Iowa, Kansas, Missouri, and Nebraska 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.
Find links to PDF Reference Guides for Medicare National Coverage Determination Lists below.
Access links to CMS Site Policies for Medicare region J5 WPS below.
Have a billing question? Contact customer service