National Coverage Determination 190.23
Also known as Lipid Testing or Lipid Panel
No FY 2026 quarter 3 changes
This panel must include the following:
Cholesterol, serum, total (82465)
Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718)
Triglycerides (84478)
Z13.6
Note: Additional ICD-10 codes may apply. Find individual change requests and specific ICD-10-CM codes on the CMS ICD-10 codes for National Coverage webpage. Find your MAC’s website for more information.
Patients with Medicare Part B without apparent cardiovascular disease signs or symptoms
Once every 5 years
See the FAQ on how to check eligibility.
No copayment, coinsurance, or deductible
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