Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM) *January 2017
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Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
NCD Manual Changes Date
Reason
Release
Change
Edit
The following section represents NCD Manual updates for January 2017 *01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Urine Culture, Bacterial (190.12) NCD.
*2017100
*190.12 Urine Culture, Bacterial
*2017100
*190.12 Urine Culture, Bacterial
*2017100
*190.15 Blood Counts
*Transmittal #3628 *01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Urine Culture, Bacterial (190.12) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of ICD-10-CM Codes that Do Not Support Medical Necessity for the Blood Counts (190.15) NCD. *Transmittal #3628
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 ii
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of ICD-10-CM codes that Do Not Support Medical Necessity for the Blood Counts (190.15) NCD.
*2017100
*190.15 Blood Counts
*2017100
*190.16 Partial Thromboplastin Time (PTT)
*2017100
*190.16 Partial Thromboplastin Time (PTT)
*Transmittal #3628 *01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Partial Thromboplastin Time (PTT) (190.16) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Partial Thromboplastin Time (PTT) (190.16) NCD. *Transmittal #3628
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 iii
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
*01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Prothrombin Time (PT) (190.17) NCD.
*2017100
*190.17 Prothrombin Time (PT)
*2017100
*190.17 Prothrombin Time (PT)
*2017100
*190.18 Serum Iron Studies
*2017100
*190.18 Serum Iron Studies
*Transmittal #3628 *01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Prothrombin Time (PT) (190.17) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Serum Iron Studies (190.18) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Serum Iron Studies (190.18) NCD. *Transmittal #3628
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 iv
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
*01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Blood Glucose Testing (190.20) NCD.
*2017100
*190.20 Blood Glucose Testing
*2017100
*190.20 Blood Glucose Testing
*2017100
*190.21 Glycated Hemoglobin/Glycate d Protein
*Transmittal #3628 *01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Blood Glucose Testing (190.20) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Glycated Hemoglobin/Glycate d Protein (190.21) NCD. *Transmittal #3628
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 v
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Glycated Hemoglobin/Glycate d Protein (190.21) NCD.
*2017100
*190.21 Glycated Hemoglobin/Glycate d Protein
*2017100
*190.22 Thyroid Testing
*2017100
*190.22 Thyroid Testing
*2017100
*190.23 Lipids Testing
*Transmittal #3628 *01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Thyroid Testing (190.22) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Thyroid Testing (190.22) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Lipids Testing (190.23) NCD. *Transmittal #3628
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 vi
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for Lipids Testing (190.23) NCD.
*2017100
*190.23 Lipids Testing
*2017100
*190.24 Digoxin Therapeutic Drug Assay
*2017100
*190.24 Digoxin Therapeutic Drug Assay
*2017100
*190.25 Alphafetoprotein
*Transmittal #3628 *01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Digoxin Therapeutic Drug Assay (190.24) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Digoxin Therapeutic Drug Assay (190.24) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Alphafetoprotein (190.25) NCD. *Transmittal #3628
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 vii
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Alpha-fetoprotein (190.25) NCD.
*2017100
*190.25 Alphafetoprotein
*2017100
*190.27 Human Chorionic Gonadotropin
*2017100
*190.27 Human Chorionic Gonadotropin
*2017100
*190.31 Prostate Specific Antigen
*Transmittal #3628 *01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Human Chorionic Gonadotropin (190.27) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Human Chorionic Gonadotropin (190.27) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Prostate Specific Antigen (190.31) NCD. *Transmittal #3628
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 viii
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Prostate Specific Antigen (190.31) NCD.
*2017100
*190.31 Prostate Specific Antigen
*2017100
*190.32 Gamma Glutamyl Transferase
*2017100
*190.32 Gamma Glutamyl Transferase
*Transmittal #3628 *01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Gamma Glutamyl Transferase (190.32) NCD. *Transmittal #3628
*01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Gamma Glutamyl Transferase (190.32) NCD. *Transmittal #3628
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 ix
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
*01/01/17
*Per CR 9806 delete the specified ICD10-CM codes from the list of covered ICD-10-CM codes for the Fecal Occult Blood Test (190.34) NCD.
*2017100
*190.34 Fecal Occult Blood Test
*2017100
*190.34 Fecal Occult Blood Test
Transmittal #3628 *01/01/17
*Per CR 9806 add the specified ICD10-CM codes to the list of covered ICD10-CM codes for the Fecal Occult Blood Test (190.34) NCD. *Transmittal #3628
The following section represents NCD Manual updates for October 2016 10/01/16
There were no CR updates for October 2016. The following section represents NCD Manual updates for July 2016
07/01/16
Per CR 9584 add ICD-10-CM codes E61.1, M79.641, M79.642, M79.644, and M79.645 to the list of covered ICD10-CM codes for the Serum Iron Studies (190.18) NCD.
2016300
E61.1 Iron deficiency
190.18 Serum Iron Studies
M79.641 Pain in right hand M79.642 Pain in left hand M79.644 Pain in right finger(s)
Transmittal # 3485
M79.645 Pain in left finger(s) The following section represents NCD Manual updates for April 2016 04/01/16
There were no CR updates for April 2016. *January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 x
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
Date
Reason
Release
Change
Edit
The following section represents NCD Manual updates for January 2016 01/01/16
Per CR 9352 add ICD-10-CM codes N13.1 and N13.2 to the list of covered ICD-10-CM codes for the Urine Culture, Bacterial (190.12) NCD.
2016100
N13.1 Hydronephrosis with ureteral stricture, not elsewhere classified
190.12 Urine Culture, Bacterial
N13.2 Hydronephrosis with renal and ureteral calculous obstruction
Transmittal # 3366 01/01/16
Per CR 9352 add ICD-10-CM code I48.1 to the list of covered ICD-10-CM codes for the Partial Thromboplastin Time (PTT) (190.16) NCD.
2016100
I48.1 Persistent atrial fibrillation
190.16 Partial Thromboplastin Time (PTT)
2016100
S06.9X0A Unspecified intracranial injury without loss of consciousness, initial encounter
190.17 Prothrombin Time
2016100
I48.1 Persistent atrial fibrillation
190.22 Thyroid Testing
Transmittal # 3366 01/01/16
Per CR 9352 add ICD-10-CM code S06.9X0A to the list of covered ICD-10CM codes for the Prothrombin Time (190.17) NCD. Transmittal # 3366
01/01/16
Per CR 9352 add ICD-10-CM code I48.1 to the list of covered ICD-10-CM codes for the Thyroid Testing (190.22) NCD. Transmittal # 3366
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 xi
Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)
Date
Reason
Release
Change
Edit
The following section represents NCD Manual updates for October 2015 10/01/15
There were no CR updates for October 2015.
*January 2017 Changes ICD-10-CM Version – Red
Fu Associates, Ltd.
January 2017 xii
