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CHC LABS INC.

HEPATITIS PANEL

(80074)

070.0-070.9

Viral hepatitis A with hepatic coma

456.0-456.21

Esophageal varices with bleeding

570

Acute and subacute necrosis of liver

571.5

Cirrhosis of liver without alcohol

572.0-572.8

Abscess of liver

573.3

Hepatitis unspecified

780.31

Febrile convulsions

780.71

Chronic fatigue syndrome

780.79

Other malaise and fatigue

782.4

Jaundice unspecified not of newborn

783.0-783.6

Anorexia

787.01-787.03

Nausea with vomiting

789.00-789.09

Abdominal pain unspecified site

789.1

Hepatomegaly

789.61

Abdominal tenderness right upper quadrant

794.8

Nonspecific abnormal results of function study of liver

996.82

Complications of transplanted liver

999.3

Other infection due to medical care not elsewhere classified

V72.85

Other specified examination

 

30 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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