ICD-10-NCD-Manual-Compliant.pdf and Change Report (ICD-10-CM) is provided by the US Department of Health & Human Services Centers for Medicare & Medicaid Services

L34313 Allergy Testing

L35526 B-type Natriuretic Peptide (BNP) Testing

L36678 Bladder/Urothelial Tumor Markers

L36668 Controlled Substance Monitoring and Drugs of Abuse Testing

L34215 Flow Cytometry

L36864 GlycoMark Testing for Glycemic Control

L36846 Measurement of Salivary Hormones

L36882 MolDX: APC and MUTYH Gene Testing

L36358 MolDX: Biomarkers in Cardiovascular Risk Assessment

L36161 MolDX: BRCA1 and BRCA2 Genetic Testing

L36380 MolDX: Breast Cancer Assay: Prosigna

L36314 MolDX: Breast Cancer Index Genetic Assay

L35710 MolDX: Circulating Tumor Cell Marker Assays

L36327 MolDX: ConfirmMDx Epigenetic Molecular Assay

L36310 MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing

L36343 MolDX: Decipher® Prostate Cancer Classifier Assay

L37070 MolDX: Decision Dx-UM (Uveal Melanoma)

L37295 MolDX: EndoPredict® Breast Cancer Gene Expression Test

L36323 MolDx: GeneSight® Assay for Refractory Depression

L36180 MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease

L36155 MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR

L36370 MolDX: Genetic Testing for Lynch Syndrome

L36364 MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay

L37649 MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)

L36145 MolDX: HLA-B*15:02 Genetic Testing

L36551 MolDX: HLA-DQB1*06:02 Testing for Narcolepsy

L36188 MolDX: MGMT Promoter Methylation Analysis

L35160* MolDX: Molecular Diagnostic Tests (MDT)

L36167 MolDX: Molecular RBC Phenotyping

L36335 MolDX: NRAS Genetic Testing

L36941 MolDX: Oncotype DX® Breast Cancer for (DCIS) Genomic Health™

L37305 MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer

L36886 MolDX: Percepta© Bronchial Genomic Classifier

L36348 MolDX: Prolaris™ Prostate Cancer Genomic Assay

L37080 MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease

L37299 MolDX: Prometheus IBD sgi Diagnostic Policy

L37054 MolDX: Xpresys Lung

L36702 Serum Magnesium

L36351 * Special Histochemical Stains and Immunohistochemical Stains

L36692 Vitamin D Assay Testing


Insurance Providers

Anthem Blue Cross Blue Shield
Beech Street Management 
Blue Shield of California
California Children Services (CCS) 
Coastal Communities Physician Network (CCPN)
Central CA Alliance for Health
ChoiceCare Network
Community Care Network (CCN)
Community Health Network
Coastal Healthcare Admin and Coastal TPA
Covered California
Dignity Health-EPO
First Choice IPA
Foundation for Medical Care of Kern County 
(Kern & Santa Barbara Counties)
Gallagher Benefit Administrators (GBA)
Health Net 
Health Smart
Independent Medical Group (IMG)
Kern Family Health Care
Kern Legacy
Medi-Cal (Straight Medi-Cal) 
Medi-Cal Family Pact 
Medicare – Part B
Network by Design
Pacific Health Alliance
Physicians Choice Medical Group SLO
Physicians Choice Medical Group SM
Qualcare IPA
    (Healthnet BlueCross, & Brand New Day only)
Santa Barbara Select (SBS) IPA
United Healthcare
Vantage Medical Group
Western Growers Assurance Trust 

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