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Does Medicare reimburse for “intact” PTH and CAP tests and the CAP /CIP ratio?

April 26, 2017cap CIP intact medicare Pth ratio reimburse tests

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Does Medicare reimburse for “intact” PTH and CAP tests and the CAP /CIP ratio?

1 Answer

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Medicare reimburses for medically necessary tests as determined by the primary care physician. Therefore, if it so ordered by the primary care physician, Medicare reimburses for the “intact” PTH and CAP tests on the same sample in order to determine the CAP /CIP ratio. Medicare does not reimburse and SCL does not bill for calculated values of CIP (7-84 PTH) or the CAP /CIP ratio.