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ADDRESS
Sanford Laboratories
PO Box 5056
Sioux Falls, SD 57117-5056

PHONE
605-328-5464
800-522-2561

FAX
605-328-5434

E-MAIL
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Guidebook
Limited Coverage Test Policies
LIMITED COVERAGE TESTS THAT ARE SENT TO SANFORD LABORATORIES

Disclaimer: The information provided for each test was reprinted as written in the Medicare B News or PM AB-02-110 and was not checked for accuracy of codes or descriptions. For more comprehensive description, indications, limitations of coverage, etc., refer to the test specific National Coverage Decision (NCD) provided by CMS or the test specific Local Coverage Decision (LCD) provided by Medicare Noridian of North Dakota.

Guidebook TABLE OF CONTENTS Guidebook TABLE OF CONTENTS
10-08
doc (55k)
Acute Hepatitis Panel Acute Hepatitis Panel
10-08
doc (63k)
Alpha-Fetoprotein, Serum Alpha-Fetoprotein, Serum
10-08
doc (76k)
Blood Counts Blood Counts
10-08
doc (268k)
Carcinoembryonic Antigen (CEA) Carcinoembryonic Antigen (CEA)
10-08
doc (65k)
Collagen CrossLinks Collagen CrossLinks
10-04
doc (61k)
Cytogenetic Studies Cytogenetic Studies
10-08
doc (202k)
Digoxin Therapeutic Drug Assay Digoxin Therapeutic Drug Assay
10-08
doc (97k)
Flow Cytometry Flow Cytometry
10-08
doc (136k)
Gamma Glutamyltransferase (GGT) Gamma Glutamyltransferase (GGT)
10-08
doc (208k)
Genetic Testing Genetic Testing
10-08
doc (85k)
Glucose, Blood Glucose, Blood
10-08
doc (171k)
Glycated Hemoglobin/Glycated Protein Glycated Hemoglobin/Glycated Protein
7-08
doc (62k)
HIV Testing, Diagnosis HIV Testing, Diagnosis
10-08
doc (194k)
HIV Testing, Prognosis including Monitoring HIV Testing, Prognosis including Monitoring
7-03
doc (46k)
Human Chorionic Gonadotropin (HCG), Quant. Human Chorionic Gonadotropin (HCG), Quant.
10-08
doc (69k)
Iron Studies Iron Studies
10-08
doc (188k)
Lipid Testing Lipid Testing
10-08
doc (143k)
Lithium Therapeutic Drug Assay Lithium Therapeutic Drug Assay
7-05
doc (50k)
Occult Blood/Feces, Diagnostic Occult Blood/Feces, Diagnostic
10-08
doc (151k)
Occult Blood/Feces, Screening Occult Blood/Feces, Screening
3-08
doc (37k)
Partial Thromboplastin Time (PTT) Partial Thromboplastin Time (PTT)
10-08
doc (261k)
Prostate Specific Antigen (PSA), Diagnostic Prostate Specific Antigen (PSA), Diagnostic
10-08
doc (66k)
Prostate Specific Antigen (PSA), Screening Prostate Specific Antigen (PSA), Screening
9-03
doc (38k)
Prothrombin Time Prothrombin Time
10-08
doc (314k)
Theophylline Therapeutic Drug Assay Theophylline Therapeutic Drug Assay
10-05
doc (51k)
Thyroid Testing Thyroid Testing
10-08
doc (189k)
Tumor Antigen, CA 15-3/CA 27.29 Tumor Antigen, CA 15-3/CA 27.29
10-06
doc (32k)
Tumor Antigen, CA 19-9 Tumor Antigen, CA 19-9
10-06
doc (37k)
Tumor Antigen, CA 125 Tumor Antigen, CA 125
10-06
doc (39k)
Urine Bacterial Culture Urine Bacterial Culture
10-08
doc (116k)

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