National Coverage Determination Procedure Code: 84436 .
National Coverage DeterminationProcedure Code: 84436, 84439, 84443, 84479Thyroid TestingCMS Policy Number: 190.22Back to NCD ListDescription: Thyroid function studies are used to delineate the presence or absence ofhormonal abnormalities of the thyroid and pituitary glands. These abnormalities maybe either primary or secondary and often but not always accompany clinically definedsigns and symptoms indicative of thyroid dysfunction.Laboratory evaluation of thyroid function has become more scientifically defined.Tests can be done with increased specificity, thereby reducing the number of testsneeded to diagnose and follow treatment of most thyroid disease. Measurements ofserum sensitive thyroid-stimulating hormone (TSH) levels, complemented bydetermination of thyroid hormone levels [free thyroxine (fT-4) or total thyroxine (T4)with Triiodothyronine (T3) uptake] are used for diagnosis and follow-up of patientswith thyroid disorders. Additional tests may be necessary to evaluate certain complexdiagnostic problems or on hospitalized patients, where many circumstances can skewtests results. When a test for total thyroxine (total T4 or T4 radioimmunoassay) or T3uptake is performed, calculation of the free thyroxine index (FTI) is useful to correctfor abnormal results for either total T4 or T3 uptake due to protein binding effects.Indications:Thyroid function tests are used to define hyper function, euthyroidism, orhypofunction of thyroid disease. Thyroid testing may be reasonable and necessary to: Distinguish between primary and secondary hypothyroidism Confirm or rule out primary hypothyroidism Monitor thyroid hormone levels (for example, patients with goiter, thyroid nodules,or thyroid cancer) Monitor drug therapy in patients with primary hypothyroidism Confirm or rule out primary hyperthyroidism Monitor therapy in patients with hyperthyroidismThyroid function testing may be medically necessary in patients with disease orneoplasm of the thyroid and other endocrine glands. Thyroid function testing may alsobe medically necessary in patients with metabolic disorders; malnutrition;hyperlipidemia; certain types of anemia; psychosis and non-psychotic personality
disorders; unexplained depression; ophthalmologic disorders; various cardiacarrhythmias; disorders of menstruation; skin conditions; myalgias; and a wide array ofsigns and symptoms, including alterations in consciousness; malaise; hypothermia;symptoms of the nervous and musculoskeletal system; skin and integumentarysystem; nutrition and metabolism; cardiovascular; and gastrointestinal system.It may be medically necessary to do follow-up thyroid testing in patients with ahistory of malignant neoplasm of the endocrine system and in patients on long-termthyroid drug therapy.Limitations:Testing may be covered up to two times a year in clinically stable patients; morefrequent testing may be reasonable and necessary for patients whose thyroid therapyhas been altered or in whom symptoms or signs of hyperthyroidism or hypothyroidismare noted.Other:Documentation Requirements: When these tests are billed at a greater frequency thanthe norm (two per year), the ordering physician’s documentation must support themedical necessity of this frequency.Frequency Limitations: Testing may be covered up to two times a year in clinicallystable patients; more frequent testing may be reasonable and necessary for patientswhose thyroid therapy has been altered or in whom symptoms or signs of hyper- orhypothyroidism are noted.To review all requirements of this policy, please see: CMS NCD listing by ChapterCovered ICD-10 .9D09.3DescriptorTuberculosis of thyroid glandMalignant neoplasm of right ovaryMalignant neoplasm of left ovaryMalignant neoplasm of unspecified ovaryMalignant neoplasm of thyroid glandMalignant neoplasm with pluriglandular involvement, unspSecondary malignant neoplasm of other specified sitesSecondary malignant neoplasm of unspecified siteCarcinoma in situ of thyroid and other endocrine glands
04.9E05.00Carcinoma in situ of other specified sitesBenign neoplasm of right ovaryBenign neoplasm of left ovaryBenign neoplasm of unspecified ovaryBenign neoplasm of thyroid glandBenign neoplasm of pituitary glandBenign neoplasm of craniopharyngeal ductNeoplasm of uncertain behavior of thyroid glandNeoplasm of uncertain behavior of parathyroid glandNeoplasm of uncertain behavior of unsp endocrine glandNeoplm of unsp behav of endo glands and oth prt nervous sysVitamin B12 defic anemia due to intrinsic factor deficiencyNutritional anemia, unspecifiedDrug-induced autoimmune hemolytic anemiaOther autoimmune hemolytic anemiasOther specified anemiasAnemia, unspecifiedAutoimmune lymphoproliferative syndrome [ALPS]Oth disrd involving the immune mechanism, NECCongenital iodine-deficiency syndrome, neurological typeCongenital iodine-deficiency syndrome, myxedematous typeCongenital iodine-deficiency syndrome, mixed typeCongenital iodine-deficiency syndrome, unspecifiedIodine-deficiency related diffuse (endemic) goiterIodine-deficiency related multinodular (endemic) goiterIodine-deficiency related (endemic) goiter, unspecifiedOth iodine-deficiency related thyroid disord and allied condSubclinical iodine-deficiency hypothyroidismCongenital hypothyroidism with diffuse goiterCongenital hypothyroidism without goiterHypothyroidism due to meds and oth exogenous substancesPostinfectious hypothyroidismAtrophy of thyroid (acquired)Myxedema comaOther specified hypothyroidismHypothyroidism, unspecifiedNontoxic diffuse goiterNontoxic single thyroid noduleNontoxic multinodular goiterOther specified nontoxic goiterNontoxic goiter, unspecifiedThyrotoxicosis w diffuse goiter w/o thyrotoxic crisis
3299E08.3311Thyrotoxicosis w diffuse goiter w thyrotoxic crisis or stormThyrotxcosis w toxic sing thyroid nodule w/o thyrotxc crisisThyrotxcosis w toxic single thyroid nodule w thyrotxc crisisThyrotxcosis w toxic multinod goiter w/o thyrotoxic crisisThyrotxcosis w toxic multinodular goiter w thyrotoxic crisisThyrotxcosis from ectopic thyroid tissue w/o thyrotxc crisisThyrotxcosis from ectopic thyroid tissue w thyrotoxic crisisThyrotoxicosis factitia without thyrotoxic crisis or stormThyrotoxicosis factitia with thyrotoxic crisis or stormOther thyrotoxicosis without thyrotoxic crisis or stormOther thyrotoxicosis with thyrotoxic crisis or stormThyrotoxicosis, unsp without thyrotoxic crisis or stormThyrotoxicosis, unspecified with thyrotoxic crisis or stormAcute thyroiditisSubacute thyroiditisChronic thyroiditis with transient thyrotoxicosisAutoimmune thyroiditisDrug-induced thyroiditisOther chronic thyroiditisThyroiditis, unspecifiedHypersecretion of calcitoninDyshormogenetic goiterOther specified disorders of thyroidDisorder of thyroid, unspecifiedDiab d/t undrl cond w hyprosm w/o nonket hyprgly-hypros comaDiabetes due to underlying condition w hyprosm w comaDiabetes due to underlying condition w ketoacidosis w/o comaDiabetes due to underlying condition w ketoacidosis w comaDiabetes due to underlying condition w diabetic nephropathyDiabetes due to undrl cond w diabetic chronic kidney diseaseDiabetes due to undrl condition w oth diabetic kidney compDiab due to undrl cond w unsp diabetic rtnop w macular edemaDiab due to undrl cond w unsp diab rtnop w/o macular edemaDiabetes with mild nonp rtnop with macular edema, right eyeDiabetes with mild nonp rtnop with macular edema, left eyeDiabetes with mild nonp rtnop with macular edema, bilateralDiabetes with mild nonp rtnop with macular edema, unspDiabetes with mild nonp rtnop without macular edema, r eyeDiab with mild nonp rtnop without macular edema, left eyeDiabetes with mild nonp rtnop without macular edema, biDiabetes with mild nonp rtnop without macular edema, unspDiabetes with moderate nonp rtnop with macular edema, r eye
3593E08.3599E08.36E08.37X1E08.37X2Diab with moderate nonp rtnop with macular edema, left eyeDiabetes with moderate nonp rtnop with macular edema, biDiabetes with moderate nonp rtnop with macular edema, unspDiab with moderate nonp rtnop without macular edema, r eyeDiab with moderate nonp rtnop without macular edema, l eyeDiabetes with moderate nonp rtnop without macular edema, biDiab with moderate nonp rtnop without macular edema, unspDiabetes with severe nonp rtnop with macular edema, r eyeDiabetes with severe nonp rtnop with macular edema, left eyeDiabetes with severe nonp rtnop with macular edema, biDiabetes with severe nonp rtnop with macular edema, unspDiabetes with severe nonp rtnop without macular edema, r eyeDiab with severe nonp rtnop without macular edema, left eyeDiabetes with severe nonp rtnop without macular edema, biDiabetes with severe nonp rtnop without macular edema, unspDiab with prolif diabetic rtnop with macular edema, r eyeDiab with prolif diabetic rtnop with macular edema, left eyeDiabetes with prolif diabetic rtnop with macular edema, biDiabetes with prolif diabetic rtnop with macular edema, unspDiab with prolif diab rtnop with trctn dtch macula, r eyeDiab with prolif diab rtnop with trctn dtch macula, left eyeDiab with prolif diabetic rtnop with trctn dtch macula, biDiab with prolif diabetic rtnop with trctn dtch macula, unspDiab with prolif diab rtnop with trctn dtch n-mcla, r eyeDiab with prolif diab rtnop with trctn dtch n-mcla, left eyeDiab with prolif diabetic rtnop with trctn dtch n-mcla, biDiab with prolif diabetic rtnop with trctn dtch n-mcla, unspDiabetes with prolif diabetic rtnop with comb detach, r eyeDiab with prolif diabetic rtnop with comb detach, left eyeDiabetes with prolif diabetic rtnop with combined detach, biDiabetes with prolif diabetic rtnop with comb detach, unspDiabetes with stable prolif diabetic retinopathy, right eyeDiabetes with stable prolif diabetic retinopathy, left eyeDiabetes with stable prolif diabetic retinopathy, bilateralDiabetes with stable prolif diabetic retinopathy, unspDiab with prolif diabetic rtnop without macular edema, r eyeDiab with prolif diab rtnop without macular edema, left eyeDiab with prolif diabetic rtnop without macular edema, biDiab with prolif diabetic rtnop without macular edema, unspDiabetes due to underlying condition w diabetic cataractDiab with diabetic macular edema, resolved fol trtmt, r eyeDiab with diab macular edema, resolved fol trtmt, left eye
9.3219E09.3291E09.3292E09.3293Diabetes with diabetic macular edema, resolved fol trtmt, biDiab with diabetic macular edema, resolved fol trtmt, unspDiabetes due to undrl condition w oth diabetic opth compDiabetes due to underlying condition w diabetic neurop, unspDiabetes due to undrl condition w diabetic mononeuropathyDiabetes due to underlying condition w diabetic polyneuropDiab due to undrl cond w diabetic autonm (poly)neuropathyDiabetes due to underlying condition w diabetic amyotrophyDiabetes due to undrl condition w oth diabetic neuro compDiab due to undrl cond w diab prph angiopath w/o gangreneDiab due to undrl cond w diabetic prph angiopath w gangreneDiabetes due to underlying condition w oth circulatory compDiabetes due to undrl cond w diabetic neuropathic arthropDiabetes due to underlying condition w oth diabetic arthropDiabetes due to underlying condition w diabetic dermatitisDiabetes mellitus due to underlying condition w foot ulcerDiabetes due to underlying condition w oth skin ulcerDiabetes due to underlying condition w oth skin compDiabetes due to underlying condition w periodontal diseaseDiabetes due to underlying condition w oth oral compDiabetes due to underlying condition w hypoglycemia w comaDiabetes due to underlying condition w hypoglycemia w/o comaDiabetes due to underlying condition w hyperglycemiaDiabetes due to underlying condition w oth complicationDiabetes due to underlying condition w unsp complicationsDiabetes due to underlying condition w/o complicationsDrug/chem diab w hyprosm w/o nonket hyprgly-hypros comaDrug/chem diabetes mellitus w hyperosmolarity w comaDrug/chem diabetes mellitus w ketoacidosis w/o comaDrug/chem diabetes mellitus w ketoacidosis w comaDrug/chem diabetes mellitus w diabetic nephropathyDrug/chem diabetes w diabetic chronic kidney diseaseDrug/chem diabetes w oth diabetic kidney complicationDrug/chem diabetes w unsp diabetic rtnop w macular edemaDrug/chem diabetes w unsp diabetic rtnop w/o macular edemaDrug/chem diab with mild nonp rtnop with mclr edema, r eyeDrug/chem diab with mild nonp rtnop with mclr edema, l eyeDrug/chem diab with mild nonp rtnop with macular edema, biDrug/chem diab with mild nonp rtnop with macular edema, unspDrug/chem diab with mild nonp rtnop w/o mclr edema, r eyeDrug/chem diab with mild nonp rtnop w/o mclr edema, l eyeDrug/chem diab with mild nonp rtnop without mclr edema, bi
3591E09.3592E09.3593E09.3599E09.36Drug/chem diab with mild nonp rtnop without mclr edema, unspDrug/chem diab with mod nonp rtnop with macular edema, r eyeDrug/chem diab with mod nonp rtnop with macular edema, l eyeDrug/chem diab with mod nonp rtnop with macular edema, biDrug/chem diab with mod nonp rtnop with macular edema, unspDrug/chem diab with mod nonp rtnop without mclr edema, r eyeDrug/chem diab with mod nonp rtnop without mclr edema, l eyeDrug/chem diab with mod nonp rtnop without macular edema, biDrug/chem diab with mod nonp rtnop without mclr edema, unspDrug/chem diab with severe nonp rtnop with mclr edema, r eyeDrug/chem diab with severe nonp rtnop with mclr edema, l eyeDrug/chem diab with severe nonp rtnop with macular edema, biDrug/chem diab with severe nonp rtnop with mclr edema, unspDrug/chem diab with severe nonp rtnop w/o mclr edema, r eyeDrug/chem diab with severe nonp rtnop w/o mclr edema, l eyeDrug/chem diab with severe nonp rtnop without mclr edema, biDrug/chem diab with severe nonp rtnop w/o mclr edema, unspDrug/chem diab with prolif diab rtnop with mclr edema, r eyeDrug/chem diab with prolif diab rtnop with mclr edema, l eyeDrug/chem diab with prolif diab rtnop with macular edema, biDrug/chem diab with prolif diab rtnop with mclr edema, unspDrug/chem diab w prolif diab rtnop w trctn dtch macula,r eyeDrug/chem diab w prolif diab rtnop w trctn dtch macula,l eyeDrug/chem diab w prolif diab rtnop w trctn dtch macula, biDrug/chem diab w prolif diab rtnop w trctn dtch macula, unspDrug/chem diab w prolif diab rtnop w trctn dtch n-mcla,r eyeDrug/chem diab w prolif diab rtnop w trctn dtch n-mcla,l eyeDrug/chem diab w prolif diab rtnop w trctn dtch n-mcla, biDrug/chem diab w prolif diab rtnop w trctn dtch n-mcla, unspDrug/chem diab w prolif diab rtnop with comb detach, r eyeDrug/chem diab w prolif diab rtnop with comb detach, l eyeDrug/chem diab with prolif diab rtnop with comb detach, biDrug/chem diab with prolif diab rtnop with comb detach, unspDrug/chem diabetes with stable prolif diabetic rtnop, r eyeDrug/chem diab with stable prolif diabetic rtnop, left eyeDrug/chem diabetes with stable prolif diabetic rtnop, biDrug/chem diabetes with stable prolif diabetic rtnop, unspDrug/chem diab with prolif diab rtnop w/o mclr edema, r eyeDrug/chem diab with prolif diab rtnop w/o mclr edema, l eyeDrug/chem diab with prolif diab rtnop without mclr edema, biDrug/chem diab with prolif diab rtnop w/o mclr edema, unspDrug/chem diabetes mellitus w diabetic cataract
13E10.3219E10.3291E10.3292E10.3293Drug/chem diab w diab mclr edma, resolved fol trtmt, r eyeDrug/chem diab w diab mclr edma, resolved fol trtmt, l eyeDrug/chem diab with diab mclr edema, resolved fol trtmt, biDrug/chem diab with diab mclr edma, resolved fol trtmt, unspDrug/chem diabetes w oth diabetic ophthalmic complicationDrug/chem diabetes w neuro comp w diabetic neuropathy, unspDrug/chem diabetes w neuro comp w diabetic mononeuropathyDrug/chem diabetes w neurological comp w diabetic polyneuropDrug/chem diab w neuro comp w diab autonm (poly)neuropathyDrug/chem diabetes w neurological comp w diabetic amyotrophyDrug/chem diabetes w neuro comp w oth diabetic neuro compDrug/chem diabetes w diabetic prph angiopath w/o gangreneDrug/chem diabetes w diabetic prph angiopath w gangreneDrug/chem diabetes mellitus w oth circulatory complicationsDrug/chem diabetes w diabetic neuropathic arthropathyDrug/chem diabetes mellitus w oth diabetic arthropathyDrug/chem diabetes mellitus w diabetic dermatitisDrug or chemical induced diabetes mellitus with foot ulcerDrug or chemical induced diabetes mellitus w oth skin ulcerDrug/chem diabetes mellitus w oth skin complicationsDrug/chem diabetes mellitus w periodontal diseaseDrug/chem diabetes mellitus w oth oral complicationsDrug/chem diabetes mellitus w hypoglycemia w comaDrug/chem diabetes mellitus w hypoglycemia w/o comaDrug or chemical induced diabetes mellitus w hyperglycemiaDrug/chem diabetes mellitus w oth complicationDrug/chem diabetes mellitus w unsp complicationsDrug or chemical induced diabetes mellitus w/o complicationsType 1 diabetes mellitus with ketoacidosis without comaType 1 diabetes mellitus with ketoacidosis with comaType 1 diabetes mellitus with diabetic nephropathyType 1 diabetes mellitus w diabetic chronic kidney diseaseType 1 diabetes mellitus w oth diabetic kidney complicationType 1 diabetes w unsp diabetic retinopathy w macular edemaType 1 diabetes w unsp diabetic rtnop w/o macular edemaType 1 diab with mild nonp rtnop with macular edema, r eyeType 1 diab with mild nonp rtnop with macular edema, l eyeType 1 diabetes with mild nonp rtnop with macular edema, biType 1 diab with mild nonp rtnop with macular edema, unspType 1 diab with mild nonp rtnop without mclr edema, r eyeType 1 diab with mild nonp rtnop without mclr edema, l eyeType 1 diab with mild nonp rtnop without macular edema, bi
3591E10.3592E10.3593E10.3599E10.36Type 1 diab with mild nonp rtnop without macular edema, unspType 1 diab with mod nonp rtnop with macular edema, r eyeType 1 diab with mod nonp rtnop with macular edema, l eyeType 1 diab with moderate nonp rtnop with macular edema, biType 1 diab with mod nonp rtnop with macular edema, unspType 1 diab with mod nonp rtnop without macular edema, r eyeType 1 diab with mod nonp rtnop without macular edema, l eyeType 1 diab with mod nonp rtnop without macular edema, biType 1 diab with mod nonp rtnop without macular edema, unspType 1 diab with severe nonp rtnop with macular edema, r eyeType 1 diab with severe nonp rtnop with macular edema, l eyeType 1 diab with severe nonp rtnop with macular edema, biType 1 diab with severe nonp rtnop with macular edema, unspType 1 diab with severe nonp rtnop without mclr edema, r eyeType 1 diab with severe nonp rtnop without mclr edema, l eyeType 1 diab with severe nonp rtnop without macular edema, biType 1 diab with severe nonp rtnop without mclr edema, unspType 1 diab with prolif diab rtnop with macular edema, r eyeType 1 diab with prolif diab rtnop with macular edema, l eyeType 1 diab with prolif diab rtnop with macular edema, biType 1 diab with prolif diab rtnop with macular edema, unspType 1 diab w prolif diab rtnop w trctn dtch macula, r eyeType 1 diab w prolif diab rtnop w trctn dtch macula, l eyeType 1 diab w prolif diab rtnop with trctn dtch macula, biType 1 diab w prolif diab rtnop with trctn dtch macula, unspType 1 diab w prolif diab rtnop w trctn dtch n-mcla, r eyeType 1 diab w prolif diab rtnop w trctn dtch n-mcla, l eyeType 1 diab w prolif diab rtnop with trctn dtch n-mcla, biType 1 diab w prolif diab rtnop with trctn dtch n-mcla, unspType 1 diab with prolif diab rtnop with comb detach, r eyeType 1 diab with prolif diab rtnop with comb detach, l eyeType 1 diab with prolif diabetic rtnop with comb detach, biType 1 diab with prolif diab rtnop with comb detach, unspType 1 diabetes with stable prolif diabetic rtnop, right eyeType 1 diabetes with stable prolif diabetic rtnop, left eyeType 1 diabetes with stable prolif diabetic rtnop, bilateralType 1 diabetes with stable prolif diabetic rtnop, unspType 1 diab with prolif diab rtnop without mclr edema, r eyeType 1 diab with prolif diab rtnop without mclr edema, l eyeType 1 diab with prolif diab rtnop without macular edema, biType 1 diab with prolif diab rtnop without mclr edema, unspType 1 diabetes mellitus with diabetic cataract
1.3212E11.3213E11.3219E11.3291Type 1 diab with diab mclr edema, resolved fol trtmt, r eyeType 1 diab with diab mclr edema, resolved fol trtmt, l eyeType 1 diab with diab macular edema, resolved fol trtmt, biType 1 diab with diab mclr edema, resolved fol trtmt, unspType 1 diabetes w oth diabetic ophthalmic complicationType 1 diabetes mellitus with diabetic neuropathy, unspType 1 diabetes mellitus with diabetic mononeuropathyType 1 diabetes mellitus with diabetic polyneuropathyType 1 diabetes w diabetic autonomic (poly)neuropathyType 1 diabetes mellitus with diabetic amyotrophyType 1 diabetes w oth diabetic neurological complicationType 1 diabetes w diabetic peripheral angiopath w/o gangreneType 1 diabetes w diabetic peripheral angiopathy w gangreneType 1 diabetes mellitus with oth circulatory complicationsType 1 diabetes mellitus w diabetic neuropathic arthropathyType 1 diabetes mellitus with other diabetic arthropathyType 1 diabetes mellitus with diabetic dermatitisType 1 diabetes mellitus with foot ulcerType 1 diabetes mellitus with other skin ulcerType 1 diabetes mellitus with other skin complicationsType 1 diabetes mellitus with periodontal diseaseType 1 diabetes mellitus with other oral complicationsType 1 diabetes mellitus with hypoglycemia with comaType 1 diabetes mellitus with hypoglycemia without comaType 1 diabetes mellitus with hyperglycemiaType 1 diabetes mellitus with other specified complicationType 1 diabetes mellitus with unspecified complicationsType 1 diabetes mellitus without complicationsType 2 diab w hyprosm w/o nonket hyprgly-hypros coma (NKHHC)Type 2 diabetes mellitus with hyperosmolarity with comaType 2 diabetes mellitus with ketoacidosis without comaType 2 diabetes mellitus with ketoacidosis with comaType 2 diabetes mellitus with diabetic nephropathyType 2 diabetes mellitus w diabetic chronic kidney diseaseType 2 diabetes mellitus w oth diabetic kidney complicationType 2 diabetes w unsp diabetic retinopathy w macular edemaType 2 diabetes w unsp diabetic rtnop w/o macular edemaType 2 diab with mild nonp rtnop with macular edema, r eyeType 2 diab with mild nonp rtnop with macular edema, l eyeType 2 diabetes with mild nonp rtnop with macular edema, biType 2 diab with mild nonp rtnop with macular edema, unspType 2 diab with mild nonp rtnop without mclr edema, r eye
3553E11.3559E11.3591E11.3592E11.3593Type 2 diab with mild nonp rtnop without mclr edema, l eyeType 2 diab with mild nonp rtnop without macular edema, biType 2 diab with mild nonp rtnop without macular edema, unspType 2 diab with mod nonp rtnop with macular edema, r eyeType 2 diab with mod nonp rtnop with macular edema, l eyeType 2 diab with moderate nonp rtnop with macular edema, biType 2 diab with mod nonp rtnop with macular edema, unspType 2 diab with mod nonp rtnop without macular edema, r eyeType 2 diab with mod nonp rtnop without macular edema, l eyeType 2 diab with mod nonp rtnop without macular edema, biType 2 diab with mod nonp rtnop without macular edema, unspType 2 diab with severe nonp rtnop with macular edema, r eyeType 2 diab with severe nonp rtnop with macular edema, l eyeType 2 diab with severe nonp rtnop with macular edema, biType 2 diab with severe nonp rtnop with macular edema, unspType 2 diab with severe nonp rtnop without mclr edema, r eyeType 2 diab with severe nonp rtnop without mclr edema, l eyeType 2 diab with severe nonp rtnop without macular edema, biType 2 diab with severe nonp rtnop without mclr edema, unspType 2 diab with prolif diab rtnop with macular edema, r eyeType 2 diab with prolif diab rtnop with macular edema, l eyeType 2 diab with prolif diab rtnop with macular edema, biType 2 diab with prolif diab rtnop with macular edema, unspType 2 diab w prolif diab rtnop w trctn dtch macula, r eyeType 2 diab w prolif diab rtnop w trctn dtch macula, l eyeType 2 diab w prolif diab rtnop with trctn dtch macula, biType 2 diab w prolif diab rtnop with trctn dtch macula, unspType 2 diab w prolif diab rtnop w trctn dtch n-mcla, r eyeType 2 diab w prolif diab rtnop w trctn dtch n-mcla, l eyeType 2 diab w prolif diab rtnop with trctn dtch n-mcla, biType 2 diab w prolif diab rtnop with trctn dtch n-mcla, unspType 2 diab with prolif diab rtnop with comb detach, r eyeType 2 diab with prolif diab rtnop with comb detach, l eyeType 2 diab with prolif diabetic rtnop with comb detach, biType 2 diab with prolif diab rtnop with comb detach, unspType 2 diabetes with stable prolif diabetic rtnop, right eyeType 2 diabetes with stable prolif diabetic rtnop, left eyeType 2 diabetes with stable prolif diabetic rtnop, bilateralType 2 diabetes with stable prolif diabetic rtnop, unspType 2 diab with prolif diab rtnop without mclr edema, r eyeType 2 diab with prolif diab rtnop without mclr edema, l eyeType 2 diab with prolif diab rtnop without macular edema, bi
.319E13.3211E13.3212E13.3213Type 2 diab with prolif diab rtnop without mclr edema, unspType 2 diabetes mellitus with diabetic cataractType 2 diab with diab mclr edema, resolved fol trtmt, r eyeType 2 diab with diab mclr edema, resolved fol trtmt, l eyeType 2 diab with diab macular edema, resolved fol trtmt, biType 2 diab with diab mclr edema, resolved fol trtmt, unspType 2 diabetes w oth diabetic ophthalmic complicationType 2 diabetes mellitus with diabetic neuropathy, unspType 2 diabetes mellitus with diabetic mononeuropathyType 2 diabetes mellitus with diabetic polyneuropathyType 2 diabetes w diabetic autonomic (poly)neuropathyType 2 diabetes mellitus with diabetic amyotrophyType 2 diabetes w oth diabetic neurological complicationType 2 diabetes w diabetic peripheral angiopath w/o gangreneType 2 diabetes w diabetic peripheral angiopathy w gangreneType 2 diabetes mellitus with oth circulatory complicationsType 2 diabetes mellitus w diabetic neuropathic arthropathyType 2 diabetes mellitus with other diabetic arthropathyType 2 diabetes mellitus with diabetic dermatitisType 2 diabetes mellitus with foot ulcerType 2 diabetes mellitus with other skin ulcerType 2 diabetes mellitus with other skin complicationsType 2 diabetes mellitus with periodontal diseaseType 2 diabetes mellitus with other oral complicationsType 2 diabetes mellitus with hypoglycemia with comaType 2 diabetes mellitus with hypoglycemia without comaType 2 diabetes mellitus with hyperglycemiaType 2 diabetes mellitus with other specified complicationType 2 diabetes mellitus with unspecified complicationsType 2 diabetes mellitus without complicationsOth diab w hyprosm w/o nonket hyprgly-hypros coma (NKHHC)Oth diabetes mellitus with hyperosmolarity with comaOth diabetes mellitus with ketoacidosis without comaOth diabetes mellitus with ketoacidosis with comaOther specified diabetes mellitus with diabetic nephropathyOth diabetes mellitus with diabetic chronic kidney diseaseOth diabetes mellitus with oth diabetic kidney complicationOth diabetes w unsp diabetic retinopathy w macular edemaOth diabetes w unsp diabetic retinopathy w/o macular edemaOth diabetes with mild nonp rtnop with macular edema, r eyeOth diab with mild nonp rtnop with macular edema, left eyeOth diabetes with mild nonp rtnop with macular edema, bi
E13.3219E13.3291E13.3292E13.3293E13
Covered ICD-10 Codes. ICD-10 Descriptor A18.81 Tuberculosis of thyroid gland C56.1 Malignant neoplasm of right ovary C56.2 Malignant neoplasm of left ovary C56.9 Malignant neoplasm of unspecified ovary C73 Malignant neoplasm of thyroid gland C75.8 Malign
ENVIRONMENTAL ENGINEERING LABORATORY – SYLLABUS Exp. No. Name of the Experiment 1. Determination of pH and Turbidity 2. Determination of Conductivity and Total Dissolved Solids (Organic and Inorganic) 3. Determination of Alkalinity/Acidity 4. Determination of Chlorine 5. Determination of Iron 6. Determination of Dissolved Oxygen 7.
Summary of Benefits and Coverage: Coverage Period: What this Plan Covers & What You Pay For Covered Services 01/01/20 21- /3 /20 Coverage for:Horizon BCBSNJ: St. Joseph's Health All Coverage Types Plan Type: EPO 1(0076322:0003:0004:0005; pkg 001) M/CP (Prescription/Advantage EPO Inner Circle of 8 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.
over metal framing or wood decking. CENTRAL SNAP PANEL CODES ¾" 24" or 18" COVERAGE 16" or 18" COVERAGE 3" 3" 24" or 18" COVERAGE 1¾" 16" COVERAGE 2" 1:12 pitch or greater. Snap-together panel, no field seaming required. Available in 16" or 18" coverage. Minimum length: 3', maximum length: 50'.
cpt code:11740-2 94.14 cpt code:11750-2 541.06 cpt code:11755-2 123.03 cpt code:11760-2 128.26 cpt code:11762-2 571.07 cpt code:11765-2 581.10 cpt code:11770-2 861.67 cpt code:11771-2 1,092.11 cpt code:11772-2 1,703.29 cpt code:11900-2 56.09 cpt code:11901-2 162.31 cpt code:11920-2 116.23 cpt code
cpt code:11740-2 88.80 cpt code:11750-2 510.36 cpt code:11755-2 116.05 cpt code:11760-2 120.98 cpt code:11762-2 538.68 cpt code:11765-2 548.14 cpt code:11770-2 812.78 cpt code:11771-2 1,030.15 cpt code:11772-2 1,606.65 cpt code:11900-2 52.91 cpt code:11901-2 153.10 cpt code:11920-2 109.63 cpt code
Procedure Code Description ICD-10 PCS Procedure Code ICD-10 PCS Code Description Cardiopulmonary Bypass 5A1221Z Performance of Cardiac Output, Continuous. TRANSFUSION OF BLOOD AND BLOOD COMPONENTS. Procedure Code Description ICD-10 PCS Procedure Code ICD-10 PCS Code Description Periope
Test Name CPT Code(s) Pages National Coverage Determination Policies Alpha -fetoprotein . 82105 : 1-2 : . Hepatitis Panel/Acute Hepatitis Panel 80074 23 -24 Histocompatibility Testing 86812, 86816 25 -26 . Non -Covered ICD -10 Codes for all NCDs ; 61- 68 . Local Coverage Determination
Winder, GA 30680 Paradigm Construction Company 770-867-4939 n/a ASAP TBD by Seller per code per code per code per code per code per code per code per code per code per code per code per code Angela Eavenson
