CMS Human Chorionic Gonadotropin Form


Human Chorionic Gonadotropin (hCG) testing for germ cell neoplasms

Indications

(43861) Is the Human Chorionic Gonadotropin (hCG) test being used for monitoring and diagnosis of germ cell neoplasms of the ovary, testis, mediastinum, retroperitoneum, or central nervous system? 

Contraindications

(43862) Is the hCG testing requested more than once per month for diagnostic purposes? 
(43863) Is a qualitative hCG assay being requested to manage patients with known or suspected germ cell neoplasms? 

Human Chorionic Gonadotropin (hCG) testing in pregnancy

Indications

(43864) Is the Human Chorionic Gonadotropin (hCG) test being used for monitoring pregnant patients with vaginal bleeding, hypertension and/or suspected fetal loss? 

Effective Date

11/25/2002

Last Reviewed

NA

Original Document

  Reference



Human Chorionic Gonadotropin (hCG) is useful for monitoring and diagnosis of germ cell neoplasms of the ovary, testis, mediastinum, retroperitoneum, and central nervous system. In addition, hCG is useful for monitoring pregnant patients with vaginal bleeding, hypertension and/or suspected fetal loss.

It is not reasonable and necessary to perform hCG testing more than once per month for diagnostic purposes. It may be performed as needed for monitoring of patient progress and treatment. Qualitative hCG assays are not appropriate for medically managing patients with known or suspected germ cell neoplasms.

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