List of Laboratory Tests/LMRPs*
Here’s the information from the bottom section of the advance beneficiary notice (ABN) form that Liz Kehrer, CHAM, manager of patient access at McHenry, IL-based Centegra Health System, designed for her hospital.
* LMRP = Health Care Financing Administration’s local medical review policy.
Medicare limited-coverage tests. We believe in your case Medicare is likely to deny payment for:
- Allergen-specific IgE sensitivity
- Bacterial culture
- Blood counts (CBC)
- Cytogenetic studies
- Digoxin
- Ferritin
- Gamma glutamyltransferase
- Glucose
- Glycated hemoglobin
- Glycated protein
- Immunoassay for tumor antigen
- Unlisted immunology:
- Alpha-fetoprotein
- CEA
- Gonadotropin
— CA125 Ca27-29
- Iron studies:
— Iron
— IBC
— Transferrin
- Lipid profile
— Cholesterol
— Triglyceride
— HDL, LDL, VLDL
- Magnesium
- Pap Smear:
— Screening
— Diagnostic
- PTT
- Platelet counts
- Prostate-specific AG (PSA)
- Prostatic acid phosphatase
- Protime
- Reticulocyte counts
- Rheumatoid factor test
- Syphilis test
- Thyroid function studies
- Troponin (and/or CK)
- Urine culture
- OTHER (specify):_____________
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