Question:
Minnesota Subscriber
Answer:
Coverage depends on how long ago the patient received the lipid panel (80061, Lipid panel). In order to meet Medicare's guidelines, the panel must have occurred at least five years ago; otherwise, the carrier won't cover the total cholesterol screening (82465, Cholesterol, serum or whole blood, total).Best bet:
Check how long ago the patient received the lipid panel. If it's less than five years, let him know that Medicare won't pay for his scheduled screening before he reports. In addition to 80061, the patient is ineligible for the cholesterol screening if he's had either of the following in the past five years:• 83718 -- Lipoprotein, direct measurement; high-density cholesterol (HDL cholesterol)
• 84478 -- Triglycerides.