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Article Detail - JE Part B

2023 ICD-10 Local Coverage Article (LCA) Updates

The following LCAs have been revised under contractor numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, and NMI), and 01312 (NV). 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
A57221 Billing and Coding: Plastic Surgery B96.83 N/A N/A
A54068 Billing and Coding: Outpatient Cardiac Rehabilitation I20.81, I20.89, I21.B, I25.85 I20.8 I25.112
A57185 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
A53026 Billing and Coding: Bariatric Surgery Coverage I1A.0 N/A N/A
A57181 Billing and Coding: Allergy Testing J44.89 N/A N/A
A57183 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
A55530 Billing and Coding: Peripheral Nerve Stimulation G43.E11, G43.E19 N/A N/A
A57216 Billing and Coding: Pulmonary Function Testing D57.414, D57.434, D57.454, E88.43, E88.810, E88.811, E88.818, E88.819, J15.61, J15.69, J44.81, J44.89 N/A N/A
A57181 Billing and Coding: Allergy Testing J44.89 N/A N/A
A56152 Billing and Coding: Pulmonary Rehabilitation Services J44.81, J44.89 N/A N/A
A57342 Billing and Coding: Diagnostic and Therapeutic Colonoscopy A41.54 N/A Q85.81
A57326 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.


            Last Updated Thu, 31 Aug 2023 16:47:14 +0000