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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


Coding Ahead