0101U Medicare Coverage — HEREDITARY COLON CANCER DISORDERS (EG, LYNCH SYNDROME, PTEN HAMARTOMA SYNDROME, COWDEN SYNDROME, FAMILIAL ADENOMATOSIS POLYPOSIS), GENOMIC SEQUENCE ANALYSIS PANEL UTILIZING A COMBINATION OF NGS, SANGER, MLPA, AND ARRAY CGH, WITH MMRNA ANALYTICS TO RESOLVE VARIANTS OF UNKNOWN SIGNIFICANCE WHEN INDICATED (15 GENES [SEQUENCING AND DELETION/DUPLICATION], EPCAM AND GREM1 [DELETION/DUPLICATION ONLY])

0101U

HEREDITARY COLON CANCER DISORDERS (EG, LYNCH SYNDROME, PTEN HAMARTOMA SYNDROME, COWDEN SYNDROME, FAMILIAL ADENOMATOSIS POLYPOSIS), GENOMIC SEQUENCE ANALYSIS PANEL UTILIZING A COMBINATION OF NGS, SANGER, MLPA, AND ARRAY CGH, WITH MMRNA ANALYTICS TO RESOLVE VARIANTS OF UNKNOWN SIGNIFICANCE WHEN INDICATED (15 GENES [SEQUENCING AND DELETION/DUPLICATION], EPCAM AND GREM1 [DELETION/DUPLICATION ONLY])

outpatient 789 diagnoses

Covered & non-covered ICD-10 diagnoses

ICD-10 Code	Diagnosis	Coverage
C00.0	Malignant neoplasm of external upper lip	covered
C00.1	Malignant neoplasm of external lower lip	covered
C00.2	Malignant neoplasm of external lip, unspecified	covered
C00.3	Malignant neoplasm of upper lip, inner aspect	covered
C00.4	Malignant neoplasm of lower lip, inner aspect	covered
C00.5	Malignant neoplasm of lip, unspecified, inner aspect	covered
C00.6	Malignant neoplasm of commissure of lip, unspecified	covered
C00.8	Malignant neoplasm of overlapping sites of lip	covered

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