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LIST OF MODIFIERS

Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

Exclusions to Non-covered ICD-10-CM Codes for Labs


The below list of codes will be covered for certain lab procedures according to CMS NCD policy.

Z36.0 - Encounter for antenatal screening for chromosomal anomalies. Applies only for NCD 190.27.
Z36.1 - Encounter for antenatal screening for raised alphafetoprotein level. Applies only for NCD 190.27, 190.32, & 190.33. 
Z36.2 - Encounter for other antenatal screening follow-up. Applies only for NCD 190.23A & 190.27. 
Z36.3 - Encounter for antenatal screening for malformations. Applies only for NCD 190.20B, 190.21, 190.25, & 190.27. 
Z36.4 - Encounter for antenatal screening for fetal growth retardation. Applies only for NCD 190.27. 
Z36.5 - Encounter for antenatal screening for isoimmunization. Applies only for NCD 190.15 & 190.27.
Z36.81 - Encounter for antenatal screening for hydrops fetalis. Applies only for NCD 190.27. 
Z36.82 - Encounter for antenatal screening for nuchal translucency. Applies only for NCD 190.27. 
Z36.83 - Encounter for fetal screening for congenital cardiac abnormalities. Applies only for NCD 190.20B, 190.21, & 190.27.
Z36.84 - Encounter for antenatal screening for fetal lung maturity. Applies only for NCD 190.27. 
Z36.85 - Encounter for antenatal screening for Streptococcus B. Applies only for NCD 190.27. 
Z36.86 - Encounter for antenatal screening for cervical length. Applies only for NCD 190.27. 
Z36.87 - Encounter for antenatal screening for uncertain dates. Applies only for NCD 190.27. 
Z36.88 - Encounter for antenatal screening for fetal macrosomia. Applies only for NCD 190.20B, 190.21, & 190.27. 
Z36.89 - Encounter for other specified antenatal screening. Applies only for NCD 190.14, 190.22, 190.23A, 190.27, & 190.33. 
Z36.8A - Encounter for antenatal screening for other genetic defects. Applies only for NCD 190.25 & 190.27. 
Z36.9 - Encounter for antenatal screening, unspecified. Applies only for NCD 190.14, 190.22, 190.23A, & 190.27. 

See also the list of Non-covered ICD-10-CM Codes for Lab procedures

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