Electrocardiograms LCD - R4

This Local Coverage Determination (LCD) 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).

Medicare Coverage Database (MCD) Number: L37283
LCD Title: Electrocardiograms
Effective Date: October 1, 2019
Summary of Changes:
This LCD has been updated to include and remove ICD-10 codes.

  • New/Revised ICD-10 codes
    • I26.93 - Single subsegmental pulmonary embolism without acute cor pulmonale
    • I26.94 - Multiple subsegmental pulmonary emboli without acute cor pulmonale
    • I48.11 - Longstanding persistent atrial fibrillation
    • I48.19 - Other persistent atrial fibrillation
    • I48.20 - Chronic atrial fibrillation, unspecified
    • I48.21 - Permanent atrial fibrillation
    • T67.01XA - Heatstroke and sunstroke, initial encounter
    • T67.01XD - Heatstroke and sunstroke, subsequent encounter
    • T67.01XS - Heatstroke and sunstroke, sequela
    • T67.02XA - Exertional heatstroke, initial encounter
    • T67.02XD - Exertional heatstroke, subsequent encounter
    • T67.02XS - Exertional heatstroke, sequela
    • T67.09XA - Other heatstroke and sunstroke, initial encounter
    • T67.09XD -Other heatstroke and sunstroke, subsequent encounter
    • T67.09XS - Other heatstroke and sunstroke, sequela
    • Revised from J44.0 - Chronic obstructive pulmonary disease with acute lower respiratory infection to J44.0 - Chronic obstructive pulmonary disease with (acute) lower respiratory infection
  • Deleted ICD-10 codes
    • I48.1 - Persistent atrial fibrillation
    • I48.2 - Chronic atrial fibrillation
    • T67.0XXA - Heatstroke and sunstroke, initial encounter
    • T67.0XXD - Heatstroke and sunstroke, subsequent encounter
    • T67.0XXS - Heatstroke and sunstroke, sequela

Visit the Active LCDs webpage to view the locally hosted Active LCD or access it via the CMS MCD.

 

Last Updated Oct 11, 2019