Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). You are forbidden to download the files unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now (you will be linked back to here). Medical Policy Unit Connecticut & New York Part A & B Updates for October 1, 2008
The local coverage determinations (LCDs) which were published on June 3, 2008 for Connecticut and New York Part A providers and will be effective on November 14, 2008 have been revised with the annual ICD-9-CM code update since their original publication date. To access the latest version of the LCD, please check the National Government Services, Inc. Web site under “LCDs in Notice.”
Abdominal Ultrasound
L28073 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009). "The ICD-9-CM Codes That Support Medical Necessity" section of the policy is expanded with the addition of the following codes: 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02,208.12, 208.22, 208.82, 208.92, 209.00-209.03, 209.10-209.17, 209.20-209.27, 209.29, 209.30, 209.40-209.43, 209.50-209.57, 209.60-209.67, 209.69, 530.13, 569.44, 571.42, 780.60, 780.61, 780.62, 780.63, 780.64 and 780.65. In addition, the following codes were revised: 204.00, 204.10, 204.20, 204.80, 204.90, 205.00, 205.10, 205.20, 205.30, 205.80, 205.90, 206.00, 206.10, 206.20, 206.80, 206.90, 207.00, 207.10, 207.20, 207.80, 208.00, 208.10, 208.20, 208.80 and 208.90.
No comment and notice periods required and none given.
Bariatric Surgery
L28202 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code update for 2009). ICD-9-CM codes 249.00, 249.01, 249.10, 249.11, 249.20, 249.21, 249.30, 249.31, 249.40, 249.41, 249.50, 249.51, 249.60, 249.61, 249.70, 249.71, 249.80, 249.81, 249.90, 249.91 and 414.3 were added to the third diagnosis code listing in the “ICD-9-CM Codes That Support Medical Necessity” section of the LCD.
No comment and notice periods required and none given.
Beta2-Microglobulin
L28192 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009).
The “ICD-9-CM Codes That Support Medical Necessity” section of the policy is modified as follows: The description for ICD-9-CM codes 203.00, 203.10, 203.80, 204.00, 204.10, 204.20, 204.80 and 204.90 has been modified.
No comment and notice periods required and none given.
Brachytherapy
L28149 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009). The “ICD-9-CM Codes That Support Medical Necessity” section of the policy is expanded with the addition of code 199.2 for the CPT codes listed in Group 1 ICD-9-CM codes. In addition, the following ICD-9-CM codes were revised: 203.00, 203.10, 203,80, 204.00, 204.10, 204.20, 204.80, 204.90, 205.00, 205.10, 205.20, 205.30, 205.80, 205.90, 206.00, 206.10, 206.20, 206.80, 206.90, 207.00, 207.10, 207.20, 207.80, 208.00, 208.10, 208.20, 208.80 and 208.90.
No comment and notice periods required and none given.
Computerized Dynamic Posturography
L28193 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009). The "ICD-9-CM Codes That Support Medical Necessity" section of the policy is modified as follows: The description for ICD-9-CM codes 386.00, 386.01, 386.02, 386.03 and 386.04 have been modified.
No notice period required and none given.
Epidural/Intrathecal Injections
L28117 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009).
The “ICD-9 Codes that Support Medical Necessity” section was updated as follows:
The following ICD-9-CM codes were added to coding list #1 (Lumbar, Caudal, Cervical or Thoracic Injections for CPT codes 62310, 62311, 62318 or 62319):
203.02, 203.12, 203.82, 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02, 208.12, 208.22, 208.82, 208.92, 209.00, 209.01, 209.02, 209.03, 209.10, 209.11, 209.12, 209.13, 209.14, 209.15, 209.16, 209.17, 209.20, 209.21, 209.22, 209.23, 209.24, 209.25, 209.26, 209.27, 209.29, 209.30, 238.77.
The descriptions for ICD-9-CM codes 203.00, 203.10, 203.80, 204.00, 204.10, 204.20, 204.80, 204.90, 205.00, 205.10, 205.20, 205.30, 205.80, 205.90, 206.00, 206.10, 206.20, 206.80, 206.90, 207.00, 207.10, 207.20, 207.80, 208.00, 208.10, 208.20, 208.80, 208.90 were revised for coding list #1.
No notice period required and none given.
Flow Cytometry
L28123 (R1) (effective 10/01/2008): Change Request: 6107 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
Addition of ICD-9-CM codes 199.2, 203.02, 203.12, 203.82, 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02, 208.12, 208.22, 208.82, 208.92, 238.77, 289.84, 511.81 and 511.89.
Descriptor change ICD-9-CM 203.00, 203.10, 203.80, 204.00, 204.10, 204.20, 204.80, 204.90, 205.00, 205.10, 205.20, 205.30, 205.80, 205.90, 206.00, 206.10, 206.20, 206.80, 206.90, 207.00, 207.10, 207.20, 207.80, 208.00, 208.10, 208.20, 208.80 and 208.90.
Implanted Catheter/Pump for Drug Infusion Via Intrathecal or Epidural Drug Delivery System
L28154 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009).
For CPT codes 62310, 62311, 62318, 62319, 62350, 62351, 62355, 62360, 62361, 62362, 62365, 62367, 62368, 95990, 95991, 96521, E0782, E0783, E0785, E0786, J0735, J1170, J2275, J2278, J3010, J3490) the “ICD-9 Codes that Support Medical Necessity” section was updated as follows:
New ICD-9-CM codes 203.02, 203.12, 203.82, 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02, 208.12, 208.22, 208.82, 208.92, 209.00, 209.01, 209.02, 209.03, 209.10, 209.11, 209.12, 209.13, 209.14, 209.15, 209.16, 209.17, 209.20, 209.21, 209.22, 209.23, 209.24, 209.25, 209.26, 209.27, 209.29, 209.30, 238.77 were added.
The descriptions for ICD-9-CM codes 203.00, 203.10, 203.80, 204.00, 204.10, 204.20, 204.80, 204.90, 205.00, 205.10, 205.20, 205.30, 205.80, 205.90, 206.00, 206.10, 206.20, 206.80, 206.90, 207.00, 207.10, 207.20, 207.80, 208.00, 208.10, 208.20, 208.80, 208.90 were revised.
No notice period required and none given.
Interventional Cardiology
L28129 (R1) (effective 10/01/2008): Change Request: 6107 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
Addition of ICD-9-CM codes 414.3.
Morphometric Analysis
L28132 (R1) (effective 10/01/2008): Source of revision - internal (annual ICD-9-CM code update for 2009). The "ICD-9-CM Codes That Support Medical Necessity" section of the policy is expanded to add codes 599.70, 599.71 and 599.72 and remove the truncated code 599.7.
No comment and notice periods required and none given.
Noninvasive Vascular Diagnostic Studies
L28166 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009).
For EXTREMITY ARTERIAL STUDIES (CPT codes 93922, 93923, 93924, 93925, 93926, 93930, 93931) the “ICD-9 Codes that Support Medical Necessity” section was updated as follows:
ICD-9-CM codes 249.70 and 249.71 were added.
Panretinal (Scatter) Laser Photocoagulation (PRP)
L28198 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009).
For CPT code 67228 the “ICD-9 Codes that Support Medical Necessity” section was updated as follows:
ICD-9-CM codes 249.50 and 249.51 were added.
Parathormone (Parathyroid Hormone, PTH, Immunoreactive PTH)
L28126 (R1) (effective 10/01/2008): Change Request: 6107 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
Addition of ICD-9-CM codes 275.5, 733.96, 733.97 and 733.98.
Pelvic and Transvaginal Ultrasound Procedures
L28134 (R1) (effective 10/01/2008): Source of revision- Internal (annual ICD-9-CM code update for 2009). The "ICD-9-CM Codes That Support Medical Necessity" section of the policy is expanded with the addition of the following codes: 599.70, 599.71, 599.72, 625.70, 625.71, 625.79, 788.91 and 788.99.
No comment and notice periods required and none given.
Pulse Oximetry
L28180 (R1) (effective 10/01/2008): Change Request: 6107 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
Invalid ICD-9-CM Codes removed 511.8 and 997.3.
Addition of ICD-9-CM codes 511.81, 511.89, 997.31 and 997.39.
Descriptor change ICD-9-CM 482.41.
Radiation Therapy
L28199 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009).
For CPT codes 77261, 77262, 77263, 77280, 77285, 77290, 77295, 77300, 77305, 77310, 77315, 77321, 77331, 77332, 77333, 77334, 77336, 77370, 77401, 77402, 77403, 77404, 77406, 77407, 77408, 77409, 77411, 77412, 77413, 77414, 77416, 77417, 77422, 77423, 77427, 77431, 77470, 77520, 77522, 77523 and 77525 the “ICD-9 Codes that Support Medical Necessity” section was updated as follows:
ICD-9-CM codes 203.02, 203.12, 203.82, 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02, 208.12, 208.22, 208.82, 208.92, 209.00, 209.01, 209.02, 209.03, 209.10, 209.11, 209.12, 209.13, 209.14, 209.15, 209.16, 209.17, 209.20, 209.21, 209.22, 209.23, 209.24, 209.25, 209.26, 209.27, 209.29, 209.30 and 238.77 were added.
The descriptions for ICD-9-CM codes 203.00, 203.10, 203.80, 204.00, 204.10, 204.20, 204.80, 204.90, 205.00, 205.10, 205.20, 205.30, 205.80, 205.90, 206.00, 206.10, 206.20, 206.80, 206.90, 207.00, 207.10, 207.20, 207.80, 208.00, 208.10, 208.20, 208.80, 208.90 were revised for all coding lists.
No notice period required and none given.
Respiratory Therapy Services
L28124 (R1) (effective 10/01/2008): Change Request: 6107Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
Invalid ICD-9-CM Code 511.8 (removed).
Addition of ICD-9-CM codes 511.81 and 511.89.
Serum Magnesium Testing
L28136 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009). The “ICD-9-CM Codes That Support Medical Necessity” section of the policy is expanded with the addition of codes 275.5 and 571.42.
No comment and notice periods required and none given.
Somatosensory Testing
L28204 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009).
For CPT codes 95925, 95926 and 95927 the “ICD-9 Codes that Support Medical Necessity” section was updated as follows:
ICD-9-CM codes 249.60 and 249.61 were added.
No notice period required and none given.
Transrectal Ultrasound
L26876 (R2) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009). The “ICD-9-CM Codes That Support Medical Necessity” section of the policy is expanded with the addition of code 569.44.
No comment and notice periods required and none given.
Viral Hepatitis Serology Tests
L28197 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009).
For CPT codes 86704, 86705, 86706, 86707, 86708, 86709, 86803, 86804, 87340, 87341, 87350 and 87380 the “ICD-9 Codes that Support Medical Necessity” section was updated as follows:
ICD-9-CM code 571.42 was added.
ICD-9-CM code V45.1 was deleted from the "ICD-9 Codes that Support Medical Necessity" section of the policy and was replaced with ICD-9-CM code V45.11.
Vitamin B-12 Injections
L28218 (R1) (effective 10/01/2008): Source of revision - Internal (annual ICD-9-CM code updates for 2009). The “ICD-9-CM Codes That Support Medical Necessity” section of the policy is modified as follows: ICD-9-CM code 337.0 has been deleted and replaced with 337.00 and 337.09.
No notice period required and none given.
Posted 09/30/08
CPT codes, descriptions, and other data only are copyright 2007 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply. |