|
|
LABORATORY COMPLIANCE
AMA Approved Panels
Pathology Clinical Services
offers the following panels/profiles.
Individual components of these panels may be ordered separately.
When
ordering tests for Medicare or Medicaid patients, the physician should:
-
Only order those tests that he or she believes are medically
necessary for each patient.
-
Be aware that using a customized panel/profile may result in ordering tests for which
Medicare or Medicaid will deny payment.
-
Order individual tests or a less inclusive panel/profile if all
analytes in the panel/profile are not medically necessary.
-
Understand that the U.S. Department of Health and Human Services, Office of
Inspector General, takes the position that a physician who orders
medically unnecessary tests may be subject to civil penalties.
|
TESTS/COMPONENTS |
Basic Metabolic Panel
80048 |
Electrolyte
Panel
80051 |
Comprehensive
Metabolic Panel
80053 |
Lipid
Panel
80061 |
Hepatic Function
Panel
80076 |
|
Calcium
(82310) |
X |
|
X |
|
|
|
Carbon
Dioxide (82374) |
X |
X |
X |
|
|
|
Chloride
(82435) |
X |
X |
X |
|
|
|
Creatinine
(82565) |
X |
|
X |
|
|
|
Glucose
(82947) |
X |
|
X |
|
|
|
Potassium
(84132) |
X |
X |
X |
|
|
|
Sodium
(84295) |
X |
X |
X |
|
|
|
Urea
Nitrogen (BUN) (84520) |
X |
|
X |
|
|
|
Albumin
(82040) |
|
|
X |
|
X |
|
Bilirubin,
total (82247) |
|
|
X |
|
X |
|
Phosphatase,
alkaline (84075) |
|
|
X |
|
X |
|
Protein,
total (84155) |
|
|
X |
|
X |
|
Transferase,
alanine amino (ALT) (SGPT) (84460) |
|
|
X |
|
X |
|
Transferase,
aspartate amino (ALT) (SGOT) (84450) |
|
|
X |
|
X |
|
Bilirubin,
direct (82248) |
|
|
|
|
X |
|
Cholesterol,
serum, total (82465) |
|
|
|
X |
|
|
Lipoprotein,
direct, HDL (83718) |
|
|
|
X |
|
|
Triglycerides
(84478) |
|
|
|
X |
|
|
TESTS/COMPONENTS |
BMP
80048 |
ELEC
80051 |
CMP
80053 |
LIPID
80061 |
HEP
80076 |
|
Laboratory
Accreditation
Laboratory Compliance
Medical Necessity
Available Panels
Billing
Local Coverage Determinations
Advance Beneficiary Notice
UTMB Institutional Compliance

TRAILBLAZER
Local
Coverage Determinations (LCD)
Retired LMRP/LCD
Top 10 Billing Errors
Part A and Part B Newsletters

CENTER
FOR MEDICARE & MEDICAID SERVICES
National Coverage Determinations (NCD)
Lab NCD
Medicare Quick Reference Guides
|