ICD-10 Updates to Local Coverage Determinations (LCDs) and Policy Articles (PAs)

As promised in our March 20, 2014 publication, all LCDs and PAs have been updated and are included in the Medicare Coverage Database and on Noridian's Future LCD and Policy Articles webpage. To keep separate the ICD-9s from the ICD-10s, all ICD-10 LCDs and PAs (with and without diagnosis codes) have been assigned new ID numbers, and have an effective date of October 1, 2014. Also, note the Draft LCDs have been assigned active LCD ID numbers but remain drafts.

The Centers for Medicare & Medicaid (CMS) has determined that although new LCD numbers are assigned, the policies shall not be considered new policies. CMS considers this type of update to be a coding revision that does not change the intent of coverage/non-coverage within an LCD.

For more information, CMS has dedicated a page to ICD-10 on www.cms.gov. This page is updated regularly, usually at least once per week, and houses resources, articles and products concerning ICD-10. Suppliers can check the latest news specific to ICD-10 as well as reference applicable Medicare Learning Network (MLN) publications. Follow this link to access the ICD-10 page.

The following list of LCDs and related PAs contains diagnoses that have been updated to ICD-10 codes:

  • L33686 Ankle-Foot/Knee-Ankle-Foot Orthosis
  • L33690 Automatic External Defibrillators
  • L34824 DRAFT Vacuum Erection Devices (VED)
  • L33317 External Breast Prostheses
  • L33822 Glucose Monitors
  • L33785 High Frequency Chest Wall Oscillation Devices
  • L33824 Immunosuppressive Drugs - Policy Article
  • L33610 Intravenous Immune Globulin - Policy Article
  • L33318 Knee Orthoses
  • L33795 Mechanical In-exsufflation Devices
  • L33370 Nebulizers
  • A52479 Oral Anticancer Drugs - Policy Article
  • A52480 Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
  • L33611 Oral Appliances for Obstructive Sleep Apnea
  • L33641 Orthopedic Footwear
  • L33796 Osteogenesis Stimulators
  • L33828 Ostomy Supplies - Policy Article
  • L33797 Oxygen and Oxygen Equipment
  • L33718 Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
  • L33642 Pressure Reducing Support Surfaces - Group 2
  • L33692 Pressure Reducing Support Surfaces - Group 3
  • L33793 Refractive Lenses
  • L33612 Suction Pumps
  • L33369 Therapeutic Shoes for Persons with Diabetes - Policy Article
  • L33832 Tracheostomy Care Supplies - Policy Article
  • L33802 Transcutaneous Electrical Nerve Stimulators (TENS)
  • L33803 Urological Supplies
  • L33312 Wheelchair Seating
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