80420
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Documentation Required
- For MindX tests: "A qualified laboratory professional compiles the report that is communicated to the ordering provider detailing risk and medication suggestions."
- "Requested by a psychiatrist as an aid to differentiate psychotic depression from schizophrenia."
Key Coverage Criteria
- Dexamethasone suppression test (DST) — "medically necessary when it is requested by a psychiatrist as an aid to differentiate psychotic depression from schizophrenia."
1 Active Policy
AETNA-CPB-0306 — Laboratory Tests for Depression and Other Psychiatric Disorders
Related Codes
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