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Wiki LACTIC ACID

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barbara5753

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OUR REFERENCE LAB WILL NOT ACCEPT LACTIC ACID FOR OUR MEDICARE PATIENTS BECAUSE THEY SAY IT IS NOT A COVERED TEST. I CANNOT FIND AN LCD OR NCD. ANYONE ELSE HAVE THIS PROBLEM?
 
barbara5753 said:
OUR REFERENCE LAB WILL NOT ACCEPT LACTIC ACID FOR OUR MEDICARE PATIENTS BECAUSE THEY SAY IT IS NOT A COVERED TEST. I CANNOT FIND AN LCD OR NCD. ANYONE ELSE HAVE THIS PROBLEM?
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83605 is on the CMS Clinical Lab Fee Schedule, which to me indicates that Medicare pays for it at least sometimes.

I would assume there is no coverage for 83605 as a screening/preventative lab test, but I haven't found any information to say it wouldn't be covered as a diagnostic test.

I searched the CPT code for all states on the CMS MCD lookup tool, and it returned zero results. https://www.cms.gov/medicare-coverage-database/search.aspx
 
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