NCD190.3

 

CYTOGENETIC STUDIES

 

Effective Date of this Version

• 7/16/1998

 

Benefit Category

• Diagnostic Tests (other).

• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

 

Item/Service Description

• The term cytogenetic studies are used to describe the microscopic examination of the physical appearance of human chromosomes.

 

Indications and Limitations of Coverage

• Medicare covers these tests when they are reasonable and necessary for the diagnosis or treatment of the following conditions:

o Genetic disorders (e.g., mongolism) in a fetus; (See the Medicare Benefit Policy Chapter 15, "Covered Medical and Other Health Services," §20.1)

o Failure of sexual development;

o Chronic myelogenous leukemia;

o Acute leukemias lymphoid (FAB L1-L3), myeloid (FAB M0-M7), and unclassified; or

o Mylodysplasia

 

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