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醫療補助有限覆蓋範圍

醫療補助保險和編碼指南

Medicaid has limited coverage policies (LCPs) for certain laboratory tests. Tests subject to an LCP must meet medical necessity criteria in order to be covered.

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When submitting lab orders, you must provide ICD-10 codes that indicate the patient’s condition and/or the reasons for ordering the test. If those reasons are not considered medically necessary by Medicaid, coverage may be denied.

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醫療補助對於某些實驗室測試有限的覆蓋政策(LCP)。受LCP的測試必須符合醫療必要標準,以便涵蓋。

在提交實驗室訂單時,必須提供ICD-10代碼,指示患者的狀況和/或訂購測試的原因。如果這些原因不被醫療補助在醫療學補助地認為,則可能拒絕覆蓋範圍。

導航Medicare政策的複雜性可能是複雜的,但Quest就在這裏提供幫助。

幫助確保實驗室測試在沒有中斷的情況下進行

Quest’s Medicaid coverage and coding reference guides can help you understand coverage limitation and find ICD-10 diagnosis codes that are most frequently ordered by physicians—preventing potential disruptions to your practice.

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To get started, select a state or plan below.

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Quest的Medicatoid覆蓋範圍和編碼參考指南可以幫助您了解覆蓋範圍,並找到ICD-10診斷代碼,這些診斷代碼最常被醫生 - 防止潛在的練習中斷。

要開始,請選擇以下狀態或計劃。

Below, you’ll find a list of Medicaid coverage policies for certain tests or test groups in California. Certain tests or test groups may follow Medicare coverage policies. Click on the link(s) to find the coverage limitations and indications for the test you want to order.

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Medi-Cal Limited Coverage List

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Every Woman Counts Program

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Family PACT CT/NG Testing

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Family PACT CPT Code Grid

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Family PACT Order Code Grid

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Medi-Cal CA 125 Policy

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Medi-Cal Ferritin Policy

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Medi-Cal Fragile X PCR Policy

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Medi-Cal hCG Prolactin Policy

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Medi-Cal Helicobacter Pylori Policy

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Medi-Cal Hep C Genotype Policy

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Medi-Cal LH FSH Policy

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Medi-Cal Molecular Pathology Code Correlation Chart

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Medi-Cal NIPT QNatal Policy

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Medi-Cal Nonspecific Diagnosis Codes

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Medi-Cal Prenatal Genetic Carrier Screening

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Medi-Cal Prenatal Testing Reminder

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Med-Cal QuantiFERON TB Gold Reminder

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Medi-Cal Update Cervical Screening

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Medi-Cal Vitamin B12 Program

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Presumptive Eligibility Program (PE4PW)

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下麵,您可以找到某些測試或測試組的Medicaid覆蓋策略列表加利福尼亞州。某些測試或測試組可以遵循Medicare覆蓋政策。單擊鏈接以查找要訂購的測試的覆蓋範圍和指示。

Medi-Cal有限公司覆蓋清單

每個女人都計數計劃

家庭PATCT CT / NG測試

家庭PTP CPT代碼網格

家庭公約訂單代碼網格

Medi-Cal CA 125政策

Medi-Cal Ferritin政策

Medi-Cal脆弱X PCR政策

Medi-Cal HCG脯氨酸政策

Medi-Cal Helicobacter Pylori政策

MEDI-CAL HEP C基因型政策

Medi-Cal LH FSH政策

Medi-Cal分子病理代碼相關圖表

Medi-Cal Nipt Qnatal政策

Medi-Cal非特異性診斷代碼

Medi-Cal產前遺傳載體篩選

Medi-Cal產前試驗提醒

Med-Cal Quantiferon TB Gold提醒

Medi-Cal更新宮頸屏蔽

Medi-Cal維生素B12計劃

推定資格計劃(PE4PW)

Below, you’ll find a list of Medicaid coverage policies for certain tests or test groups in the UnitedHealthCare (UHC) Community Plan. Certain tests or test groups may follow Medicare coverage policies. Find the coverage limitations and indications for the test you want to order at the links below.

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Acute Hepatitis Panel

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Alpha-fetoprotein (AFP); Serum

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Carcinoembryonic Antigen (CEA)

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Collagen Crosslinks (Any Method)

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Digoxin; Total

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Ferritin

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Fibrotest - Add-On Codes Policy, Facility - Reimbursement Policy

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Fibrotest - Add-On Codes Policy, Professional - Reimbursement Policy

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Fibrotest - Hepatitis Screening

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Fibrotest - Hepatitis Screening (for Louisiana Only)

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Fibrotest - Hepatitis Screening (for Nebraska Only)

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Fibrotest - Hepatitis Screening (for New Jersey Only)

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Fibrotest - Hepatitis Screening (for Tennessee Only)

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Fibrotest - Laboratory Services Policy, Professional - Reimbursement Policy

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Fibrotest - Molecular Diagnostic Infectious Disease Testing – Medicare Advantage Policy Guideline

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Fibrotest - Maximum Frequency Per Day Policy, Professional - Reimbursement Policy

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Fibrotest - Non-Covered Codes and Covered Codes Policy, Facility - Reimbursement Policy

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Fibrotest - Non Covered and Covered Codes Policy, Professional - Reimbursement Policy

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Fibrotest - Procedure to Place of Service Policy, Professional - Reimbursement Policy

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Fibrotest - Professional / Technical Component Policy, Professional - Reimbursement Policy

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Fibrotest - Viral Hepatitis Serology Testing Policy, Professional - Reimbursement Policy

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Glutamyltransferase, Gamma (GGT)

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Glycated Hemoglobin/Glycated Protein

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Human Chorionic Gonadotropin (hCG)

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Lipids Testing

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Partial Thromboplastin Time (PTT)

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Prostate-Specific Antigen

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Prothrombin Time (PT)

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Serum Iron

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Thyroid Testing

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Tumor Antigen by Immunoassay CA 125

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Tumor Antigen by Immunoassay CA 19-9

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Tumor Antigen by Immunoassay CA15-3/CA 27.29

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Urine Culture, Bacterial

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Vitamin D Testing

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下麵,您可以找到某些測試或測試組的Medicaid覆蓋策略列表英聯人(UHC)社區計劃。某些測試或測試組可以遵循Medicare覆蓋政策。找到您想要在下麵的鏈接訂購的測試的覆蓋範圍和指示。

急性肝炎麵板

α-胎蛋白(AFP);血清

癌胚抗原(CEA)

膠原蛋白交聯(任何方法的)

地勝;全部的

鐵丁

Fibrotest - 附加代碼政策,設施 - 報銷政策

Fibrotest - 附加代碼政策,專業 - 償還政策

纖維纖維 - 肝炎篩查

纖維增殖 - 肝炎篩查(僅限Louisiana)

纖維增殖 - 肝炎篩查(僅適用於內布拉斯加州)

纖維增殖 - 肝炎篩查(僅限新澤西州)

纖維增殖 - 肝炎篩查(僅限田納西州)

纖維運動 - 實驗室服務政策,專業 - 報銷政策

纖維纖維 - 分子診斷傳染病檢測 - Medicare Advantage政策指南

Fibrotest - 每天最大頻率政策,專業 - 報銷政策

Fibrotest - 非覆蓋的代碼和涵蓋的代碼政策,設施 - 償還政策

Fibrotest - 非涵蓋和涵蓋的代碼政策,專業 - 報銷政策

Fibrotest - 服務政策的程序,專業 - 報銷政策

纖維運動 - 專業/技術組成政策,專業 - 報銷政策

纖維增殖 - 病毒性肝炎血清學檢測政策,專業 - 報銷政策

穀氨酰胺轉移酶,γ(GGT)

糖化血紅蛋白/糖化蛋白

人絨毛膜促性腺激素(HCG)

脂質測試

部分血栓形成時間(PTT)

前列腺特異性抗原

凝血酶原時間(PT)

血清鐵

甲狀腺測試

腫瘤抗原通過免疫測定CA 125

腫瘤抗原通過免疫測定CA 19-9

免疫測定CA15-3 / CA 27.29的腫瘤抗原

尿培養,細菌

維生素D測試

Below is a list of Medicaid coverage policies for certain tests or test groups in Washington state. Certain tests or test groups may follow Medicare coverage policies. Click on the link(s) to find the coverage limitations and indications for the test you want to order.

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WA Medicaid Vitamin D Testing Policy

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以下是華盛頓州某些測試或測試組的醫療提議覆蓋策略清單。某些測試或測試組可以遵循Medicare覆蓋政策。單擊鏈接以查找要訂購的測試的覆蓋範圍和指示。

Wa Medicatod維生素D測試政策

Note: individual plans may vary. For the most up-to-date coverage policy for each patient, please contact the patient’s health plan.

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注意:個人計劃可能會有所不同。對於每個患者的最新覆蓋政策,請聯係患者的健康計劃。

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