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Official Description

Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diameter, nodule-spiculation status and nodule location), utilizing plasma, algorithm reported as a categorical probability of malignancy

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Short Descr ONC LNG 5 CLIN RSK FACTR ALG
Medium Descr ONC LUNG 5 CLINICAL RISK FACTORS ALG PRBLTY MAL
Long Descr Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diameter, nodule-spiculation status and nodule location), utilizing plasma, algorithm reported as a categorical probability of malignancy
CLIA Waived (QW) No
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
Berenson-Eggers TOS (BETOS) none
MUE 1
GA Waiver of liability statement issued as required by payer policy, individual case
KX Requirements specified in the medical policy have been met
Date
Action
Notes
2020-01-01 Added First appearance in code book.
2019-01-01 Added Code added.
Code
Description
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