Criteria
Coverage is subject to the specific terms of the member’s benefit plan.
Measurement of novel lipid and non-lipid risk factors (i.e., apolipoprotein B, apolipoprotein A-I, apolipoprotein E, B-type natriuretic peptide, cystatin C, leptin, LDL subclass, HDL subclass, lipoprotein[a]) are considered experimental/investigational and, therefore, non-covered, as an adjunct to LDL cholesterol in the risk assessment and management of cardiovascular disease. The available scientific evidence does not provide adequate data to establish that the use of panels that include lipid and non-lipid cardiovascular risk markers improve outcomes when used in clinical care.
Procedure Codes
82172
|
82610
|
83520
|
83695
|
83698
|
83700
|
83701
|
83704 |
83719 |
83722
|
83880
|
0052U
|
0119U |