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CPT Code \| Profile Policy \| Investigational Procedures

Welcome to LabCorp's On-line
Directory of Services and Interpretive Guide

Virtually all of LabCorp's extensive menu of published procedures can be searched through this interface. Select the initial letter of the test entry you want to view. Then, scroll down and click on the appropriate test name. If you cannot locate a particular test by name, click on the search button at left to perform a key word search. You can use the conventional wildcard symbols, * or ?, to broaden your search. The Boolean operators "and" and "or" can also be used to narrow or broaden your search argument.

CPT Codes

CPT codes are provided here for the convenience of our clients; however, correct coding often varies from one carrier to another. Consequently, the codes presented here are intended as general guidelines and should not be used without confirming with the applicable payor that their use is appropriate in each case.

Profile Policy

LabCorp's policy is to provide physicians, in each instance, with the flexibility to choose appropriate tests to assure that the convenience of ordering test combinations/profiles does not distance physicians who wish to order a test combination/profile from making deliberate decisions regarding which tests are medically necessary. The tests offered in test combinations/profiles may be ordered individually using the LabCorp test request form.

Please remember:

When ordering tests for Medicare or Medicaid patients, the physician should only order those tests that the physician believes are medically necessary for each patient
Using a customized profile may result in ordering tests for which Medicare or Medicaid will deny payment
The physician should order individual tests or a less inclusive profile where not all the tests in the customized test combination/profile are medically necessary for an individual patient
The United States Department of Health and Human Services, Office of Inspector General, takes the position that a physician who orders medically unnecessary tests may be subject to civil penalties.

LabCorp encourages clients to contact their local LabCorp representative or LabCorp location if the testing configurations shown here do not meet individual needs for any reason, or if some other combination of procedures is desired.

Investigational Procedures

Some of the individual tests and profile test components listed in this Directory may be considered by Medicare or other insurance carriers as investigational procedures, and therefore, the test may not be payable by the carrier as a covered benefit for the patient. Medicare patients must be informed of this possibility when the physician orders tests that may fall into this category. Affected patients must be asked to sign an Advance Beneficiary Notice, agreeing to be financially responsible if the service is denied by the carrier. Additionally, for other insurance plans, physicians must inform the patient that the service(s) may not be covered by their private insurance plan and, if so, they will be financially responsible for payment. If the patient declines to accept financial responsibility, please do not order the test(s).

Tests such as these should be used only in conjunction with other medically established diagnostic elements (eg, symptoms, history, clinical impressions, results from other tests, etc). Physicians should use all the information available to them to diagnose and determine appropriate treatment for their patients. To obtain a current list of the procedures that may be considered investigational by Medicare or other insurance carriers, please contact your local LabCorp representative.