Coverage by Test
Medicare coverage rules in plain English, organized by test. Pick a test below for what Medicare covers, when it’s ordered, and what to ask your doctor.
- Complete Blood Count (CBC) with Differential
The standard blood count panel. Covered under NCD 190.15.
- Comprehensive Metabolic Panel (CMP)
14-test metabolic panel. No NCD code restriction — case-by-case medical necessity.
- Lipid Panel
Cholesterol, triglycerides, HDL, LDL. Covered under NCD 190.23.
- Hemoglobin A1c (HbA1c)
3-month average blood sugar. Covered under NCD 190.21.
- Vitamin D, 25-Hydroxy
25-hydroxyvitamin D level. Medicare judges coverage case by case.
- PSA, Total
Prostate-specific antigen. NCD 190.31 (diagnostic) or the screening benefit.
- Basic Metabolic Panel (BMP)
Eight-test chemistry panel. Medicare judges coverage case by case.
- Blood Glucose (Blood Sugar)
Blood sugar level. Covered under NCD 190.20.
- C-Reactive Protein (CRP)
Inflammation marker. Medicare judges coverage case by case.
- Complete Blood Count (CBC) without Differential
Basic blood count. Covered under NCD 190.15.
- Hepatic Function Panel (Liver Panel)
Liver blood tests. Medicare judges coverage case by case.
- Magnesium
Magnesium level. Medicare judges coverage case by case.
- T3, Total (Triiodothyronine)
Thyroid hormone. Medicare judges coverage case by case.
- Testosterone, Total
Testosterone level. Medicare judges coverage case by case.
- Thyroid Stimulating Hormone (TSH)
Main thyroid screening blood test. Covered under NCD 190.22.
- Urinalysis, Automated
Basic urine test. Medicare judges coverage case by case.
- Vitamin B12
B12 level. Medicare judges coverage case by case.
- Ferritin
Iron storage level. Covered under NCD 190.18.
- Folate (Folic Acid), Serum
Folate level. Medicare judges coverage case by case.
- Creatine Kinase (CK or CPK)
Muscle enzyme test. Medicare judges coverage case by case.