LMRP Updates Medicare: New York – Empire

Collagen Crosslinks, any method

The LMRP for Collagen Crosslinks has been updated to include the following changes:

• Added codes 252.00-252.02 and 252.08 to the “ICD-9-CM Codes that Support Medical Necessity” section of the LCD.

Flow Cytometry

The LMRP for Flow Cytometry (88180, 88182) has been updated to include the following changes:

• Added ICD-9-CM codes 153.0-153.9, 154.0-154.8, 238.7, 273.1, 273.3, 277.3, 283.2, 284.8, 284.9, 288.8, V08, V42.9 and V71.1

Lipid Profile

The LMRP for Lipid Profiles (80061, 82172, 82465, 83715, 83716, 83718, 83719, 83721 and 84478) have been updated to include the following 2005 ICD-9-CM changes:

• Added codes 588.81 and 588.89 to the “ICD-9-CM codes that Support Medical Necessity” section of the LCD
• Removed ICD-9-CM code 588.8, as it is no longer valid.

Prostate Specific Antigen (PSA)

The LMRP for Prostate Specific Antigen (PSA) (G0103, 84152, 84153 and 84154) have been updated to include the following 2005 ICD-9-CM changes:

• Added code 600.01 to the “ICD-9-CM Codes that Support Medical Necessity” section of the LCD.

Serum Magnesium

The LMRP for Serum Magnesium (83735) has been revised.

• Added 070.41, 070.51, 070.70, 070.71, 250.00-250.93, 252.01, 588.81 and 588.89.
• As a result of coordination between New York and New Jersey, the ICD-9-CM code list has been expanded, additional indications and documentation requirements have been added for NY.

Viral Hepatitis Serology Tests

The LMRP for Viral Hepatitis Serology Tests (86704, 86705, 86706, 86707, 86708, 86709, 86803, 86804, 87340, 87341, 87350 and 87380) have been updated to include the following 2005 ICD-9-CM changes:

• Added 070.70 and 070.71, to the “ICD-9-CM Codes that Support Medical Necessity” section of the LCD.
• Added 7V01.79 has been added to the “ICD-9-CM Codes that Support Medical Necessity” section of the LCD.