The highest fasting or direct ldl-c laboratory test result of 70-189 mg/dl in the measurement period or two years prior to the beginning of the measurement period
Short Description: Fas/dir ldl 70-189mg/dl mst
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2016
Effective Date: January 1, 2016
Termination Date: