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CHC LABS INC.

 

TUMOR MARKERS

(See CPT codes below for individual markers)

Alpha-fetoprotein (procedure code 82105)

070.22-070.23

Chronic viral Hepatitis B with hepatic coma without Hepatitis Delta

070.32-070.33

Chronic viral Hepatitis B without hepatic coma without Hepatitis Delta

070.44

Chronic Hepatitis C with hepatic coma

070.54

Chronic Hepatitis C without hepatic coma

095.3

Syphilis of liver

121.1

Clonorchiasis

121.3

Fascioliasis

155.0-155.2

Malignant neoplasm of liver, primary

164.2-164.9

Malignant neoplasm of anterior mediastinum

183.0

Malignant neoplasm of ovary

186.0

Malignant neoplasm of undescended testis

186.9

Malignant neoplasm of other and unspecified testis

197.1

Secondary malignant neoplasm of mediastinum

197.7

Malignant neoplasm of liver, secondary

198.6

Secondary malignant neoplasm of ovary

198.82

Secondary malignant neoplasm of genital organs

211.5

Benign neoplasm of liver and biliary passages

235.3

Neoplasm of uncertain behavior of liver and biliary passages

272.2

Mixed hyperlipidemia

273.4

Alpha-1 antitrypsin deficiency

275.0

Disorders of iron metabolism

275.1

Disorders of copper metabolism

277.00

Cystic fibrosis without meconium ileus

277.03

Cystic fibrosis with gastrointestinal manifestations

277.6

Other deficiencies of circulating enzymes

285.0

Sideroblastic anemia

571.2

Alcoholic cirrhosis of liver

571.40

Chronic hepatitis unspecified

571.41

Chronic persistent hepatitis

571.49

Other chronic hepatitis

571.5

Cirrhosis of liver without alcohol

608.89

Other specified disorders of male genital organs

793.1

Nonspecific abnormal findings on radiological and other examination of lung field

793.2

Nonspecific abnormal findings on radiological and other examination of other intrathoracic organs

793.3

Nonspecific abnormal findings on radiological and other examination of biliary tract

793.6

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

V10.07

Personal history of malignant neoplasm of liver

V10.43

Personal history of malignant neoplasm of ovary

V10.47

Personal history of malignant neoplasm of testis

Human Chorionic Gonadotropin (HCG) (procedure code 84703) Qualitative

181

Malignant neoplasm of placenta

183.0

Malignant neoplasm of ovary

186.0

Malignant neoplasm of undescended testis

186.9

Malignant neoplasm of other and unspecified testis

198.6

Secondary malignant neoplasm of ovary

 

198.82

Secondary malignant neoplasm of genital organs

V10.43

Personal history of malignant neoplasm of ovary

V10.47

Personal history of malignant neoplasm of testis

Human Chorionic Gonadotropin (HCG) (procedure code 84702) Quantitative

158.0

Malignant neoplasm of retroperitoneum

158.8

Malignant neoplasm of specified parts of peritoneum

164.2

Malignant neoplasm of anterior mediastinum

164.3

Malignant neoplasm of posterior mediastinum

164.8

Malignant neoplasm of other parts of mediastinum

164.9

Malignant neoplasm of mediastinum part unspecified

181

Malignant neoplasm of placenta

183.0

Malignant neoplasm of ovary

183.8

Malignant neoplasm of other specified sites of uterine adnexa

186.0

Malignant neoplasm of undescended testis

186.9

Malignant neoplasm of other and unspecified testis

194.4

Malignant neoplasm of pineal gland

197.1

Secondary malignant neoplasm of mediastinum

197.6

Secondary malignant neoplasm of retroperitoneum and peritoneum

198.6

Secondary malignant neoplasm of ovary

198.82

Secondary malignant neoplasm of genital organs

236.1

Neoplasm of uncertain behavior of placenta

623.8

Other specified noninflammatory disorders of vagina

625.9

Unspecified symptom associated with female genital organs

630

Hydatidiform mole

631

Other abnormal product of conception

632

Missed abortion

633.90

Unspecified ectopic pregnancy without intrauterine pregnancy

633.91

Unspecified ectopic pregnancy with intrauterine pregnancy

640.00-640.03

Threatened abortion unspecified as to episode of care

642.30-642.34

Transient hypertension of pregnancy unspecified as to episode of care

642.40-642.74

Mild or unspecified pre-eclampsia unspecified as to episode of care

642.90-642.94

Unspecified hypertension complicating pregnancy, childbirth, or the puerperium unspecified as to episode of care

V10.09

Personal history of malignant neoplasm of other sites in gastrointestinal tract

V10.29

Personal history of malignant neoplasm of other respiratory and intrathoracic organs

V10.43

Personal history of malignant neoplasm of ovary

V10.47

Personal history of malignant neoplasm of testis

V22.0-V22.1

Supervision of normal first pregnancy

CA 125 (procedure code 86304)

180.0

Malignant neoplasm of endocervix

182.0

Malignant neoplasm of corpus uteri except isthmus

183.0

Malignant neoplasm of ovary

183.2

Malignant neoplasm of fallopian tube

183.8

Malignant neoplasm of other specified sites of uterine adnexa

184.8

Malignant neoplasm of other specified sites of female genital organs

198.6

Secondary malignant neoplasm of ovary

198.82

Secondary malignant neoplasm of genital organs

236.0-236.3

Neoplasm of uncertain behavior of uterus

789.39

Abdominal or pelvic swelling, mass or lump of other specified site

V10.41-V10.44

Personal history of malignant neoplasm of ovary

CA 15-3 and CA 27.29 (procedure code 86300)

174.0-174.9

Malignant neoplasm of nipple and areola of female breast

175.0-175.9

Malignant neoplasm of nipple and areola of male breast

198.2

Secondary malignant neoplasm of skin

 

198.81

Secondary malignant neoplasm of breast

V10.3

Personal history of malignant neoplasm of breast

CA 19-9 (procedure code 86301)

155.1

Malignant neoplasm of intrahepatic bile ducts

156.0

Malignant neoplasm of the gallbladder

156.1

Malignant neoplasm of extrahepatic bile ducts

156.2

Malignant neoplasm of the Ampulla of Vater

156.8

Malignant neoplasm of other specified sites of gallbladder and extrahepatic bile ducts

156.9

Malignant neoplasm of biliary tract part, unspecified site

157.0-157.9

Malignant neoplasm of head of pancreas

197.8

Secondary malignant neoplasm of other digestive organs and spleen

235.3

Neoplasm of uncertain behavior of liver and biliary passages

235.5

Neoplasm of uncertain behavior of other and unspecified digestive organs

V10.09

Personal history of malignant neoplasm of other sites in gastrointestinal tract

Bladder Tumor Antigen (procedure code 86294)

188.0-188.9

Malignant neoplasm of bladder

V10.51

Personal history of malignant neoplasm, bladder

 


  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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