Lab NCDs - ICD-10 Transition from ICD-9-CM to ICD-10-CM for the Lab NCDs Based on the 2010 Affordable Care Act (2010), the ICD-10-CM codeset is used (instead of ICD-9-CM) by all covered entities to encode diagnoses in HIPAA-regulated transactions, such as Medicare billing claims for diagnostic clinical laboratory services.
Labcorp provides ICD-10 coding resources that may be helpful for your office. Labcorp continues to rely on the ordering physician to provide diagnostic information for the individual patient.
Encounter for preprocedural laboratory examination. Z01.812 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z01.812 became effective on October 1, 2018.
*These commonly used ICD-10 diagnosis codes are intended to assist physicians and other authorized ordering parties in providing correct ICD-10 codes as required by Medicare and other insurers. The codes are based on ICD-10-CM, Medicare Regulations and Manuals authorized by the Centers for Medicare and Medicaid Services.
From ICD-10: For encounters for routine laboratory/radiology testing in the absence of any signs, symptoms, or associated diagnosis, assign Z01. 89, Encounter for other specified special examinations.
Code Z13. 89, encounter for screening for other disorder, is the ICD-10 code for depression screening.
NCD 190.15 4. In some patients presenting with certain signs, symptoms or diseases, a single CBC may be appropriate.
Other specified abnormal findings of blood chemistry89 Other specified abnormal findings of blood chemistry.
39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.
ICD-10 code Z13. 40 for Encounter for screening for unspecified developmental delays is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Encounter for screening for other metabolic disorders Z13. 228 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z13. 228 became effective on October 1, 2021.
82947 is included in the BMP code. You should be using 80048 for your BMP code and that it is it.
2013 ICD-9-CM Diagnosis Code 790.99 : Other nonspecific findings on examination of blood.
ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.
ICD-10 code Z13. 220 for Encounter for screening for lipoid disorders is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
NCD - Partial ThromboplastinTime (PTT) (190.16)
The following ICD-10 resources (included below as PDFs) were developed by Labcorp:
The ICD-10-CM code set replaced the ICD-9-CM code set on October 1, 2015, for covered entities under the Health Insurance Portability and Accountability Act (HIPAA). ICD-10-CM uses different formatting and an expanded character set.
Labcorp continues to rely on the ordering physician to provide diagnostic information for the individual patient. In accordance with HIPAA standards, Labcorp requires a valid diagnosis at the highest level of specificity in order to bill third-party payers, including Medicare and Medicaid. Missing diagnoses, diagnosis codes lacking the highest level of specificity, and nonspecific narratives all require follow-up with the ordering physician or his/her authorized designee for clarification. Providing a formatted ICD-10-CM code at the time of order will minimize letters and/or calls.
In ICD-10, diagnostic codes that start with the letter “E” cover “Endocrine, nutritional and metabolic diseases”. Some of our patients are known to have a deficiency or condition for which the codes below apply.
Z00.00 General adult medical examination without abnormal findings. This is a billable diagnosis code used when the person is getting health checked even without a specific complaint ( Reference ). This code can be used when screening for vitamin D deficiency. The problem is that the insurance companies consider screening for vitamin D deficiency ONLY in certain circumstances.
Tip: If more than one diagnostic code applies to a particular patient, it is wise to put all of them down to reduce the chances of the insurance not paying for the test. We are not limited to putting down only one diagnostic code when ordering the laboratory tests.
Z79.899 Other long-term (current) drug therapy. We can use this code if doing lab tests that should be done because the person is on a particular medication, e.g., TSH and Basic Metabolic Panel in a patient who is on lithium.
But, for other laboratory tests, health insurances refuse to pay for the laboratory test because they don’t think that those laboratory tests are indicated for the mental disorder for which the diagnostic code was provided when the test was ordered. This can be a pain in the you-know-what, both for us ...