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MCL Service Areas by County


CLICK above to give a FREE Mammogram!
 
Enter up to four ICD9 diagnosis codes that you will be submitting with your order and select all the tests that you wish to have done. ICD9  1: ICD9  2:
ICD9  3: ICD9  4:
 

Most Commonly Ordered Tests That Should Be Checked For Medical Necessity

 

The tests below were added 01/01/03 to accommodate NATIONAL Coverage Determinations (NCDs).
GAMMA GLUTAMYL TRANSFERASE (GGT)  COLLAGEN CROSSLINKS, Any Method  HIV TESTING (Prognosis including monitoring) 
PARTIAL THROMBOPLASTIN TIME (PTT)  HEPATITIS PANEL/ACUTE HEPATITIS PANEL 
ANTI-HEPATITIS B SURFACE AB CBC W/WBC (DIFF) SCREEN CHEMISTRY URINE
CHOLESTEROL DIGOXIN SERUM FERRITIN SERUM
GLUCOSE SERUM GLYCOSOLATED HG HEMATOCRIT
 HEMOGLOBIN HEPATITIS B E ANTIBODY  HEPATITIS B SURFACE AG 
HUMAN IMMUNE DEFIC VIRUS (HIV)  IONIZED CALCIUM  LIPID PANEL 
MAGNESIUM SERUM  MICROSCOPIC URI  POTASSIUM SERUM 
PROTHROMBIN TIME  PSA, TOTAL R P R 
RA FACTOR - IMMUNOASSAY  T3 UPTAKE  T-4 RIA METHOD 
TRANSFERRIN  TRIGLCERIDE  TROPONIN 
TSH SERUM  URINALYSIS W/MICROSCOPIC   

 

Other Tests That Should Be Checked For Medical Necessity

 

5 - HIAA QUAL, UR   ALPHA-1-FETOPROTEIN (AFP) ANTI-HEPATITIS B CORE
BILE URINE BLOOD SUGAR SCREEN - OB'S CA-15-3
CA-19-9 CANCER ANTIGEN 125 CANCER ANTIGEN 27.29
CEA - CAREMB ANTI CSF, VDRL DIFFERENTIAL
EOSINOPHIL COUNT FREE THYROXINE FRUCTOSAMINE
FTA - ABS GRAM NEG FLEX (PSEUDO) HCG, BETA-SUBUNIT
HCG/BETA HCG QUANT HCG/BETA HCG QUANTITATION/MALE HDL CHOLESTEROL
HUMAN T-CELL LYMPHOTROPIC VIRUS I IRON BINDING CA
IRON SERUM K-B SENS (GRAM NEG) K-B SENS (GRAM POS)
KB - MIC KB - MIC (ADD CHG) KETONES URINE
LIPID PHENOTYPE LIPOPROTEIN LP(A) MATERNAL SER. ALPHA FETO PROT
MHA - TP MAYO OCC BLOOD FECES PLATELET COUNT
POTASSIUM MISC (B/F) PREGNANCY TST S PREGNANCY TST U
PSA, FREE PROSTATIC ACID PHOS REDUCING SUBSTANCES FECES
SENSITIVITY-GNF-MIC SENSITIVITY-GPF-MIC SENSITIVITY-O/T URINE
SENSITIVITY - URINE SPEC GRAVITY UR SYPHILIS G & M SERUM TEST
T & B-CELL QUANTITATION URINE BLOOD URINE COL CT & CU
URINE GLUCOSE URINE PH URINE PROTEIN, QUAL
VDRL CSF WBC & DIFF WHITE CELL COUNT


   

This form was revised Friday, May 26, 2006.

 

 

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