2023 ICD-10 Local Coverage Article (LCA) Updates

The following LCAs have been revised under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY). All LCD LCAs are titled with "Billing and Coding: LCD title"

Effective Date: October 1, 2023

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

Medicare Coverage Database (MCD) Number:

MCD Number LCA Title New ICD-10 Codes Deleted ICD-10 Codes Revised ICD-10 Codes
A57222 Billing and Coding: Plastic Surgery B96.83 N/A N/A
A54070 Billing and Coding: Outpatient Cardiac Rehabilitation I20.81, I20.89, I21.B, I25.85 I20.8 I25.112
A57186 Billing and Coding: Botulinum Toxin Types A and B Policy G37.81, G37.89, G93.42, G93.43, G93.44, H50.621, H50.622, H50.629, H50.631, H50.632, H50.639, H50.641, H50.642, H50.649, H50.651, H50.652, H50.659, H50.661, H50.662, H50.669, H50.671, H50.672, H50.679, H50.681, H50.682, H50.689 G37.8 N/A
A53028 Billing and Coding: Bariatric Surgery Coverage I1A.0 N/A N/A
A57184 Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography I20.81, I20.89, I21.B, I24.81, I24.89, I25.85, I47.11, I47.19 I20.8, I24.8, I47.1 N/A
A55531 Billing and Coding: Peripheral Nerve Stimulation G43.E11, G43.E19 N/A N/A
A52770 Billing and Coding: Pulmonary Rehabilitation Services J44.81, J44.89 N/A N/A
A57343 Billing and Coding: Diagnostic and Therapeutic Colonoscopy A41.54 N/A Q85.81
A57327 Billing and Coding: Electrocardiograms A41.54, D57.04, D57.214, D57.414, D57.434, D57.454, D57.814, E75.27, E75.28, E88.810, E88.811, E88.818, E88.819, I25.85, R40.2A E20.8, I20.8, I24.8, I47.1 I71.51, I71.52, I71.91, I71.62

 

Visit the Noridian Website to view all LCDs and LCAs or access it via the CMS MCD.

 

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