Medicare has determined that some laboratory tests are not medically necessary and, therefore, not covered by the Medicare program. Screening tests, tests that are experimental, for research use only or are non-FDA approved are considered non-covered. In each of these cases, a signed Advanced Benificiary Notice (ABN) must be obtained from the patient prior to the collection of the laboratory specimen (See ABN Section). Patients will be held responsible for payment of these services.

For a current list of non-covered tests, please contact our Client Service Department or review the information in our guide to Medicare Approved ICD-10-CM Codes . (The search tool in this Adobe Reader file may be used to locate information on a specific "targeted" test.)

Medicare National Coverage Determinations (ICD-10-CM)