2025 ICD-10 Billing and Coding Article Updates - Effective October 1, 2025

Date Posted: October 2, 2025

The following Billing and Coding Articles have been revised under contractor numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: October 1, 2025

Summary of Changes: The following Billing and Coding Articles have been updated to include and/or remove ICD-10 codes.

MCD Number Billing and Coding Article Title New ICD-10 Codes Deleted ICD-10 Codes Revised ICD-10 Codes
A58865 Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound M05.A N/A M21.159, M24.076, M61.129
A57161 Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) N/A N/A L02.212
A57185 Billing and Coding: Botulinum Toxin Types A and B Policy G35.A, G35.B1, G35.B2, G35.C1, G35.C2 G35 N/A
A57183 Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography E78.010, E78.011, E78.019, I27.840, I27.841, I27.848, I27.849 N/A N/A
A57326 Billing and Coding: Electrocardiogram E78.010, E78.011, E78.019, I27.840, I27.841, I27.848, I27.849 E78.01, E88.1, R10.2, T78.07XA , T78.07XD, T78.07XS, T78.08XA, T78.08XD, T78.08XS N/A
A57187 Billing and Coding: Immune Globulin Intravenous (IVIg) G35.A, G35.B1, G35.B2, G35.C1, G35.C2 G35 N/A
A53008 Billing and Coding: Intraocular Bevacizumab H40.841, H40.842, H40.843, H40.849 N/A N/A
A55028 Billing and Coding: Lab: Bladder/Urothelial Tumor Markers R10.A0, R10.A1, R10.A2, R10.A3, R10.20, R1.021, R10.22, R10.23, R10.24, R10.8A1, R10.8A2, R10.8A3, R10.8A9, R10.85, R76.81, R76.89 N/A N/A
A57206 Billing and Coding: Lumbar MRI G35.A, G35.B1, G35.B2, G35.C1, G35.C2, L02.217, L02.217, L03.31A, L03.32A G35 L02.212
A57204 Billing and Coding: MRI and CT Scan of Head and Neck C50.A1, C50.A2, G31.87, H05.831, H05.832, H05.833, H05.839 G35 Q75.001, Q75.002, Q75.009, Q75.021, Q75.022, Q75.029
A56034 Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy R10.21, R10.22, R10.23 R10.2 S74.21XA, S74.21XD, S74.21XS
A54969 Billing and Coding: Nerve Conduction Studies and Electromyography G35.A, G35.B0, G35.B1, G35.B2, G35.C0, G35.C1, G35.C2, G71.036 G35 S74.21XA, S74.21XD, S74.21XS
A57224 Billing and Coding: Respiratory Care G71.036, I27.840, I27.841, I27.848, I27.849 N/A N/A
A57954 Billing and Coding: Routine Foot Care G35.A, G35.B1, G35.B2, G35.C1, G35.C2 N/A N/A
A54543 Therapeutic Apheresis for Familial Hypercholesterolemia E78.010, E78.011 E78.01 N/A
A57701 Billing and Coding: Trigger Point Injections (TPI) R10.20, R10.21, R10.22, R10.23, R10.24 R10.2 N/A

Visit the Billing and Coding Articles webpage or the Active LCD webpage to view the Billing and Coding Article or access it via the CMS Medicare Coverage Database (MCD).

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