LCD/NCD Portal
Automated World Health
NCD190.8 LYMPHOCYTE MITOGEN RESPONSE ASSAYS
Effective Date of this Version
• 5/16/1983
Benefit Category
• Diagnostic Laboratory Tests.
• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.
Item/Service Description
• The lymphocyte mitogen response assay measures the immune response of patient peripheral blood lymphocytes.
Indications and Limitations of Coverage
• It is a covered test under Medicare when it is medically necessary to assess lymphocytic function in diagnosed immunodeficiency diseases and to monitor immunotherapy.
• It is not covered when it is used to monitor the treatment of cancer, because its use for that purpose is experimental.