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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



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National Coverage Determination
Procedure Code: 8XXXX
Cytogenetic Studies
CMS Policy Number: 190.3
Back to NCD List



To review all requirements of this policy, please see: CMS NCD listing by Chapter

Covered ICD-10 Codes.

C91.00Acute lymphoblastic leukemia not having achieved remission
C91.01Acute lymphoblastic leukemia, in remission
C91.02Acute lymphoblastic leukemia, in relapse
C92.00Acute myeloblastic leukemia, not having achieved remission
C92.01Acute myeloblastic leukemia, in remission
C92.02Acute myeloblastic leukemia, in relapse
C92.10Chronic myeloid leuk, BCR/ABL-positive, not achieve remis
C92.11Chronic myeloid leukemia, BCR/ABL-positive, in remission
C92.12Chronic myeloid leukemia, BCR/ABL-positive, in relapse
C92.20Atyp chronic myeloid leuk, BCR/ABL-neg, not achieve remis
.... and many more.


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