Laboratory Question for the Week of October 26, 2015

Laboratory Compliance Question of the Week


Why doesn’t Medicare cover the general health panel (80050)?


The primary reason that Medicare does not cover 80050 is because of the diversity of test components. The Centers for Medicare & Medicaid services (CMS) state that no single diagnosis code would merit the diverse testing such a panel entails, and, therefore, the tests in this panel should be ordered individually, with appropriate medical necessity documentation.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.