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Quest Diagnostics

JM Palmetto

Policies for Medicare Region JM Palmetto

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 JM Palmetto local coverage determination lists below.

Bladder Urothelial Tumor Markers

Brain Natriuretic Peptide (BNP) Level

Brain Natriuretic Peptide (BNP) Testing

Breast Cancer Assay: Prosigna

Flow Cytometry

GlycoMark Testing for Glycemic Control

HbA1c

Homocysteine Level, Serum

Magnesium

MolDX: Biomarkers in CA Risk Assessment

MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease

MolDX: Genetic Testing for Hypercoagulability Thrombophilia

MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

MolDX: Prometheus IBD sgi

MolDX: Repeat Germline Testing

MolDX: SEPT9 Gene Test

NRAS Genetic Testing

Special Histochemical Stains and Immunohistochemical Stains

Urine Drug Testing

Vitamin D Assay Testing

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

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