Billing and Coding: Lab: Coenzyme Q10 (CoQ10) (A55769)


Related Local Coverage Determination (LCD)
L37066-Lab: Coenzyme Q10 (CoQ10)


Contractor NameContract NumberStates
Noridian Healthcare Solutions, LLC 01111 - A and B MAC California - Entire State
01112 - A and B MAC California - Northern
01182 - A and B MAC California - Southern
01211 - A and B MAC 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
02101 - A and B MAC Alaska
02102 - A and B MAC Alaska
02201 - A and B MAC Idaho
02202 - A and B MAC Idaho
02301 - A and B MAC Oregon
02302 - A and B MAC Oregon
02401 - A and B MAC Washington
02402 - A and B MAC Washington
03101 - A and B MAC Arizona
03102 - A and B MAC Arizona
03201 - A and B MAC Montana
03202 - A and B MAC Montana
03301 - A and B MAC North Dakota
03302 - A and B MAC North Dakota
03401 - A and B MAC South Dakota
03402 - A and B MAC South Dakota
03501 - A and B MAC Utah
03502 - A and B MAC Utah
03601 - A and B MAC Wyoming
03602 - A and B MAC Wyoming

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: 10/16/2025

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 DateRevision History NumberRevision History Explanation
10/16/2025
R4

Revision Effective Date: 10/16/2025

CONTRACTOR INFORMATION:

Added: JF contractor information

This update is to consolidate JE and JF to have one unified document and policy number.

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.