2022 ICD-10 Local Coverage Determination (LCD) and Local Coverage Article (LCA) Updates

The following LCA's have 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).

Effective: October 1, 2022

Summary of Changes: The following LCAs have been updated to add, change description and/or remove ICD-10 codes.

LCD Title LCA Number ICD-10 Added ICD-10 Deleted ICD-10 Description Change
Billing and Coding: Routine Foot Care A57957 D68.01, D68.020, D68.021, D68.022, D68.023, D68.029, D68.03, D68.04, D68.09, D81.82 D68.0 N/A
Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing A55030 E87.21, E87.22, E87.29, I47.20, I47.21. I47.29, T43.651A, T43.651D, T43.652S, T43.652A, T43.652D, T43.652S, T43.653A, T43.653D, T43.653S, T43.654A, T43.654D, T43.654S, T43.655A, T43.655D, T43.655S, T43.656A, T43.656D, T43.656S, Z91.190 E87.2, I47.2, Z91.19 N/A
Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers A58997 N/A N/A C84.40, C84.41, C84.42, C84.43, C84.44, C84.45, C84.46, C84.47, C84.48, C84.49, C94.6
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer A58681 Q85.81, Q85.82, Q85.83 N/A N/A
Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease A57422 N/A N/A C94.6
Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies A57892 N/A N/A C94.6
Billing and Coding: MDS FISH A57662 N/A N/A C94.6
Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices A52967 I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792 I34.81, I34.89,  I47.21, I47.29, Q21.11, Q21.12, Q21.13, Q21.14, Q21.15, Q21.16, Q21.19, Q21.21, Q21.22, Q21.23 N/A
Billing and Coding: Diagnostic and Therapeutic Colonoscopy A57343 Q85.81, Q85.82, Q85.83, Q85.89 Q85.8 N/A
Billing and Coding: Electrocardiograms A57327 E87.20, E87.21, E87.21. E87.22. E87.29, G93.31, G93.32, G93.39, I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792, I31.31, I31.39, I34.81, I34.89, I47.20, I47.21, I47.29, I71.010, I71.011, I71.012, I71.019, I71.10, I71.11, I71.12, I71.13, I71.20, I71.21, I71.22, I71.23, I71.30, I71.31, I71.32, I71.33, I71.40, I71.41, I71.42, I71.43, I71.50, I71.51, I71.52, I71.60, I71.61, I71.62, I77.82, J95.87, Q21.10, Q21.11, Q21.12, Q21.13, Q21.14, Q21.15, Q21.16, Q21.19, Q21.20, Q21.21, Q21.22, Q21.23, T43.651A, T43.651D, T43.651S, T43.652A, T43.652D, T43.652S, T43.653A, T43.653D, T43.653S, T43.654A, T43.654D, T43.654S, T43.655A, T43.655D, T43.655 E87.2, G93.3, I31.3, I34.8, I47.2, I71.01, I71.1, I71.2, I71.3, I71.4, I71.5, I71.6, Q21.1, Q21.2. N/A
Billing and Coding: Lab: Flow Cytometry A57690 D75.822, D75.828, D75.829, D75.84, D81.82   C84.40, C84.41, C84.42, C84.43, C84.44, C84.45, C84.46, C84.47, C84.48, C84.49, C94.6
Billing and Coding: MRI and CT Scans of the Head and Neck A57215 E34.30 E34.31 E34.321 E34.322 E34.328 E34329 E34.39 F01.511 F01.518 F01.52 F01.53 F01.54 F02.811, F02.818, F02.82, F02.83, F02.84, F03.911, F03.918, F03.92, F03.93, F03.94, F01.511, F01.518, F01.52, F01.53, F01.54, F01.A11, F01.A18, F01.A3, F01.A4, F01.B0, F01.B11, F01.B18, F01.B2, F01.B4, F01.C0, F02.A11, F02.A18, F02.A2, F02.A3, F02.A4, F02.B0, F02B11, F02.B18, F02.B2, F02.B3, F02.B4, F02.C0, F02.C11, F02.C18, F02.C2, F02.C3, F02.C4, F03.A11, F03.A18, F03.A2, F03.A3, F03.A4, F03.B0, F03.B11, F03.B18, F03.B2, F03.B3, F03.B4, F03.C0, F03.C11, F03.C18, F03.C2, F03.C3, F03.C4, I77.82, S06.0XAA, S06.0XAD, S06.0XAS, S06.1XAA, S06.1XAD, S06.1XAS, S06.2XAA, S06.2XAD, S06.2XAS, S06.30AA, S06.30AD, S06.30AS, S06.31AA, S06.31AD, S06.31AS, S06.32AA, S06.32AD, S06.32AS, S06.33AA, S06.33AD, S06.33AS, S06.34AA, S06.34AD, S06.34AS, S06.35AA, S06.35AD, S06.35AS, S06.36AA, S06.36AD, S06.36AS, S06.37AA, S06.37AD, S06.37AS, S06.38AA, S06.38AD, S06.38AS, S06.4XAA, S06.4XAD, S06.4XAS, S06.5XAA, S06.5XAD, S06.5XAS, S06.6XAA, S06.6XAD, S06.6XAS, S06.81AA, S06.81AD, S06.81AS, S06.82AA, S06.82AD, S06.82AS,S06.89AA, S06.89AD. S06.89AS, S06.8A0A, S06.8A0D, S06.8A0S, S06.8A1A, S06.8A1D, S06.8A1S, S06.8A2A, S06.8A2D, S06.8A2S, S06.8A3A, S06.8A3D, S06.8A3S, S06.8A4A, S06.8A4D, S06.8A4S, S06.8A5A, S06.8A5D, S06.8A5S, S06.8A6A, S06.8A6D,S06.8A6S, S06.8A7A, S06.8A8A, S06.8A9A, S06.8A9D, S06.8A9S, S06.8AAA, S06.8AAD, S06.8AAS, S06.9XAA, S06.9XAD, S06.9XAS, Z87.731 E34.3, F01.51, F02.81, F03.91 C84.41 C84.48, F01.50, F02.80, F0390, G31.09, G31.83
B-Type Natriuretic Peptide (BNP) Testing A57084 I20.2, I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792 N/A N/A
Frequency of Hemodialysis A55676 E87.20, E87.21, E87.22, E87.29 E87.2 N/A
Vitamin D Assay Testing A57719 Z79.85, Z79.60, Z79.61, Z79.620, Z79.621, Z79.622, Z79.623, Z79.624, Z79.630, Z79.631, Z79.632, Z79.633, Z79.634, Z79.64, Z79.69 N/A N/A
Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography A57184 I25.112, I25.702, I25.712, I25.722, I25.732, I25.752, I25.762, I25.792, I34.81, I34.89, I47.21, I47.29, I71.010, I71.011, I71.012, I71.019, I71.10, I71.11, I71.12, I71.13, I71.21, I71.22, I71.23, I71.30, I71.31, I71.32, I71.33, I71.40, I71.41, I71.42, I71.43, I71.50, I71.51, I71.52, I71.60, I71.61, I71.62, Q21.10, Q21.11, Q21.12, Q21.13, Q21.14, Q21.15, Q21.16, Q21.19, Q21.20, Q21.21, Q21.22, Q21.23, Z79.85 I34.8, I47.2, I71.01, I71.1, I71.2, I71.3, I71.4, I71.5, I71.6, Q21.1, Q21.2 N/A
Billing and Coding: Serum Magnesium A57198 T43.651A, T43.651D, T43.651S, T43.652A, T43.652D, T43.652S, T43.653A, T43.653D, T43.653S, T43.654A, T43.654D, T43.654S, T43.655A, T43.655D, T43.655S E87.2, G93.3, I47.2, N14.1 N/A

 

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Last Updated Sep 09 , 2022