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medicare covered lab test

Debbie Posted Tue 07th of January, 2014 18:30:16 PM

Hi,
Does Medicare pay for 86140 (CRP)blood test under ICD-9
414.9?
Thank you.
Debbie

SuperCoder Answered Wed 08th of January, 2014 18:04:20 PM

Medicare does not provide coverage for routine screening performed without a relationship to the evaluation or treatment of a symptom, sign, illness or injury. If high sensitivity C-reactive protein (hsCRP) testing is performed for cardiovascular risk assessment, in the absence of signs or symptoms of illness or injury, then the service will be denied as not reasonable or medically necessary.

Medicare does not cover hsCRP testing as a screening test for the general population or for monitoring response to therapy.

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