Billing and Coding: Lab: Bladder/Urothelial Tumor Markers - R5 - Effective February 11, 2021

This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

Effective Date: February 11, 2021
Summary of Article Changes:
Under Article Text inserted UroVysion™ where applicable. In paragraphs 3 and 5 revised 1st bullet points to read "Select CPT® code 88120 or 88121 as appropriate," and 2nd and 3rd bullet points to read "Enter the appropriate DEX Z-CODE™ Identifier adjacent to the CPT® code in the comment/narrative field for the following Part A claim field/types:". Under ICD-10 Codes that Support Medical Necessity Group 1: Codes deleted C7A.00, C7A.019, C7A.029, C7A.094, C7A.095, C7A.096, C7B.00, C78.00 and R31.9.  Formatting, punctuation, and typographical errors were corrected throughout the LCD. Acronyms were inserted and defined where appropriate throughout the article.

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            Last Updated Mon, 15 Feb 2021 20:33:17 +0000