CPT Code: 82523 - Sonora Quest Laboratories

Collagen Crosslinks, Any Method

National Coverage Determination

CPT Code: 82523

Code E05.00 E05.01 E05.10 E05.11 E05.20 E05.21 E05.30 E05.31 E05.40 E05.41 E05.80 E05.81 E05.90 E05.91 E06.3 E07.9 E21.0 E21.1 E21.2 E21.3 E28.310 E28.319 E28.39 E28.8 E28.9 E55.9 E58 E59 E60 E61.0 E61.1 E61.2 E61.3 E61.4 E61.5 E61.6 E89.40 E89.41 M48.50XA M48.51XA

M48.52XA M48.53XA M48.54XA M48.55XA

Description Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm Thyrotoxicosis factitia without thyrotoxic crisis or storm Thyrotoxicosis factitia with thyrotoxic crisis or storm Other thyrotoxicosis without thyrotoxic crisis or storm Other thyrotoxicosis with thyrotoxic crisis or storm Thyrotoxicosis, unspecified without thyrotoxic crisis or storm Thyrotoxicosis, unspecified with thyrotoxic crisis or storm Autoimmune thyroiditis Disorder of thyroid, unspecified Primary hyperparathyroidism Secondary hyperparathyroidism, not elsewhere classified Other hyperparathyroidism Hyperparathyroidism, unspecified Symptomatic premature menopause Asymptomatic premature menopause Other primary ovarian failure Other ovarian dysfunction Ovarian dysfunction, unspecified Vitamin D deficiency, unspecified Dietary calcium deficiency Dietary selenium deficiency Dietary zinc deficiency Copper deficiency Iron deficiency Magnesium deficiency Manganese deficiency Chromium deficiency Molybdenum deficiency Vanadium deficiency Asymptomatic postprocedural ovarian failure Symptomatic postprocedural ovarian failure Collapsed vertebra, not elsewhere classified, site unspecified, initial encounter for fracture Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture Collapsed vertebra, not elsewhere classified, cervical region, initial encounter for fracture Collapsed vertebra, not elsewhere classified, cervicothoracic region, initial encounter for fracture Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for fracture Collapsed vertebra, not elsewhere classified, thoracolumbar region, initial encounter for fracture

Medicare Limited Coverage Tests ? Covered Diagnosis Codes Source: National Coverage Determinations Coding Policy Manual and Change Report (ICD-10-CM) July 2015

Effective October 1, 2015

Medicare Limited Coverage Tests

Collagen Crosslinks, Any Method

National Coverage Determination

Code M48.56XA M48.57XA M48.58XA M80.00XA M80.011A M80.012A M80.019A M80.021A M80.022A M80.029A M80.031A M80.032A M80.039A M80.041A M80.042A M80.049A M80.051A M80.052A M80.059A M80.061A M80.062A M80.069A M80.071A M80.072A M80.079A M80.08XA M80.80XA M80.811A M80.812A

Description

Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture

Collapsed vertebra, not elsewhere classified, lumbosacral region, initial encounter for fracture

Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, right humerus, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, left humerus, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, right forearm, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, left forearm, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, right hand, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, left hand, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, left femur, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, unspecified lower leg, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, unspecified ankle and foot, initial encounter for fracture

Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture

Other osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture

Other osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture

Other osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture

Medicare Limited Coverage Tests ? Covered Diagnosis Codes Source: National Coverage Determinations Coding Policy Manual and Change Report (ICD-10-CM) July 2015

Effective October 1, 2015

Medicare Limited Coverage Tests

Collagen Crosslinks, Any Method

National Coverage Determination

Code M80.819A

M80.821A M80.822A M80.829A

M80.831A M80.832A M80.839A

M80.841A M80.842A M80.849A

M80.851A M80.852A M80.859A

M80.861A M80.862A M80.869A

M80.871A

M80.872A

M80.879A

M80.88XA M81.0 M81.6 M81.8 M84.40XA M84.411A M84.412A M84.419A M84.421A M84.422A M84.429A M84.431A M84.432A M84.433A M84.434A M84.439A M84.441A M84.442A M84.443A M84.444A M84.445A M84.446A M84.451A

Description Other osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture Other osteoporosis with current pathological fracture, right humerus, initial encounter for fracture

Other osteoporosis with current pathological fracture, left humerus, initial encounter for fracture Other osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture Other osteoporosis with current pathological fracture, right forearm, initial encounter for fracture Other osteoporosis with current pathological fracture, left forearm, initial encounter for fracture Other osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture Other osteoporosis with current pathological fracture, right hand, initial encounter for fracture Other osteoporosis with current pathological fracture, left hand, initial encounter for fracture Other osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture Other osteoporosis with current pathological fracture, left femur, initial encounter for fracture Other osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture Other osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture Other osteoporosis with current pathological fracture, unspecified lower leg, initial encounter for fracture Other osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture Other osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture Other osteoporosis with current pathological fracture, unspecified ankle and foot, initial encounter for fracture Other osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture Age-related osteoporosis without current pathological fracture Localized osteoporosis [Lequesne] Other osteoporosis without current pathological fracture Pathological fracture, unspecified site, initial encounter for fracture Pathological fracture, right shoulder, initial encounter for fracture

Pathological fracture, left shoulder, initial encounter for fracture Pathological fracture, unspecified shoulder, initial encounter for fracture Pathological fracture, right humerus, initial encounter for fracture

Pathological fracture, left humerus, initial encounter for fracture Pathological fracture, unspecified humerus, initial encounter for fracture Pathological fracture, right ulna, initial encounter for fracture Pathological fracture, left ulna, initial encounter for fracture Pathological fracture, right radius, initial encounter for fracture Pathological fracture, left radius, initial encounter for fracture

Pathological fracture, unspecified ulna and radius, initial encounter for fracture Pathological fracture, right hand, initial encounter for fracture Pathological fracture, left hand, initial encounter for fracture Pathological fracture, unspecified hand, initial encounter for fracture Pathological fracture, right finger(s), initial encounter for fracture Pathological fracture, left finger(s), initial encounter for fracture Pathological fracture, unspecified finger(s), initial encounter for fracture

Pathological fracture, right femur, initial encounter for fracture

Medicare Limited Coverage Tests ? Covered Diagnosis Codes Source: National Coverage Determinations Coding Policy Manual and Change Report (ICD-10-CM) July 2015

Effective October 1, 2015

Medicare Limited Coverage Tests

Collagen Crosslinks, Any Method

National Coverage Determination

Code M84.452A M84.453A M84.454A M84.459A M84.461A M84.462A M84.463A M84.464A M84.469A M84.471A M84.472A M84.473A M84.474A M84.475A M84.476A M84.477A M84.478A M84.479A M84.48XA M84.50XA M84.511A M84.512A M84.519A M84.521A M84.522A M84.529A M84.531A M84.532A M84.533A M84.534A M84.539A

M84.541A M84.542A M84.549A M84.550A M84.551A M84.552A M84.553A M84.559A M84.561A M84.562A M84.563A M84.564A M84.569A

M84.571A M84.572A M84.573A M84.574A M84.575A

Description Pathological fracture, left femur, initial encounter for fracture Pathological fracture, unspecified femur, initial encounter for fracture Pathological fracture, pelvis, initial encounter for fracture Pathological fracture, hip, unspecified, initial encounter for fracture Pathological fracture, right tibia, initial encounter for fracture Pathological fracture, left tibia, initial encounter for fracture Pathological fracture, right fibula, initial encounter for fracture Pathological fracture, left fibula, initial encounter for fracture Pathological fracture, unspecified tibia and fibula, initial encounter for fracture Pathological fracture, right ankle, initial encounter for fracture Pathological fracture, left ankle, initial encounter for fracture Pathological fracture, unspecified ankle, initial encounter for fracture Pathological fracture, right foot, initial encounter for fracture Pathological fracture, left foot, initial encounter for fracture Pathological fracture, unspecified foot, initial encounter for fracture Pathological fracture, right toe(s), initial encounter for fracture Pathological fracture, left toe(s), initial encounter for fracture Pathological fracture, unspecified toe(s), initial encounter for fracture Pathological fracture, other site, initial encounter for fracture Pathological fracture in neoplastic disease, unspecified site, initial encounter for fracture Pathological fracture in neoplastic disease, right shoulder, initial encounter for fracture Pathological fracture in neoplastic disease, left shoulder, initial encounter for fracture Pathological fracture in neoplastic disease, unspecified shoulder, initial encounter for fracture Pathological fracture in neoplastic disease, right humerus, initial encounter for fracture Pathological fracture in neoplastic disease, left humerus, initial encounter for fracture Pathological fracture in neoplastic disease, unspecified humerus, initial encounter for fracture Pathological fracture in neoplastic disease, right ulna, initial encounter for fracture Pathological fracture in neoplastic disease, left ulna, initial encounter for fracture Pathological fracture in neoplastic disease, right radius, initial encounter for fracture Pathological fracture in neoplastic disease, left radius, initial encounter for fracture Pathological fracture in neoplastic disease, unspecified ulna and radius, initial encounter for fracture Pathological fracture in neoplastic disease, right hand, initial encounter for fracture Pathological fracture in neoplastic disease, left hand, initial encounter for fracture Pathological fracture in neoplastic disease, unspecified hand, initial encounter for fracture Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture Pathological fracture in neoplastic disease, right femur, initial encounter for fracture Pathological fracture in neoplastic disease, left femur, initial encounter for fracture Pathological fracture in neoplastic disease, unspecified femur, initial encounter for fracture Pathological fracture in neoplastic disease, hip, unspecified, initial encounter for fracture Pathological fracture in neoplastic disease, right tibia, initial encounter for fracture Pathological fracture in neoplastic disease, left tibia, initial encounter for fracture Pathological fracture in neoplastic disease, right fibula, initial encounter for fracture Pathological fracture in neoplastic disease, left fibula, initial encounter for fracture Pathological fracture in neoplastic disease, unspecified tibia and fibula, initial encounter for fracture Pathological fracture in neoplastic disease, right ankle, initial encounter for fracture Pathological fracture in neoplastic disease, left ankle, initial encounter for fracture Pathological fracture in neoplastic disease, unspecified ankle, initial encounter for fracture Pathological fracture in neoplastic disease, right foot, initial encounter for fracture Pathological fracture in neoplastic disease, left foot, initial encounter for fracture

Medicare Limited Coverage Tests ? Covered Diagnosis Codes Source: National Coverage Determinations Coding Policy Manual and Change Report (ICD-10-CM) July 2015

Effective October 1, 2015

Medicare Limited Coverage Tests

Collagen Crosslinks, Any Method

National Coverage Determination

Code M84.576A M84.58XA M84.60XA M84.611A M84.612A M84.619A M84.621A M84.622A M84.629A M84.631A M84.632A M84.633A M84.634A M84.639A M84.641A M84.642A M84.649A M84.650A M84.651A M84.652A M84.653A M84.659A M84.661A M84.662A M84.663A M84.664A M84.669A M84.671A M84.672A M84.673A M84.674A M84.675A M84.676A M84.68XA M85.9 M88.0 M88.1 M88.811 M88.812 M88.819 M88.821 M88.822 M88.829 M88.831 M88.832 M88.839 M88.841 M88.842 M88.849 M88.851

Description Pathological fracture in neoplastic disease, unspecified foot, initial encounter for fracture Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture Pathological fracture in other disease, unspecified site, initial encounter for fracture Pathological fracture in other disease, right shoulder, initial encounter for fracture Pathological fracture in other disease, left shoulder, initial encounter for fracture Pathological fracture in other disease, unspecified shoulder, initial encounter for fracture Pathological fracture in other disease, right humerus, initial encounter for fracture Pathological fracture in other disease, left humerus, initial encounter for fracture Pathological fracture in other disease, unspecified humerus, initial encounter for fracture Pathological fracture in other disease, right ulna, initial encounter for fracture Pathological fracture in other disease, left ulna, initial encounter for fracture Pathological fracture in other disease, right radius, initial encounter for fracture Pathological fracture in other disease, left radius, initial encounter for fracture Pathological fracture in other disease, unspecified ulna and radius, initial encounter for fracture Pathological fracture in other disease, right hand, initial encounter for fracture Pathological fracture in other disease, left hand, initial encounter for fracture Pathological fracture in other disease, unspecified hand, initial encounter for fracture Pathological fracture in other disease, pelvis, initial encounter for fracture Pathological fracture in other disease, right femur, initial encounter for fracture Pathological fracture in other disease, left femur, initial encounter for fracture Pathological fracture in other disease, unspecified femur, initial encounter for fracture Pathological fracture in other disease, hip, unspecified, initial encounter for fracture Pathological fracture in other disease, right tibia, initial encounter for fracture Pathological fracture in other disease, left tibia, initial encounter for fracture Pathological fracture in other disease, right fibula, initial encounter for fracture Pathological fracture in other disease, left fibula, initial encounter for fracture Pathological fracture in other disease, unspecified tibia and fibula, initial encounter for fracture Pathological fracture in other disease, right ankle, initial encounter for fracture Pathological fracture in other disease, left ankle, initial encounter for fracture Pathological fracture in other disease, unspecified ankle, initial encounter for fracture Pathological fracture in other disease, right foot, initial encounter for fracture Pathological fracture in other disease, left foot, initial encounter for fracture Pathological fracture in other disease, unspecified foot, initial encounter for fracture Pathological fracture in other disease, other site, initial encounter for fracture Disorder of bone density and structure, unspecified Osteitis deformans of skull Osteitis deformans of vertebrae Osteitis deformans of right shoulder Osteitis deformans of left shoulder Osteitis deformans of unspecified shoulder Osteitis deformans of right upper arm Osteitis deformans of left upper arm Osteitis deformans of unspecified upper arm Osteitis deformans of right forearm Osteitis deformans of left forearm Osteitis deformans of unspecified forearm Osteitis deformans of right hand Osteitis deformans of left hand Osteitis deformans of unspecified hand Osteitis deformans of right thigh

Medicare Limited Coverage Tests ? Covered Diagnosis Codes Source: National Coverage Determinations Coding Policy Manual and Change Report (ICD-10-CM) July 2015

Effective October 1, 2015

Medicare Limited Coverage Tests

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