CHC LABS INC.
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LIPIDS (80061,82465,83715,83716,83718,83721,84478) |
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|
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 |
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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 |
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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 |
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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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