American Samoa
Guam
Hawaii
Northern Mariana Islands
01212 - A and B MAC
American Samoa
Guam
Hawaii
Northern Mariana Islands
01311 - A and B MAC
Nevada
01312 - A and B MAC
Nevada
01911 - A and B MAC
American Samoa
California - Entire State
Guam
Hawaii
Nevada
Northern Mariana Islands
Article Information
Article ID Number: A55769 Status: A-Approved
Article Title: Billing and Coding: Lab: Coenzyme Q10 (CoQ10)
Original Article Effective Date:
10/02/2017
Revision Effective Date:
01/01/2020
Article Text:
The following billing and coding guidance is to be used with its associated Local Coverage Determination.
To receive a Q10 service denial, please submit the following claim information:
CPT® code 82542
For a voluntary issued Advanced Beneficiary Notice (ABN), append with GX modifier
Coding Information
Bill Type Codes:
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims.
CPT/HCPCS Codes:
Group 1 Paragraph: N/A
Group 1 CPT Codes:
82542
COLUMN CHROMATOGRAPHY, INCLUDES MASS SPECTROMETRY, IF PERFORMED (EG, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), NON-DRUG ANALYTE(S) NOT ELSEWHERE SPECIFIED, QUALITATIVE OR QUANTITATIVE, EACH SPECIMEN
ICD-10 Codes That Are Covered
ICD-10 Codes That Are Not Covered
N/A
Revision History Information
Revision History Date
Revision History Number
Revision History Explanation
01/01/2020
R3
Updated to indicate this article is an LCD Reference Article.
01/01/2020
R2
Removed CMS National Coverage Policy references related to coverage. These are listed in the related LCD.
Under Article Text section: Added ® to CPT. Removed “Select the appropriate diagnosis for the patient” from the bullets.
Added 82542 to the CPT/HCPCS Codes field.
Added GX to the CPT/HCPCS Modifiers field.
10/01/2019
R1
This article was converted to a Billing and Coding Article type and is to be used with its associated Local Coverage Determination.
The article title was changed from "Coenzyme Q10 (Q10) Coding and Billing Guideline" to "Billing and Coding: Lab: Coenzyme Q10 (CoQ10)" to match the LCD title.
