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CHC LABS INC.


 

BLOOD GLUCOSE TESTING

(82947,82948,82962)

011.00-011.96

Tuberculosis of lung infiltrative confirmation unspecified

038.0-038.9

Streptococcal septicemia

112.1

Candidiasis of vulva and vagina

112.3

Candidiasis of skin and nails

118

Opportunistic mycoses

157.4

Malignant neoplasm of islets of Langerhans

158.0

Malignant neoplasm of retroperitoneum

211.7

Benign neoplasm of islets of Langerhans

242.00-242.91

Toxic diffuse goiter without thyrotoxic crisis or storm

250.00-250.93

Diabetes mellitus without complication type II or unspecified type not stated as uncontrolled

251.0-251.9

Hypoglycemic coma

253.0-253.9

Acromegaly and gigantism

255.0

Cushing’s syndrome

263.0-263.9

Malnutrition of moderate degree

271.0-271.9

Glycogenosis

272.0-272.4

Pure hypercholesterolemia

275.0

Disorders of iron metabolism

276.0-276.4

Disorders of fluid, electrolyte, and acid-base balance

276.50

Volume depletion, unspecified

276.51

Dehydration

276.52

Hypovolemia

276.6-276.9

Fluid Overload

278.3

Hypercarotinemia

293.0

Acute delirium

294.9

Unspecified organic brain syndrome (chronic)

298.9

Unspecified psychosis

300.9

Unspecified neurotic disorder

310.1

Organic personality syndrome

337.9

Unspecified disorder of autonomic nervous system

345.10-345.11

Generalized convulsive epilepsy without intractable epilepsy

348.3

Encephalopathy unspecified

355.9

Mononeuritis of unspecified site

356.9

Unspecified idiopathic peripheral neuropathy

357.9

Unspecified inflammatory and toxic neuropathies

362.10

Background retinopathy unspecified

362.18

Retinal vasculitis

362.29

Other nondiabetic proliferative retinopathy

362.50-362.57

Macular degeneration (senile) of retina unspecified

362.60-362.66

Peripheral retinal degeneration unspecified

362.81-362.89

Retinal hemorrhage

362.9

Unspecified retinal disorder

365.04

Ocular hypertension

365.32

Corticosteroid-induced glaucoma residual stage

366.00-366.09

Nonsenile cataract unspecified

366.10-366.19

Senile cataract unspecified

367.1

Myopia

368.8

Other specified visual disturbances

373.00

Blepharitis unspecified

377.24

Pseudopapilledema

377.9

Unspecified disorder of optic nerve and visual pathways

378.50-378.55

Paralytic strabismus unspecified

379.45

Argyll Robertson pupil atypical

410.00-410.92

Acute myocardial infarction of anterolateral wall episode of care unspecified

414.00-414.19

Coronary atherosclerosis of unspecified type of vessel native graft

425.9

Secondary cardiomyopathy unspecified

440.23

Atherosclerosis of native arteries of the extremities with ulceration

440.24

Atherosclerosis of native arteries of the extremities with gangrene

440.9

Generalized and unspecified atherosclerosis

458.0

Orthostatic hypotension

462

Acute pharyngitis

466.0

Acute bronchitis

480.0-486

Pneumonia due to adenovirus

490

Bronchitis not specified as acute or chronic

491.0-491.9

Simple chronic bronchitis

527.7

Disturbance of salivary secretion

528.0

Stomatitis

535.50-535.51

Unspecified gastritis and gastroduodenitis (without hemorrhage)

536.8

Dyspepsia and other specified disorders of function of stomach

571.8

Other chronic nonalcoholic liver disease

572.0-572.8

Abscess of liver

574.50-574.51

Calculus of bile duct without cholecystitis without obstruction

575.0-575.12

Acute cholecystitis

576.1

Cholangitis

577.0

Acute pancreatitis

577.1

Chronic pancreatitis

577.8

Other specified diseases of pancreas

590.00-590.9

Chronic pyelonephritis without lesion of renal medullary necrosis

595.9

Cystitis unspecified

596.4

Atony of bladder

596.53

Paralysis of bladder

599.0

Urinary tract infection site not specified

607.84

Impotence of organic origin

608.89

Other specified disorders of male genital organs

616.10

Vaginitis and vulvovaginitis unspecified

626.0

Absence of menstruation

626.4

Irregular menstrual cycle

628.9

Infertility female of unspecified origin

648.00

Diabetes mellitus of mother complicating pregnancy childbirth or the puerperium unspecified as to episode of care

648.03

Antepartum diabetes mellitus

648.04

Postpartum diabetes mellitus

648.80

Abnormal glucose tolerance of mother complicating pregnancy childbirth or the puerperium unspecified as to episode of care

648.83

Abnormal glucose tolerance of mother antepartum

648.84

Abnormal glucose tolerance of mother postpartum

656.60-656.63

Excessive fetal growth affecting management of mother unspecified as to episode of care

657.00-657.03

Polyhydramnios unspecified as to episode of care

680.0-680.9

Carbuncle and furuncle of face

686.00-686.9

Pyoderma unspecified

698.0

Pruritus ani

698.1

Pruritus of genital organs

704.1

Hirsutism

705.0

Anhidrosis

707.00-707.9

Decubitus ulcer

709.3

Degenerative skin disorders

729.1

Myalgia and myositis unspecified

730.07-730.27

Acute osteomyelitis involving ankle and foot

780.01

Coma

780.02

Transient alteration of awareness

780.09

Alteration of consciousness other

780.2

Syncope and collapse

780.31

Febrile convulsions

780.39

Other convulsions

780.4

Dizziness and giddiness

780.71-780.79

Chronic fatigue syndrome

780.8

Hyperhidrosis

781.0

Abnormal involuntary movements

782.0

Disturbance of skin sensation

783.1

Abnormal weight gain

783.21

Loss of weight

783.5

Polydipsia

783.6

Polyphagia

785.0

Tachycardia unspecified

785.4

Gangrene

786.01

Hyperventilation

786.09

Respiratory abnormality other

786.50

Unspecified chest pain

787.6

Incontinence of feces

787.91

Diarrhea

788.41-788.43

Urinary frequency

789.1

Hepatomegaly

790.2

Abnormal glucose tolerance test

790.6

Other abnormal blood chemistry

791.0

Proteinuria

791.5

Glycosuria

796.1

Abnormal reflex

799.4

Cachexia

V23.0-V23.9

Supervision of high-risk pregnancy with history of infertility

V58.69

Long-term (current) use of other medications

V67.2

Follow-up examination following chemotherapy

V67.51

Follow-up examination following completed treatment with high-risk medications, not elsewhere classified

V77.1

Screening for Diabetes Mellitus

 

   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.

 

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