Diagnostic and Therapeutic Colonoscopy - R3

This Local Coverage Determination (LCD) 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).

Medicare Coverage Database (MCD) Number: L36868
LCD Title: Diagnostic and Therapeutic Colonoscopy
Effective Date: October 1, 2019
Summary of Changes: This LCD has been updated to remove #7 - American Society for Gastrointestinal Endoscopy: Diagnostic and Therapeutic Procedures from the Sources of Information section due to a broken link effective Aug 9, 2019 and to include the new ICD-10 codes effective October 1, 2019.

  • New/Revised ICD-10 codes
    • Z86.004 - Personal history of in-situ neoplasm of other and unspecified digestive organs

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Last Updated Sep 05, 2019