| Document Date: 2014-09-11 16:54:02
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City Immunoassay / / Company V53 / V25 / Pathology Inc. / Medicare’s Limited / / Facility Inc. facility / / IndustryTerm urinary devices / tract infection site / orthodontic devices / intrauterine contraceptive device / specified contraceptive management / shoulder unspecified site / cartilage disorder site / monoarthritis site / contraceptive management / elbow unspecified site / internal prosthetic device / internal fixation device / hip unspecified site / disease site / assisted reproductive technology / fetal growth affecting management / arthritis site / arthropathy site / polyarthritis site / treatment for mental disorder / cardiac device / dislocation vertebra unspecified site / secondary involving unspecified site / joint site / classified involving unspecified site / pain site / orthopedic devices / / MedicalCondition Myopia / Unspecified dermatitis / conduct disorder / Diabetic cataract / neoplasms / Unspecified dental caries / Vaginitis / inflammatory reaction / thrombocytosis / Adult onset fluency disorder / Generalized hyperhidrosis / Opportunistic mycoses / Spermatocele / HIV / Hordeolum / Cushing's syndrome / Conductive hearing loss / Acidosis / Osteoarthrosis / Mixed acid-base balance disorder / Enthesopathy / Acromegaly / Traumatic cataract / coma / Macular degeneration / Viral warts / polyarthritis / Cholesteatoma / osteomyelitis / Mucocele / Stomatitis / Peripheral retinal degeneration / Synovial cyst / Cholesterin granuloma / Secondary cardiomyopathy / Coronary atherosclerosis / Ankylosis / renal medullary necrosis / Chronic pyelonephritis / specified disorders / Chronic post-thoracotomy pain / callosities / hyponatremia / Acute pharyngitis / Secondary diabetes mellitus / malignant neoplasm / gigantism / Injury / Eczematous dermatitis / *Deformity / Generalized convulsive epilepsy / Nevus / Simple chronic bronchitis / polycythemia / Chronic pancreatitis / Hirsutism / vulvovaginitis / Other acquired deformity / Attention deficit disorder / Unspecified retinal disorder / Adhesive capsulitis / Alkalosis / Paresis / phimosis / Corneal edema / Acute bronchitis / Scoliosis / Other hemochromatosis / Infertility / Malnutrition / anovulation / leukemia / Actinic keratosis / Other chronic pain / Tumor / Anhidrosis / Paralysis / Pneumonia / Cholangitis / Mononeuritis / Hypopotassemia / Abnormal involuntary movements / Other stomatitis / Cystitis / Carbuncle / Paralytic strabismus / Follicular cyst / Chronic fatigue syndrome / Postpartum diabetes mellitus / Salpingitis / Candidiasis / eczema / Glycogenosis / peripheral circulatory disorders / Adhesive middle ear disease / neurological manifestations / allergy / Anisometropia / septicemia / Allergic arthritis / Acquired deformity / Orthostatic hypotension / Unspecified inflammatory and toxic neuropathies / Mild cognitive impairment / Chronic canaliculitis / Hereditary corneal dystrophy / Tic disorder / Kyphosis / myositis / Pruritus ani / diseases / Hallux valgus / primary disorders / oophoritis / Other chronic nonalcoholic liver disease / Kaschin-beck disease / Osteoporosis / Retinal vasculitis / Hyperpotassemia / Orbital cysts / Other disease / infection / Corns / Other chronic postoperative pain / Contact dermatitis / cartilage disorder / Ocular hypertension / Dizziness / Acute inflammatory diseases / Unspecified deformity / Pyoderma / Nasal mucositis / Corneal opacity / Unspecified gastritis / rash / Unspecified nonpsychotic mental disorder / Tinnitus / Solitary cyst / Hemochromatosis / Unspecified disorder / disorders / Lordosis / glaucoma / Astigmatism / Dacryocystitis / Senile cataract / Unspecified acquired deformity / Optic atrophy / Chronic pain syndrome / lymphedema syndrome / Hereditary hemochromatosis / Hereditary choroidal dystrophy / cholecystitis / Other specified disorders / Epiphora / Chronic pain / Pressure ulcer / Galactorrhea / Bronchitis / intractable epilepsy / tenosynovitis / Urinary tract infection / Dermatitis / Acute cholecystitis / Temporomandibular joint disorders / thrombocytopenia / Adolescent postural kyphosis / Glycosuria / Developmental odontogenic cysts / Acute salpingitis / Carcinoma / Hypermetropia / peripheral neuropathy / Syncope / Contracture / burn of face / hypoesthesia / resistant pneumonia / Unspecified persistent mental disorders / thyrotoxic crisis / Tachycardia / Unspecified breast disorder / Interstitial myositis / Dacryoadenitis / hearing loss / Pruritus / Other specified diseases / infections / Hypoglycemic coma / Retinal hemorrhage / malignant neoplasms / Keratoconus / Articular cartilage disorder / Acute myocardial infarction / Proteinuria / Lipoma / Antepartum diabetes mellitus / *Enophthalmos / Acne / Atherosclerosis / Juvenile osteochondrosis / Stereotypic movement disorder / Overanxious disorder / Unspecified chest pain / Peripheral angiopathy / Otosclerosis / Benign neoplasm / traumatic seizures / Other disorders / mucositis / Polyhydramnios / pain / Dental caries / Climacteric arthritis / hypernatremia / Abnormal reflex / unspecified atherosclerosis / Diabetes mellitus / fluid disorders / Synovitis / cholera / Anodontia / Unspecified disease / Delirium / Hyperventilation / Circumscribed scleroderma / inflammation / Acute pancreatitis / Cyst / Impotence / Corneal deformity / Toxic diffuse goiter / Paranoid personality disorder / anemia / Azoospermia / Abscess / Other and unspecified disorder / Central pain syndrome / furuncle / Nonsenile cataract / Tuberculosis / Blepharitis / Dehydration / / MedicalTreatment oral contraceptives / natural family planning / vaccination / plastic surgery / surgery / bypass / mastectomy / red blood cell transfusions / assisted reproductive technology / contraceptive method / chemotherapy / counseling / breast reconstruction / psychotherapy / breathing exercises / Bariatric surgery / / Organization National Medicare / Medicare / / / Position General / ordering physician / Governor / / Product Chorionic Gonadotropin / Digoxin / V25.42 / penicillin / / Technology assisted reproductive technology / chemotherapy / / URL http /
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Medicare National Coverage Determination Policy Policies in this MLCP Reference Guide apply to testing performed at any Pathology, Inc. facility and apply to Medicare National Coverage Determination Policy. This diagnosi