September 1st, 2017
The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Cardiovascular Disease Screening Tests:
|80061 -||Lipid panel, this panel must include the following:|
Who Is Covered
All Medicare beneficiaries without apparent signs or symptoms of cardiovascular disease
Once every 5 years
Medicare Beneficiary Pays
- Copayment/coinsurance waived
- Deductible waived
Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.
Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.