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Cancers and Indications Eligible for Entry in the
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33 y/o female presents with fever and RUQ pain. Outside ultrasound performed...
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April 7, 2009


Cancers and Indications Eligible for Entry in the NOPR


Cancers and indications that are reimbursable by Medicare are NOT eligible for entry in the NOPR. Cancers and indications that are specifically excluded for Medicare reimbursement are also not eligible for entry in the NOPR.

C = covered – Not eligible for entry in the NOPR
NC = non-covered nationally – Not eligible for entry in the NOPR
NOPR = covered only with entry in the NOPR

Indications
Initial Treatment Strategy
(formerly Diagnosis and
Initial Staging)
Subsequent Treatment Strategy (Includes Treatment Monitoring, Restaging and Detection of Suspected Recurrence)
Lip, Oral Cavity, and Pharynx
(140-149)
C
C
Esophagus (150)
C
C
Stomach (151)
C
NOPR
Small Intestine (152)
C
NOPR
Colon (153) and Rectum (154)
C
C
Anus (154)
C
NOPR1
Liver and intrahepatic bile ducts (155)
C
NOPR
Gallbladder and extrahepatic bile ducts (156)
C
NOPR
Pancreas (157)
C
NOPR
Retroperitoneum and peritoneum (158)
C
NOPR
Nasal cavity, ear, and sinuses (160)
C
C
Larynx (161)
C
C
Lung, non-small cell (162)
C
C
Lung, small cell (162)
C
NOPR
Pleura (163)
C
NOPR
Thymus, heart, mediastinum (164)
C
NOPR
Bone/cartilage (170)
C
NOPR
Connective/other soft tissue (171)
C
NOPR
Melanoma (172)
C/NC2
C
Non-melanoma skin (173)
C
NOPR
Female breast (174)
C/NC23
C


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