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CHC LABS INC.

FECAL OCCULT BLOOD

(82270)

003.0

Salmonella gastroenteritis

003.1

Salmonella septicemia

004.0-004.9

Shigella dysenteriae

005.0-005.9

Staphylococcal food poisoning

006.0-006.9

Acute amebic dysentery without abscess

007.0-007.9

Balantidiasis

008.41-008.49

Intestinal infection due to staphylococcus

009.0-009.3

Infectious colitis enteritis and gastroenteritis

014.00-014.86

Tuberculous peritonitis unspecified examination

040.2

Whipple’s disease

095.2

Syphilitic peritonitis

095.3

Syphilis of liver

098.0

Gonococcal infection (acute) of lower genitourinary tract

098.7

Gonococcal infection of anus and rectum

098.84

Gonococcal endocarditis

123.0-123.9

Taenia solium infection intestinal form

124

Trichinosis

127.0-127.9

Ascariasis

139.8

Late effects of other and unspecified infectious and parasitic diseases

150.0-157.9

Malignant neoplasm of cervical esophagus

159.0-159.9

Malignant neoplasm of intestinal tract part unspecified

176.3

Kaposi’s sarcoma gastrointestinal sites

197.4-197.5

Secondary malignant neoplasm of small intestine including duodenum

197.8

Secondary malignant neoplasm of other digestive organs and spleen

199.0

Disseminated malignant neoplasm

204.00-204.91

Lymphoid leukemia acute without remission

205.00-208.91

Myeloid leukemia acute without remission

211.0-211.9

Benign neoplasm of esophagus

228.04

Hemangioma of intra-abdominal structures

230.2-230.9

Carcinoma in situ of stomach

235.2

Neoplasm of uncertain behavior of stomach, intestines, and rectum

235.5

Neoplasm of uncertain behavior of other and unspecified digestive organs

239.0

Neoplasm of unspecified nature of digestive system

280.0-280.9

Iron deficiency anemia secondary to blood loss (chronic)

285.0-285.9

Sideroblastic anemia

286.0-286.9

Congenital factor VIII disorder

287.0-287.2

Allergic purpura

287.30-287.9

Primary thrombocytopenia

448.0

Hereditary hemorrhagic telangiectasia

455.0-455.8

Internal hemorrhoids without complication

456.0-456.21

Esophageal varices with bleeding

530.10-535.61

Esophagitis unspecified

536.2

Persistent vomiting

536.8-536.9

Dyspepsia and other specified disorders of function of stomach

537.0-537.4

Acquired hypertrophic pyloric stenosis

537.82-537.83

Angiodysplasia of stomach and duodenum (without hemorrhage)

537.84

Dieulafoy lesion (hemorrhagic) of stomach and duodenum

537.89

Other specified disorders of stomach and duodenum

555.0-558.9

Regional enteritis of small intestine

 

560.0-560.39

Intussusception

562.10-562.13

Diverticulosis of colon (without hemorrhage)

564.00-564.02

Unspecified constipation

564.09

Other constipation

564.1-564.9

Irritable bowel syndrome

565.0-565.1

Anal fissure

569.0

Anal and rectal polyp

569.1

Rectal prolapse

569.3

Hemorrhage of rectum and anus

569.41-569.49

Ulcer of anus and rectum

569.82-569.83

Ulceration of intestine

569.84-569.86

Angiodysplasia of intestine (without hemorrhage)

571.0-571.9

Alcoholic fatty liver

577.0-577.9

Acute pancreatitis

578.0-578.9

Hematemesis

579.0

Celiac disease

579.8

Other specified intestinal malabsorption

596.1

Intestinovesical fistula

617.5

Endometriosis of intestine

780.71

Chronic fatigue syndrome

780.79

Other malaise and fatigue

783.0

Anorexia

783.21

Loss of weight

787.01-787.03

Nausea with vomiting

787.1

Heartburn

787.2

Dysphagia

787.7

Abnormal feces

787.91

Diarrhea

787.99

Other symptoms involving digestive system

789.00-789.09

Abdominal pain unspecified site

789.30-789.39

Abdominal or pelvic swelling mass or lump unspecified site

789.40-789.49

Abdominal rigidity unspecified site

789.5

Ascites

789.60-789.69

Abdominal tenderness unspecified site

790.92

Abnormal coagulation profile

792.1

Nonspecific abnormal findings in stool contents

793.6

Nonspecific abnormal findings on radiological and other examination of abdominal area, including retroperitoneum

794.8

Nonspecific abnormal results of function study of liver

863.0-863.99

Injury to stomach without open wound into cavity

864.00-864.09

Unspecified injury to liver without open wound into cavity

864.11-864.19

Hematoma and contusion of liver with open wound into cavity

866.00-866.03

Unspecified injury to kidney without open wound into cavity

866.10-866.13

Unspecified injury to kidney with open wound into cavity

902.0-902.9

Injury to abdominal aorta

926.11-926.19

Crushing injury of back

926.8

Crushing injury of multiple sites of trunk

926.9

Crushing injury of unspecified site of trunk

964.2

Poisoning by anticoagulants

995.2

Unspecified adverse effect of drug, medicinal and biological substance not elsewhere classified

V10.00-V10.09

Personal history of malignant neoplasm of unspecified site in gastrointestinal tract

V12.00

Personal history of unspecified infectious and parasitic disease

V12.72

Personal history of colonic polyps

V58.61

Long-term (current) use of anticoagulants

V58.66

Long-term (current) use of aspirin

V58.69

Long-term (current) use of other medications

V67.51

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

 


  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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