Tests with Medical Necessity Policies

Search
Non-covered ICD-10-CM Codes for All Lab NCDs

List All



Search results for "83036".
Ordering Code
Test Name
CPT® Code(s)
Medicare Coverage
Frequency Applies
4779
Hemoglobin A1C
83036
NCD 190.21
Yes83036 - It is not considered reasonable and necessary to perform glycated hemoglobin tests more often than every three months on a controlled diabetic patient to determine whether the patient's metabolic control has been on average within the target range. It is not considered reasonable and necessary for these tests to be performed more frequently than once a month for diabetic pregnant women. Testing for uncontrolled type one or two diabetes mellitus may require testing more than four times a year. Medical necessity documentation must support such testing in excess of the above guidelines.