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: October 1, 2019

Summary of Article Changes:

Under Article Text, I48.1 was replaced with I48.11 and I48.19 within the "Contractor (Additional) Diagnosis Codes (ICD-10) Allowed by the NCD - Group II (Attest with Modifier - KX)" section. This update is effective 10/01/2019.

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