Tests with Medical Necessity Policies

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

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Search results for "87491".
Ordering Code
Test Name
CPT® Code(s)
Medicare Coverage
Frequency Applies
4336
C. Trachomatis PCR, SurePath/ThinPrep
87491
NCD 210.10   A58720
 
5147
C. Trachomatis, RNA, TMA, Urogenital
87491
NCD 210.10   A58720
 
5842
Chlamydia / GC TMA, Rectal
87491
NCD 210.10   A58720
 
7162
Chlamydia / GC TMA, Throat
87491
NCD 210.10   A58720
 
484
Chlamydia Trachomatis PCR
87491
NCD 210.10   A58720
 
5848
Chlamydia Trachomatis TMA, Rectal
87491
NCD 210.10   A58720
 
5846
Chlamydia Trachomatis TMA, Throat
87491
NCD 210.10   A58720
 
4336
Chlamydia Trachomatis, PCR
87491
NCD 210.10   A58720
 
484
Chlamydia, PCR
87491
NCD 210.10   A58720
 
183
Chlamydia/GC, PCR
87491
NCD 210.10   A58720
 
4328
Chlamydia/GC, PCR, SurePath/ThinPrep
87491
NCD 210.10   A58720
 
5127
CT / NG RNA, TMA, Urogenital
87491
NCD 210.10   A58720