93998
HCPCS/CPT
Prior Authorization
No Prior Auth Required
No active coverage policies found for this code (low confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Documentation Required
- No specific documentation requirements (e.g., mandatory clinical findings, test results, or prior authorization criteria) are specified in this policy for the above-listed tests; coverage determination should reference the member-specific benefit plan document.
- Advanced lipoprotein analysis must be performed in accordance with Clinical Laboratory Improvement Amendments (CLIA) quality standards (as noted in the FDA/Regulatory section).
- Providers should follow member-specific benefit plan terms and applicable federal/state mandates; UnitedHealthcare instructs to check the member specific benefit plan document because plan terms govern coverage decisions.
- Where applicable, FDA device clearances (e.g., EndoPAT 2000, SphygmoCor systems) are discussed for informational purposes only and do not constitute coverage or change documentation requirements; the policy states the EndoPAT 2000 is not intended as a screening test in the general patient population.
4 Active Policies
UMR-POL-UMR-cardiovascular-disease-risk-tests — Cardiovascular Disease Risk Tests
SUREST-POL-SUREST-cardiovascular-disease-risk-tests — Cardiovascular Disease Risk Tests
UHC-POL-cardiovascular-disease-risk-tests — Cardiovascular Disease Risk Tests
ANTHEM-MED.00116 — MED.00116 Near-Infrared Spectroscopy Scanning for Brain Hematoma Screening
Related Codes
Have a follow-up question?
Ask Verity about documentation requirements, denial risks, or coverage in your state.