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Cardiovascular Disease Screening Tests (NCD 210.11)

Medicare covers cardiovascular disease screenings that check your cholesterol and other blood fat (lipid) levels. High levels of cholesterol can increase your risk for heart disease and stroke. These screenings will tell if you have high cholesterol.

HCPCS/CPT Codes


80061 – Lipid panel, this panel must include the following:

  • 82465 – Cholesterol, serum, total
  • 83718 – Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol)
  • 84478 – Triglycerides

ICD-10-CM (ICD-9-CM) Codes


Report one of the following codes:

Z13.6 (V81.0, V81.1, V81.2)

Who Is Covered


All Medicare beneficiaries without apparent signs or symptoms of cardiovascular disease

Frequency


Once every 5 years

Beneficiary Pays


You pay nothing for this screening.

  • Copayment/coinsurance waived
  • Deductible waived

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