CGS Administrators, LLC

Active LCDs:

ICD-10 L32553: Allergy Immunotherapy
ICD-10 L33944: Blepharoplasty
ICD-10 L33946: Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy
ICD-10 L33954: Cataract Extraction
ICD-10 L33959: Cardiac Catheterization and Coronary Angiography
ICD-10 L33996: Vitamin D Assay Testing
ICD-10 L34045: Non-Invasive Vascular Studies
ICD-10 L34046: Speech-Language Pathology
ICD-10 L34049: Outpatient Physical and Occupational Therapy Services
ICD-10 L34055: Virtual Colonoscopy (CT Colonography)
ICD-10 L34061: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
ICD-10 L34063: RAST Type Tests
ICD-10 L34084: Transcatheter Infusion Therapy
ICD-10 L34089: Human Papillomavirus (HPV) Testing
ICD-10 L34090: Laser Ablation of the Prostate
ICD-10 L34093: Chemotherapy and Biologicals
ICD-10 L34171: Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation
ICD-10 L34175: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
ICD-10 L34181: Ophthalmic Biometry for Intraocular Lens Power Calculation
ICD-10 L34200: Removal of Benign Skin Lesions
ICD-10 L34246: Routine Foot Care and Debridement of Nails
ICD-10 L34353: Outpatient Psychiatry and Psychology Services
ICD-10 L34370: Category III CPT® Codes
ICD-10 L34393: Ocular Photography - External
ICD-10 L34394: Visual Fields Testing
ICD-10 L34399: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
ICD-10 L34807: Lumbar Epidural Steroid Injections (ESI)
ICD-10 L34832: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
ICD-10 L35249: Nerve Blocks for Peripheral Neuropathy
ICD-10 L35349: MolDX: Genetic Testing for Lynch Syndrome
ICD-10 L35442: MolDX: NRAS Genetic Testing
ICD-10 L35443: MolDX: GeneSight ® Assay for Refractory Depression
ICD-10 L35891: Intravenous Immune Globulin
ICD-10 L35897: Nerve Conduction Studies and Electromyography
ICD-10 L35906: Somatosensory Testing
ICD-10 L35984: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
ICD-10 L35986: Special Histochemical Stains and Immunohistochemical Stains
ICD-10 L36002: MolDX: Prolaris™ Prostate Cancer Genomic Assay
ICD-10 L36006: MolDX: ConfirmMDx Epigenetic Molecular Assay
ICD-10 L36011: MolDX: Molecular RBC Phenotyping
ICD-10 L36021: MolDX: Molecular Diagnostic Tests (MDT)
ICD-10 L36029: Controlled Substance Monitoring and Drugs of Abuse Testing
ICD-10 L36048: MolDX: HLA-B*15:02 Genetic Testing
ICD-10 L36113: MolDX: MGMT Promoter Methylation Analysis
ICD-10 L36117: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
ICD-10 L36139: MolDX: Biomarkers in Cardiovascular Risk Assessment
ICD-10 L36206: MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
ICD-10 L36456: MolDX: BRCA1 and BRCA2 Genetic Testing
ICD-10 L36460: Bone Mass Measurement
ICD-10 L36469: Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder
ICD-10 L36485: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
ICD-10 L36494: Minimally-Invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
ICD-10 L36658: Proton Beam Therapy
ICD-10 L36675: MolDX- CDD: ProMark Risk Score
ICD-10 L36690: Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities
ICD-10 L36902: Polysomnography and Other Sleep Studies
ICD-10 L36906: GlycoMark Testing for Glycemic Control
ICD-10 L36908: MolDX: Percepta® Bronchial Genomic Classifier
ICD-10 L36910: MolDX: APC and MUTYH Gene Testing
ICD-10 L36951: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)
ICD-10 L36973: MolDX: Circulating Tumor Cell Marker Assays
ICD-10 L37130: MolDX: DecisionDx-UM (Uveal Melanoma)
ICD-10 L37134: MolDX: BDX-XL2
ICD-10 L37142: MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
ICD-10 L37348: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
ICD-10 L37352: MolDX: Prometheus IBD sgi Diagnostic Policy
ICD-10 L37354: MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer
ICD-10 L37356: MolDX: EndoPredict Breast Cancer Gene Expression Test
ICD-10 L37364: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)
ICD-10 L37578: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 L37608: MolDX: MDS FISH
ICD-10 L37832: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test
ICD-10 L37834: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease
ICD-10 L37903: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
ICD-10 L37907: MolDX: myPath Melanoma Assay
ICD-10 L38016: MolDX: DecisionDx-Melanoma
ICD-10 L38053: MolDX: TruGraf Blood Gene Expression Test
ICD-10 L38059: MolDX: Prospera
ICD-10 L38067: MolDX: Next-Generation Sequencing for Solid Tumors
ICD-10 L38070: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies
ICD-10 L38111: MolDX: Pigmented Lesion Assay
ICD-10 L38201: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
ICD-10 L38268: Immune Thrombocytopenia (ITP) Therapy

Retired LCDs:

L31852: Bariatric Surgery
L31872: Hyperbaric Oxygen Therapy (HBO)
L31898: Somatosensory Testing
L31902: Surgical Decompression for Peripheral Polyneuropathy
L31903: Surgical Treatment of Nails
L33247: Nerve Blocks and Electrostimulation for Peripheral Neuropathy
L34508: Nerve Blocks and Electrostimulation for Peripheral Neuropathy
ICD-10 L37140: MolDX: Vita Risk™ Pharmacogenetic Test for Dry Age-related Macular Degeneration (AMD)

Draft LCDs:

L34825: Nerve Blocks for Peripheral Neuropathy
ICD-10 L35331: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
L35393: Molecular Diagnostic Tests (MDT)
L35418: Molecular Diagnostic Tests (MDT)
L35441: NRAS Genetic Testing
L35444: MoPath: Genetic Assay for Refractory Depression
ICD-10 L35877: Infectious Disease Molecular Diagnostic Testing
ICD-10 L35894: Intravenous Immune Globulin
ICD-10 L35905: Nerve Conduction Studies and Electromyography
ICD-10 L35907: Somatosensory Testing
ICD-10 L35981: Transcranial Magnetic Stimulation (TMS)
ICD-10 L35983: MoPath: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
ICD-10 L35985: MoPath: Special Histochemical Stains and Immunohistochemical Stains
ICD-10 L36001: Mopath: Prolaris™ Prostate Cancer Genomic Assay
ICD-10 L36003: MoPath: Breast Cancer Index ℠ Genetic Assay
ICD-10 L36005: MoPath: ConfirmMDx Epigenetic Molecular Assay
ICD-10 L36008: MoPath: Decipher® Prostate Cancer Classifier Assay
ICD-10 L36010: MoPath: Molecular RBC Phenotyping
ICD-10 L36020: Molecular Diagnostic Tests (MDT)
ICD-10 L36028: Controlled Substance Monitoring and Drugs of Abuse Testing
ICD-10 L36047: MoPath: HLA-B*15:02 Genetic Testing
ICD-10 L36112: MoPath: MGMT Promoter Methylation Analysis
ICD-10 L36114: MoPath: BRCA1 and BRCA2 Genetic Testing
ICD-10 L36116: MoPath: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
ICD-10 L36126: MoPath: Breast Cancer Assay: Prosigna
ICD-10 L36138: MoPath: Biomarkers in Cardiovascular Risk Assessment
ICD-10 L36173: MoPath: NSCLC, Comprehensive Genomic Profile Testing
ICD-10 L36205: MoPath: Genomic Health™ Oncotype DX® Prostate Cancer Assay
ICD-10 L36424: MolDX: Breast Cancer Assay: Prosigna
ICD-10 L36455: MolDX: BRCA1 and BRCA2 Genetic Testing
ICD-10 L36457: MolDX: Breast Cancer Index℠ Genetic Assay
ICD-10 L36459: Bone Mass Measurement
ICD-10 L36468: Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder
ICD-10 L36484: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
ICD-10 L36486: MolDX: Chromosome 1p/19q deletion analysis
ICD-10 L36493: Minimally-Invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
ICD-10 L36655: MolDX-CDD: Decipher® Prostate Cancer Classifier Assay
ICD-10 L36657: Proton Beam Therapy
ICD-10 L36674: MolDX- CDD: ProMark Risk Score
ICD-10 L36689: Application of Skin Substitutes for Wounds, Lower Extremities
ICD-10 L36901: Polysomnography and Other Sleep Studies
ICD-10 L36905: GlycoMark Testing for Glycemic Control
ICD-10 L36907: MolDX-CDD: Percepta© Bronchial Genomic Classifier
ICD-10 L36909: MolDX: APC and MUTYH Gene Testing
ICD-10 L36950: MolDX - CDD: Oncotype DX® Breast Cancer for DCIS (Genomic Health ™)
ICD-10 L36952: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
ICD-10 L36972: Circulating Tumor Cell Marker Assays
ICD-10 L36974: Bladder Tumor Markers
ICD-10 L36978: 4Kscore Assay
ICD-10 L36980: Nerve Conduction Studies and Electromyography
ICD-10 L37125: Coenzyme Q10 (CoQ10)
ICD-10 L37127: MolDX: Comprehensive Genomic Profiling to Guide Treatment in Patients with Advanced Primary Peritoneal, Fallopian Tube and Ovarian Cancer
ICD-10 L37129: MolDX: DecisionDx-UM (Uveal Melanoma)
ICD-10 L37131: MolDX: VectraDA, a Multibiomarker Disease Activity Test for Rheumatoid Arthritis (RA)
ICD-10 L37133: MolDX: Xpresys Lung
ICD-10 L37135: MolDX: Comprehensive Genomic Profiling to Guide Treatment in Patients with Metastatic Colorectal Cancer
ICD-10 L37137: MolDX: Comprehensive Genomic Profiling to Guide Treatment in Patients with Metastatic Melanoma
ICD-10 L37139: MolDX: Vita Risk™ Pharmacogenetic Test for Dry Age-related Macular Degeneration (AMD)
ICD-10 L37141: MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
ICD-10 L37143: Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder
ICD-10 L37249: MolDX: APC and MUTYH Gene Testing
ICD-10 L37250: MolDX-CDD: Percepta© Bronchial Genomic Classifier
ICD-10 L37253: Chiropractic Services
ICD-10 L37347: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
ICD-10 L37351: MolDX: Prometheus IBD sgi Diagnostic Policy
ICD-10 L37353: MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer
ICD-10 L37355: MolDX: EndoPredict Breast Cancer Gene Expression Test
ICD-10 L37361: MolDX: AlloSure^® Donor-Derived Cell-Free DNA Test
ICD-10 L37363: MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)
ICD-10 L37365: MolDX: Guardant360^® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)
ICD-10 L37532: MolDX: Pigmented Lesion Assay (PLA) and PLA Score
ICD-10 L37574: Frequency of Hemodialysis
ICD-10 L37577: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 L37597: MolDX: Cystatin C Measurement
ICD-10 L37607: MolDX: MDS FISH
ICD-10 L37613: Helicobacter Pylori Infection Testing
ICD-10 L37786: MolDX: Corus® CAD Assay
ICD-10 L37788: MolDX: Guardant360^® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)
ICD-10 L37789: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
ICD-10 L37831: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test
ICD-10 L37833: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease
ICD-10 L37835: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
ICD-10 L37902: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
ICD-10 L37904: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
ICD-10 L37906: MolDX: myPath Melanoma Assay
ICD-10 L37908: MolDX: NeuroIDgenetix® Test for Depression
ICD-10 L38015: MolDX: DecisionDx-Melanoma
ICD-10 L38052: MolDX: TruGraf Blood Gene Expression Test
ICD-10 L38054: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease
ICD-10 L38056: Drug Interaction Testing
ICD-10 L38058: MolDX: Prospera
ICD-10 L38064: MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Solid Tumors
ICD-10 L38066: MolDX: Next-Generation Sequencing for Solid Tumors
ICD-10 L38069: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies
ICD-10 L38076: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Unfavorable Intermediate Risk Disease
ICD-10 L38110: MolDX: Pigmented Lesion Assay
ICD-10 L38156: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 L38200: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
ICD-10 L38246: MolDX: SelectMDx for Prostate Cancer
ICD-10 L38248: MolDX: Erythrocyte Molecular Antigen Typing
ICD-10 L38265: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
ICD-10 L38266: MolDX: DecisionDx-Melanoma
ICD-10 L38267: Immune Thrombocytopenia (ITP) Therapy
ICD-10 L38269: MolDX: Molecular Microscope® Diagnostic System for the Heart
ICD-10 L38271: MolDX: AlloSure® Cell-Free DNA Testing
ICD-10 L38281: MolDX: Tests on Allograft Kidney Biopsy Tissue to Assess for Graft Rejection
ICD-10 L38283: MolDX: Razor 14-Gene Lung Cancer Assay
ICD-10 L38287: MolDX: Repeat Germline Testing
ICD-10 L38302: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease
ICD-10 L38304: MolDX: Signatera and Minimal Residual Disease Testing for Colorectal Cancer
ICD-10 L38306: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
ICD-10 L38377: Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)
ICD-10 L38393: MolDX: Pharmacogenomics Testing
ICD-10 L38491: Vitamin D Assay Testing

Active Articles:

A50691: Apligraf®
ICD-10 A52422: Billing and Coding: Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer (Sipuleucel-T;Provenge)-Q2043
ICD-10 A52425: Drugs and Biologicals, Coverage of, for Label and Off-Label Uses - Supplemental Instructions Article
ICD-10 A52432: Billing and Coding: Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach (0192T 66183)
ICD-10 A52435: Billing and Coding: Osteopathic Manipulative Treatment
ICD-10 A52437: Billing and Coding: Sentinel Lymph Node Biopsy – Medical Policy Article
ICD-10 A52438: Billing and Coding: Tetanus Immunization
ICD-10 A52470: Billing and Coding: Venipuncture Necessitating Physician’s Skill for Specimen Collection – Supplemental Instructions Article
ICD-10 A52530: Billing and Coding: Capsaicin 8% patch (Qutenza®)-J7336
ICD-10 A52537: Traumeel Injections
ICD-10 A54137: Response to Comments: Intravenous Immune Globulin (IVIG) L35893
ICD-10 A54139: Response to Comments: Somatosensory Testing L35906
ICD-10 A54141: Response to Comments: Infectious Disease Molecular Diagnostic Testing L35878
ICD-10 A54159: Response to Comments: Nerve Conduction Studies and Electromyography
ICD-10 A54241: Billing and Coding: MolDX: 4q25-AF Risk Genotype Guidelines
ICD-10 A54243: Billing and Coding: MolDX: CHD7 Gene Analysis Guidelines
ICD-10 A54253: Billing and Coding: MolDX: Aspartoacyclase 2 Deficiency(ASPA) Testing
ICD-10 A54255: Billing and Coding: MolDX: BCKDHB Gene Test
ICD-10 A54256: Billing and Coding: MolDX: BLM Gene Analysis
ICD-10 A54257: Billing and Coding: MolDX: BluePrint® Test
ICD-10 A54258: Billing and Coding: MolDX: CFTR Gene Analysis
ICD-10 A54262: Billing and Coding: MolDX: ENG and ACVRL1 Gene Tests
ICD-10 A54263: Billing and Coding: MolDX: FANCC Genetic Testing
ICD-10 A54271: Billing and Coding: MolDX: Immunohistochemistry (IHC) Indications for Breast Pathology
ICD-10 A54274: Billing and Coding: MolDX: L1CAM Gene Sequencing Guidelines
ICD-10 A54277: Billing and Coding: MolDX: MCOLN1 Genetic Testing Guidelines
ICD-10 A54280: Billing and Coding: MolDX: UGT1A1 Gene Analysis
ICD-10 A54285: Billing and Coding: MolDX: SMPD1 Genetic Testing
ICD-10 A54288: Billing and Coding: MolDX: Mitochondrial Nuclear Gene Tests Guidelines
ICD-10 A54291: Billing and Coding: MolDX: NSD1 Gene Tests
ICD-10 A54293: Billing and Coding: MolDX: PAX6 Gene Sequencing Guidelines
ICD-10 A54295: Billing and Coding: MolDX: PIK3CA Gene Tests
ICD-10 A54327: Billing and Coding: ArgusM II Retinal Prosthesis System
ICD-10 A54610: Response to Comments for MolDX: Biomarkers in Cardiovascular Risk Assessment
ICD-10 A54611: Response to Comments for MolDX: Breast Cancer Assay: Prosigna
ICD-10 A54612: Response to Comments for MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
ICD-10 A54613: Response to Comments for MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
ICD-10 A54686: Billing and Coding: MolDX: BCR-ABL
ICD-10 A54687: Billing and Coding: MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response
ICD-10 A54780: Response to Comments: MolDX: Chromosome 1p/19q Deletion Analysis
ICD-10 A54813: Response to Comments: MolDX: HLA-DQB1 0602 Testing for Narcolepsy
ICD-10 A54814: Response to Comments: MolDX: BRCA1 and BRCA2 Genetic Testing
ICD-10 A54830: Billing and Coding: Short Tandem Repeat (STR) Markers and Chimerism (CPT® codes 81265-81268)
ICD-10 A54881: Response to Comments: MolDX: HLA-B*15:02 Genetic Testing
ICD-10 A54899: Response to Comments: MolDX Biomarkers in Cardiovascular Risk Assessment
ICD-10 A54961: Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
ICD-10 A54983: Response to Comments: MolDX-CDD: Genomic Health™ Oncotype DX® Prostate Cancer Assay
ICD-10 A54988: Response to Comments: MolDX Biomarkers in Cardiovascular Risk Assessment
ICD-10 A55315: Billing and Coding: Proton Beam Therapy
ICD-10 A55429: Response to Comments: Bladder Tumor Markers
ICD-10 A55430: Response to Comments: Polysomnography and Other Sleep Studies
ICD-10 A55431: Response to Comments: Circulating Tumor Cell Marker Assays
ICD-10 A55451: Response to Comments: Bladder/Urothelial Tumor
ICD-10 A55560: Response to Comments: Coenzyme Q10 (CoQ10)
ICD-10 A55561: Response to Comments: MolDX DecisionDX Uveal
ICD-10 A55562: Response to Comments: MolDX: Xpresys Lung
ICD-10 A55564: Response to Comments: MolDX: VitaRisk ™ Pharmacogenetic Test for Dry Age-related Macular Degeneration (AMD)
ICD-10 A55566: Response to Comments: MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
ICD-10 A55715: Billing and Coding: Coenzyme Q10 (CoQ10)
ICD-10 A55716: Billing and Coding: MolDX: Abbott RealTime IDH1 and IDH2 testing for Acute Myeloid Leukemia (AML)
ICD-10 A55736: Response to Comments: MolDX: Prometheus IBD sgi Diagnostic Policy
ICD-10 A55737: Response to Comments: Chiropractic Service DL37524
ICD-10 A55875: Response to Comments: MolDX: AlloSure® Donor-Derived Cell-Free DNA Test
ICD-10 A55876: Response to Comments: MolDX: EndoPredict Breast Cancer Gene Expression Test
ICD-10 A56050: Billing and Coding: MolDX: FDA Approved CLL Companion Diagnostic Test
ICD-10 A56083: Billing and Coding: Rezum® System for Benign Prostatic
ICD-10 A56142: Response to Comments: MolDX: Corus® CAD Assay
ICD-10 A56148: Response to Comments: MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)
ICD-10 A56161: Response to Comments: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
ICD-10 A56177: Response to Comments: MolDX: Cystatin C Measurement
ICD-10 A56190: Response to Comments: MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs)
ICD-10 A56239: Response to Comments: Frequency of Hemodialysis DL37575
ICD-10 A56283: Response to Comments: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test
ICD-10 A56313: Response to Comments: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
ICD-10 A56330: Response to Comments: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease
ICD-10 A56345: Billing and Coding: MolDX: Oncotype DX® Genomic Prostate Score
ICD-10 A56354: Response to Comments: MolDX: MDS FISH
ICD-10 A56366: Response to Comments: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
ICD-10 A56374: Response to Comments: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
ICD-10 A56424: Billing and Coding: Allergy Immunotherapy
ICD-10 A56425: Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
ICD-10 A56427: Response to Comments: MolDX: myPath Melanoma Assay
ICD-10 A56439: Billing and Coding: Blepharoplasty
ICD-10 A56451: Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
ICD-10 A56452: Billing and Coding: Cardiac Event Detection
ICD-10 A56453: Billing and Coding: Cataract Extraction
ICD-10 A56461: Billing and Coding: Endoscopy by Capsule
ICD-10 A56463: Billing and Coding: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
ICD-10 A56465: Billing and Coding: GlycoMark Testing for Glycemic Control
ICD-10 A56466: Billing and Coding: Human Papillomavirus (HPV) Testing
ICD-10 A56467: Billing and Coding: Laser Ablation of the Prostate
ICD-10 A56469: Billing and Coding: Lumbar Epidural Steroid Injections (ESI)
ICD-10 A56472: Billing and Coding: Botulinum Toxins
ICD-10 A56491: Billing and Coding: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 A56493: Billing and Coding: Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy
ICD-10 A56496: Response to Comments: MolDX DecisionDx-Melanoma
ICD-10 A56500: Billing and Coding: Cardiac Catheterization and Coronary Angiography
ICD-10 A56534: Billing and Coding: Denosumab (Prolia™, Xgeva™)-J0897
ICD-10 A56535: Billing and Coding: Minimally-Invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
ICD-10 A56536: Billing and Coding: Special Histochemical Stains and Immunohistochemical Stains
ICD-10 A56543: Billing and Coding: Durvalumab (Imfinzi)-J9173
ICD-10 A56577: Billing and Coding: Docetaxel; Taxotere -J9171
ICD-10 A56578: Billing and Coding: Infliximab-J1745, Q5103, Q5104
ICD-10 A56579: Billing and Coding: Paclitaxel; Taxol -J9267
ICD-10 A56596: Billing and Coding: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs)
ICD-10 A56627: Billing and Coding: Beleodaq (Belinostat)-J9032
ICD-10 A56628: Billing and Coding: Fluocinolone Acetonide Intravitreal Implant -J7311
ICD-10 A56629: Billing and Coding: Iron Sucrose, Iron Dextran and Ferumoxytol, (Intravenous Iron Therapy)-J1439, J1750, J1756, Q0138, Q0139
ICD-10 A56630: Billing and Coding: Sodium Ferric Gluconate, (Intravenous Iron Therapy) -J2916
ICD-10 A56692: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
ICD-10 A56696: Billing and Coding: Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities
ICD-10 A56697: Billing and Coding: Non-Invasive Vascular Studies
ICD-10 A56698: Billing and Coding: Arsenic Trioxide (Trisenox) - J9017
ICD-10 A56699: Billing and Coding: Asparaginase (E.coli)(Elspar) - J9019
ICD-10 A56700: Billing and Coding: Asparaginase Erwinia Chrysanthemi (Erwinaze) - J9020
ICD-10 A56701: Billing and Coding: Ado-Trastuzumab Emtansine -J9354
ICD-10 A56779: Billing and Coding: Intravenous Immune Globulin
ICD-10 A56798: Billing and Coding: Vitamin D Assay Testing
ICD-10 A56799: Billing and Coding: Billing and Coding for Visual Fields Testing
ICD-10 A56800: Billing and Coding: Virtual Colonoscopy (CT Colonography)
ICD-10 A56806: Billing and Coding: Pamidronate Disodium; Aredia -J2430
ICD-10 A56808: Billing and Coding: Transtelephonic Spirometry
ICD-10 A56809: Billing and Coding: Transesophageal Echocardiography (TEE)
ICD-10 A56810: Billing and Coding: Panitumumab; Vectibix -J9303
ICD-10 A56811: Billing and Coding: Transcatheter Infusion Therapy
ICD-10 A56818: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
ICD-10 A56828: Billing and Coding: MolDX: APC and MUTYH Gene
ICD-10 A56829: Billing and Coding: Neulasta® (pegfilgrastim) -J2505,Q5108,Q5111
ICD-10 A56831: Billing and Coding: Aldesleukin; Proleukin, Interleukin II (IL-2) -J9015
ICD-10 A56832: Billing and Coding: Alemtuzumzb (Campath) -J0202
ICD-10 A56833: Billing and Coding: Avelumab ( Bavencio) -J9023
ICD-10 A56834: Billing and Coding: Azacitidine (Vidaza) -J9025
ICD-10 A56835: Billing and Coding: Vedolizumab (Entyvio) -J3380
ICD-10 A56836: Billing and Coding: Mohs Micrographic Surgery
ICD-10 A56864: Billing and Coding: MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
ICD-10 A56881: Billing and Coding: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
ICD-10 A56884: Billing and Coding: MolDX: Breast Cancer Index™ (BCI) Gene Expression Test
ICD-10 A56885: Billing and Coding: MolDX: HLA Testing for Transplant Histocompatibility
ICD-10 A56886: Billing and Coding: Blinatumomab (Blincyto) -J9039
ICD-10 A56887: Billing and Coding: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)
ICD-10 A56888: Billing and Coding: Bendamustine hydrochloride; Treanda
ICD-10 A56889: Billing and Coding: Bendamustine hydrochloride; Bendeka -J9034
ICD-10 A56890: Billing and Coding: Bleomycin Sulfate (Blenoxane) -J9040
ICD-10 A56891: Billing and Coding: Bortezomib (Velcade) -J9041
ICD-10 A56892: Billing and Coding: Brentuximab Vedotin (Adectris) -J9042
ICD-10 A56893: Billing and Coding: Cabazitaxel; Jevtana -J9043
ICD-10 A56894: Billing and Coding: Carfilzomib (Kyprolis) -J9047
ICD-10 A56895: Billing and Coding: Eculizumab; Soliris -J1300
ICD-10 A56925: Billing and Coding: MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
ICD-10 A56926: Billing and Coding: MolDX: MDS FISH
ICD-10 A56936: Billing and Coding: MolDX: GeneSight® Assay for Refractory Depression
ICD-10 A56939: Billing and Coding: Carboplatin -J9045
ICD-10 A56940: Billing and Coding: MolDX: Prometheus IBD sgi Diagnostic Policy
ICD-10 A56944: Billing and Coding: MolDX: 4Kscore Assay
ICD-10 A56950: Billing and Coding: MolDX: Corus® CAD Assay
ICD-10 A56951: Response to Comments: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
ICD-10 A56972: Billing and Coding: MolDX: Percepta® Bronchial Genomic Classifier
ICD-10 A56973: Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT)
ICD-10 A56976: Billing and Coding: MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
ICD-10 A56979: Billing and Coding: MolDX: HLA-B*15:02 Genetic Testing
ICD-10 A56980: Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
ICD-10 A56982: Billing and Coding: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
ICD-10 A56983: Billing and Coding: MolDX: MGMT Promoter Methylation Analysis
ICD-10 A56984: Billing and Coding: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease
ICD-10 A56986: Billing and Coding: MolDX: Molecular RBC Phenotyping
ICD-10 A56989: Billing and Coding: MolDX: Breast Cancer Assay: Prosigna
ICD-10 A56990: Billing and Coding: MolDX: DecisionDx-Melanoma
ICD-10 A56992: Billing and Coding: MolDX: Decipher® Prostate Cancer Classifier Assay
ICD-10 A56997: Billing and Coding: MolDX: EndoPredict Breast Cancer Gene Expression Test
ICD-10 A56998: Billing and Coding: MolDX: NRAS Genetic Testing
ICD-10 A57031: Billing and Coding: MolDX: ConfirmMDx Epigenetic Molecular Assay
ICD-10 A57034: Billing and Coding: MolDX- CDD: ProMark Risk Score
ICD-10 A57038: Billing and Coding: Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based
ICD-10 A57039: Billing and Coding: Stretta Procedure
ICD-10 A57040: Billing and Coding: Speech-Language Pathology
ICD-10 A57041: Billing and Coding: Somatosensory Testing
ICD-10 A57043: Billing and Coding: RAST Type Tests
ICD-10 A57047: Billing and Coding: Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder
ICD-10 A57049: Billing and Coding: Polysomnography and Other Sleep Studies
ICD-10 A57050: Billing and Coding: Post-Void Residual Urine and/or Bladder Capacity by Ultrasound
ICD-10 A57052: Billing and Coding: Psychiatric Inpatient Hospitalization
ICD-10 A57065: Billing and Coding: Outpatient Psychiatry and Psychology Services
ICD-10 A57067: Billing and Coding: Outpatient Physical and Occupational Therapy Services
ICD-10 A57068: Billing and Coding: Ocular Photography - External
ICD-10 A57069: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
ICD-10 A57070: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
ICD-10 A57071: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
ICD-10 A57149: Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea
ICD-10 A57160: Billing and Coding: Immune Thrombocytopenia (ITP) Therapy
ICD-10 A57193: Billing and Coding: Routine Foot Care and Debridement of Nails
ICD-10 A57230: Billing and Coding: Category III CPT® Codes
ICD-10 A57234: Billing and Coding: Cetuximab; Erbitux -J9055
ICD-10 A57239: Billing and Coding: Danorubicin Citrate Liposomal-J9151
ICD-10 A57240: Billing and Coding: Danorubicin Hcl-J9150
ICD-10 A57243: Billing and Coding: Daratumumab (Darzalex)-J9145
ICD-10 A57244: Billing and Coding: Decitabine; DACOGEN -J0894
ICD-10 A57245: Billing and Coding: Denileukin Diftitox; Ontak -J9160
ICD-10 A57246: Billing and Coding: Elotuzumab (Empliciti) -J9176
ICD-10 A57247: Billing and Coding: Eribulin Mesylate; Halaven -J9179,J3490, J3590
ICD-10 A57248: Billing and Coding: Floxuridine -J9200
ICD-10 A57249: Billing and Coding: Gemtuzumab Ozogamicin; Mylotarg -J9203
ICD-10 A57250: Billing and Coding: Goserelin Acetate Implant-J9202
ICD-10 A57251: Billing and Coding: Ipilimumab (Yervoy)-J9228
ICD-10 A57252: Billing and Coding: Irinotecan-J9205
ICD-10 A57254: Billing and Coding: Irinotecan-J9206
ICD-10 A57255: Billing and Coding: Irinotecan Lipsome Injection (Onivyde)-J9999
ICD-10 A57257: Billing and Coding: Ixabepilone; Ixempra Injection -J9207
ICD-10 A57258: Billing and Coding: Leuprolide Acetate (for depot suspension)-J1950
ICD-10 A57259: Billing and Coding: Leuprolide Acetate ( for depot suspension)-J9217
ICD-10 A57260: Billing and Coding: Leuprolide acetate implant; Lupron implant-J9219
ICD-10 A57261: Billing and Coding: Marqibo (VinCRIStine Sulfate Liposome) -J9371
ICD-10 A57262: Billing and Coding: Necitumumab (Portrazza) -J9295
ICD-10 A57263: Billing and Coding: Pemetrexed; Alimta - J9305
ICD-10 A57264: Billing and Coding: Pertuzumab -J9306
ICD-10 A57270: Billing and Coding: Doxorubicin, Doxorubician Hydrochoride -J9000
ICD-10 A57278: Billing and Coding: Mitomycin - J9280
ICD-10 A57280: Billing and Coding: Doxorubicin, Liposomal; Doxil, Caelyx Doxorubicin hydrochloride, all lipid formulations - Q2049,Q2050
ICD-10 A57282: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
ICD-10 A57284: Billing and Coding: Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation
ICD-10 A57285: Response to Comments: Micro Invasive Glaucome Surgery (MIGS)
ICD-10 A57288: Billing and Coding: MolDX: Circulating Tumor Cell Marker Assays
ICD-10 A57289: Billing and Coding: Epirubicin; Epirubicin HC1 -J9178
ICD-10 A57293: Billing and Coding: Xofigo -A9699
ICD-10 A57294: Billing and Coding: Vantas Implant; Supprelin LA -J9226
ICD-10 A57295: Billing and Coding: Vantas Implant, Histrelin implant -J9225
ICD-10 A57297: Billing and Coding: Triptorelin Pamoate -J3315
ICD-10 A57298: Billing and Coding: Trabectedin -J9352
ICD-10 A57299: Billing and Coding: Trastuzumab; Herceptin -J9355
ICD-10 A57300: Billing and Coding: Thyrotropin Alfa (Thyrogen®) -J3240
ICD-10 A57301: Billing and Coding: Tisagenlecleucel (Kymriah) -Q2042
ICD-10 A57302: Billing and Coding: Talimogene laherparepvec -J9325
ICD-10 A57303: Billing and Coding: MolDX: Prolaris™ Prostate Cancer Genomic Assay
ICD-10 A57305: Billing and Coding: Varicose Veins of the Lower Extremity, Treatment of
ICD-10 A57306: Billing and Coding: Transthoracic Echocardiography (TTE)
ICD-10 A57307: Billing and Coding: Nerve Conduction Studies and Electromyography
ICD-10 A57315: Billing and Coding: Nivolumab (Opdivo) -J9299
ICD-10 A57316: Billing and Coding: Obinutuzumab (Gazyva) -J9301
ICD-10 A57317: Billing and Coding: Ofatumumab; Arzerra -J9302
ICD-10 A57318: Billing and Coding: Oxaliplatin; Eloxatin -J9263
ICD-10 A57319: Billing and Coding: Etoposide -J9181
ICD-10 A57321: Billing and Coding: Rituximab -J9311, J9312, J9999, Q5115
ICD-10 A57324: Billing and Coding: Porfimer Sodium; Photofrin -J9600
ICD-10 A57325: Billing and Coding: Ramucirumab (Cyramza) -J9308
ICD-10 A57328: Billing and Coding: Pralatrexate; Folotyn; Injection -J9307
ICD-10 A57339: Billing and Coding: Gemcitabine Gemzar, Gemcitabine hydrochloride -J9201
ICD-10 A57341: Billing and Coding: Ifosfamide -J9208
ICD-10 A57345: Billing and Coding: Paclitaxel protein-bound particles; Abraxane -J9264
ICD-10 A57346: Billing and Coding: Pembrolizumab (Keytruda) -J9271
ICD-10 A57358: Billing and Coding: Yttrium y-90 Ibritumomab tiuxetan -A9543
ICD-10 A57359: Billing and Coding: Topotecan; Hycamtin -J9351
ICD-10 A57360: Billing and Coding: Vinorelbine Tartrate -J9390
ICD-10 A57362: Billing and Coding: Zoledronic Acid -J3489
ICD-10 A57386: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
ICD-10 A57446: Billing and Coding: MolDX: TruGraf Blood Gene Expression Test
ICD-10 A57454: Response to Comments: MolDX: TruGraf Blood Gene Expression Test
ICD-10 A57663: Billing and Coding: Nerve Blocks for Peripheral Neuropathy
ICD-10 A57795: Response to Comments: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Intermediate Risk Disease
ICD-10 A57796: Billing and Coding: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Intermediate Risk Disease
ICD-10 A57859: Billing and Coding: MolDX: Prospera™
ICD-10 A57860: Response to Comments: MolDX: Prospera™
ICD-10 A57870: Billing and Coding: MolDX: Next-Generation Sequencing for Solid Tumors
ICD-10 A57873: Billing and Coding: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies
ICD-10 A57876: Response to Comments: MolDX: Next-Generation Sequencing for Solid Tumors
ICD-10 A57877: Response to Comments: MolDX: Next Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies
ICD-10 A57910: Billing and Coding: MolDX: Testing of Multiple Genes
ICD-10 A57915: Billing and Coding: MolDX: Pigmented Lesion Assay
ICD-10 A57916: Response to Comments: MolDX: Pigmented Lesion Assay
ICD-10 A57927: Response to Comments: Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)
ICD-10 A57929: Response to Comments: Immune Thrombocytopenia (ITP) Therapy
ICD-10 A57930: Response to Comments: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

Retired Articles:

ICD-10 A54676: MolDX: Vysis® Kit by Abbott Coding and Billing Guidelines