concise Medicare Coverage and Coding Guide for the coverage policy, while others will direct you to the CMS website policy page. The full list can be viewed by clicking here.
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Blood Counts (CBC)
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Blood Glucose Testing
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Gamma Glutamyl Transferase (GGT)
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Glycated Hemoglobin/Glycated Protein (Hemoglobin A1C)
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Hepatitis Panel/Acute Hepatitis Panel
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Human Chronic Gonadotropin (hCG)
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Human Immunodeficiency (HIV)
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Human Immunodeficiency Virus (HIV) testing (Diagnosis)
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Lipid Testing
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Prostate Specific Antigen
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Serum Iron Studies
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Thyroid Testing
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Urine Culture, Bacterial