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2022 ICD-10 Local Coverage Determination (LCD) and Local Coverage Article (LCA) Updates

The following LCA's have been revised under contractor numbers: 0112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), 01312 (NV).

Effective: October 1, 2022

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

LCD Title LCA Number ICD-10 Added ICD-10 Deleted ICD-10 Description Change
Billing and Coding: Pulmonary Function Testing A57216 J95.87 N/A N/A
Billing and Coding: Routine Foot Care A57954 D68.01, D68.020, D68.021, D68.022, D68.023, D68.029, D68.03, D68.04, D68.09, D81.82 D68.0 N/A
Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing A55001 E87.21, E87.22, E87.29, I47.20, I47.21. I47.29, T43.651A, T43.651D, T43.652S, T43.652A, T43.652D, T43.652S, T43.653A, T43.653D, T43.653S, T43.654A, T43.654D, T43.654S, T43.655A, T43.655D, T43.655S, T43.656A, T43.656D, T43.656S, Z91.190 E87.2, I47.2, Z91.19 N/A
Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers A58996 N/A N/A C84.40, C84.41, C84.42, C84.43, C84.44, C84.45, C84.46, C84.47, C84.48, C84.49, C94.6
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer A58679 Q85.81, Q85.82, and Q85.83 N/A N/A
Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease A57421 N/A N/A C94.6
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies A57891 N/A N/A C94.6
Billing and Coding: MDS FISH A57661 N/A N/A C94.6
Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices A52966 I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792 I34.81, I34.89,  I47.21, I47.29, Q21.11, Q21.12, Q21.13, Q21.14, Q21.15, Q21.16, Q21.19, Q21.21, Q21.22, Q21.23 N/A
Billing and Coding: Diagnostic and Therapeutic Colonoscopy A57342 Q85.81, Q85.82, Q85.83, Q85.89 Q85.8 N/A
Billing and Coding: Electrocardiograms A57326 E87.20, E87.21, E87.21. E87.22. E87.29, G93.31, G93.32, G93.39, I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792, I31.31, I31.39, I34.81, I34.89, I47.20, I47.21, I47.29, I71.010, I71.011, I71.012, I71.019, I71.10, I71.11, I71.12, I71.13, I71.20, I71.21, I71.22, I71.23, I71.30, I71.31, I71.32, I71.33, I71.40, I71.41, I71.42, I71.43, I71.50, I71.51, I71.52, I71.60, I71.61, I71.62, I77.82, J95.87, Q21.10, Q21.11, Q21.12, Q21.13, Q21.14, Q21.15, Q21.16, Q21.19, Q21.20, Q21.21, Q21.22, Q21.23, T43.651A, T43.651D, T43.651S, T43.652A, T43.652D, T43.652S, T43.653A, T43.653D, T43.653S, T43.654A, T43.654D, T43.654S, T43.655A, T43.655D, T43.655 E87.2, G93.3, I31.3, I34.8, I47.2, I71.01, I71.1, I71.2, I71.3, I71.4, I71.5, I71.6, Q21.1, Q21.2. N/A
Billing and Coding: Lab: Flow Cytometry A57689 D75.822, D75.828, D75.829, D75.84, D81.82 N/A C84.40, C84.41, C84.42, C84.43, C84.44, C84.45, C84.46, C84.47, C84.48, C84.49, C94.6
Billing and Coding: MRI and CT Scans of the Head and Neck A57204 E34.30 E34.31 E34.321 E34.322 E34.328 E34329 E34.39 F01.511 F01.518 F01.52 F01.53 F01.54 F02.811, F02.818, F02.82, F02.83, F02.84, F03.911, F03.918, F03.92, F03.93, F03.94, F01.511, F01.518, F01.52, F01.53, F01.54, F01.A11, F01.A18, F01.A3, F01.A4, F01.B0, F01.B11, F01.B18, F01.B2, F01.B4, F01.C0, F02.A11, F02.A18, F02.A2, F02.A3, F02.A4, F02.B0, F02B11, F02.B18, F02.B2, F02.B3, F02.B4, F02.C0, F02.C11, F02.C18, F02.C2, F02.C3, F02.C4, F03.A11, F03.A18, F03.A2, F03.A3, F03.A4, F03.B0, F03.B11, F03.B18, F03.B2, F03.B3, F03.B4, F03.C0, F03.C11, F03.C18, F03.C2, F03.C3, F03.C4, I77.82, S06.0XAA, S06.0XAD, S06.0XAS, S06.1XAA, S06.1XAD, S06.1XAS, S06.2XAA, S06.2XAD, S06.2XAS, S06.30AA, S06.30AD, S06.30AS, S06.31AA, S06.31AD, S06.31AS, S06.32AA, S06.32AD, S06.32AS, S06.33AA, S06.33AD, S06.33AS, S06.34AA, S06.34AD, S06.34AS, S06.35AA, S06.35AD, S06.35AS, S06.36AA, S06.36AD, S06.36AS, S06.37AA, S06.37AD, S06.37AS, S06.38AA, S06.38AD, S06.38AS, S06.4XAA, S06.4XAD, S06.4XAS, S06.5XAA, S06.5XAD, S06.5XAS, S06.6XAA, S06.6XAD, S06.6XAS, S06.81AA, S06.81AD, S06.81AS, S06.82AA, S06.82AD, S06.82AS,S06.89AA, S06.89AD. S06.89AS, S06.8A0A, S06.8A0D, S06.8A0S, S06.8A1A, S06.8A1D, S06.8A1S, S06.8A2A, S06.8A2D, S06.8A2S, S06.8A3A, S06.8A3D, S06.8A3S, S06.8A4A, S06.8A4D, S06.8A4S, S06.8A5A, S06.8A5D, S06.8A5S, S06.8A6A, S06.8A6D,S06.8A6S, S06.8A7A, S06.8A8A, S06.8A9A, S06.8A9D, S06.8A9S, S06.8AAA, S06.8AAD, S06.8AAS, S06.9XAA, S06.9XAD, S06.9XAS, Z87.731 E34.3, F01.51, F02.81, F03.91 C84.41 C84.48, F01.50, F02.80, F0390, G31.09, G31.83
B-Type Natriuretic Peptide (BNP) Testing A57083 I20.2, I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792 N/A N/A
Frequency of Hemodialysis A55675 E87.20, E87.21, E87.22, E87.29 E87.2 N/A
Vitamin D Assay Testing A57718 Z79.85, Z79.60, Z79.61, Z79.620, Z79.621, Z79.622, Z79.623, Z79.624, Z79.630, Z79.631, Z79.632, Z79.633, Z79.634, Z79.64, Z79.69 N/A N/A
Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography A57183 I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792, I34.81, I34.89, I47.21, I47.29, I71.010, I71.011, I71.012, I71.019, I71.10, I71.11, I71.12, I71.13, I71.21, I71.22, I71.23, I71.30, I71.31, I71.32, I71.33, I71.40, I71.41, I71.42, I71.43, I71.50, I71.51, I71.52, I71.60, I71.61, I71.62, Q21.10, Q21.11, Q21.12, Q21.13, Q21.14, Q21.15, Q21.16, Q21.19, Q21.20, Q21.21, Q21.22, Q21.23, Z79.85 I34.8, I47.2, I71.01, I71.1, I71.2, I71.3, I71.4, I71.5, I71.6, Q21.1, Q21.2 N/A
Billing and Coding: Serum Magnesium A57189 T43.651A, T43.651D, T43.651S, T43.652A, T43.652D, T43.652S, T43.653A, T43.653D, T43.653S, T43.654A, T43.654D, T43.654S, T43.655A, T43.655D, T43.655S E87.2, G93.3, I47.2, N14.1 N/A

 

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            Last Updated Fri, 09 Sep 2022 20:16:55 +0000