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CHC LABS INC.

 

LIPIDS

(80061,82465,83715,83716,83718,83721,84478)

242.00-245.9

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

255.0

Cushing’s syndrome

260

Kwashiorkor

261

Nutritional marasmus

262

Other severe protein-calorie malnutrition

263.0

Malnutrition of moderate degree

263.1

Malnutrition of mild degree

263.8

Other protein-calorie malnutrition

263.9

Unspecified protein-calorie malnutrition

270.0

Disturbances of amino-acid transport

271.1

Galactosemia

272.0

Pure hypercholesterolemia

272.1

Pure hyperglyceridemia

272.2

Mixed hyperlipidemia

272.3

Hyperchylomicronemia

272.4

Other and unspecified hyperlipidemia

272.5

Lipoprotein deficiencies

272.6

Lipodystrophy

272.7

Lipidoses

272.8

Other disorders of lipoid metabolism

272.9

Unspecified disorder of lipoid metabolism

277.3

Amyloidosis

278.00

Obesity unspecified

278.01

Morbid obesity

278.02

Overweight

303.90-303.92

Other and unspecified alcohol dependence unspecified drinking behavior

362.10-362.16

Background retinopathy unspecified

362.30-362.34

Retinal vascular occlusion unspecified

362.82

Retinal exudates and deposits

371.41

Senile corneal changes

374.51

Xanthelasma of eyelid

379.22

Crystalline deposits in vitreous

388.00

Degenerative and vascular disorders unspecified

388.02

Transient ischemic deafness

401.0

Malignant essential hypertension

401.1

Benign essential hypertension

401.9

Unspecified essential hypertension

402.00-402.91

Malignant hypertensive heart disease without heart failure

403.00-403.91

Malignant hypertensive renal disease without renal failure

404.00-404.93

Malignant hypertensive heart and renal disease without heart failure or renal failure

405.01-405.99

Malignant renovascular hypertension

410.00-410.92

Acute myocardial infarction of anterolateral wall episode of care unspecified

411.0-411.1

Postmyocardial infarction syndrome

411.81

Acute coronary occlusion without myocardial infarction

411.89

Other acute and subacute forms of ischemic heart disease other

412

Old myocardial infarction

 

413.0-413.1

Angina decubitus

413.9

Other and unspecified angina pectoris

414.00-414.03

Coronary atherosclerosis of unspecified type of vessel, native, or graft

414.04

Coronary atherosclerosis of artery bypass graft

414.05

Coronary atherosclerosis of unspecified bypass graft

414.06

Coronary atherosclerosis of coronary artery of transplanted heart

414.10

Aneurysm of heart (wall)

414.11

Aneurysm of coronary vessels

414.12

Dissection of coronary artery

414.19

Other aneurysm of heart

414.8

Other specified forms of chronic ischemic heart disease

414.9

Chronic ischemic heart disease, unspecified

428.0-428.9

Congestive heart failure unspecified

429.2

Cardiovascular disease, unspecified

429.9

Heart disease unspecified

431

Intracerebral hemorrhage

433.00-433.91

Occlusion and stenosis of basilar artery without cerebral infarction

434.00-434.91

Cerebral thrombosis without cerebral infarction

435.0-435.9

Basilar artery syndrome

437.0

Cerebral atherosclerosis

437.1

Other generalized ischemic cerebrovascular disease

437.5

Moyamoya disease

438.0-438.9

Cognitive deficits

440.0-440.9

Atherosclerosis of aorta

441.00-441.9

Dissection of aorta aneurysm unspecified site

442.0

Aneurysm of artery of upper extremity

442.1

Aneurysm of renal artery

442.2

Aneurysm of iliac artery

444.0-444.9

Embolism and thrombosis of abdominal aorta

557.1

Chronic vascular insufficiency of intestine

571.8

Other chronic nonalcoholic liver disease

571.9

Unspecified chronic liver disease without alcohol

573.8

Other specified disorders of liver

573.9

Unspecified disorder of liver

577.0-577.9

Acute pancreatitis

579.3

Other and unspecified postsurgical nonabsorption

579.8

Other specified intestinal malabsorption

581.0-581.9

Nephrotic syndrome with lesion of proliferative glomerulonephritis

584.5

Acute renal failure with lesion of tubular necrosis

585.4

Chronic kidney disease, Stage IV (serum)

585.5

Chronic kidney disease, Stage V

585.6

End stage renal disease

585.9

Chronic kidney disease, unspecified

588.0

Renal osteodystrophy

588.1

Nephrogenic diabetes insipidus

588.81

Secondary hyperparathyroidism (of renal origin)

588.89

Other specified disorders resulting from impaired renal function

588.9

Unspecified disorder resulting from impaired renal function

607.84

Impotence of organic origin

646.70-646.71

Liver disorders in pregnancy unspecified as to episode of care

646.73

Antepartum liver disorders

648.10-648.14

Thyroid dysfunction of mother complicating pregnancy, childbirth, or the puerperium unspecified as to episode of care

696.0

Psoriatic arthropathy

696.1

Other psoriasis and similar disorders

751.61

Biliary atresia congenital

 

764.10-764.19

Light-for-dates infant with signs of fetal malnutrition unspecified weight

786.50

Unspecified chest pain

786.51

Precordial pain

786.59

Other chest pain

789.1

Hepatomegaly

790.4

Nonspecific evaluation of levels of transaminase or lactic acid dehydrogenase (LDH)

790.5

Other nonspecific abnormal serum enzyme levels

790.6

Other abnormal blood chemistry

793.4

Nonspecific abnormal findings on radiological and other examination of gastrointestinal tract

987.9

Toxic effect of unspecified gas fume or vapor

996.81

Complications of transplanted kidney

V42.0

Kidney replaced by transplant

V42.7

Liver replaced by transplant

V58.69

Long-term (current) use of other medications

V81.0

Screening for Ischemic Heart Disease

V81.1

Screening for Hypertension

V81.2

Screening for Other Unspecified Cardiovascular 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.

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