HCPCS/CPT Codes
80061 – Lipid panel, this panel must include the following:
82465 – Cholesterol, serum, total
83718 – Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol)
84478 – Triglycerides
ICD-10-CM Codes
Z13.6
Who Is Covered
All Medicare beneficiaries without apparent signs or symptoms of cardiovascular disease
Frequency
Once every 5 years
Beneficiary Pays
• Copayment/coinsurance waived
• Deductible waived
New Service! Medicare began covering HCV screening effective June 2, 2014.
HCPCS/CPT Codes
G0472 – Hepatitis C antibody screening, for individual at high risk and other covered indication(s)
ICD-10-CM Codes
Z72.89 and F19.20
Who Is Covered
Certain adult Medicare beneficiaries who:
• Are at high risk for HCV infection; or
• Were born between 1945 and 1965
Frequency
• Annually only for high risk beneficiaries with continued illicit injection drug use since the prior negative screening test; or
• Once in a lifetime for beneficiaries born between 1945 and 1965 who are not considered high risk.
Beneficiary Pays
• Copayment/coinsurance waived
• Deductible waived
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