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Quest Diagnostics

JH Novitas

Policies for Medicare Region JH Novitas

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.

Alpha-fetoprotein

Blood Counts

Blood Glucose Testing

Carcinoembryonic Antigen

Collagen Crosslinks, Any Method

Cytogenetic Studies

Digoxin Therapeutic Drug Assay

Fecal Occult Blood Test

Gamma Glutamyl Transferase

Glycated Hemoglobin/Glycated Protein

Hepatitis Panel/Acute Hepatitis Panel

Histocompatibility Testing

Human Chorionic Gonadotropin

Human Immunodeficiency Virus (HIV) Testing (Prognosis Including Monitoring)

Human Immunodeficiency Virus (HIV) Testing (Diagnosis)

Lipid Testing

Lymphocyte Mitogen Response Assays

Next Generation Sequencing (NGS)

Partial Thromboplastin Time (PTT)

Prostate-Specific Antigen

Prothrombin Time (PT)

Serum Iron Studies

Sweat Test

Thyroid Testing

Tumor Antigen by Immunoassay CA 15-3/CA 27.29

Tumor Antigen by Immunoassay CA 19-9

Tumor Antigen by Immunoassay CA 125

Urine Culture, Bacterial
 

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

Access PDF reference guides or access links to CMS Site for Medicare region JH Novitas local coverage determination lists below.

Allergy Testing

Assays for Vitamins and Metabolic Function

Assays for Vitamins and Metabolic Function (Vitamin B12)

Assays for Vitamins and Metabolic Function (Vitamin D 1.25-Dihydroxy)

Assays for Vitamins and Metabolic Function (Vitamin D, 25 OH)

BioMarkers for Oncology

BioMarkers Overview

BRCA1 and BRCA2 Genetic Testing

Controlled Substance Monitoring and Drugs of Abuse Testing

Frequency of Laboratory Tests (Lipids, Thyroid, Glucose, Glycated Hemoglobin/Glycated Protein)

Pharmacogenomics Testing

Preventive Screening Tool

Respiratory Pathogen Panel Testing

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

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Quest® is the brand name used for services offered by Quest Diagnostics Incorporated and its affiliated companies. Quest Diagnostics Incorporated and certain affiliates are CLIA-certified laboratories that provide HIPAA-covered services.  Other affiliates operated under the Quest® brand, such as Quest Consumer Inc., do not provide HIPAA-covered services. 

 

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