Nov 29, 2011 - 5:53 pm
Since it has been a reliable early warning indicator, my doc has tested me regularly the last few years. I went on medicare 6-1 and have now noticed medicare is declining to pay for CA 125 tests. Since lab was not billing me, I just noticed as I started to gather year end receipts,etc.My old insurer only paid thenm $11 of the $175 gross thy billed for each test so maybe lab is writing it off-they will not confirm. Medicare would only tell me that it was declined for "medical necessity"-they would not even tell me what the diagnosis code was on the claim-I hate bureacracy.I called lab and they said they showed 179 Uterine Cancer. I called my doc and his insurance person is surprised. I suppose I can file an appeal and see what they but I thought someone here might have experience. Any input/suggestions will be appreciated.