Guidelines For Ordering Laboratory Procedures
Guidelines For Ordering Laboratory Tests
Medical Necessity
Limited Coverage Tests
Advance Beneficiary Notice
Standing Order Policy
Compliance Guidelines For Ordering Laboratory Tests

Guidelines for Ordering Laboratory Tests

  • Complete ALL patient demographic information (name. MRN#, DOB).
  • Include ordering provider (name & provider #).
  • Order test(s) desired by checking box to the right of the test.
  • Check the box for ALL applicable ICD-9 code(s) (diagnosis) for the test(s) ordered (there is NO limit to the # of diagnoses for Laboratory tests).
  • Use diagnosis that describes why you ordered a test NOT why you are seeing the patient. E.g. The reason a Reticulocyte is ordered is for anemia (established diagnosis, symptoms or signs) NOT the leukemia the patient is being treated.
  • Do NOT use "Rule Out" Diagnosis, Use signs/symptoms Use signs &/or symptoms that cause to want to "Rule out" a disorder or disease. E.g. A patient exhibits polyuria, sweating & polyphagia. Diabetes is to be ruled out. These symptoms/signs justify ordering a Glucose.
  • Be sure to document the test orders in Patient Records not just on the Requisition.
  • MEDICARE COVERED SCREENING TESTS (Be sure to order correct screening Test)
    • PSA (1/year)
    • FOB (1/year)
    • PAP SMEAR (1/ every 2 years)

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