suzyrene
Contributor
Does anyone know if Medicare has changed it's policy in regards to code 83036 Glycoslated Hemoglonim lab test? We have billed this with dx 250.00 and Medicare is denying for not medically necessary. Can any one Help?
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Wiki Glycoslated Hemaglobin "A1C" and Medicare
- Thread starter suzyrene
- Start date
mitchellde
True Blue
If you are doing this test to monitor the insulin use then use V58.83 with V58.67. If it is screning then use a V code for screening.
dclark7
True Blue
Medicare also has an NCD for this test. They will not pay more than 4x/year (once every 3 monoths) for a stable diabetic patient. You can check out the lab NCDs here
https://www.cms.gov/Medicare/Coverage/CoverageGenInfo/LabNCDs.html.
https://www.cms.gov/Medicare/Coverage/CoverageGenInfo/LabNCDs.html.