Compliance Updates
Helpful tools, resources and documents.
Find the latest compliance updates at University of Vermont Medical Center's Pathology and Laboratory Medicine Department.
For more information or questions, please contact Customer Service at 802-847-5121 or toll-free at 800-991-2799.
Compliance Information
| Name | Resource Link |
|---|---|
| POLICY: ABN and Other Notices of Patient Financial Liability | Download PDF |
| Disclosure of Medicare Regulations | Go to Site |
| Medicare PAP Smear Guidelines | Download PDF |
| Screening Pap Tests and Pelvic Examination Brochure | Go to Site |
| Non-Covered ICD-10-CM Codes for all Lab NCD's | Download PDF |
| Medicare Parts A and B Coverage and Preauthorization | Download PDF |
| Molecular Pathology: Quick Reference Guide | Download PDF |
| Naturopathic Physicians and Doctors of Chiropractic Ordering Diagnostic Laboratory Testing, May 2012 | Download PDF |
Patient Potential Financial Liability Forms
| Name | Resource Link |
|---|---|
| Medicare: Advanced Beneficiary Notice of Non-Coverage (ABN), Form #032739 | Download PDF |
| Medicare: Advance Beneficiary Notice of Non-Coverage (ABN) for patients who are dual eligible (Medicare/Medicaid), Form #DOC0010534 | Download PDF |
| VT and NY Medicaid: Notice of Financial Responsibility, Form #037113 | Download PDF |
| Tricare Request for Non-covered Services, Form #037112 | Download PDF |
| Commercial: Advance Notice of Potential Non-Coverage, Form #037111 | Download PDF |
Preventative Services
| Name | Resource Link |
|---|---|
| Medicare Preventive Screening Educational Tool | Download PDF |
| Cardiovascular Screening | Go to Site |
| Cervical Cancer and HPV Screening | Go to Site |
| Colorectal Cancer | Go to Site |
| Diabetes Screening | Go to Site |
| HCV Screening | Go to Site |
| Hepatitis B Virus Infection Screening | Download PDF |
| HIV Screening | Go to Site |
| Pap Test and Pelvic Exam for Early Detection of Cervical or Vaginal Cancer | Go to Site |
| Prostate Cancer Screening | Go to Site |
| Sexually Transmitted Infections Screening | Go to Site |
Coverage Decisions
| Document Title | Resource Link |
|---|---|
| B-Type Natriuretic Peptide (BNP) Testing LCD-L33573 | Go to Site |
| B-Type Natriuretic Peptide (BNP) Billing and Coding A56826 | Go to Site |
| Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis: Billing and Coding -A56609 | Go to Site |
| NCD 190.1 Histocompatibility | Go to Site |
| Histocompatibility Testing: Billing and Coding | Download PDF |
| NCD 190.12 - Urine Culture, Bacteria | Download PDF |
| NCD 190.13 - Human Immunodeficiency Virus (HIV)Testing | Download PDF |
| NCD 190.14 - Human Immunodeficiency Virus (HIV) Testing (Diagnosis) | Download PDF |
| NCD 190.15 - Blood Counts | Download PDF |
| NCD 190.16 - Partial Thromboplastin Time (PTT) | Download PDF |
| NCD 190.17 - Prothrombin Time (PT) | Download PDF |
| NCD 190.18 - Serum Iron Studies | Download PDF |
| NCD 190.19 - Collagen Crosslinks, Any Method | Download PDF |
| NCD 190.2 - Diagnostic Pap Smears | Go to Site |
| NCD 190.20 - Blood Glucose Testing | Download PDF |
| NCD 190.21 - Glycated Hemoglobin Glycated Protein | Download PDF |
| NCD 190.22 - Thyroid Testing | Download PDF |
| NCD 190.23 - Lipids Testing | Download PDF |
| NCD 190.24 - Digoxin Therapeutic Drug Assay | Download PDF |
| NCD 190.25 - Alpha-fetoprotein | Download PDF |
| NCD 190.26 - Carcinoembryonic Antigen | Download PDF |
| NCD 190.27 - Human Chorionic Gonadotropin | Download PDF |
| NCD 190.28 - Tumor Antigen by Immunoassay CA 125 | Download PDF |
| NCD 190.29 - Tumor Antigen by Immunoassay CA 15-3 CA 27.29 | Download PDF |
| NCD 190.3 - Cytogenetic Studies | Go to Site |
| Billing and Coding: Cytogenetic Studies | Download PDF |
| NCD 190.30 - Tumor Antigen by Immunoassay CA 19-9 | Download PDF |
| NCD 190.31 - Prostate Specific Antigen | Download PDF |
| NCD 190.32 - Gamma Glutamyl Transferase | Download PDF |
| NCD 190.33 - Hepatitis Panel Acute Hepatitis Panel | Download PDF |
| NCD 190.34 - Fecal Occult Blood Test | Download PDF |
| NCD 190.5 - Sweat Testing | Go to Site |
| Sweat Testing: Billing and Coding | Download PDF |
| Genomic Sequence Analysis in the Treatment of Hematolymphoid Diseases: Billing and Coding LCD-L37606 | Go to Site |
| Genomic Sequence Analysis in the Treatment of Hematolymphoid Diseases A56793 | Go to Site |
| Genomic Sequence Analysis Solid Tumor Neoplasm LCD-L37810 | Go to Site |
| Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms LCD-37810 | Go to Site |
| Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms: Billing and Coding A56867 | Go to Site |
| Heavy Metal Testing LCD - L35074 | Go to Site |
| Heavy Metal Screening Billing and Coding A56767 | Go to Site |
| Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG) LCD-L39189 | Go to Site |
| Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG): Billing and Coding A58921 | Go to Site |
| Molecular Pathology Procedures LCD-35000 Commercial payers might require preauthorization for Molecular Pathology tests | Go to Site |
| Molecular Pathology Procedures: Billing and Coding - A56199 | Go to Site |
| Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE) | Go to Site |
| Pharmacogenomic Testing (LCD L39995) | Go to Site |
| Pharmacogenomic Testing (A59915) Billing and Coding | Go to Site |
| RAST Type Tests LCD-L33591 | Go to Site |
| RAST Type Tests Billing and Coding A56844 | Go to Site |
| Respiratory Pathogen Panel Testing L39027 | Go to Site |
| Respiratory Pathogen Panel Testing: Billing and Coding A58741 | Go to Site |
| Urine Drug Testing LCD-L36037 | Go to Site |
| Urine Drug Testing Billing and Coding A59416 | Go to Site |
| Vitamin D Assay LCD-L37535 | Go to Site |
| Vitamin D Billing and Coding A57736 | Go to Site |