A-List

ABN’s Lab ICD-10 Search Tool

What is the A-List?

A-LIST is designed as a search tool to aid in the selection of medically acceptable diagnostic codes for test groups included in the National Coverage Determination (NCD) and Local Coverage Determination (LCD) documents. The documents are in PDF format and easily searched. The responsibility for properly and correctly navigating the A-LIST for Medicare coding remains with the physicians and their staff. The A-LIST is simply a search tool offered for the convenience of physicians and not a substitute for the professional judgment required of the physicians. The use of this search tool constitutes a waiver of all claims against MMC, its affiliates and employees, arising from the use of the search tool and coding taken therefrom.

How do I find the diagnostic information I need?

The home page contains the following information:

  • Complete National Coverage Determination (NCD) document.
  • National Coverage Determination (NCD) test groups.
  • Local Coverage Determination (LCD) test groups.

Within each test group, there are 3 main documents:

  • Complete NCD/LCD specific to test group
  • Acceptable ICD-10 codes associated with MMC test
  • Details such as Description, Indications, and Limitations (Time-specific information and coding suggestions may be found in Details).

Additional Coding Guidelines for CMS tests referred to in this section are found in the front section of the complete NCD document.) To search for specific information, simply click on the desired category of the test group. A document will open in a PDF format.

Additional information, including shortcuts, can be found in this document.

National Coverage Determination (NCD)

The Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM) from the U.S. Department of Health & Human Services Centers for Medicare & Medicaid Services provides complete NCD documentation.

Local Coverage Determination (LCD)

PLEASE READ CAREFULLY

Local Coverage Determination (LCD) are written differently than the NCD documents. Some test groups have specific coverage determinations for each test, and some test groups have special conditions.

Test Group Coverage DeterminationCPTMMC TestsCode Lookup DocumentDetailsDate Published

Acute Hepatitis Panel / Hepatitis Panel
80074Hepatitis Panel W/Rfx, Acute190.33 NCD July 2023

Alpha-fetoprotein
82105AFP Tumor Marker, Serum Integrated Screen Part 2 Maternal Quad Screen Maternal Serum AFP Maternal Serum Screen 5 190.25NCD July 2023

Allergy Testing
82785Gammaglobulin (immunoglobulin); IgEA56558LCD 07/11/21

Allergy Testing
86003Allergen specific IgE, each allergenA56558
Assays for Vitamins and Metabolic Function82180Assay of ascorbic acid
A56416
LCD 10/01/21
Assays for Vitamins and Metabolic Function82306Vitamin D 25 hydroxy
A56416
Assays for Vitamins and Metabolic Function82379Assay of carnitine
A56416
Assays for Vitamins and Metabolic Function82607Vitamin B12
A56416
Assays for Vitamins and Metabolic Function82652Vitamin D,1,25-Dihydroxy
A56416
Assays for Vitamins and Metabolic Function82746Assay of folic acid serum
A56416
Assays for Vitamins and Metabolic Function83090Assay of homocystine
A56416
Assays for Vitamins and Metabolic Function83698Assay of lipoprotein pla2
A56416
Assays for Vitamins and Metabolic Function84207Assay of vitamin B6
A56416
Assays for Vitamins and Metabolic Function84252Assay of vitamin B2
A56416
Assays for Vitamins and Metabolic Function84425Assay of vitamin B1
A56416
Assays for Vitamins and Metabolic Function84446Assay of vitamin E
A56416
Assays for Vitamins and Metabolic Function84590Assay of vitamin A
A56416
Assays for Vitamins and Metabolic Function84597Assay of vitamin K
A56416
Assays for Vitamins and Metabolic Function85385Fibrinogen antigen
A56416
Assays for Vitamins and Metabolic Function86352Cell function assay w/ stim
A56416
Biomarkers Overview81162BRCA 1&2 seq & full dup/delA56541
LCD 12/21/2021
Biomarkers Overview81227Cyp2c9 geneA56541
Biomarkers Overview81240F2 gene - Prothrombin geneA56541
Biomarkers Overview81241F5 gene - Factor V LeidenA56541
Biomarkers Overview81291Mthfr geneA56541
Biomarkers Overview81376 81382A56541
Biomarkers OverviewHLA typing for celiac diseaseA56541
Biomarkers Overview81381HLA-B 5701A56541
Biomarkers Overview81355Vkorc1 geneA56541
Biomarkers for Oncology81206/81207BCR/ABL geneA52986LCD 12/13/2020
Biomarkers for Oncology81270JAK2A52986
Biomarkers for Oncology81402MPLA52986
Blood Counts (This test group provides codes that DO NOT support medical necessity)85007CBC w/ Manual Diff190.15NCD July 2023
Blood Counts
85008Peripheral Smear190.15NCD July 2023
Blood Counts
85013Hematocrit (Spun), Body Fluid190.15NCD July 2023
Blood Counts
85014Hematocrit (Spun), Body Fluid190.15NCD July 2023
Blood Counts
85018Hemoglobin190.15NCD July 2023
Blood Counts
85025CBC With Auto Diff190.15NCD July 2023
Blood Counts
85027Complete Blood Count CBC Without Diff190.15NCD July 2023
Blood Counts
85048White Blood Count Total Eosinophil WBC Autodiff Eosinophil Absolute190.15NCD July 2023
Blood Counts
85049Platelet Count190.15NCD July 2023

CA 15-3/CA 27.29Tumor Antigen by Immunoassay
86300Cancer AG 15-3 (CA15-3)

CA 15-3, CSF

Cancer Ag 27.29, Serum
190.29NCD July 2023
CA 19-9 Tumor Antigen by immunoassay86301Carbohydrate AG 19-9(CA19-9) CA 19-9, CSF190.30NCD July 2023
CA 125 Tumor Antigen by immunoassay86301Cancer AG 125

CA 125 CSF

CA 125 Peritoneal Fluid

CA 125 Pleural Fluid
190.28NCD July 2023
Carcinoembryonic Antigen (CEA)86301CEA

CEA, CSF Fluid

CEA, Pericardial Fluid

CEA, Peritoneal Fluid

CEA, Pleural Fluid
190.26NCD July 2023
Collagen Crosslinks, Any Method82523Collegen Cross Linked, 24hr Ur Collagen Cross Linked,Random Collagen 1c-Telopep (CTX)190.19NCD July 2023

C-Reactive Protein (CRP)
86141Cardio CRP
CRP, High Sensitivity
hsCRP A 56643
LCD 11/07/19
Digoxin Therapeutic Drug Assay80162Digoxin190.24NCD July 2023
Drug TestingG0480/G0481 G0482/G0483Each drug classification-confirmationA56645LCD 10/17/19
Drug Testing80305/80306 80307Drug Scrn Qualitive High Compl Urine Drug Screen-Conf (C.O.C) Alcohol Ethanol Except BreathA56645
Drug Testing83789UDS Mult Drug ClassesA56645
Drug TestingIodineA56645
Fecal Occult Blood Test86301Stool Occult Blood

Occult Blood-Colorectal Screen
190.34 ChartNCD July 2023
Fecal Occult Blood Test82272Stool Occ Blood Non Screening190.34
Gamma Glutamyl Transferase (GGT)82977GGTP190.32NCD July 2023
Glucose (Blood) Testing82962Glucose Meter190.20NCD July 2023
Glucose (Blood) Testing83036Glucose 2 Hr P P Glucose190.20NCD July 2023
Glycated Hemoglobin(A1C)/ Glycated Protein82985Fructosamine190.21NCD July 2023
Glycated Hemoglobin(A1C)/ Glycated Protein83036A1C Hemoglobin190.21NCD July 2023
Histocompatibility Testing86812HLA-B27 Antigen190.1NCD Feb 2017
Human Chorionic Gonadotropin (HCG)84702Total HCG

Integrated Screen Part 2

Maternal Quad Screen

Maternal Serum Screen 5

HCG Total, Non Pregnant
190.27NCD July 2023
Human Immunodeficiency Virus (HIV) Testing (Diagnosis)86689HIV AB

HIV1 WB W/Rflx TO HIV2

HIV-1 AB, Western Blot, Serum
190.14NCD July 2023
Human Immunodeficiency Virus (HIV) Testing (Diagnosis)86703HIV1/HIV2 AB, EIA SCR W/Rflx190.14NCD July 2023
Human Immunodeficiency Virus (HIV) Testing (Diagnosis)87535HIV-1 RNA, QL TMA190.14NCD July 2023
Human Immunodeficiency Virus (HIV) Testing (Prognosis Including Monitoring)87536HIV1 RNA QN, PCR190.13NCD July 2023
Human Immunodeficiency Virus (HIV) Testing (Prognosis Including Monitoring)87539HIV1 RNA QN, BDNA190.13NCD July 2023
Iron (Serum) Studies82728Ferritin190.18
NCD July 2023
Iron (Serum) Studies86301Iron Total Iron, 24hr Urine Mayo Iron, Liver Tissue190.18
NCD July 2023
Iron (Serum) Studies83550Total Iron Binding Cap & Iron

Iron & TIBC W/% Saturation
190.18
NCD July 2023
Iron (Serum) Studies84466Transferrin, Serum

Carbohydrate Def Transferrin
190.18
NCD July 2023
Lipid Testing80061Lipid Panel190.23NCD July 2023
Lipid Testing82465Cholesterol

Lipoprotein Fractionation

Lipid Phenotype Profile
190.23NCD July 2023
Lipid Testing83700Lipid Phenotype Profile190.23NCD July 2023
Lipid Testing83701VAP TM Cholesterol

Lipoprotein Fractionation

190.23NCD July 2023
Lipid Testing83718HDL Cholesterol190.23NCD July 2023
Lipid Testing84478Triglycerides

VAP Tm Cholesterol

Lipoprotein Fractionation

Lipid Phenotype Profile

VLDL Cholesterol
190.23NCD July 2023
Lipid Testing83721LDL Cholesterol, Direct190.23NCD July 2023
Pap SmearP3000Pap SmearChartNCD July 2022
Pap SmearG0123Thin Prep Pap Screen Thin Prip Pap W/Rfx HPV
Pap SmearG0145T Prep Screen Rfx/Hpv (Imaged) Thin Prep Pap-Screen (Imaged)
Partial Thromboplastin Time (PTT)85730DIC Screen (ITXM)

ITXM Lup Anti-Coag Pnl (ITXM) Lupus Anticoagulant Evaluation Lupus Coag Screen (ITXM) Mixing/Correction Studies

Partial Thromb Time PTT

Von Willebrand Panel

Von Willebrand Screen (ITXM)
190.16NCD July 2023
Prostate Specific Antigen84153Prostatic Specific Antigen

PSA, Free & Total

PSA, Post-Prostatectomy
190.31NCD July 2023
G0103Prostatic Specific Antigen, Screen190.31Chart
Prothrombin Time (PT)86301INR DIC Screen (ITXM)

ITXM Lup Anti-Coag Pnl (ITXM) Lupus Coag Screen (ITXM) Mixing/Correction Studies
190.17NCD July 2023
Thyroid Testing84436Thyroxine (T4)190.22NCD July 2023
Thyroid Testing86301Free T4

T4, Free Direct Dialysis
190.22NCD July 2023
Thyroid Testing84443TSH

TSH 3rd Generation (High Sens) TSH With Reflex
190.22NCD July 2023
Thyroid Testing84479T3 Uptake

T-Uptake (TBI)
190.22NCD July 2023
Urine Culture, Bacterial87086Urine Culture190.12NCD July 2023

Other Resources

Medicare NCDs

Search and download directly from the Medicare Coverage Database site: National Coverage NCD Report Results

Medicare Preventative Services Chart

Use this tool for finding coverage information for preventative lab services including Pap tests, PSA, and occult blood/colorectal screening: Medicare Preventive Services

LCD-Active Test Group Index

Use this index to view and search an alphabetical list of all active LCDs and articles for applicable CPT/HCPCs codes: Medicare Jurisdiction L

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