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CHC LABS INC.

SERUM IRON STUDIES

(82728,83540,83550,84466)

002.0-002.9

Typhoid fever

003.0-003.9

Salmonella gastroenteritis

006.0-006.9

Acute amebic dysentery without abscess

007.0-007.9

Balantidiasis

008.00-008.8

Intestinal infection due to E. Coli unspecified

009.0-009.3

Infectious colitis enteritis and gastroenteritis

011.50-011.56

Tuberculous bronchiectasis unspecified examination

014.00-014.86

Tuberculous peritonitis unspecified examination

015.00-015.96

Tuberculosis of vertebral column unspecified examination

016.00-016.06

Tuberculosis of kidney unspecified examination

016.10-016.16

Tuberculosis of bladder unspecified examination

016.20-016.26

Tuberculosis of ureter unspecified examination

016.30-016.36

Tuberculosis of other urinary organs unspecified examination

042

Human immunodeficiency virus (HIV) disease

070.0-070.9

Viral Hepatitis A with hepatic coma

140.0-149.9

Malignant neoplasm of upper lip vermilion border

150.0-159.9

Malignant neoplasm of cervical esophagus

160.0-165.9

Malignant neoplasm of nasal cavities

170.0-176.9

Malignant neoplasm of bones of skull and face except mandible

179-189.9

Malignant neoplasm of uterus, part unspecified

190.0-199.1

Malignant neoplasm of eyeball, except conjunctiva, cornea, retina, and choroid

200.00-208.91

Reticulosarcoma unspecified site

210.0-229.9

Benign neoplasm of lip

230.0-234.9

Carcinoma in situ of lip, oral cavity, and pharynx

235.0-238.9

Neoplasm of uncertain behavior of major salivary gland

239.0-239.9

Neoplasm of unspecified nature of digestive system

250.00-250.93

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

253.2

Panhypopituitarism

253.7

Iatrogenic pituitary disorders

253.8

Other disorders of the pituitary and other syndromes of diencephalohypophyseal origin

256.31-256.39

Premature menopause

257.2

Other testicular hypofunction

260

Kwashiorkor

261

Nutritional marasmus

262

Other severe protein-calorie malnutrition

263.0-263.9

Malnutrition of moderate degree

275.0

Disorders of iron metabolism

277.1

Disorders of porphyrin metabolism

280.0-280.9

Iron deficiency anemia secondary to blood loss (chronic)

281.0-281.9

Pernicious anemia

282.4

Thalassemias

285.0

Sideroblastic anemia

285.1

Acute posthemorrhagic anemia

285.9

Anemia unspecified

286.0-286.9

Congenital factor VIII disorder

287.0-287.2

Allergic purpura

287.30-287.39

Primary thrombocytopenia

 

306.4

Gastrointestinal malfunction arising from mental factors

307.1

Anorexia nervosa

307.50-307.59

Eating disorder unspecified

403.01

Hypertensive renal disease, malignant, with renal failure

403.11

Hypertensive renal disease, benign, with renal failure

403.91

Hypertensive renal disease, unspecified, with renal failure

404.02

Hypertensive heart and renal disease, malignant, with renal failure

404.03

Hypertensive heart and renal disease, malignant, with heart and renal failure

404.12

Hypertensive heart and renal disease, benign, with renal failure

404.13

Hypertensive heart and renal disease, benign, with heart and renal failure

404.92

Hypertensive heart and renal disease, unspecified, with renal failure

404.93

Hypertensive heart and renal disease, unspecified, with heart and renal failure

425.4

Other primary cardiomyopathies

425.5

Alcoholic cardiomyopathy

425.7

Nutritional and metabolic cardiomyopathy

425.8 Cardiomyopathy in other diseases classified elsewhere

425.9

Secondary cardiomyopathy unspecified

426.0-426.9

Atrioventricular block complete

427.0-427.9

Paroxysmal supraventricular tachycardia

428.0-428.9

Congestive heart failure unspecified

530.7

Gastroesophageal laceration-hemorrhage syndrome

530.82

Esophageal hemorrhage

531.00-531.91

Acute gastric ulcer with hemorrhage without obstruction

532.00-532.91

Acute duodenal ulcer with hemorrhage without obstruction

533.00-533.91

Acute peptic ulcer of unspecified site with hemorrhage without obstruction

534.00-534.91

Acute gastrojejunal ulcer with hemorrhage without obstruction

535.00-535.61

Acute gastritis (without hemorrhage)

536.0-536.9

Achlorhydria

537.83

Angiodysplasia of stomach and duodenum with hemorrhage

537.84

Dieulafoy lesion (hemorrhagic) of stomach and duodenum

555.0-555.9

Regional enteritis of small intestine

556.0-556.9

Ulcerative (chronic) enterocolitis

557.0

Acute vascular insufficiency of intestine

557.1

Chronic vascular insufficiency of intestine

562.02

Diverticulosis of small intestine with hemorrhage

562.03

Diverticulitis of small intestine with hemorrhage

562.12

Diverticulosis of colon with hemorrhage

562.13

Diverticulitis of colon with hemorrhage

569.3

Hemorrhage of rectum and anus

569.85

Angiodysplasia of intestine with hemorrhage

569.86

Dieulafoy lesion (hemorrhagic) of intestine

570

Acute and subacute necrosis of liver

571.0-571.9

Alcoholic fatty liver

572.0-572.8

Abscess of liver

573.0-573.9

Chronic passive congestion of liver

578.0-578.9

Hematemesis

579.0-579.3

Celiac disease

579.8-579.9

Other specified intestinal malabsorption

581.0-581.9

Nephrotic syndrome with lesion of proliferative glomerulonephritis

585.4

Chronic kidney disease, Stage IV (severe)

585.5

Chronic kidney disease, Stave V

585.6

End stage renal disease

585.9

Chronic kidney disease, unspecified

586

Renal failure unspecified

 

608.3

Atrophy of testis

626.0-626.9

Absence of menstruation

627.0

Premenopausal menorrhagia

627.1

Postmenopausal bleeding

648.20-648.24

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

698.0-698.9

Pruritus ani

704.00-704.09

Alopecia unspecified

709.00-709.09

Dyschromia unspecified

713.0

Arthropathy associated with other endocrine and metabolic disorders

716.40-716.99

Transient arthropathy site unspecified

719.40-719.49

Pain in joint site unspecified

773.2

Hemolytic disease of fetus or newborn due to other and unspecified isoimmunization

773.3

Hydrops fetalis due to isoimmunization

773.4

Kernicterus of fetus or newborn due to isoimmunization

773.5

Late anemia of fetus or newborn due to isoimmunzation

783.9

Other symptoms concerning nutrition metabolism and development

790.01

Precipitous drop in hematocrit

790.09

Other abnormality of red blood cells

790.4

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

790.5

Other nonspecific abnormal serum enzyme levels

790.6

Other abnormal blood chemistry

799.4

Cachexia

964.0

Poisoning by iron and its compounds

984.0-984.9

Toxic effect of inorganic lead compounds

996.85

Complications of transplanted bone marrow

999.8

Other transfusion reaction not elsewhere classified

V08

Asymptomatic human immunodeficiency virus (HIV) infection status

V12.1

Personal history of nutritional deficiency

V12.3

Personal history of diseases of blood and blood-forming organs

V15.1

Personal history of surgery to heart and great vessels presenting hazards to health

V15.2

Personal history of surgery to other major organs presenting hazards to health

V43.2

Heart replaced by other means

V43.3

Heart valve replaced by other means

V43.4

Blood vessel replaced by other means

V43.60

Unspecified joint replacement

V56.0

Aftercare involving extracorporeal dialysis

V56.8

Aftercare involving other dialysis

 

   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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