Skip to Main Content
 
 
 
Web Content Viewer

News and Alerts

Web Content Viewer

New, Retired, and Revised LCDs and Articles: March–April 2018

March 2018 Revised LCDs and Articles

Drugs and Biologicals, Coding Article (A52855)

The following language has been added in the “Drugs with No Charges” section of the article:

Effective for dates of service on or after 05/07/2018, the drug should be billed using the appropriate HCPCS code with a billed amount of $0.01.

Based on the 2018 annual HCPCS update, HCPCS code J3358 has been added to report ustekinumab when given IV.

Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) (L34380)

Added ICD-10-CM diagnosis code C79.49* to the “ICD-10 Codes that Support Medical Necessity” section-Group 3. The diagnosis code C79.49 should be used only for secondary malignant neoplasm of the choroid, effective for services rendered on or after 1/1/2018.

April 2018 New LCDs

Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor (L37421)

The LCD addresses coverage of Magnetic Resonance Guided Focused Ultrasound Surgery System (MRgFUS) for the treatment of idiopathic essential tremor (ET) patients with medication-refractory tremor.

Vitamin D Assay Testing (L37535)

This LCD addresses coverage for 25-OH Vitamin D, CPT 82306 and 1, 25-OH Vitamin D, CPT 82652.

April 2018 Revised LCDs and Articles

Category III CPT® Codes (L33392)

CPT code 0398T has been deleted from CPT/HCPCS Code section-Group 1, effective for services rendered on or after 4/1/2018. Please refer to L37421 Magnetic Resonance Image Guided High Intensity Ultrasound (MRgFUS) for Essential Tremor.

Magnetic Resonance Angiography (L33633)

LCD revised to add sources submitted for a reconsideration request to add “history of aneurysm” to Indications and a diagnosis code for personal history of other diseases of the circulatory system to covered ICD-10 codes for MRA of the head/neck. No change was made in coverage.

Peripheral Nerve Blocks (L36850)

Based on a practitioner request, ICD-10-CM codes M54.31, M54.32, M54.41 and M54.42 were added to Group 1 in the “ICD-10-CM Codes that Support Medical Necessity” section for dates of service on or after 10/1/2017.

April Retired LCD

Vitamin D Assay Testing (L33556)

For dates of service on or after 4/1/2018, refer to the Vitamin D Assay Testing LCD (L37535).

New, Retired, and Revised LCDs and Articles: March--April 2018
Web Content Viewer
Complementary Content