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Sanford Laboratories
PO Box 5056
Sioux Falls, SD 57117-5056

PHONE
605-328-5464
800-522-2561

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605-328-5434

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Guidebook
Compliance

Guidebook of Covered Signs, Symptoms,Diagnoses, & ICD-9 Codes

Based upon National Coverage Decisions Established by CMS (Medicare) & Local Coverage Decisions Established by Medicare Noridian of North Dakota

Guidebook Information

Limited Coverage Test Policies (LCDs & NCDs

Latest Guidebook Updates



COMPLETE GUIDEBOOK

For your convenience, the most current verion of Sanford Laboratories GUIDEBOOK of Covered Signs, Symptoms, Diagnoses, & ICD-9-CM Codes is available to you by choosing the link below. (Allow a few minutes for the file to download.) You can print as many copies as your facility needs as the GUIDEBOOK is not copyrighted.

GUIDEBOOK Letter GUIDEBOOK Letter
pdf (80k)

GUIDEBOOK - Current Version 10-2008 Current GUIDEBOOK
10-08
pdf (3681k)

IMPORTANT! Medical Necessity Billing Information
  • Information for tests that are sent to Sanford Laboratories and billed to Medicare by Sanford Laboratories
  • A Guide to determine when an Advanced Beneficiary Notice (ABN) needs to be signed
  • Background information
  • Limited Coverage Policies by test


Complete National Coverage Decisions (NCDs) provided by CMS (Medicare) are available by clicking here.

Complete Limited Coverage Decisions (LCDs) provided by Medicare Noridian of North Dakota are available by clicking here.


Note: If you submit testing to Sanford Laboratories and your facility is not located in South Dakota or North Dakota, these NCDs and LCDs still apply to your facility because Sanford Laboratories files its Medicare claims with Medicare Noridian of North Dakota.




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