NAS has completed review of the new and modified 2011-2012 ICD-9-CM codes. See below for all these updates as the NAS Local Coverage Determinations (LCDs) are revised in accordance with this review.
22 Chest X-Ray
22 Immune Globulin Intravenous (IgIV)
22 MRI and CT Scans of the Head, Brain, and Neck
22 Multidetector Tomography of the Heart and Great Vessels
22 Serum Magnesium
22 Urinalysis Policy
Chest X-Ray
ICD-9-CM CODE
INVALID: 173.0
NEW: 173.02
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF LIP
NEW: 173.09
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF LIP
INVALID: 173.1
NEW: 173.12
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF EYELID, INCLUDING CANTHUS
NEW: 173.19
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF EYELID, INCLUDING CANTHUS
INVALID: 173.2
NEW: 173.22
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF EAR AND EXTERNAL AUDITORY CANAL
NEW: 173.29
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF EAR AND EXTERNAL AUDITORY CANAL
INVALID: 173.3
NEW: 173.32
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF OTHER AND UNSPECIFIED PARTS OF FACE
NEW: 173.39
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF OTHER AND UNSPECIFIED PARTS OF FACE
INVALID: 173.4
NEW: 173.42
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SCALP AND SKIN OF NECK
NEW: 173.49
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SCALP AND SKIN OF NECK
INVALID: 173.5
NEW: 173.52
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF TRUNK, EXCEPT SCROTUM
NEW: 173.59
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF TRUNK, EXCEPT SCROTUM
INVALID: 173.6
NEW: 173.62
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF UPPER LIMB, INCLUDING SHOULDER
NEW: 173.69
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF UPPER LIMB, INCLUDING SHOULDER
INVALID: 173.7
NEW: 173.72
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF LOWER LIMB, INCLUDING HIP
NEW: 173.79
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF LOWER LIMB, INCLUDING HIP
INVALID: 173.8
NEW: 173.82
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF OTHER SPECIFIED SITES OF SKIN
NEW: 173.89
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF SKIN
INVALID: 173.9
NEW: 173.92
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN, SITE UNSPECIFIED
NEW: 173.99
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN, SITE UNSPECIFIED
INVALID: 284.1
NEW: 284.11
NEW DESCRIPTION: ANTINEOPLASTIC CHEMOTHERAPY INDUCED PANCYTOPENIA
NEW: 284.12
NEW DESCRIPTION: OTHER DRUG INDUCED PANCYTOPENIA
NEW: 284.19
NEW DESCRIPTION: OTHER PANCYTOPENIA
INVALID: 425.1
NEW: 425.11
NEW DESCRIPTION: HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY
NEW: 425.18
NEW DESCRIPTION: OTHER HYPERTROPHIC CARDIOMYOPATHY
INVALID: 444.0
NEW: 444.09
NEW DESCRIPTION: OTHER ARTERIAL EMBOLISM AND THROMBOSIS OF ABDOMINAL AORTA
INVALID: 512.8
NEW: 512.81
NEW DESCRIPTION: PRIMARY SPONTANEOUS PNEUMOTHORAX
NEW: 512.82
NEW DESCRIPTION: SECONDARY SPONTANEOUS PNEUMOTHORAX
NEW: 512.83
NEW DESCRIPTION: CHRONIC PNEUMOTHORAX
NEW: 512.84
NEW DESCRIPTION: OTHER AIR LEAK
NEW: 512.89
NEW DESCRIPTION: OTHER PNEUMOTHORAX
INVALID: 516.3
NEW: 516.30
NEW DESCRIPTION: IDIOPATHIC INTERSTITIAL PNEUMONIA, NOT OTHERWISE SPECIFIED
NEW: 516.31
NEW DESCRIPTION: IDIOPATHIC PULMONARY FIBROSIS
NEW: 516.32
NEW DESCRIPTION: IDIOPATHIC NON-SPECIFIC INTERSTITIAL PNEUMONITIS
NEW: 516.33
NEW DESCRIPTION: ACUTE INTERSTITIAL PNEUMONITIS
NEW: 516.34
NEW DESCRIPTION: RESPIRATORY BRONCHIOLITIS INTERSTITIAL LUNG DISEASE
NEW: 516.35
NEW DESCRIPTION: IDIOPATHIC LYMPHOID INTERSTITIAL PNEUMONIA
NEW: 516.36
NEW DESCRIPTION: CRYPTOGENIC ORGANIZING PNEUMONIA
NEW: 516.37
NEW DESCRIPTION: DESQUAMATIVE INTERSTITIAL PNEUMONIA
INVALID: 518.5
NEW: 518.51
NEW DESCRIPTION: ACUTE RESPIRATORY FAILURE FOLLOWING TRAUMA AND SURGERY
NEW: 518.52
NEW DESCRIPTION: OTHER PULMONARY INSUFFICIENCY, NOT ELSEWHERE CLASSIFIED, FOLLOWING TRAUMA AND SURGERY
NEW: 518.53
NEW DESCRIPTION: ACUTE AND CHRONIC RESPIRATORY FAILURE FOLLOWING TRAUMA AND SURGERY
NEW: 518.51
NEW DESCRIPTION: ACUTE RESPIRATORY FAILURE FOLLOWING TRAUMA AND SURGERY
INVALID: 747.3
NEW: 747.31
NEW DESCRIPTION: PULMONARY ARTERY COARCTATION AND ATRESIA
NEW: 747.32
NEW DESCRIPTION: PULMONARY ARTERIOVENOUS MALFORMATION
NEW: 747.39
NEW DESCRIPTION: OTHER ANOMALIES OF PULMONARY ARTERY AND PULMONARY CIRCULATION
INVALID: 793.1
NEW: 793.11
NEW DESCRIPTION: SOLITARY PULMONARY NODULE
NEW: 793.19
NEW DESCRIPTION: OTHER NONSPECIFIC ABNORMAL FINDING OF LUNG FIELD
INVALID: 795.5
NEW: 795.51
NEW DESCRIPTION: NONSPECIFIC REACTION TO TUBERCULIN SKIN TEST WITHOUT ACTIVE TUBERCULOSIS
NEW: 795.52
NEW DESCRIPTION: NONSPECIFIC REACTION TO CELL MEDIATED IMMUNITY MEASUREMENT OF GAMMA INTERFERON ANTIGEN
INVALID: 998.0
NEW: 998.00
NEW DESCRIPTION: POSTOPERATIVE SHOCK, UNSPECIFIED
NEW: 998.01
NEW DESCRIPTION: POSTOPERATIVE SHOCK, CARDIOGENIC
NEW: 998.02
NEW DESCRIPTION: POSTOPERATIVE SHOCK, EPTIC
NEW: 998.09
NEW DESCRIPTION: POSTOPERATIVE SHOCK, OTHER
INVALID: 999.4
NEW: 999.41
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO ADMINISTRATION OF BLOOD AND BLOOD PRODUCTS
NEW ICD-9-CM CODE: 358.31
NEW DESCRIPTION: LAMBERT-EATON SYNDROME IN NEOPLASTIC DISEASE
NEW ICD-9-CM CODE: 488.81
NEW DESCRIPTION: INFLUENZA DUE TO IDENTIFIED NOVEL INFLUENZA A VIRUS WITH PNEUMONIA
NEW ICD-9-CM CODE: 488.82
NEW DESCRIPTION: INFLUENZA DUE TO IDENTIFIED NOVEL INFLUENZA WITH OTHER RESPIRATORY MANIFESTATIONS
NEW ICD-9-CM CODE: 488.89
NEW DESCRIPTION: INFLUENZA DUE TO IDENTIFIED NOVEL INFLUENZA A VIRUS WITH OTHER MANIFESTATIONS
NEW ICD-9-CM CODE: 508.2
NEW DESCRIPTION: RESPIRATORY CONDITIONS DUE TO SMOKE INHALATION
NEW ICD-9-CM CODE: 512.2
NEW DESCRIPTION: POSTOPERATIVE AIR LEAK
NEW ICD-9-CM CODE: 516.4
NEW DESCRIPTION: LYMPHANGIOLEIOMYOMATOSIS
NEW ICD-9-CM CODE: 516.5
NEW DESCRIPTION: ADULT PULMONARY LANGERHANS CELL HISTIOCYTOSIS
NEW ICD-9-CM CODE: 516.61
NEW DESCRIPTION: NEUOENDOCRINE CELL HYPERPLASIA OF INFANCY
NEW ICD-9-CM CODE: 516.62
NEW DESCRIPTION: PULMONARY INTERSTITIAL GLYCOGENOSIS
NEW ICD-9-CM CODE: 516.63
NEW DESCRIPTION: SURFACTANT MUTATIONS OF THE LUNG
NEW ICD-9-CM CODE: 516.64
NEW DESCRIPTION: ALVEOLAR CAPILLARY DYSPLASIA WITH VEIN MISALIGNMENT
NEW ICD-9-CM CODE: 516.69
NEW DESCRIPTION: OTHER INTERSTITIAL LUNG DISEASES OF CHILDHOOD
NEW ICD-9-CM CODE: 573.5
NEW DESCRIPTION: HEPATOPULMONARY SYNDROME
NEW ICD-9-CM CODE: 631.0
NEW DESCRIPTION: INAPPROPRIATE CHANGE IN QUANTITATIVE HUMAN CHORIONIC GONADOTROPIN (HCG) IN EARLY PREGNANCY
NEW ICD-9-CM CODE: 704.42
NEW DESCRIPTION: TRICHILEMMAL CYST
NEW ICD-9-CM CODE:996.88
NEW DESCRIPTION: COMPLICATIONS OF TRANSPLANTED ORGAN, STEM CELL
NEW ICD-9-CM CODE: 997.32
NEW DESCRIPTION: POSTPROCEDURAL ASPIRATION PNEUMONIA
NEW ICD-9-CM CODE: 997.41
NEW DESCRIPTION: RETAINED CHOLELITHIASIS FOLLOWING CHOLECYSTECTOMY
NEW ICD-9-CM CODE: 997.49
NEW DESCRIPTION: OTHER DIGESTIVE SYSTEM COMPLICATIONS
NEW ICD-9-CM CODE: 999.32
NEW DESCRIPTION: BLOODSTREAM INFECTION DUE TO CENTRAL VENOUS CATHETER
NEW ICD-9-CM CODE: 999.33
NEW DESCRIPTION: LOCAL INFECTION DUE TO CENTRAL VENOUS CATHETER
NEW ICD-9-CM CODE: 999.34
NEW DESCRIPTION: ACUTE INFECTION FOLLOWING TRANSFUSION, INFUSION, OR INJECTION OF BLOOD AND BLOOD PRODUCTS
ICD-9-CM CODE: 323.41
OLD DESCRIPTION: OTHER ENCEPHALITIS AND ENCEPHALOMYELITIS DUE TO INFECTION CLASSIFIED ELSEWHERE
NEW DESCRIPTION: OTHER ENCEPHALITIS AND ENCEPHALOMYELITIS DUE TO OTHER INFECTIONS CLASSIFIED ELSEWHERE
ICD-9-CM CODE: 323.42
OLD DESCRIPTION: OTHER MYELITIS DUE TO INFECTION CLASSIFIED
NEW DESCRIPTION: OTHER MYELITIS DUE TO OTHER INFECTIONS CLASSIFIED ELSEWHERE
ICD-9-CM CODE: 488.11
OLD DESCRIPTION: INFLUENZA DUE TO IDENTIFIED NOVEL H1N1 INFLUENZA VIRUS WITH PNEUMONIA
NEW DESCRIPTION: INFLUENZA DUE TO IDENTIFIED 2009 H1N1 INFLUENZA VIRUS WITH PNEUMONIA
ICD-9-CM CODE: 488.12
OLD DESCRIPTION: INFLUENZA DUE TO IDENTIFIED NOVEL H1N1 INFLUENZA VIRUS WITH OTHER RESPIRATORY MANIFESTATIONS
NEW DESCRIPTION: INFLUENZA DUE TO IDENTIFIED 2009 H1N1 INFLUENZA VIRUS WITH OTHER RESPIRATORY MANIFESTATIONS
ICD-9-CM CODE: 488.19
OLD DESCRIPTION: INFLUENZA DUE TO IDENTIFIED NOVEL H1N1 INFLUENZA VIRUS WITH OTHER MANIFESTATIONS
NEW DESCRIPTION: INFLUENZA DUE TO IDENTIFIED 2009 H1N1 INFLUENZA VIRUS WITH OTHER MANIFESTATIONS
ICD-9-CM CODE: 995.60
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO UNSPECIFIED FOOD
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO UNSPECIFIED FOOD
ICD-9-CM CODE: 995.61
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO PEANUTS
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO PEANUTS
ICD-9-CM CODE: 995.62
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO CRUSTACEANS
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO CRUSTACEANS
ICD-9-CM CODE: 995.63
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO FRUITS AND VEGETABLES
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO FRUITS AND VEGETABLES
ICD-9-CM CODE: 995.64
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO TREE NUTS AND SEEDS
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO TREE NUTS AND SEEDS
ICD-9-CM CODE: 995.65
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO FISH
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO FISH
ICD-9-CM CODE: 995.66
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO FOOD ADDITIVES
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO FOOD ADDITIVES
ICD-9-CM CODE: 995.67
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO MILK PRODUCTS
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO MILK PRODUCTS
ICD-9-CM CODE: 995.68
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO EGGS
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO EGGS
ICD-9-CM CODE: 995.69
OLD DESCRIPTION: ANAPHYLACTIC SHOCK DUE TO OTHER SPECIFIED FOOD
NEW DESCRIPTION: ANAPHYLACTIC REACTION DUE TO OTHER SPECIFIED FOOD
ICD-9-CM CODE: 999.31
OLD DESCRIPTION: INFECTION DUE TO CENTRAL VENOUS CATHETER
NEW DESCRIPTION: OTHER AND UNSPECIFIED INFECTION DUE TO CENTRAL VENOUS CATHETER
Immune Globulin, Intravenous (IgIV)
NEW ICD-9-CM CODE: 358.30
NEW DESCRIPTION: LAMBERT-EATON SYNDROME, UNSPECIFIED
NEW ICD-9-CM CODE: 358.31
NEW DESCRIPTION: LAMBERT-EATON SYNDROME IN NEOPLASTIC DISEASE
NEW ICD-9-CM CODE: 358.39
NEW DESCRIPTION: LAMBERT-EATON SYNDROME IN OTHER DISEASES CLASSIFIED ELSEWHERE
MRI and CT Scans of the Head, Brain, and Neck
ICD-9-CM CODE
INVALID: 173.0
NEW: 173.02
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF LIP
GROUP: I
NEW: 173.09
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF LIP
GROUP:I
INVALID: 173.1
NEW: 173.12
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF EYELID, INCLUDING CANTHUS
GROUP: I
NEW: 173.19
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF EYELID, INCLUDING CANTHUS
GROUP: I
INVALID: 173.2
NEW: 173.22
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF EAR AND EXTERNAL AUDITORY CANAL
GROUP: I
NEW: 173.29
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF EAR AND EXTERNAL AUDITORY CANAL
GROUP: I
INVALID: 173.3
NEW: 173.32
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF OTHER AND UNSPECIFIED PARTS OF FACE
GROUP: I
NEW: 173.39
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF OTHER AND UNSPECIFIED PARTS OF FACE
GROUP: I
INVALID: 173.4
NEW: 173.42
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SCALP AND SKIN OF NECK
GROUP:I
NEW: 173.49
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SCALP AND SKIN OF NECK
GROUP: I
INVALID: 173.6
NEW: 173.62
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF UPPER LIMB, INCLUDING SHOULDER
GROUP: I
NEW: 173.69
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF UPPER LIMB, INCLUDING SHOULDER
GROUP:I
INVALID: 310.8
NEW: 310.81
NEW DESCRIPTION: PSEUDOBULBAR AFFECT
GROUP: I
NEW: 310.89
NEW DESCRIPTION: OTHER SPECIFIED NONPSYCHOTIC MENTAL DISORDERS FOLLOWING ORGANIC BRAIN DAMAGE
GROUP:I
INVALID: 998.0
NEW: 998.00
NEW DESCRIPTION: POSTOPERATIVE SHOCK, UNSPECIFIED
GROUP: I
NEW ICD-9-CM CODE: 173.52
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF TRUNK, EXCEPT SCROTUM
GROUP: I
NEW ICD-9-CM CODE: 173.59
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF TRUNK, EXCEPT SCROTUM
GROUP: I
NEW ICD-9-CM CODE: 173.72
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN OF LOWER LIMB, INCLUDING HIP
GROUP: I
NEW ICD-9-CM CODE: 173.79
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF LOWER LIMB, INCLUDING HIP
GROUP: I
NEW ICD-9-CM CODE: 173.82
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF OTHER SPECIFIED SITES OF SKIN
GROUP: I
NEW ICD-9-CM CODE: 173.89
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF SKIN
GROUP: I
NEW ICD-9-CM CODE: 173.92
NEW DESCRIPTION: SQUAMOUS CELL CARCINOMA OF SKIN, SITE UNSPECIFIED
GROUP: I
NEW ICD-9-CM CODE: 173.99
NEW DESCRIPTION: OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN, SITE UNSPECIFIED
GROUP: I
NEW ICD-9-CM CODE: 294.20
NEW DESCRIPTION: DEMENTIA, UNSPECIFIED, WITHOUT BEHAVIORAL DISTURBANCE
GROUP: I
NEW ICD-9-CM CODE: 294.21
NEW DESCRIPTION: DEMENTIA, UNSPECIFIED, WITH BEHAVIORAL DISTURBANCE
GROUP: I
NEW ICD-9-CM CODE: 331.6
NEW DESCRIPTION: CORTICOBASAL DEGENERATION
GROUP: I
NEW ICD-9-CM CODE: 358.31
NEW DESCRIPTION: LAMBERT-EATON SYNDROME IN NEOPLASTIC DISEASE
GROUP: I
NEW ICD-9-CM CODE: 516.4
NEW DESCRIPTION: LYMPHANGIOLEIOMYOMATOSIS
GROUP: I
NEW ICD-9-CM CODE: 516.5
NEW DESCRIPTION: ADULT PULMONARY LANGERHANS CELL HISTIOCYTOSIS
GROUP: I
ICD-9-CM CODE: 317
OLD DESCRIPTION: MILD MENTAL RETARDATION
NEW DESCRIPTION: MILD INTELLECTUAL DISABILITIES
ICD-9-CM CODE: 318.0
OLD DESCRIPTION: MODERATE MENTAL RETARDATION
NEW DESCRIPTION: MODERATE INTELLECTUAL DISABILITIES
ICD-9-CM CODE: 318.1
OLD DESCRIPTION: SEVERE MENTAL RETARDATION
NEW DESCRIPTION: SEVERE INTELLECTUAL DISABILITIES
ICD-9-CM CODE: 318.2
OLD DESCRIPTION: PROFOUND MENTAL RETARDATION
NEW DESCRIPTION: PROFOUND INTELLECTUAL DISABILITIES
ICD-9-CM CODE: 319
OLD DESCRIPTION: UNSPECIFIED MENTAL RETARDATION
NEW DESCRIPTION: UNSPECIFIED INTELLECTUAL DISABILITIES
ICD-9-CM CODE: 323.41
OLD DESCRIPTION:OTHER ENCEPHALITIS AND ENCEPHALOMYELITIS DUE TO INFECTION CLASSIFIED ELSEWHERE
NEW DESCRIPTION: OTHER ENCEPHALITIS AND ENCEPHALOMYELITIS DUE TO OTHER INFECTIONS CLASSIFIED ELSEWHERE
ICD-9-CM CODE: 323.42
OLD DESCRIPTION:OTHER MYELITIS DUE TO INFECTION CLASSIFIED ELSEWHERE
NEW DESCRIPTION: OTHER MYELITIS DUE TO OTHER INFECTIONS CLASSIFIED ELSEWHERE
ICD-9-CM CODE: 488.11
OLD DESCRIPTION: INFLUENZA DUE TO IDENTIFIED NOVEL H1N1 INFLUENZA VIRUS WITH PNEUMONIA
NEW DESCRIPTION: INFLUENZA DUE TO IDENTIFIED 2009 H1N1 INFLUENZA VIRUS WITH PNEUMONIA
ICD-9-CM CODE: 488.12
OLD DESCRIPTION: INFLUENZA DUE TO IDENTIFIED NOVEL H1N1 INFLUENZA VIRUS WITH OTHER RESPIRATORY MANIFESTATIONS
NEW DESCRIPTION: INFLUENZA DUE TO IDENTIFIED 2009 H1N1 INFLUENZA VIRUS WITH OTHER RESPIRATORY MANIFESTATIONS
ICD-9-CM CODE: 488.19
OLD DESCRIPTION: INFLUENZA DUE TO IDENTIFIED NOVEL H1N1 INFLUENZA VIRUS WITH OTHER MANIFESTATIONS
NEW DESCRIPTION: INFLUENZA DUE TO IDENTIFIED 2009 H1N1 INFLUENZA VIRUS WITH OTHER MANIFESTATIONS
ICD-9-CM CODE
INVALID: 747.3
NEW: 747.31
NEW DESCRIPTION: PULMONARY ARTERY COARCTATION AND ATRESIA
NEW: 747.32
NEW DESCRIPTION: PULMONARY ARTERIOVENOUS MALFORMATION NEW: 747.39
NEW DESCRIPTION: OTHER ANOMALIES OF PULMONARY ARTERY AND PULMONARY CIRCULATION
NEW ICD-9-CM CODE 414.4
NEW DESCRIPTION CORONARY ATHEROSCLEROSIS DUE TO CALCIFIED CORONARY LESION
NEW ICD-9-CM CODE 425.11
NEW DESCRIPTION HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY
NEW ICD-9-CM CODE 425.18
NEW DESCRIPTION OTHER HYPERTROPHIC CARDIOMYOPATHY
SERUM MAGNESIUM
ICD-9-CM CODE
INVALID: 998.0
NEW: 998.02
NEW DESCRIPTION: POSTOPERATIVE SHOCK, EPIC
Urinalysis Policy
ICD-9-CM CODE
INVALID: 041.4
NEW: 041.41
NEW DESCRIPTION: SHIGA TOXIN-PRODUCING ESCHERICHIA COLI [E. COLI] (STEC) O157
NEW: 041.42
NEW DESCRIPTION: OTHER SPECIFIED SHIGA TOXIN-PRODUCING ESCHERICHIA COLI [E. COLI] (STEC)
NEW: 041.43
NEW DESCRIPTION: SHIGA TOXIN-PRODUCING ESCHERICHIA COLI [E. COLI] (STEC), UNSPECIFIED
NEW: 041.49
NEW DESCRIPTION: OTHER AND UNSPECIFIED ESCHERICHIA COLI [E. COLI]
INVALID: 596.8
NEW: 596.81
NEW DESCRIPTION: INFECTION OF CYSTOSTOMY
NEW: 596.82
NEW DESCRIPTION: MECHANICAL COMPLICATION OF CYSTOSTOMY
NEW: 596.83
NEW DESCRIPTION: OTHER COMPLICATION OF CYSTOSTOMY
NEW: 596.89
NEW DESCRIPTION: OTHER SPECIFIED DISORDERS OF BLADDER
NEW ICD-9-CM CODE: 629.31
NEW DESCRIPTION: EROSION OF IMPLANTED VAGINAL MESH AND OTHER PROSTHETIC MATERIALS TO SURROUNDING ORGAN OR TISSUE
NEW ICD-9-CM CODE: 629.32
NEW DESCRIPTION: EXPOSURE OF IMPLANTED VAGINAL MESH AND OTHER PROSTHETIC MATERIALS INTO VAGINA
ICD-9-CM CODE: 808.44
NEW DESCRIPTION: MULTIPLE CLOSED PELVIC FRACTURES WITHOUT DISRUPTION OF PELVIC CIRCLE
ICD-9-CM CODE: 808.54
NEW DESCRIPTION: MULTIPLE OPEN PELVIC FRACTURES WITHOUT DISRUPTION OF PELVIC CIRCLE
ICD-9-CM CODE: 998.00
NEW DESCRIPTION: POSTOPERATIVE SHOCK, UNSPECIFIED
ICD-9-CM CODE: 998.01
NEW DESCRIPTION: POSTOPERATIVE SHOCK, CARDIOGENIC
ICD-9-CM CODE: 998.02
NEW DESCRIPTION: POSTOPERATIVE SHOCK, EPTIC
ICD-9-CM CODE: 998.09
NEW DESCRIPTION: POSTOPERATIVE SHOCK, OTHER
ICD-9-CM CODE: 999.32
NEW DESCRIPTION: BLOODSTREAM INFECTION DUE TO CENTRAL VENOUS CATHETER
ICD-9-CM CODE: 999.33
NEW DESCRIPTION: LOCAL INFECTION DUE TO CENTRAL VENOUS CATHETER
ICD-9-CM CODE: 999.34
NEW DESCRIPTION: ACUTE INFECTION FOLLOWING TRANSFUSION, INFUSION, OR INJECTION OF BLOOD AND BLOOD PRODUCTS
To review the LCDs follow the directions below:
22 Navigating to the NAS website at: https:www.noridianmedicare.com.
22 Hover over "Medicare Part A" and select appropriate state.
22 The End User Agreement for Providers will appear if you have not recently visited the website. Select "Accept" (if necessary).
22 Hover over "LCDs/Coverage/MR," hover over "Local Coverage Determinations (LCDs)."
22 Select "Future" prior to 10/01/2011.
22 Select "Active" on/after 10/01/2011.
22 Select appropriate state. This link will bring you to the CMS Medicare Coverage Database (MCD) on the CMS website.
22 Select the appropriate LCD from the list.
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