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: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, and NMI), and 01312 (NV).

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
A57181 Billing and Coding: Allergy Testing T78.070A, T78.070D, T78.070S, T78.071A, T78.071D, T78.071S, T78.079A, T78.079D, T78.079S, T78.080A, T78.080D, T78.080S, T78.081A, T78.081D, T78.081S, T78.089A, T78.089D, T78.089S, Z91.0110, Z79.0111, Z91.0112, Z91.0120, Z91.0121, Z91.0122 T78.07XA, T78.07XS, T78.08XA, T78.08XS, T78.1XXA, T78.1XXS, Z91.011, Z91.12 N/A
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).

Last Updated Oct 02 , 2025