news article details

LCD and Associated Billing and Coding Article Updates for November/December 2021

November 2021

Billing and Coding: Platelet Rich Plasma (A58609)
Under CPT/HCPCS Codes Group 1: CPT Code G0460 has been deleted. This revision is effective for dates of service on or after 8/1/2021.

New LCDs/Billing and Coding Articles

Epidural Steroid Injections for Pain Management (L39036)(A58745)
Epidural Steroid Injections for Pain Management is based on a multi-jurisdictional CAC meeting of SMEs which was held 2/11/2021 This LCD (L39036) and Billing and Coding article (A58745) replaces the National Government Services LCD Lumbar Epidural Injections (L35937) and Billing and Coding article (A57494).

Respiratory Pathogen Panel Testing (L39027)(A58741)
This LCD is a collaborative policy that NGS adopted. It is effective 12/1/2021 in Part B only. The focus of this LCD is respiratory pathogen panel testing, which typically includes detection for multiple virus pathogens by amplification of target DNA .

Thyroid Nodule Molecular Testing (L38968/A58656)
Thyroid cancer is the most common endocrine malignancy, with over fifty thousand new United States diagnoses in 2020. Thyroid nodules are exceedingly common with prevalence rates of up to 68%, with higher frequencies in the elderly. While the majority (85-93%) of thyroid nodules are benign, diagnostic testing (history and physical, laryngoscopy, hormone and chemistry analysis, ultrasound, CT, FNA, and surgical excision) is required to confirm. This LCD allows for the use of molecular testing of thyroid nodules in alignment with current guidelines which are defined in Indications and Limitations.

Posted 11/23/2021