CHC LABS INC.
|
BLOOD COUNTS (85007,85008,85013,85014,85018,85021,85022,85023 85024,85025,85027,85031,85048,85590,85595) |
|
|
Non-covered ICD-9 Codes |
|
|
078.10-078.19 |
Viral warts |
|
210.0-210.9 |
Benign neoplasm of lip, oral cavity, and pharynx |
|
214.0 |
Lipoma, skin and subcutaneous tissue of face |
|
216.0-216.9 |
Benign neoplasm of skin |
|
217 |
Benign neoplasm of breast |
|
222.0-222.9 |
Benign neoplasm of male genital organs |
|
224.0 |
Benign neoplasm of eyeball, except conjunctiva, cornea, retina, and choroid |
|
230.0 |
Carcinoma in situ of lip, oral cavity and pharynx |
|
232.0-232.9 |
Carcinoma in situ of skin |
|
300.00-300.09 |
Neurotic disorders |
|
301.0-301.9 |
Personality disorders |
|
302.0-302.9 |
Sexual deviations and disorders |
|
307.0 |
Stammering and stuttering |
|
307.20-307.23 |
Tics |
|
307.3 |
Stereotyped repetitive movements |
|
307.80-307.89 |
Psychalgia |
|
312.00-312.9 |
Disturbance of conduct, not elsewhere classified |
|
313.0-313.9 |
Disturbance of emotions specific to childhood and adolescence |
|
314.00-314.9 |
Hyperkinetic syndrome of childhood |
|
363.30-363.35 |
Chorioretinal scars |
|
363.40-363.43 |
Choroidal degeneration |
|
363.50-363.57 |
Hereditary choroidal dystrophies |
|
363.70-363.9 |
Choroidal detachment |
|
366.00-366.9 |
Cataract |
|
367.0-367.9 |
Disorders of refraction and accommodation |
|
371.00-371.9 |
Corneal opacity and other disorders of cornea |
|
373.00-373.9 |
Inflammation of eyelids |
|
375.00-375.9 |
Disorders of lacrimal system |
|
376.21-376.9 |
Disorders of the orbit (except 376.3, Other exophthalmic conditions) |
|
377.10-377.16 |
Optic atrophy |
|
377.21-377.24 |
Other disorders of optic disc |
|
384.20-384.25 |
Perforation of tympanic membrane |
|
384.81-384.82 |
Other specified disorders of tympanic membrane |
|
385.00-385.9 |
Other disorders of middle ear and mastoid |
|
387.0-387.9 |
Otosclerosis |
|
388.00-388.5 |
Other disorders of ear |
|
389.00-389.9 |
Hearing loss |
|
440.0-440.1 |
Atherosclerosis of aorta and renal artery |
|
443.81-443.9 |
Other and unspecified peripheral vascular disease |
|
448.1 |
Capillary nevus, non-neoplastic |
|
457.0 |
Postmastectomy lymphedema syndrome |
|
470 |
Deviated nasal septum |
|
471.0-471.9 |
Nasal polyps |
|
478.0 |
Hypertrophy of nasal turbinates |
|
478.4 |
Polyp of vocal cord or larynx |
|
520.0-520.9 |
Disorders of tooth development and eruption |
|
521.00-521.9 |
Diseases of hard tissues of teeth |
|
524.00-524.9 |
Dentofacial anomalies, including malocclusion |
|
525.0-525.9 |
Other diseases and conditions of teeth and supporting structures |
|
526.0-526.3 |
Diseases of the jaws |
|
527.6-527.9 |
Diseases of salivary glands |
|
575.6 |
Cholesterolosis of gallbladder |
|
600.0-600.9 |
Hyperplasia of prostate |
|
603.0 |
Encysted hydrocele |
|
603.8 |
Other specified types of hydrocele |
|
603.9 |
Hydrocele, unspecified |
|
605 |
Redundant prepuce and phimosis |
|
606.0-606.1 |
Infertility, male azoospermia and oligospermia |
|
608.1 |
Spermatocele |
|
608.3 |
Atrophy of testis |
|
610.0-610.9 |
Benign mammary dysplasias |
|
611.1-611.6 |
Other disorders of breast |
|
611.9 |
Unspecified breast disorder |
|
616.2 |
Cyst of Bartholin’s gland |
|
618.00-618.9 |
Genital prolapse |
|
620.0-620.3 |
Noninflammatory disorders of ovary, fallopian tube, and broad ligament |
|
621.6-621.7 |
Malposition or chronic inversion or uterus |
|
627.2-627.9 |
Menopausal and post menopausal disorders |
|
628.0-628.9 |
Infertility, female |
|
676.00-676.94 |
Other disorders of breast associated with childbirth and disorders of lactation |
|
691.0-691.8 |
Atopic dermatitis and related disorders |
|
692.0-692.9 |
Contact dermatitis and other eczema |
|
700 |
Corns and callosities |
|
701.0-701.9 |
Other hypertrophic and atrophic conditions of skin |
|
702.0-702.8 |
Other dermatoses |
|
703.9 |
Unspecified disease of nail |
|
706.0-706.9 |
Diseases of sebaceous glands |
|
709.00-709.4 |
Other disorders of skin and subcutaneous tissue |
|
715.00-715.98 |
Osteoarthrosis |
|
716.00-716.99 |
Other and unspecified arthropathies |
|
718.00-718.99 |
Other derangement of joint |
|
726.0-726.91 |
Peripheral enthesopathies and allied syndromes |
|
727.00-727.9 |
Other disorders of synovium, tendon, and bursa |
|
728.10-728.85 |
Disorders of muscle, ligament, and fascia |
|
732.0-732.9 |
Osteochondropathies |
|
733.00-733.09 |
Osteoporosis |
|
734 |
Flat foot |
|
735.0-735.9 |
Acquired deformities of toe |
|
736.00-736.9 |
Other acquired deformities of limb |
|
737.0-737.9 |
Curvature of spine |
|
738.0-738.9 |
Other acquired deformity |
|
739.0-739.9 |
Nonallopathic lesions, not elsewhere classified |
|
798.0-798.9 |
Sudden infant death syndrome |
|
830.0-839.9 |
Dislocations |
|
840.0-848.9 |
Sprains and strains of joints and adjacent muscles |
|
905.0-909.9 |
Late effects of musculoskeletal and connective tissue injuries |
|
910.0-919.9 |
Superficial injuries |
|
930.0-932 |
Foreign body on external eye, in ear, in nose |
|
955.0-957.9 |
Injury to peripheral nerve |
|
V03.0-V06.9 |
Need for prophylactic vaccination |
|
V11.0-V11.9 |
Personal history of mental disorder |
|
V14.0-V14.8 |
Personal history of allergy to medicinal agents |
|
V15.85 |
Personal history of exposure to potentially hazardous body fluids |
|
V16.0 |
Family history of malignant neoplasm, gastrointestinal tract |
|
V16.1 |
Family history of malignant neoplasm of trachea, bronchus, and lung |
|
V16.2 |
Family history of malignant neoplasm of other respiratory and intrathoracic organs |
|
V16.3 |
Family history of malignant neoplasm, breast |
|
V16.40 |
Family history of malignant neoplasm of genital organ unspecified |
|
V16.51-V16.59 |
Family history of malignant neoplasm of kidney |
|
V16.6 |
Family history of leukemia |
|
V16.7 |
Family history of other lymphatic and hematopoietic neoplasms |
|
V16.8 |
Family history of other specified malignant neoplasm |
|
V16.9 |
Family history of unspecified malignant neoplasm |
|
V17.0-V17.8 |
Family history of psychiatric condition |
|
V18.0-V18.8 |
Family history of diabetes mellitus |
|
V19.0-V19.8 |
Family history of blindness or visual loss |
|
V20.0-V20.2 |
Health supervision of foundling |
|
V21.0-V21.9 |
Constitutional states in development |
|
V25.01-V25.9 |
Encounter for contraceptive management |
|
V26.0-V26.29 |
Procreative management |
|
V26.31 |
Testing for genetic disease carrier status |
|
V26.32 |
Other genetic testing |
|
V26.33 |
Genetic counseling |
|
V26.4-V26.9 |
General Counseling and Advice |
|
V28.0-V28.9 |
Antenatal screening for chromosomal anomalies by amniocentesis |
|
V40.0-V40.9 |
Mental and behavioral problems |
|
V41.0-V41.9 |
Problems with special senses and other special functions |
|
V43.0-V43.1 |
Organ or tissue replaced by other means, eye globe or lens |
|
V44.0-V44.9 |
Artificial opening status |
|
V45.00-V45.89 |
Other post surgical states |
|
V48.0-V48.9 |
Problems with head, neck, and trunk |
|
V49.0-V49.9 |
Other conditions influencing health status |
|
V50.0-V50.9 |
Elective hair transplant for purposes other than remedying health states |
|
V51 |
Aftercare involving the use of plastic surgery |
|
V52.0-V52.9 |
Fitting and adjustment or prosthetic device and implant |
|
V53.01-V53.09 |
Fitting and adjustment of devices related to nervous system and special senses |
|
V53.1 |
Fitting and adjustment of spectacles and contact lenses |
|
V53.2 |
Fitting and adjustment of hearing aid |
|
V53.31-V53.39 |
Fitting and adjustment of cardiac device |
|
V53.4 |
Fitting and adjustment of orthodontic devices |
|
V53.5 |
Fitting and adjustment of other intestinal appliance |
|
V53.6 |
Fitting and adjustment of urinary devices |
|
V53.7 |
Fitting and adjustment of orthopedic devices |
|
V53.8 |
Fitting and adjustment of wheelchair |
|
V53.9 |
Fitting and adjustment of other and unspecified device |
|
V54.0-V54.9 |
Other orthopedic aftercare |
|
V54.10-V54.17 |
Aftercare for healing traumatic fracture |
|
V54.19 |
Aftercare for healing traumatic fracture of other bone |
|
V54.20-V54.27 |
Aftercare for healing pathologic fracture |
|
V54.29 |
Aftercare for healing pathologic fracture of other bone |
|
V54.81 |
Aftercare following joint replacement |
|
V54.89 |
Other orthopedic aftercare |
|
V55.0-V55.9 |
Attention to artificial openings |
|
V57.0-V57.9 |
Care involving use of rehabilitation procedures |
|
V58.5 |
Orthodontics |
|
V59.01 |
Whole blood donors |
|
V59.02 |
Stem cell blood donors |
|
V59.09 |
Other blood donors |
|
V59.1-V59.9 |
Donors |
|
V60.0-V60.9 |
Lack of housing |
|
V61.0-V61.9 |
Other family circumstances |
|
V62.0 |
Unemployment |
|
V62.1 |
Adverse effects of work environment |
|
V62.2-V62.9 |
Other psychosocial circumstances |
|
V65.0 |
Healthy person accompanying sick person |
|
V65.1 |
Person consulting on behalf of another person |
|
V65.2 |
Person feigning illness |
|
V65.3 |
Dietary surveillance and counseling |
|
V65.40-V65.49 |
Other counseling, not elsewhere classified |
|
V65.5 |
Person with feared complaint in whom no diagnosis was made |
|
V65.8 |
Other reasons for seeking consultation |
|
V65.9 |
Unspecified reason for consultation |
|
V66.0-V66.9 |
Convalescence and palliative care |
|
V67.3 |
Follow-up examination following psychotherapy |
|
V67.4 |
Follow-up examination following treatment of healed fracture |
|
V68.0-V68.9 |
Issue of medical certificates |
|
V69.3 |
Problems related to lifestyle, gambling, and betting |
|
V70.0-V70.9 |
Routine general medical examination at a health care facility |
|
V71.01-V71.09 |
Observation and evaluation for suspected conditions not found, mental |
|
V72.0-V72.2 |
Special investigations, examination of eyes and vision, ears and hearing, dental |
|
V72.40-V72.7 |
Special investigations, pregnancy exam, radiologic exam, laboratory exam, diagnostic skin and sensitization tests |
|
V72.9 |
Special investigation, unspecified |
|
V73.0-V73.99 |
Screening examination for poliomyelitis |
|
V74.0-V74.9 |
Screening examination for cholera |
|
V75.0-V75.9 |
Screening examination for rickettsial diseases |
|
V76.0 |
Special screening for malignant neoplasms of the respiratory organs |
|
V76.10-V76.19 |
Special screening for malignant neoplasms, breast |
|
V76.2 |
Special screening for malignant neoplasms, cervix |
|
V76.3 |
Screening for malignant neoplasms of the bladder |
|
V76.42-V76.9 |
Screening for malignant neoplasms of the oral cavity |
|
V77.0-V77.99 |
Special screening for endocrine, nutritional, metabolic, and immunity disorders |
|
V78.0-V78.9 |
Screening for iron deficiency anemia |
|
V79.0-V79.9 |
Screening for depression |
|
V80.0-V80.3 |
Screening for neurological conditions |
|
V81.0-V81.6 |
Special screening for cardiovascular, respiratory, and genitourinary diseases |
|
V82.0-V82.9 |
Screening for skin conditions |
This policy has been duplicated from the most current Medicare National Coverage Determination or Local Medical Review Policy available at the time this booklet was printed in October 2005. Medicare will consider this test(s) medically reasonable and necessary only if the test(s) was performed for any of the diagnoses/conditions listed on this page. This information is subject to change without notice, and Covenant Health Care Labs (CHC) is not responsible for consequences that may result from using such information. CHC is not indicating one code is more acceptable than another, and that selected codes should reflect the patients actual medical condition as noted in their medical record.
|