2020 ICD-10 Local Coverage Determinations (LCD) and Local Coverage Article (LCA) Updates - Vitamin D Assay Testing

This following LCA has been revised under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY). All LCD LCAs are titled with “Billing and Coding: LCD title.”

Medicare Coverage Database (MCD) Number: L34051 and A57719
LCD Title: Billing and Coding: Vitamin D Assay Testing
Effective Date: October 1, 2020
Summary of Changes: The following LCA(s) have been updated to include and/or remove ICD-10 codes.

  • New/Revised ICD-10 codes
    Additions to Group 1:
    • D89.831 - Cytokine release syndrome, grade 1
    • D89.832 - Cytokine release syndrome, grade 2
    • D89.833 - Cytokine release syndrome, grade 3
    • D89.834 - Cytokine release syndrome, grade 4
    • D89.835 - Cytokine release syndrome, grade 5
    • D89.839 - Cytokine release syndrome, grade unspecified
    • K74.00 - Hepatic fibrosis, unspecified
    • K74.01 - Hepatic fibrosis, early fibrosis
    • K74.02 - Hepatic fibrosis, advanced fibrosis
    • N18.30 - Chronic kidney disease, stage 3 unspecified
    • N18.31 - Chronic kidney disease, stage 3a
    • N18.32 - Chronic kidney disease, stage 3b

Revised codes under Group 1:

    • Z68.30 - Body mass index [BMI] 30.0-30.9, adult
    • Z68.31 - Body mass index [BMI] 31.0-31.9, adult
    • Z68.32 - Body mass index [BMI] 32.0-32.9, adult
    • Z68.33 - Body mass index [BMI] 33.0-33.9, adult
    • Z68.34 - Body mass index [BMI] 34.0-34.9, adult
    • Z68.35 - Body mass index [BMI] 35.0-35.9, adult
    • Z68.36 - Body mass index [BMI] 36.0-36.9, adult
    • Z68.37 - Body mass index [BMI] 37.0-37.9, adult
    • Z68.38 - Body mass index [BMI] 38.0-38.9, adult
    • Z68.39 - Body mass index [BMI] 39.0-39.9, adult
    • Z68.41 - Body mass index [BMI] 40.0-44.9, adult
    • Z68.42 - Body mass index [BMI] 45.0-49.9, adult
    • Z68.43 - Body mass index [BMI] 50.0-59.9, adult
    • Z68.44 - Body mass index [BMI] 60.0-69.9, adult
    • Z68.45 - Body mass index [BMI] 70 or greater, adult
       
  • Deleted ICD-10 codes
    From Group 1:
    • N18.3 - Chronic kidney disease, stage 3 (moderate)

Visit the Noridian Website to view all LCDs and LCAs or access it via the CMS MCD.

 

            Last Updated Tue, 29 Sep 2020 20:19:57 +0000