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It is important to remember the following simplified guidelines.Blood Glucose .....................................................................................Not more than every 3 monthsGlycated Hemoglobin ........................................................................Not more than every 3 monthsLipid Panel ..........................................................................................AnnuallyDirect LDL or Total Cholesterol for Monitoring Treatment ......Up to 6 times per yearThyroid Testing Up to 2 times per year for patients with normal thyroid functionAlpha-fetoprotein (AFP) CPT CODE: 82105ICD-9-CM Codes Covered by Medicare Program:Code:Description:571.2 Alcoholic cirrhosis of liver211.5 Benign neoplasm of liver and biliary passages070.44 Chronic hepatitis C with hepatic coma070.54 Chronic hepatitis C without mention of hepatic coma571.40 Chronic hepatitis, unspecified571.41 Chronic persistent hepatitis070.22-070.23 Chronic viral hepatitis B with hepatic coma, with or without mention of hepatitis delta070.32-070.33 Chronic viral hepatitis B without mention of hepatic coma, with or without mention of hepatitisdelta571.5 Cirrhosis of liver without mention of alcohol121.1 Clonorchiasis277.03 Cystic fibrosis with gastrointestinal manifestations277.00 Cystic Fibrosis without mention of meconium ileus275.1 Disorder of copper metabolism275.0 Disorder of iron metabolites121.3 Fascioliasis155.0-155.2 Malignant neoplasm of the liver and intrahepatic bile ducts164.2-164.9 Malignant neoplasm of the mediastinum186.0 Malignant neoplasm of undescended testis186.9 Malignant neoplasm, other and unspecific testis183.0 Malignant neoplasm, ovary272.2 Mixed hyperlipidemia235.3 Neoplasm of uncertain behavior of liver and biliary passages793.6 Non-specific abnormal findings of abdominal area, including retro peritoneum793.3 Non-specific abnormal findings of biliary tract793.1 Non-specific abnormal findings of lung field793.2 Non-specific abnormal findings of other intrathoracic organs571.49 Other chronic hepatitis277.6 Other deficiencies of circulating enzymes608.89 Other specified disorders of male genital organsV10.07 Personal history of malignant neoplasm, liverV10.43 Personal history of malignant neoplasm, ovaryV10.47 Personal history of malignant neoplasm, testis197.7 Secondary malignant neoplasm of liver197.1 Secondary malignant neoplasm of mediastinum198.6 Secondary malignant neoplasm of ovary198.82 Secondary malignant neoplasm, genital organs285.0 Sideroblastic Anemia095.3 Syphilis of liver2 Page 2 and 3: Bladder Tumor Antigen CPT CODE: 862 Page 4 and 5: ICD-9-CM Codes That DO NOT Support Page 6 and 7: 736.00-736.9 Other acquired deformi Page 8 and 9: Blood Glucose TestingCPT CODE: 8294 Page 10 and 11: Code:Description:368.8 Other specif Page 12 and 13: Collagen Crosslinks, Any CPT CODE: Page 14 and 15: Code:Description:306.59 Other psych Page 16 and 17: Code:Description:411.0-411.89 Other Page 18 and 19: Code:Description:863.0-863.90 Injur Page 20 and 21: Gamma Glutamyl Transferase (GGT) CP Page 22 and 23: Code:Description:575.0-575.9 Other Page 24 and 25: Hepatitis Panel/ Acute Hepatitis Pa Page 26 and 27: Human ImmunodeficiencyVirus Testing Page 28 and 29: Code:Description:070.49 Other speci Page 30 and 31: Ionized Calcium (CAION) CPT CODE: 8 Page 32 and 33: Code:Description:578.0-578.9 Gastro Page 34 and 35: Lipids CPT CODES: 80061 82465 83715 Page 36 and 37: Code:Description:435.0-435.9 Transi Page 38 and 39: Code:Description:562.02-562.03 Dive Page 40 and 41: Code:Description:596.8 Other disord Page 42 and 43: Percent free Prostate Specific Anti Page 44 and 45: Prothrombin Time (PT) CPT CODE: 856 Page 46 and 47: Code:Description:V42.2 Heart valve Page 48 and 49: Code:Description:576.0-576.9 Other Page 50 and 51: Syphilis Test

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