BILLING NEWS

NCDs Update Changes

CR4161 announces the following changes:

  • ICD-9-CM code V76.44 (special screening for malignant neoplasms, prostate) will be removed from the list of ICD-9-CM codes not covered by Medicare. This list of codes affects all 23 negotiated laboratory NCDs.
  • ICD-9-CM code V76.44 (special screening for malignant neoplasms, prostate) will be added to the list of ICD-9-CM codes that do not support Medical Necessity in the Blood Counts NCD.
  • ICD-9-CM codes 158.8 (Malignant neoplasms, specific parts of peritoneum) and 158.9 (Malignant neoplasms, peritoneum, unspecified) will be added to the list of ICD-9-CM codes covered by Medicare in the Tumor Antigen by Immunoassay CA 125 NCD.

INDUSTRY NEWS TAGS: CMS


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