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2016 Lab Fee Schedule Updated     


2016 Physican Fee Schedule Updated 2/1/2016     


2016 July OPPS Fee Schedule Updated     


2016-C 7/1/2016 DME/PEN Fee Schedules Updated     


2016 July ASC Fee Schedule Updated     


Q3 2016 ASP Drug Pricing Updated     


Q3 2016 CCI Edits Loaded     


Q3 2016 MUE Edits Loaded     


7/1/2016 NCD Edits Loaded     


LCD Database Current Through 08/22/2016     

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Laboratory Fee Schedule

2016
2015

Physician Fee Schedule

2016
2015

OPPS Fee Schedule

2016
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ASC Fee Schedule

2016
2015

APC Codes

2016
2015

ASP Drug Pricing Files




ICD-9/10 Code or Description Search:

V26.1 Quick jump to specific ICD-9 Code: V26.22


ICD-9 Code and Descriptor

V26.21 Fertility testing
  • This code is considered unacceptable as a principal diagnosis.

  • ICD-10 General Equivalence Mapping (2015 GEM Files)

    Z31.41     Encounter for fertility testing

    V26.21 is considered equivalent to ICD-10 code Z31.41



    For more information, see ICD-10 Implementation, Final Rule


    Commonly Associated Procedure Codes*

    11.9% 99214 Office/outpatient visit est
    9.0% 74740 X-ray female genital tract
    6.0% 99213 Office/outpatient visit est
    4.5% 58340 Catheter for hysterography
    4.5% 89320 Semen anal vol/count/mot
    4.5% 89322 Semen anal strict criteria
    4.5% 99203 Office/outpatient visit new
    3.0% 76830 Transvaginal us non-ob
    3.0% 36415 Routine venipuncture
    3.0% 81025 Urine pregnancy test
    1.5% 86705 Hep b core antibody igm
    1.5% 86644 Cmv antibody
    1.5% 86592 Syphilis test non-trep qual
    1.5% 84443 Assay thyroid stim hormone
    1.5% 84439 Assay of free thyroxine
    1.5% 84403 Assay of total testosterone
    1.5% 84146 Assay of prolactin
    1.5% 83520 Immunoassay quant nos nonab
    1.5% 83002 Assay of gonadotropin (lh)
    1.5% 82627 Dehydroepiandrosterone

    * Commonly Associated Procedure Codes derived from 2010 Physician Supplier Part B Medicare claims data.
    This data represents an analysis of 43 million claims processed for 1.7 million beneficiaries in 2010.






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