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Heavy Metal Testing

In document Medical Necessity Reference Guide (Page 45-52)

80178, 82108, 82175, 82300, 82495, 82525, 83015, 83018, 83655, 83785, 83825, 83885, 84255, 84285, 84630, 84999

Aluminum – 82108 Alpha Sort

585.1-585.9 Chronic Kidney Disease (CKD) 292.81 Drug Induced Delirium

292.84 Drug Induced Mood Disorder

292.83 Drug Induced Persisting Amnestic Disorder 292.82 Drug Induced Persisting Dementia

996.73 Other Complications Due to Renal Dialysis Device Implant and Graft

294.8 Other Persistent Mental Disorders Due to Conditions Classified Elsewhere

292.89 Other Specified Drug Induced Mental Disorders 292.2 Pathological Drug Intoxication

973.0 Poisoning by Antacids and Antigastric Secretion Drugs 985.8 Toxic Effect of Other Specified Metals

293.9 Unspecified Transient Mental Disorder in Conditions Classified Elsewhere

Numeric Sort

292.2 292.83 293.9 973.0

292.81 292.84 294.8 985.8

292.82 292.89 585.1-585.9 996.73

Antimony - 83018

085.9 Leishmaniasis Unspecified

985.4 Toxic Effect of Antimony and its Compounds Numeric Sort

085.9 985.4

Arsenic – 82175 Alpha Sort

582.9 Chronic Glomerulonephritis with Unspecified Pathological Lesion in Kidney

692.4 Contact Dermatitis and Other Eczema Due to Other Chemical Products

Arsenic – 82175 Continued 787.91 Diarrhea

348.30 Encephalopathy Unspecified 356.0 Hereditary Peripheral Neuropathy 783.21 Loss of Weight

348.31 Metabolic Encephalopathy 787.01 Nausea with Vomiting 348.39 Other Encephalopathy

284.89 Other Specified Aplastic Anemias 569.89 Other Specified Disorders of Intestines 961.1 Poisoning by Arsenical Anti-Infectives 357.7 Polyneuropathy Due to Other Toxic Agents 985.1 Toxic Effect of Arsenic and its Compounds 356.9 Unspecified Idiopathic Peripheral Neuropathy Numeric Sort

284.89 348.39 357.7 692.4

787.91

348.30 356.0 569.89 783.21

961.1

348.31 356.9 582.9 787.01

985.1 Barium – 83015, 83018 Alpha Sort

518.89 Other Diseases of Lung Not Elsewhere Classified 985.8 Toxic Effect of Other Specified Metals

Numeric Sort

518.89 985.8

Beryllium – 83015, 83018 Alpha Sort

518.89 Other Diseases of Lung Not Elsewhere Classified 985.3 Toxic Effect of Beryllium and its Compounds Numeric Sort

518.89 985.3

Heavy Metal Testing

80178, 82108, 82175, 82300, 82495, 82525, 83015, 83018, 83655, 83785, 83825, 83885, 84255, 84285, 84630, 84999

Bismuth – 83015, 83018 Alpha Sort

289.7 Methemoglobinemia

523.8 Other Specified Periodontal Diseases 733.10 Pathological Fracture, Unspecified Site 985.8 Toxic Effect of Other Specified Metals Numeric Sort

289.7 523.8 733.10 985.8

Cadmium – 82300 Alpha Sort

518.89 Other Diseases of Lung, Not Elsewhere Classified 586 Renal Failure, Unspecified

985.5 Toxic Effect of Cadmium and its Compounds Numeric Sort

518.89 586 985.5

Chromium – 82495 Alpha Sort

518.89 Other Diseases of Lung, Not Elsewhere Classified 985.6 Toxic Effect of Chromium

Numeric Sort

518.89 985.6

Cobalt – 84999 Alpha Sort

518.89 Other Diseases of Lung, Not Elsewhere Classified 985.8 Toxic Effect of Other Specified Metals

Numeric Sort

518.89 985.8

Copper – 82525 Alpha Sort

571.40 Chronic Hepatitis, Unspecified 571.41 Chronic Persistent Hepatitis 571.5 Cirrhosis of Liver without Alcohol 275.1 Disorders of Copper Metabolism

783.3 Feeding Difficulties and Mismanagement

518.89 Other Diseases of Lung, Not Elsewhere Classified 790.5 Other Nonspecific Abnormal Serum Enzyme Levels 759.89 Other Specified Congenital Anomalies

586 Renal Failure, Unspecified

425.9 Secondary Cardiomyopathy, Unspecified 985.8 Toxic Effect of Other Specified Metals

571.9 Unspecified Chronic Liver Disease without Alcohol 573.9 Unspecified Disorder of Liver

Numeric Sort

275.1 571.40 571.9 759.89

985.8

425.9 571.41 573.9 783.3

518.89 571.5 586 790.5

Lead – 83655 Alpha Sort

348.30 Encephalopathy, Unspecified 356.0 Hereditary Peripheral Neuropathy 356.2 Hereditary Sensory Neuropathy 356.4 Idiopathic Progressive Polyneuropathy 348.31 Metabolic Encephalopathy

355.8 Mononeuritis of Lower Limb Unspecified 355.9 Mononeuritis of Unspecified Site

354.9 Mononeuritis of Upper Limb Unspecified

793.7 Nonspecific (Abnormal) Findings on Radiological and Other Examination of Musculoskeletal System 790.09 Other Abnormality of Red Blood Cells

348.39 Other Encephalopathy

354.8 Other Mononeuritis of Upper Limb

Heavy Metal Testing

80178, 82108, 82175, 82300, 82495, 82525, 83015, 83018, 83655, 83785, 83825, 83885, 84255, 84285, 84630, 84999

Lead – 83655 Continued

356.8 Other Specified Idiopathic Peripheral Neuropathy 356.1 Peroneal Muscular Atrophy

790.01 Precipitous Drop in Hematocrit 356.3 Refsum's Disease

984.0 Toxic Effect of Inorganic Lead Compounds 984.1 Toxic Effect of Organic Lead Compounds 984.8 Toxic Effect of Other Lead Compounds 984.9 Toxic Effect of Unspecified Lead Compound 356.9 Unspecified Idiopathic Peripheral Neuropathy Numeric Sort

348.30 355.8 356.3 790.09

984.9

348.31 355.9 356.4 793.7

348.39 356.0 356.8 984.0

354.8 356.1 356.9 984.1

354.9 356.2 790.01 984.8

Lithium – 80178 Alpha Sort

296.82 Atypical Depressive Disorder 296.81 Atypical Manic Disorder 296.80 Bipolar Disorder, Unspecified

296.56 Bipolar I Disorder, Most Recent Episode (or Current) Depressed, in Full Remission

296.55 Bipolar I Disorder, Most Recent Episode (or Current) Depressed, In Partial or Unspecified Remission 296.51 Bipolar I Disorder, Most Recent Episode (or Current)

Depressed, Mild

296.52 Bipolar I Disorder, Most Recent Episode (or Current) Depressed, Moderate

296.54 Bipolar I Disorder, Most Recent Episode (or Current) Depressed, Severe, Specified as with Psychotic Behavior 296.53 Bipolar I Disorder, Most Recent Episode (or Current)

Depressed, Severe, without Mention of Psychotic Behavior

Lithium – 80178 Continued

296.50 Bipolar I Disorder, Most Recent Episode (or Current) Depressed, Unspecified

296.46 Bipolar I Disorder, Most Recent Episode (or Current) Manic, In Full Remission

296.45 Bipolar I Disorder, Most Recent Episode (or Current) Manic, in Partial Or Unspecified Remission

296.41 Bipolar I Disorder, Most Recent Episode (or Current) Manic, Mild

296.42 Bipolar I Disorder, Most Recent Episode (or Current) Manic, Moderate

296.44 Bipolar I Disorder, Most Recent Episode (or Current) Manic, Severe, Specified As With Psychotic Behavior 296.43 Bipolar I Disorder, Most Recent Episode (or Current)

Manic, Severe, Without Mention Of Psychotic Behavior 296.40 Bipolar I Disorder, Most Recent Episode (or Current)

Manic, Unspecified

296.66 Bipolar I Disorder, Most Recent Episode (or Current) Mixed, in Full Remission

296.65 Bipolar I Disorder, Most Recent Episode (or Current) Mixed, in Partial or Unspecified Remission

296.61 Bipolar I Disorder, Most Recent Episode (or Current) Mixed, Mild

296.62 Bipolar I Disorder, Most Recent Episode (or Current) Mixed, Moderate

296.64 Bipolar I Disorder, Most Recent Episode (or Current) Mixed, Severe, Specified as with Psychotic Behavior 296.63 Bipolar I Disorder, Most Recent Episode (or Current) Mixed, Severe, without Mention of Psychotic Behavior 296.60 Bipolar I Disorder, Most Recent Episode (or Current)

Mixed, Unspecified

296.7 Bipolar I Disorder, Most Recent Episode (or Current) Unspecified

296.06 Bipolar I Disorder, Single Manic Episode, in Full Remission

Heavy Metal Testing

80178, 82108, 82175, 82300, 82495, 82525, 83015, 83018, 83655, 83785, 83825, 83885, 84255, 84285, 84630, 84999

Lithium – 80178 Continued

296.05 Bipolar I Disorder, Single Manic Episode, in Partial or Unspecified Remission

296.01 Bipolar I Disorder, Single Manic Episode, Mild 296.02 Bipolar I Disorder, Single Manic Episode, Moderate 296.04 Bipolar I Disorder, Single Manic Episode, Severe,

Specified as with Psychotic Behavior

296.03 Bipolar I Disorder, Single Manic Episode, Severe, without Mention of Psychotic Behavior

296.00 Bipolar I Disorder, Single Manic Episode, Unspecified 311 Depressive Disorder not Elsewhere Classified V58.83 Encounter For Therapeutic Drug Monitoring

V58.63 Long-term (Current) use of Antiplatelets/Antithrombotics V58.64 Long-term (Current) use of Nonsteroidal

Anti-Inflammatories

V58.69 Long-term (Current) use of Other Medications V58.65 Long-term (Current) use of Steroids

296.36 Major Depressive Affective Disorder Recurrent Episode in Full Remission

296.35 Major Depressive Affective Disorder Recurrent Episode in Partial or Unspecified Remission

296.31 Major Depressive Affective Disorder Recurrent Episode Mild Degree

296.32 Major Depressive Affective Disorder Recurrent Episode Moderate Degree

296.34 Major Depressive Affective Disorder Recurrent Episode Severe Degree Specified as with Psychotic Behavior 296.33 Major Depressive Affective Disorder Recurrent Episode

Severe Degree without Psychotic Behavior

296.30 Major Depressive Affective Disorder Recurrent Episode Unspecified Degree

296.26 Major Depressive Affective Disorder Single Episode in Full Remission

296.25 Major Depressive Affective Disorder Single Episode in Partial or Unspecified Remission

296.21 Major Depressive Affective Disorder Single Episode Mild Degree

Lithium – 80178 Continued

296.22 Major Depressive Affective Disorder Single Episode Moderate Degree

296.24 Major Depressive Affective Disorder Single Episode Severe Degree Specified as with Psychotic Behavior 296.23 Major Depressive Affective Disorder Single Episode

Severe Degree without Psychotic Behavior

296.20 Major Depressive Affective Disorder Single Episode Unspecified Degree

296.16 Manic Affective Disorder Recurrent Episode in Full Remission

296.15 Manic Affective Disorder Recurrent Episode in Partial or Unspecified Remission

296.11 Manic Affective Disorder Recurrent Episode Mild Degree 296.12 Manic Affective Disorder Recurrent Episode Moderate

Degree

296.14 Manic Affective Disorder Recurrent Episode Severe Degree Specified as with Psychotic Behavior 296.13 Manic Affective Disorder Recurrent Episode Severe

Degree without Psychotic Behavior

296.10 Manic Affective Disorder Recurrent Episode Unspecified Degree

296.89 Other and Unspecified Bipolar Disorders, Other 296.99 Other Specified Episodic Mood Disorder

969.8 Poisoning by Other Specified Psychotropic Agents 985.8 Toxic Effect of Other Specified Metals

296.90 Unspecified Episodic Mood Disorder

Heavy Metal Testing

80178, 82108, 82175, 82300, 82495, 82525, 83015, 83018, 83655, 83785, 83825, 83885, 84255, 84285, 84630, 84999

Lithium – 80178 Numeric Sort

296.00 296.11 296.22 296.33

296.44 296.55 296.66

311

296.01 296.12 296.23 296.34

296.45 296.56 296.7

969.8

296.02 296.13 296.24 296.35

296.46 296.60 296.80

985.8

296.03 296.14 296.25 296.36

296.50 296.61 296.81

V58.63

296.04 296.15 296.26 296.40

296.51 296.62 296.82

V58.64

296.05 296.16 296.30 296.41

296.52 296.63 296.89

V58.65

296.06 296.20 296.31 296.42

296.53 296.64 296.90

V58.69

296.10 296.21 296.32 296.43

296.54 296.65 296.99

V58.83

Heavy Metal Testing

80178, 82108, 82175, 82300, 82495, 82525, 83015, 83018, 83655, 83785, 83825, 83885, 84255, 84285, 84630, 84999

Manganese – 83785 Alpha Sort

783.3 Feeding Difficulties and Mismanagement

333.99 Other Extrapyramidal Diseases and Abnormal Movement Disorders

985.2 Toxic Effect of Manganese and its Compounds 333.90 Unspecified Extrapyramidal Diseases and Abnormal

Movement Disorder Numeric Sort

333.90 333.99 783.3 985.2

Mercury – 83825 Alpha Sort

438.84 Ataxia

334.4 Cerebellar Ataxia in Diseases Classified Elsewhere 334.0 Friedreich's Ataxia

781.3 Lack Of Coordination 334.3 Other Cerebellar Ataxia

333.99 Other Extrapyramidal Diseases And Abnormal Movement Disorders

961.2 Poisoning by Heavy Metal Anti-Infectives

976.8 Poisoning by Other Agents Primarily Affecting Skin and Mucous Membrane

973.3 Poisoning by Other Cathartics Including Intestinal Atonia 586 Renal Failure, Unspecified

985.0 Toxic Effect of Mercury and its Compounds

333.90 Unspecified Extrapyramidal Disease and Abnormal Movement Disorder

Numeric Sort

333.90 438.84 976.8

333.99 586 985.0

334.0 781.3

334.3 961.2

334.4 973.3

Molybdenum – 84999 Alpha Sort

985.8 Toxic Effect of Other Specified Metals Numeric Sort

985.8

Nickel – 83885 Alpha Sort

518.89 Other Diseases of Lung Not Elsewhere Classified 586 Renal Failure, Unspecified

985.8 Toxic Effect of Other Specified Metals Numeric Sort

518.89 586 985.8

Selenium – 84255 Alpha Sort

586 Renal Failure, Unspecified

985.8 Toxic Effect of Other Specified Metals Numeric Sort

586 985.8

Thallium – 84999 Alpha Sort

781.3 Lack of Coordination

357.7 Polyneuropathy Due to Other Toxic Agents 985.8 Toxic Effect of Other Specified Metals Numeric Sort

357.7 781.3 985.8

Heavy Metal Testing

80178, 82108, 82175, 82300, 82495, 82525, 83015, 83018, 83655, 83785, 83825, 83885, 84255, 84285, 84630, 84999

Tin – 84999 Alpha Sort

985.8 Toxic Effect of Other Specified Metals Numeric Sort

985.8

Titanium – 84999 Alpha Sort

985.8 Toxic Effect of Other Specified Metals Numeric Sort

985.8

Zinc – 84630 Alpha Sort

783.3 Feeding Difficulties and Mismanagement 555.9 Regional Enteritis of Unspecified Site 586 Renal Failure, Unspecified

985.8 Toxic Effect of Other Specified Metals 579.9 Unspecified Intestinal Malabsorption Numeric Sort

555.9 579.9 586 783.3

985.8

ICD-9-CM codes that meet medical necessity guidelines for the following heavy metals have not been identified by WPS:

Boron Phosphorous

Silica (CPT Code 84285) Strontium

Sulfur Uranium Vanadium

In document Medical Necessity Reference Guide (Page 45-52)

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