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Medicare Limited Coverage Policies

Through our affiliation with Quest Diagnostics, we are proud to offer the Medicare Limited Coverage Policies Reference Guide. Policies in this MLCP Reference Guide apply to testing performed at a Diagnostic Laboratory of Oklahoma facility and apply to Medicare National Coverage Determination Policy and Medicare Local Coverage Determination Policy.

The lists of covered diagnosis codes for National and Local Medicare Limited Coverage Policies are provided as a guide for determining if the test is reimbursable by Medicare based on the patient's symptoms or medical condition as indicated by the appropriate ICD-9-CM code.This diagnosis code reference guide is provided as an aid to physicians and office staff in determining when an ABN (Advance Beneficiary Notice) is necessary.

Medicare Limited Coverage Policies

Clicking this link will take you to the website of Quest Diagnostics, the nation’s leading provider of diagnostic testing, information and services. Through our unique affiliation, DLO is able to offer many Quest Diagnostics online services as a resource to Oklahoma healthcare professionals and patients.