What are the recommendations for fasting instructions prior to collection of a fasting glucose or lipid profile?
Patient may have water. Black coffee with an artificial sweetener is also approved but no sugar, milk or cream. Unsweetened tea is approved. Lipid testing requires a 12 hour fast; other fasting tests require an 8 hour fast. Question: What is Medicare’s position on payment for laboratory testing? Answer: Medicare will pay only for tests that meet the Medicare coverage criteria and are reasonable and necessary to treat or diagnose an individual patient. Medicare does not pay for tests for which documentation, including the patient record, does not support that the tests were reasonable and necessary. Medicare generally does not cover routine screening tests even if the physician or other authorized test orderer considers the tests appropriate for the patient.
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