Billing and Coding: Lumbar MRI- R1

This coverage article has been revised and published for notice under contract numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Effective Date: October 01, 2020
Summary of Article Changes: Revisions are due to the annual ICD-10 updates.
Addition of coding to Group 1:
A84.9: Tick-borne viral encephalitis, unspecified
G96.01: Cranial cerebrospinal fluid leak, spontaneous
G96.02: Spinal cerebrospinal fluid leak, spontaneous
G96.08: Other cranial cerebrospinal fluid leak
G96.09: Other spinal cerebrospinal fluid leak
G96.198: Other disorders of meninges, not elsewhere classified
G96.810: Intracranial hypotension, unspecified
G96.811: Intracranial hypotension, spontaneous
G96.819: Other intracranial hypotension
G96.89: Other specified disorders of central nervous system
G97.83: Intracranial hypotension following lumbar cerebrospinal fluid shunting
G97.84: Intracranial hypotension following other procedure
M05.7A: Rheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvement
M05.8A: Other rheumatoid arthritis with rheumatoid factor of other specified site
M06.0A: Rheumatoid arthritis without rheumatoid factor, other specified site
M06.8A: Other specified rheumatoid arthritis, other specified site
M08.2A: Juvenile rheumatoid arthritis with systemic onset, other specified site
M08.4A: Pauciarticular juvenile rheumatoid arthritis, other specified site
M80.8AXA: Other osteoporosis with current pathological fracture, other site, initial encounter for fracture
M80.8AXD: Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing
M80.8AXG: Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with delayed healing
M80.8AXK: Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with nonunion
M80.8AXP: Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with malunion
M80.8AXS: Other osteoporosis with current pathological fracture, other site, sequela
Addition of coding to Group II:
M25.59: Pain in other specified joint
M80.8AXA: Other osteoporosis with current pathological fracture, other site, initial encounter for fracture
M80.8AXD: Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing
M80.8AXG: Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with delayed healing
M80.8AXK: Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with nonunion
M80.8AXP: Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with malunion
M80.8AXS: Other osteoporosis with current pathological fracture, other site, sequela
Deleted Code in Group I:
A84.8: Other tick-borne viral encephalitis
G96.0: Cerebrospinal fluid leak
G96.19: Other disorders of meninges, not elsewhere classified
G96.8: Other specified disorders of central nervous system
Deleted Code in Group II:
T86.848: Other complications of corneal transplant

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            Last Updated Thu, 10 Sep 2020 21:02:03 +0000