New York State Medicaid
Effective December 1, 2009, all orders for laboratory or radiology procedures must indicate the diagnosis by use of the appropriate ICD-9-CM code. Use of general ICD-9-CM codes such as those listed below or other non-specific codes does not satisfy this requirement. The following ICD-9 diagnosis codes are invalid as primary diagnosis codes for purposes of Medicaid reimbursement:
- V72.5 â€“ Radiological examination, not elsewhere classified
- V72.6 â€“ Laboratory examination
Claims submitted after December 1, 2009, with non-specific diagnoses will be denied.