This new policy will become effective on 05/28/2019.
Main focuses in this medical policy are placed on medical necessity criteria, (including applicable ICD-10 requirements), and frequencies for coverage of Cobalamin (Vitamin B12), Folic Acid, and Homocysteine Testing as detailed by the Centers for Medicare & Medicaid Services (CMS).
Testing of methylmalonic acid (MMA) and holo-transcobalamin (holo-TC) are also addressed in this medical policy.
82607, 82746, 83090
THE FOLLOWING CODE IS USED TO REPRESENT METHYLMALONIC ACID (MMA)
THE FOLLOWING CODE IS USED TO REPRESENT HOLO-TRANSCOBALAMIN
REPORT THE MOST APPROPRIATE DIAGNOSIS CODE IN SUPPORT OF MEDICALLY NECESSARY CRITERIA AS LISTED IN THE POLICY FOR HOMOCYSTEINE (CPT CODE 83090) AND METHYLMALONIC ACID (MMA) TESTING (CPT CODE 83921)