Where can I find the list of Clinical Laboratory NCD procedure codes and coverage documentation?
There is a complete list of procedure codes and coverage information available on the CMS Web site. The link to access the NCD Coding Policy Manuals, Federal Register Final Rules, and related CMS Program Memoranda is as follows: http://www.cms.hhs.gov/ncd/labindexlist.asp • How should a laboratory bill for services that are non-covered for reasons other than medical necessity? Healthcare Common Procedure Coding System (HCPCS) coding provides for a GY modifier to be used to indicate an item or service that is statutorily excluded or does not meet the definition of any Medicare benefit. The list of non-covered codes for laboratory procedures subject to the negotiated NCDs can be found in the coding manuals in the “Non-covered ICD-9-CM Codes for All NCD Edits” section. These are the only codes that should be billed with the GY modifier for services subject to the negotiated laboratory NCDs. For information go to: http://www.cms.hhs.gov/ncd/labindexlist.asp • Is there a procedure to follow
