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Policies for Medicare Region J15 CGS

Kentucky and Ohio are included under this policy. Jurisdiction is determined by the state in which your performing Quest lab is located.

Below, you’ll find a list of Medicare Coverage Policies for tests or test groups applicable to your state. Diagnosis codes are required for all Medicare orders to document medical necessity.

Click on the links below to find the associated diagnosis codes and frequency information within the policy for the test you want to order. Some links will provide a concise Medicare Coverage and Coding Guide for the coverage policy, while others will direct you to the CMS website policy page.

Non-covered ICD-10 codes apply to all lab National Coverage Determinations. See the PDF Reference Guide here.

Access PDF reference guides for Medicare region J15 CGS local coverage determination lists below.

B-type Natriuretic Peptide (BNP) Testing

MolDX: Biomarkers in Cardiovascular Risk Assessment

Rast Type Tests

Urine Drug Testing

Vitamin D Assay Testing

For more information about how Quest can help you streamline your practice, download our Medicare coverage brochure.