Medical Necessity Policies

LCD Web Links

Each of the links below will take you to a CMS (Centers for Medicare & Medicaid Services) License Agreement page where you much read and indicate your acceptance of the terms. Once you have indicated acceptance of the terms, you will be directed to the page from which you can print or email the LCD information.


LCD for Cytogenetic Studies (190.3) - see NCD's below

Qualitative Drug Screening (L33581)
L33581 has been retired and replaced by L36037 Urine Drug Testing, effective for services rendered on or after 12/01/2015



NCD Web Links

The link below will take you to a CMS (Centers for Medicare & Medicaid Services) License Agreement page where you much read and indicate your acceptance of the terms. Once you have indicated acceptance of the terms, you will be directed to the page from which you can print or email the NCD information.


In the middle of page 2 of this document, there is a link to downloadable listings. Click on the link, click open, and choose the 190.3 Cytogenetics Studies DVpmbs file.

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Allina Health Laboratory
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612-863-4678 or 1-800-281-4379
Fax 612-863-4067
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