2020 ICD-10 Local Coverage Determinations (LCD) and Local Coverage Article (LCA) Updates

The following LCA has been revised under contractor numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).  All LCD LCAs are titled with “Billing and Coding: LCD title”

Medicare Coverage Database (MCD) Number: A57327
LCA Title: Billing and Coding: Electrocardiograms
Effective Date: October 1, 2020                   
Summary of Changes: This LCA has been updated to include/delete the following ICD-10 codes:

New/Revised ICD-10 codes

  • D57.03 Hb-SS disease with cerebral vascular involvement
  • D57.09 Hb-SS disease with crisis with other specified complication
  • D57.213 Sickle-cell/Hb-C disease with cerebral vascular involvement
  • D57.218 Sickle-cell/Hb-C disease with crisis with other specified complication
  • D57.413 Sickle-cell thalassemia, unspecified, with cerebral vascular involvement
  • D57.418 Sickle-cell thalassemia, unspecified, with crisis with other specified complication
  • D57.42 Sickle-cell thalassemia beta zero without crisis
  • D57.431 Sickle-cell thalassemia beta zero with acute chest syndrome
  • D57.432 Sickle-cell thalassemia beta zero with splenic sequestration
  • D57.433 Sickle-cell thalassemia beta zero with cerebral vascular involvement
  • D57.438 Sickle-cell thalassemia beta zero with crisis with other specified complication
  • D57.439 Sickle-cell thalassemia beta zero with crisis, unspecified
  • D57.44 Sickle-cell thalassemia beta plus without crisis
  • D57.451 Sickle-cell thalassemia beta plus with acute chest syndrome
  • D57.452 Sickle-cell thalassemia beta plus with splenic sequestration
  • D57.453 Sickle-cell thalassemia beta plus with cerebral vascular involvement
  • D57.458 Sickle-cell thalassemia beta plus with crisis with other specified complication
  • D57.459 Sickle-cell thalassemia beta plus with crisis, unspecified
  • D57.813 Other sickle-cell disorders with cerebral vascular involvement
  • D57.818 Other sickle-cell disorders with crisis with other specified complication
  • F11.13 Opioid abuse with withdrawal
  • F14.13 Cocaine abuse, unspecified with withdrawal
  • F15.13 Other stimulant abuse with withdrawal
  • S20.213A Contusion of bilateral front wall of thorax, initial encounter
  • S20.213D Contusion of bilateral front wall of thorax, subsequent encounter
  • S20.213S Contusion of bilateral front wall of thorax, sequela
  • S20.214A Contusion of middle front wall of thorax, initial encounter
  • S20.214D Contusion of middle front wall of thorax, subsequent encounter
  • S20.214S Contusion of middle front wall of thorax, sequela
  • S20.223A Contusion of bilateral back wall of thorax, initial encounter
  • S20.223D Contusion of bilateral back wall of thorax, subsequent encounter
  • S20.223S Contusion of bilateral back wall of thorax, sequela
  • S20.224A Contusion of middle back wall of thorax, initial encounter
  • S20.224D Contusion of middle back wall of thorax, subsequent encounter
  • S20.224S Contusion of middle back wall of thorax, sequela

Deleted:

  • K20.8 - Other Esophagitis
  • K20.9 Esiogagutusm Ybsoecufued
  • K21.0 Gastro-esophageal reflux disease with esophagitis
  • R74.0 Non-Specific elevation of levels of transaminase and lactic acit dehydrogenase (LDH)

Description Changes:

  • D57.411
    • Old: Sickle-cell thalassemia with acute chest syndrome
    • New: to sickle-cell thalassemia, unspecified with acute chest syndrome
  • D57.412
    • Old: Sickle-cell thalassemia with splenic sequestration
    • New: Sickle-cell thalassemia, unspecified, with splenic sequestration

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

 

            Last Updated Wed, 30 Sep 2020 19:19:44 +0000