Compliance Info

 
Name Downloads
Advance Beneficiary Notice (ABN) Information Download PDF
ABN and Other Notices of Patient Financial
Liability Policy
Download PDF
Disclosure of Medicare Regulations Download PDF
Medicare Compliance and Coverage Limitations Download PDF
Medicare PAP Smear Guidlines Download PDF
Screening Pap Tests and Pelvic Examination Brochure Download PDF
Non-Covered ICD-10-CM Codes for all Lab NCD's Download PDF
Medicare Parts A and B Coverage and Preauthorization Download PDF
Laboratory Preventative Screening: Quick Reference 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

Advanced Beneficiary Notice of Non-Coverage Form Download PDF
Advance Notice of Potential Non-coverage by a Commercial Insurer Form Download PDF
Notice of Financial Responsibility to Medicaid Beneficiary Form Download PDF
Tricare Request for Non-covered Services Download PDF

Preventive Services

Medicare Preventive Screening Educational Tool Go To Site
Cardiovascular Screening Go to Site
Cervical Cancer and HPV Screening Go to Site
Colorectal Cancer
Go to Site
Colorectal Cancer Screening LC Article A52378 Download PDF
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

Alpha Fetoprotein NCD-190.25 Download PDF
Blood Counts NCD-190.15 Download PDF
B-Type Natriuretic Peptide (BNP) Testing LCD-L33573 Download PDF
CEA NCD-190.26 Download PDF
Collagen Crosslinks NCD-190.19 Download PDF
Cytogenetic Studies NCD-190.3 Download PDF
Digoxin NCD-190.24 Download PDF
Drug Screen Urine LCD-L36037 Download PDF
Genomic Sequence Analysis in the Treatment of Hematolymphoid Diseases LCD-L37606 Download PDF
Genomic Sequence Analysis in the Treatment of Non-Small Cell Lung Cancer LCD-L36376 Download PDF
GGT NCD-190.32 Download PDF
Glucose Testing NCD-190.20 Download PDF
Glycated Hemoglobin (A1c) NCD-190.21 Download PDF
HCG NCD-190.27 Download PDF
Heavy Metal Screening LCD-L35074 Download PDF
Hepatitis Panel / Acute Hepatitis Panel NCD-190.33 Download PDF
Histocompatibility NCD-190.1 Download PDF
HIV (Diagnosis) NCD-190.14 Download PDF
HIV (Monitoring) NCD-190.13 Download PDF
Iron Testing NCD-190.18 Download PDF
Lipid Testing NCD-190.23 Download PDF
Next Gen Sequencing (NGS) for Medicare Beneficiaries with Advanced Cancer - CAG-0045N Download PDF
Occult Blood NCD-190.34 Download PDF

Molecular Pathology Procedures LCD-35000

Commercial payers might require preauthorization for Molecular Pathology tests

Download PDF
Noncovered Services L33629 LCD Download PDF
Prothrombin Time NCD-190.17 Download PDF
PSA NCD-190.31 Download PDF
PTT NCD-190.16 Download PDF
RAST Type Tests LCD-L33591 Download PDF
Sweat Testing NCD-190.5 Download PDF
Thyroid Testing NCD-190.22 Download PDF
Tumor Antigen CA 125 NCD-190.28 Download PDF
Tumor Antigen CA 15-3 and CA 27.29 NCD-190.29 Download PDF
Tumor Antigen CA 19-9 NCD-190.30 Download PDF
Urine Culture NCD-190.12 Download PDF
Vitamin D Assay LCD-L33556
Download PDF