Wiki lab dx code

[autumn2020]

is there a diagnosis code for the CA 19-9 cpt code 86301

 

[sls314]

The diagnosis should be based on the reason the physician ordered the lab.

Medicare does have an NCD that would be applicable, which includes a list of diagnoses that Medicare would cover. Commercial payers and Medicaid may have their own separate rules.

Link to the NCD: https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=142&ncdver=1&DocID=190.30&kq=true&bc=gAAAAAgAAAAAAA==&

 

[autumn2020]

Thank you!