Noridian Healthcare Solutions, LLC

Active LCDs:

ICD-10 L34149: Respiratory Care (Respiratory Therapy)
ICD-10 L34163: Total Hip Arthroplasty
ICD-10 L34180: Microvascular Therapy in the Treatment of Peripheral Neuropathies
ICD-10 L34194: Blepharoplasty, Eyelid Surgery, and Brow Lift
ICD-10 L34198: Human Papillomavirus (HPV) Testing
ICD-10 L34201: Frequency of HbA1c Testing Greater Than Every Three Months
ICD-10 L34203: Cataract Surgery in Adults
ICD-10 L34209: Treatment of Varicose Veins of the Lower Extremities
ICD-10 L34211: Trigger Point Injections
ICD-10 L34213: Diagnostic and Therapeutic Colonoscopy
ICD-10 L34215: Lab: Flow Cytometry
ICD-10 L34218: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
ICD-10 L34220: Lumbar MRI
ICD-10 L34228: Percutaneous Vertebral Augmentation
ICD-10 L34233: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
ICD-10 L34243: Treatment of Ulcers & Symptomatic Hyperkeratoses
ICD-10 L34314: Immune Globulin Intravenous (IVIg)
ICD-10 L34315: Electrocardiograms
ICD-10 L34324: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography
ICD-10 L34328: Peripheral Nerve Stimulation
ICD-10 L34982: Lumbar Epidural Injections
ICD-10 L34993: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
ICD-10 L35136: Spinal Cord Stimulators for Chronic Pain
ICD-10 L35160: MolDX: Molecular Diagnostic Tests (MDT)
ICD-10 L35163: Plastic Surgery
ICD-10 L35170: Botulinum Toxin Types A and B Policy
ICD-10 L35456: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
ICD-10 L35526: B-type Natriuretic Peptide (BNP) Testing
ICD-10 L35702: Mohs Micrographic Surgery
ICD-10 L35710: MolDX: Circulating Tumor Cell Marker Assays
ICD-10 L36145: MolDX: HLA-B*15:02 Genetic Testing
ICD-10 L36155: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
ICD-10 L36161: MolDX: BRCA1 and BRCA2 Genetic Testing
ICD-10 L36167: MolDX: Molecular RBC Phenotyping
ICD-10 L36180: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
ICD-10 L36188: MolDX: MGMT Promoter Methylation Analysis
ICD-10 L36219: Non-Covered Services
ICD-10 L36310: MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
ICD-10 L36323: MolDX: GeneSight® Assay for Refractory Depression
ICD-10 L36327: MolDX: ConfirmMDx Epigenetic Molecular Assay
ICD-10 L36335: MolDX: NRAS Genetic Testing
ICD-10 L36343: MolDX: Decipher® Prostate Cancer Classifier Assay
ICD-10 L36348: MolDX: Prolaris™ Prostate Cancer Genomic Assay
ICD-10 L36351: Lab: Special Histochemical Stains and Immunohistochemical Stains
ICD-10 L36358: MolDX: Biomarkers in Cardiovascular Risk Assessment
ICD-10 L36364: MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
ICD-10 L36370: MolDX: Genetic Testing for Lynch Syndrome
ICD-10 L36380: MolDX: Breast Cancer Assay: Prosigna
ICD-10 L36524: Nerve Conduction Studies and Electromyography
ICD-10 L36538: Treatment of Males with Low Testosterone
ICD-10 L36551: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
ICD-10 L36575: Total Knee Arthroplasty
ICD-10 L36668: Lab:Controlled Substance Monitoring and Drugs of Abuse Testing
ICD-10 L36678: Lab: Bladder/Urothelial Tumor Markers
ICD-10 L36692: Vitamin D Assay Testing
ICD-10 L36702: Serum Magnesium
ICD-10 L36704: MolDX: ProMark Risk Score
ICD-10 L36846: Measurement of Salivary Hormones
ICD-10 L36861: Polysomnography and Other Sleep Studies
ICD-10 L36864: GlycoMark Testing for Glycemic Control
ICD-10 L36882: MolDX: APC and MUTYH Gene Testing
ICD-10 L36886: MolDX: Percepta© Bronchial Genomic Classifier
ICD-10 L37054: MolDX: BDX-XL2
ICD-10 L37066: Lab: Coenzyme Q10 (CoQ10)
ICD-10 L37070: MolDX: DecisionDx-UM (Uveal Melanoma)
ICD-10 L37086: Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder
ICD-10 L37120: MolDX: 4Kscore Assay
ICD-10 L37295: MolDX: EndoPredict® Breast Cancer Gene Expression Test
ICD-10 L37299: MolDX: Prometheus IBD sgi Diagnostic Policy
ICD-10 L37301: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
ICD-10 L37303: MolDX: AlloSure^® Donor-Derived Cell-Free DNA Test
ICD-10 L37305: MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer
ICD-10 L37350: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)
ICD-10 L37373: MRI and CT Scans of the Head and Neck
ICD-10 L37502: Frequency of Hemodialysis
ICD-10 L37547: Chest X-Ray Policy
ICD-10 L37616: MolDX: Cystatin C Measurement
ICD-10 L37620: MolDX: MDS FISH
ICD-10 L37624: Helicobacter Pylori Infection Testing
ICD-10 L37628: In Vitro Chemosensitivity & Chemoresistance Assays
ICD-10 L37649: MolDX: Guardant360^® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)
ICD-10 L37673: MolDX: Corus® CAD Assay
ICD-10 L37729: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor
ICD-10 L37750: MolDX: DecisionDx-Melanoma
ICD-10 L37818: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease
ICD-10 L37822: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test
ICD-10 L37879: MolDX: myPath Melanoma Assay
ICD-10 L37887: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
ICD-10 L37897: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer

Retired LCDs:

L33319: Microvascular Therapy in the Treatment of Peripheral Neuropathies
L33321: Mohs Micrographic Surgery
L33322: B-type Natriuretic Peptide (BNP) Testing
L33324: Neuromuscular Junction Testing
L33327: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
L33334: Respiratory Care (Respiratory Therapy )
L33338: Surgical Decompression for Peripheral Polyneuropathy
L33341: Varicose Veins of the Lower Extremity, Treatment of
L33353: Cranial Computerized Tomography (CCT) Scans
L33356: Erythropoietin Stimulating Agents (ESA)
L33358: Frequency of HbA1c Testing Greater Than Every Three Months
L33359: High Sensitivity C-Reactive Protein (hsCRP) Testing
L33361: Infrared Coagulation (IRC) of Hemorrhoids
L33362: Laparoscopic Sleeve Gastrectomy for Severe Obesity
L33663: Polysomnography and Sleep Studies
L33664: Total Joint Arthroplasty
L33665: Percutaneous Vertebral Augmentation
L33717: Human Papillomavirus (HPV) Testing
ICD-10 L34054: B-type Natriuretic Peptide (BNP) Testing
L34123: Lumbar Epidural Injections
L34129: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
ICD-10 L34133: Cranial Computerized Tomography (CCT) Scans
ICD-10 L34145: Infrared Coagulation (IRC) of Hemorrhoids
ICD-10 L34160: Surgical Decompression for Peripheral Polyneuropathy
ICD-10 L34161: Total Joint Arthroplasty
ICD-10 L34165: Erythropoietin Stimulating Agents (ESA)
ICD-10 L34173: High Sensitivity C-Reactive Protein (hsCRP) Testing
ICD-10 L34176: Polysomnography and Sleep Studies
ICD-10 L34182: Treatment of Varicose Veins of the Lower Extremities
ICD-10 L34184: Percutaneous Vertebral Augmentation
ICD-10 L34185: Neuromuscular Junction Testing
ICD-10 L34238: Laparoscopic Sleeve Gastrectomy for Severe Obesity
ICD-10 L34241: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
L34769: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
ICD-10 L34981: Lumbar Epidural Injections
ICD-10 L34992: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
L35215: Circulating Tumor Cell Marker Assays
L35219: Flow Cytometry
L35238: Non-Covered Services
ICD-10 L35447: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
L35464: Treatment of Ulcers & Symptomatic Hyperkeratoses
L35476: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
L35512: MolDx: Breast Cancer Genetic Assay
L35522: MolDX: GeneSight® Assay for Refractory Depression
L35529: Blepharoplasty, Eyelid Surgery, and Brow Lift
ICD-10 L35701: Mohs Micrographic Surgery
ICD-10 L35711: Circulating Tumor Cell Marker Assays
L35796: MolDX: ConfirmMDx Epigenetic Molecular Assay
ICD-10 L36092: Flow Cytometry
ICD-10 L36106: Treatment of Ulcers & Symptomatic Hyperkeratoses
ICD-10 L36194: MolDX: NSCLC, Comprehensive Genomic Profile Testing
ICD-10 L36217: Non-Covered Services
ICD-10 L36249: MolDX: Molecular Diagnostic Tests (MDT)
ICD-10 L36279: Blepharoplasty, Eyelid Surgery, and Brow Lift
ICD-10 L36309: MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
ICD-10 L36313: MolDX: Breast Cancer Index℠ Genetic Assay
ICD-10 L36314: MolDX: Breast Cancer Index℠ Genetic Assay
ICD-10 L36322: MolDX: GeneSight® Assay for Refractory Depression
ICD-10 L36326: MolDX-CDD: ConfirmMDx Epigenetic Molecular Assay
ICD-10 L36340: MolDX-CDD: Prolaris™ Prostate Cancer Genomic Assay
ICD-10 L36341: MolDX-CDD: Decipher® Prostate Cancer Classifier Assay
ICD-10 L36346: Special Histochemical Stains and Immunohistochemical Stains
ICD-10 L36409: Immune Globulin Intravenous (IVIg)
ICD-10 L36557: MolDX: Chromosome 1p/19q Deletion Analysis

Draft LCDs:

L34112: Nerve Conduction Studies and Electromyography
L35156: Controlled Substance Monitoring and Drugs of Abuse Testing
L35218: Flow Cytometry
L35228: Intensity Modulated Radiation Therapy (IMRT)
L35237: Non-Covered Services
L35463: Treatment of Ulcers & Symptomatic Hyperkeratoses
L35475: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
L35511: MolDx: Breast Cancer Genetic Assay (PBT22)
L35515: MolDX: Prostate Cancer Genetic Assay (ZBE44)
L35521: MolDX: Genetic Assay for Refractory Depression
L35528: Blepharoplasty, Eyelid Surgery, and Brow Lift
L35542: Erythropoiesis Stimulating Agents (ESAs)
L35788: Immune Globulin Intravenous (IVIg)
L35795: MolDX: ConfirmMDx Epigenetic Molecular Assay
L35805: MolDX: Decipher® Prostate Cancer Classifier Assay
L35829: MolDX: Special Histochemical Stains and Immunohistochemical Stains
L35837: MolDX: Prolaris™ Prostate Cancer Genomic Assay
L35863: Treatment of Varicose Veins of the Lower Extremities
L35899: Molecular Diagnostic Tests (MDT)
ICD-10 L36095: MolDX: MGMT Promoter Methylation Analysis
ICD-10 L36097: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
ICD-10 L36099: MolDX: HLA-B*15:02 Genetic Testing
ICD-10 L36130: MolDX: BRCA1 and BRCA2 Genetic Testing
ICD-10 L36132: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
ICD-10 L36134: MolDX: Molecular RBC Phenotyping
ICD-10 L36176: MolDX: NSCLC, Comprehensive Genomic Profile Testing
ICD-10 L36199: Spinal Cord Stimulators for Chronic Pain
ICD-10 L36298: Posterior Tibial Nerve Stimulation (PTNS) for Urinary Control
ICD-10 L36307: MolDX: NRAS Genetic Testing
ICD-10 L36317: MolDX: Biomarkers in Cardiovascular Risk Assessment
ICD-10 L36319: MolDX: Breast Cancer Assay: Prosigna
ICD-10 L36330: MolDX: Genetic Testing for Lynch Syndrome
ICD-10 L36332: MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
ICD-10 L36537: Treatment of Males with Low Testosterone
ICD-10 L36545: Total Hip Arthroplasty
ICD-10 L36546: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
ICD-10 L36550: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
ICD-10 L36556: MolDX: Chromosome 1p/19q Deletion Analysis
ICD-10 L36558: Intensity Modulated Radiation Therapy (IMRT)
ICD-10 L36574: Total Knee Arthroplasty
ICD-10 L36676: Botulinum Toxin Types A and B Policy
ICD-10 L36677: Bladder Tumor Markers
ICD-10 L36691: Vitamin D Assay Testing
ICD-10 L36695: Hyperbaric Oxygen (HBO) Therapy
ICD-10 L36697: Intraoperative Neurophysiological Testing
ICD-10 L36701: Serum Magnesium
ICD-10 L36703: MolDX- CDD: ProMark Risk Score
ICD-10 L36836: Chest X-Ray Policy
ICD-10 L36845: Measurement of Salivary Hormones
ICD-10 L36848: Diagnostic and Therapeutic Colonoscopy
ICD-10 L36855: Trigger Point Injections
ICD-10 L36860: Polysomnography and Other Sleep Studies
ICD-10 L36863: GlycoMark Testing for Glycemic Control
ICD-10 L36870: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
ICD-10 L36881: MolDX: APC and MUTYH Gene Testing
ICD-10 L36885: MolDX-CDD: Percepta© Bronchial Genomic Classifier
ICD-10 L36887: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography
ICD-10 L36940: MolDX - CDD: Oncotype DX® Breast Cancer for DCIS (Genomic Health ™)
ICD-10 L37018: Plastic Surgery
ICD-10 L37025: Cataract Surgery in Adults
ICD-10 L37053: MolDX: Xpresys Lung
ICD-10 L37059: MolDX: Vita Risk™ Pharmacogenetic Test for Dry Age-related Macular Degeneration (AMD)
ICD-10 L37065: Coenzyme Q10 (CoQ10)
ICD-10 L37069: MolDX: DecisionDx-UM (Uveal Melanoma)
ICD-10 L37079: MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
ICD-10 L37085: Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder
ICD-10 L37089: MolDX: VectraDA, a Multibiomarker Disease Activity Test for Rheumatoid Arthritis (RA)
ICD-10 L37100: MolDX: Comprehensive Genomic Profiling to Guide Treatment in Patients with Advanced Primary Peritoneal, Fallopian Tube and Ovarian Cancer
ICD-10 L37104: MolDX: Comprehensive Genomic Profiling to Guide Treatment in Patients with Metastatic Colorectal Cancer
ICD-10 L37108: MolDX: Comprehensive Genomic Profiling to Guide Treatment in Patients with Metastatic Melanoma
ICD-10 L37113: Visual Electrophysiology Testing
ICD-10 L37119: 4Kscore Assay
ICD-10 L37240: Chiropractic Services
ICD-10 L37246: Noninvasive Peripheral Venous Studies
ICD-10 L37268: Electrocardiograms
ICD-10 L37271: Monitored Anesthesia Care (MAC)
ICD-10 L37279: Lumbar MRI
ICD-10 L37285: Pulmonary Function Testing
ICD-10 L37286: Peripheral Nerve Stimulation
ICD-10 L37287: Respiratory Care (Respiratory Therapy )
ICD-10 L37294: MolDX: EndoPredict® Breast Cancer Gene Expression Test
ICD-10 L37298: MolDX: Prometheus IBD sgi Diagnostic Policy
ICD-10 L37300: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
ICD-10 L37302: MolDX: AlloSure^® Donor-Derived Cell-Free DNA Test
ICD-10 L37304: MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer
ICD-10 L37306: Noninvasive Physiologic Studies of Upper or Lower Extremity Arteries
ICD-10 L37308: Duplex Scan Of Lower Extremity Arteries
ICD-10 L37316: Noninvasive Extracranial Arterial Studies
ICD-10 L37318: Transcranial Doppler Studies
ICD-10 L37324: Allergy Testing
ICD-10 L37349: MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)
ICD-10 L37372: MRI and CT Scans of the Head and Neck
ICD-10 L37501: Frequency of Hemodialysis
ICD-10 L37546: Chest X-Ray Policy
ICD-10 L37615: MolDX: Cystatin C Measurement
ICD-10 L37619: MolDX: MDS FISH
ICD-10 L37623: Heliocobacter Pylori Infection Testing
ICD-10 L37627: In Vitro Chemosensitivity & Chemoresistance Assays
ICD-10 L37648: MolDX: Guardant360^® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)
ICD-10 L37654: MicroInvasive Glaucoma Surgery (MIGS)
ICD-10 L37672: MolDX: Corus® CAD Assay
ICD-10 L37728: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor
ICD-10 L37741: MolDX: Pigmented Lesion Assay (PLA)
ICD-10 L37817: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease
ICD-10 L37821: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test
ICD-10 L37874: MolDX: NeuroIDgenetix® Test for Depression
ICD-10 L37878: MolDX: myPath Melanoma Assay
ICD-10 L37886: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
ICD-10 L37888: MolDX: Genetic Testing for Lynch Syndrome
ICD-10 L37896: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
ICD-10 L37999: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
ICD-10 L38118: MolDX: Next-Generation Sequencing for Solid Tumors
ICD-10 L38122: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies
ICD-10 L38126: MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Solid Tumors
ICD-10 L38130: MolDX: Prospera
ICD-10 L38134: MolDX: TruGraf Blood Gene Expression Test
ICD-10 L38150: MolDX: Pigmented Lesion Assay
ICD-10 L38154: Lab: Drug Interaction Testing
ICD-10 L38298: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 L38309: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
ICD-10 L38314: MolDX: Molecular Microscope® Diagnostic System for the Heart
ICD-10 L38318: MolDX: Tests on Allograft Kidney Biopsy Tissue to Assess for Graft Rejection
ICD-10 L38322: MolDX: SelectMDx for Prostate Cancer
ICD-10 L38326: MolDX: Razor 14-Gene Lung Cancer Assay
ICD-10 L38330: MolDX: Erythrocyte Molecular Antigen Typing
ICD-10 L38334: MolDX: Pharmacogenomics Testing
ICD-10 L38338: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease
ICD-10 L38342: MolDX: Signatera and Minimal Residual Disease Testing for Colorectal Cancer
ICD-10 L38350: MolDX: Repeat Germline Testing
ICD-10 L38354: MolDX: AlloSure® Cell-Free DNA Testing
ICD-10 L38360: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
ICD-10 L38361: MolDX: DecisionDx-Melanoma
ICD-10 L38460: Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease
ICD-10 L38468: MolDX: Combinatorial Pharmacogenomics Limited Coverage

Active Articles:

ICD-10 A52880: Changes in Noridian’s List of Drugs that are Usually Self Administered - R1
ICD-10 A52889: Pegfilgrastim (Neulasta) J2505
ICD-10 A52966: Percutaneous Endovascular Cardiac Assist Procedures and Devices
ICD-10 A52978: Routine Dental Services
ICD-10 A53008: Intraocular Bevacizumab Coding/Billing Guidelines
ICD-10 A53024: JW Modifier Billing Guidelines
ICD-10 A53026: Bariatric Surgery Coverage
ICD-10 A53032: Self-Administered Drug Exclusion List:
ICD-10 A53084: Sclerosing of Varicose Veins
ICD-10 A53287: High Compression Bandage System Clarification
ICD-10 A53289: Therapy Driving Evaluations
ICD-10 A53296: Wound Care & Debridement – Provided by a Therapist, Physician, NPP or as Incident-to Services
ICD-10 A53304: Medical Necessity of Therapy Services
ICD-10 A53309: Therapy Evaluation and Assessment Services
ICD-10 A53339: Therapy Students and Aides
ICD-10 A53352: Outpatient Therapy Biofeedback Training
ICD-10 A53356: Sterilization
ICD-10 A53359: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
ICD-10 A53893: Self-Administered Drugs - Process to Determine Which Drugs Are Not Usually Self-administered By the Patient
ICD-10 A53915: Dropless Cataract Surgery
ICD-10 A53916: Dropless Cataract Surgery
ICD-10 A53972: Spinal Fusion Services: Documentation Requirements
ICD-10 A54061: Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees
ICD-10 A54072: Treatment with Yttrium-90 Microspheres
ICD-10 A54356: Billing and Coding: MolDX: Afirma™ Assay by Veracyte
ICD-10 A54364: Billing and Coding: MolDX: AlloMap
ICD-10 A54376: Billing and Coding: MolDX: Avise PG Assay
ICD-10 A54386: Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID®
ICD-10 A54418: Billing and Coding: MolDX: FDA-Approved BRAF Tests
ICD-10 A54437: Billing and Coding: MolDX: HERmark® Assay by Monogram
ICD-10 A54445: Billing and Coding: MolDX: MammaPrint
A54449: MolDX: Oncotype DX® Breast Cancer Assay Billing and Coding Guidelines
A54450: MolDX: Oncotype DX® Colon Cancer Coding and Billing Guidelines
A54451: MolDX: Progensa® PCA3 Assay Coding and Billing Guidelines
A54452: MolDx: ResponseDX Tissue of Origin® Coding and Billing Guidelines
A54453: MolDX: therascreen® KRAS PCR Kit Billing/Coding Guidelines
A54454: MolDX: Vectra™ DA Coding and Billing Guidelines
ICD-10 A54479: MolDX: Oncotype DX® Breast Cancer Assay Billing and Coding Guidelines
ICD-10 A54480: Billing and Coding: MolDX: Oncotype DX® Breast Cancer Assay
ICD-10 A54484: Billing and Coding: MolDX: Oncotype DX® Colon Cancer
ICD-10 A54507: MolDX: Vysis® Kit by Abbott Coding and Billing Guidelines
ICD-10 A54543: Therapeutic Apheresis for Familial Hypercholesterolemia
ICD-10 A54547: Response to Comments: MolDX: Molecular Diagnostic Tests (MDT)
ICD-10 A54589: Response to Comments: MolDX: Prolaris Prostate Cancer Genomic Assay, L36340
ICD-10 A54594: Response to Comments: Special Histochemical Stains and Immunohistochemical Stains, L36346
ICD-10 A54630: Response to Comments: MolDX: Decipher Prostate Cancer Classifier Assay
ICD-10 A54635: Hydration Services
ICD-10 A54640: Intravenous Immune Globulin (IVIg)-NCD 250.3
ICD-10 A54641: Intravenous Immune Globulin (IVIg)-NCD 250.3
ICD-10 A54644: Response to Comments: Immune Globulin Intravenous (IVIg)
ICD-10 A54660: Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home – Medicare Benefit Policy Manual, Chapter 15, 50.6
ICD-10 A54666: Positron Emission Tomography Scans Coverage
ICD-10 A54710: Response to Comments: Treatment of Varicose Veins of Lower Extremities
ICD-10 A54865: Response to Comments: MolDX: Molecular RBC Phenotyping
ICD-10 A54874: Response to Comments: MolDX: HLA-B*15:02 Genetic Testing
ICD-10 A54882: Response to Comments: MolDX - CDD: NSCLC, Comprehensive Genomic Profile Testing Response to Comments
ICD-10 A54893: Response to Comments: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia
ICD-10 A54895: Response to Comments: MolDX: MGMT Promoter Methylation Analysis
ICD-10 A54897: Response to Comments: MolDX: BRCA1 and BRCA 2 Genetic Testing
ICD-10 A54919: Investigational Device Exemptions (IDE) - IDE Documentation Requirements for Studies with an FDA Approval dated January 01, 2015 or later
ICD-10 A54927: Response to Comments: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
ICD-10 A54929: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
ICD-10 A54964: Response to Comments: MolDX: Genetic Testing for Lynch Syndrome
ICD-10 A54969: Nerve Conduction Studies and Electromyography Billing and Coding Guidelines
ICD-10 A54975: MolDX: Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) Testing Billing and Coding Guidelines
ICD-10 A54978: Response to Comments: MolDX: Biomarkers in Cardiovascular Risk Assessment
ICD-10 A54980: Response to Comments: Spinal Cord Stimulators for Chronic Pain
ICD-10 A54990: Response to Comments: Nerve Conduction Studies and Electromyography
ICD-10 A54995: Billing and Coding: MolDX: Genetic Testing for Lynch Syndrome
ICD-10 A54998: Response to Comments: Controlled Substance Monitoring and Drugs of Abuse Testing Comment Period Ending 05/02/2014.
ICD-10 A55001: Billing and Coding: Lab:Controlled Substance Monitoring and Drugs of Abuse Coding and Billing Guidelines
ICD-10 A55028: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
ICD-10 A55033: Response to Comments: MolDX-CDD: Genomic Health™ Oncotype DX® Prostate Cancer Assay
ICD-10 A55044: Patients Supplied Donated or Free-of-Charge Drug
ICD-10 A55048: Response to Comments: MolDX: NRAS Genetic Testing
ICD-10 A55053: Response to Comments: Treatment of Males with Low Testosterone
ICD-10 A55056: Testopel Coverage
ICD-10 A55058: Waiver of Face-to-Face Visit for Home Dialysis Patients
ICD-10 A55061: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
ICD-10 A55072: Response to Comments: Total Hip Arthroplasty
ICD-10 A55079: Response to Comments: Total Knee Arthroplasty
ICD-10 A55080: Response to Comments: MolDX: Chromosome 1p/19q Deletion Analysis
ICD-10 A55085: MolDX: CHD7 Gene Analysis Billing and Coding Guidelines
ICD-10 A55088: MolDX: Aspartoacyclase 2 Deficiency (ASPA) Testing Billing and Coding Guidelines
ICD-10 A55090: MolDX: 4q25-AF Risk Genotype Billing and Coding Guidelines
ICD-10 A55092: MolDX: 9p21 Genotype Test Billing and Coding Guideline
ICD-10 A55094: MolDX: ApoE Genotype Billing and Coding Guidelines
ICD-10 A55097: MolDX: ATP7B Gene Tests Billing and Coding Guidelines
ICD-10 A55099: MolDX: BCKDHB Gene Test Billing and Coding Guidelines
ICD-10 A55104: Posterior Tibial Nerve Stimulation Coverage
ICD-10 A55113: MolDX: BLM Gene Analysis Billing and Coding Guidelines
ICD-10 A55115: MolDX: BluePrint® Billing and Coding Guidelines
ICD-10 A55117: MolDX: CFTR Gene Analysis Billing and Coding Guidelines
ICD-10 A55154: Response to Comments: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
ICD-10 A55177: MolDX: CYP2B6 Test Billing and Coding Guidelines
ICD-10 A55179: MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response Billing and Coding Guidelines
ICD-10 A55181: MolDX: ENG and ACVRL1 Gene Tests Billing and Coding Guidelines
ICD-10 A55183: MolDX: FANCC Genetic Testing Billing and Coding Guidelines
ICD-10 A55215: Incident To Clarification for OPPS and CAH Outpatient
ICD-10 A55239: Implantable Infusion Pumps for Chronic Pain
ICD-10 A55241: MolDX: Fragile X Billing and Coding Guidelines
ICD-10 A55243: MolDX: GBA Genetic Testing Billing and Coding Guidelines
ICD-10 A55249: MolDX: HAX1 Gene Sequencing Billing and Coding Guidelines
ICD-10 A55253: MolDX: HBB Gene Tests Billing and Coding Guidelines
ICD-10 A55255: MolDX: HEXA Gene Analysis Billing and Coding Guidelines
ICD-10 A55264: MolDX: HTTLPR Gene Testing Billing and Billing Guidelines
ICD-10 A55272: MolDX: KIF6 Genotype Billing and Coding Guidelines
ICD-10 A55274: MolDX: Know error® Billing and Coding Guidelines Update
ICD-10 A55277: MolDX: L1CAM Gene Sequencing Billing and Coding Guidelines
ICD-10 A55279: MolDX: LPA-Aspirin Genotype Billing and Coding Guidelines
ICD-10 A55281: MolDX: LPA-Intron 25 Genotype Billing and Coding Guidelines
ICD-10 A55283: MolDX: MCOLN1 Genetic Testing Billing and Coding Guidelines
ICD-10 A55285: MolDX: MECP2 Genetic Testing Billing and Coding Guidelines
ICD-10 A55288: MolDX: MMACHC Test Billing and Coding Guidelines
ICD-10 A55290: MolDX: Mitochondrial Nuclear Gene Tests Billing and Coding Guidelines
ICD-10 A55292: MolDX: myPap™ Billing and Coding Guidelines
ICD-10 A55294: Billing and Coding: MolDX: Myriad’s BRACAnalysis CDx™
ICD-10 A55307: Polysomnography and Other Sleep Studies
ICD-10 A55326: Zika Virus Testing by PCR and ELISA Methods
ICD-10 A55361: Response to Comments: Serum Magnesium
ICD-10 A55371: Therapy Evaluation Coding
ICD-10 A55372: Response to Comments: Vitamin D Assay Testing
ICD-10 A55383: Response to Comments: Botulinum Toxin Types A and B
ICD-10 A55457: Response to Comments: Bladder/Urothelial Tumor Markers
ICD-10 A55463: Response to Comments: MolDX: APC and MUTYH Gene Testing
ICD-10 A55468: MolDX: VEGFR2 Tests Billing and Coding Guidelines
ICD-10 A55470: Response to Comments: MolDX- CDD: ProMark Risk Score
ICD-10 A55472: Response to Comments: Trigger Point Injections
ICD-10 A55478: Abbreviated Daytime Sleep Study (e.g. PAP-NAP)
ICD-10 A55480: MolDX: STAT3 Gene Testing Billing and Coding Guidelines
ICD-10 A55482: MolDX: UGT1A1 Gene Analysis Billing and Coding Guidelines
ICD-10 A55484: MolDX: TP53 Gene Test Billing and Coding Guidelines
ICD-10 A55489: Response to Comments: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
ICD-10 A55491: Response to Comments: Polysomnography and Other Sleep Studies
ICD-10 A55503: Skilled Therapy Services in the SNF PPS Setting
ICD-10 A55509: Coding Guidelines: Noninvasive Peripheral Venous Studies
ICD-10 A55527: Response to Comments: GlycoMark Testing for Glycemic Control
ICD-10 A55530: Noncoverage of Peripheral Nerve Field Stimulation – Coding and Billing
ICD-10 A55548: Sleep Lab Credentialing: Polysomnography and Other Sleep Studies
ICD-10 A55553: Response to Comments: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography
ICD-10 A55555: Response to Comments: Diagnostic and Therapeutic Colonoscopy
ICD-10 A55584: Billing Medicare for the SphenoCath^® and Other Similar Devices
ICD-10 A55593: MolDX: OncoCee™ Billing and Coding Guidelines
ICD-10 A55594: MolDX: PreDx® Billing and Coding Guidelines
ICD-10 A55595: Billing and Coding: MolDX: BCR-ABL
ICD-10 A55596: MolDX: SULT4A1 Genetic Testing Billing and Coding Guidelines
ICD-10 A55597: MolDX: PIK3CA Gene Tests Billing and Coding Guidelines
ICD-10 A55607: Additional Information Required for Coverage and Pricing for Category III CPT® Codes
ICD-10 A55608: MolDX: PTCH1 Gene Testing Billing and Coding Guidelines
ICD-10 A55609: MolDX: NSD1 Gene Tests Billing and Coding Guidelines
ICD-10 A55610: MolDX: RPS19 Gene Tests Billing and Coding Guidelines
ICD-10 A55611: MolDX: TERC Gene Tests Billing and Coding Guidelines
ICD-10 A55612: MolDX: IKBKAP Genetic Testing Billing and Coding Guidelines
ICD-10 A55623: MolDX: SEPT9 Gene Test Billing and Coding Guidelines
ICD-10 A55624: MolDX: Targeted and Comprehensive Genomic Profile Next-Generation Sequencing Testing in Cancer
ICD-10 A55625: MolDX: PAX6 Gene Sequencing Billing and Coding Guidelines
ICD-10 A55626: MolDX: SLCO1B1 Genotype Billing and Coding Guidelines
ICD-10 A55627: MolDX: SMPD1 Genetic Testing Billing and Coding Guidelines
ICD-10 A55653: Parenteral Iron Administration Coverage in Non-Dialysis Usage
ICD-10 A55657: Response to Comments: MolDX DecisionDX Uveal Melanoma
ICD-10 A55661: Response to Comments: MolDX: Xpresys Lung
ICD-10 A55665: Response to Comments: MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
ICD-10 A55675: Billing and Coding: Frequency of Hemodialysis
ICD-10 A55684: Response to Comments: Plastic Surgery
ICD-10 A55688: Response to Comments: Cataract Surgery in Adults
ICD-10 A55710: Lymphedema Decongestive Treatment
ICD-10 A55754: Home PT/INR Monitoring (G0249) Billing and Coding
ICD-10 A55760: Response to Comments: MolDX: AlloSure® Donor-Derived Cell-Free DNA Test
ICD-10 A55769: Billing and Coding: Lab: Coenzyme Q10 (CoQ10)
ICD-10 A55774: Reporting a Non-Covered Test Performed in Preparation for a Non-Covered Procedure
ICD-10 A55778: Response to Comments: MolDX: Prometheus IBD sgi Diagnostic Policy
ICD-10 A55793: Response to Comments: MolDX: EndoPredict® Breast Cancer Gene Expression Test
ICD-10 A55802: Lab: Special Stains and Immunohistochemistry (IHC) Indications for Gastric Pathology
ICD-10 A55839: Response to Comments: MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer
ICD-10 A55902: Response to Comments: Repetitive Transcranial Magnetic Stimulation for Major Depressive Disorder
ICD-10 A55933: Flow Cytometry Coverage Clarification
ICD-10 A55936: Response to Comments: Chest X-Ray Policy
ICD-10 A55970: MolDX: CDH1 Genetic Testing Billing and Coding Guidelines
ICD-10 A55984: Response to Comments: Respiratory Care (Respiratory Therapy)
ICD-10 A56009: MolDX: FDA Approved CLL Companion Diagnostic Test Billing and Coding Guidelines
ICD-10 A56017: Response to Comments: Lumbar MRI
ICD-10 A56025: Topical HBO and Physician Related Service Billing and Coding Guidelines
ICD-10 A56027: Piriformis Injections
ICD-10 A56034: Peripheral Nerve Blocks Non-covered for the Treatment of Diabetic Peripheral Neuropathic Pain
ICD-10 A56041: Response to Comments: Peripheral Nerve Stimulation
ICD-10 A56061: Response to Comments: MRI and CT Scans of Head and Neck
ICD-10 A56071: In Vitro Chemosensitivity Assays-Billing and Coding Guidelines
ICD-10 A56076: Response to Comments: In Vitro Chemosensitivity & Chemoresistance Assays
ICD-10 A56091: Response to Comments: MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)
ICD-10 A56103: Billing and Coding: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker Billing and Coding Guidelines for Patients with Unresectable or Metastatic Solid Tumors
ICD-10 A56112: Non-Payment for Prefabricated Splints
ICD-10 A56152: Pulmonary Rehabilitation Services
ICD-10 A56155: Use of Amniotic Membrane Derived Skin Substitutes
ICD-10 A56191: Response to Comments: 4Kscore Assay
ICD-10 A56205: Response to Comments: MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs)
ICD-10 A56211: Response to Comments: MolDX: Cystatin C Measurement
ICD-10 A56228: Response to Comments: MolDX: Corus® CAD Assay
ICD-10 A56230: Response to Comments: MolDX: DecisionDx-Melanoma
ICD-10 A56240: Response to Comments: Frequency of Hemodialysis
ICD-10 A56251: Response to Comments: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
ICD-10 A56253: Response to Comments: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor
ICD-10 A56256: Response to Comments: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
ICD-10 A56340: Billing and Coding: Implantable Automatic Defibrillators
ICD-10 A56356: Response to Comments: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test
ICD-10 A56361: Response to Comments: MolDX: Genetic Testing for Lynch Syndrome
ICD-10 A56371: Billing and Coding: MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
ICD-10 A56375: Response to Comments: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
ICD-10 A56381: Response to Comments: Helicobacter Pylori Infection Testing
ICD-10 A56387: Response to Comments: MolDX: myPath Melanoma Assay
ICD-10 A56411: Response to Comments: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
ICD-10 A56436: Response to Comments: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease
ICD-10 A56446: Response to Comments: MolDX: MDS FISH
ICD-10 A56514: Billing and Coding for Pathology Services on the Same Date of Service (DOS) as Mohs Surgery
ICD-10 A56597: Billing and Coding Guidelines: Truxima® (rituximab-abbs)
ICD-10 A56706: Billing and Coding: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs)
ICD-10 A57037: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
ICD-10 A57079: Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
ICD-10 A57083: Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
ICD-10 A57161: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
ICD-10 A57183: Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography
ICD-10 A57185: Billing and Coding: Botulinum Toxin Types A and B Policy
ICD-10 A57187: Billing and Coding: Immune Globulin Intravenous (IVIg)
ICD-10 A57189: Billing and Coding: Serum Magnesium
ICD-10 A57190: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift
ICD-10 A57195: Billing and Coding: Cataract Surgery in Adults
ICD-10 A57202: Billing and Coding: Lumbar Epidural Injections
ICD-10 A57204: Billing and Coding: MRI and CT Scans of the Head and Neck
ICD-10 A57206: Billing and Coding: Lumbar MRI
ICD-10 A57224: Billing and Coding: Respiratory Care (Respiratory Therapy)
ICD-10 A57226: Billing and Coding: Helicobacter Pylori Infection Testing
ICD-10 A57237: Billing and Coding: GlycoMark Testing for Glycemic Control
ICD-10 A57336: Billing and Coding: MolDX: 4Kscore Assay
ICD-10 A57338: Billing and Coding: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
ICD-10 A57352: Billing and Coding: MolDX: APC and MUTYH Gene Testing
ICD-10 A57354: Billing and Coding: MolDX: BRCA1 and BRCA2 Genetic Testing
ICD-10 A57363: Billing and Coding: MolDX: Breast Cancer Assay: Prosigna
ICD-10 A57378: Billing and Coding: MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
ICD-10 A57415: Billing and Coding: MolDX: Corus® CAD Assay
ICD-10 A57417: Billing and Coding: MolDX: DecisionDx-Melanoma
ICD-10 A57419: Billing and Coding: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
ICD-10 A57421: Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
ICD-10 A57423: Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
ICD-10 A57432: Billing and Coding: MolDX: MGMT Promoter Methylation Analysis
ICD-10 A57441: Billing and Coding: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
ICD-10 A57444: Billing and Coding: MolDX: Molecular RBC Phenotyping
ICD-10 A57456: Billing and Coding: MolDX: AlloSure^® Donor-Derived Cell-Free DNA Test
ICD-10 A57459: Billing and Coding: Treatment of Ulcers & Symptomatic Hyperkeratoses
ICD-10 A57466: Billing and Coding: MolDX: HLA-B*15:02 Genetic Testing
ICD-10 A57497: Billing and Coding: Chest X-Ray Policy
ICD-10 A57512: Billing and Coding: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor
ICD-10 A57526: Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT)
ICD-10 A57547: Billing and Coding: MolDX: GeneSight® Assay for Refractory Depression
ICD-10 A57615: Billing and Coding: Treatment of Males with Low Testosterone
ICD-10 A57626: Billing and Coding: MolDX: myPath Melanoma Assay
ICD-10 A57643: Billing and Coding: MolDX: Cystatin C Measurement
ICD-10 A57645: Billing and Coding: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease

Retired Articles:

A52312: Self-Administered Drug Exclusion List R8
A52484: Injectable Bulking Agents for the Treatment of Fecal Incontinence
A52522: Positron Emission Tomography Scans Coverage
A52547: Chemotherapy Administration
A52564: Changes in Noridian’s List of Drugs that are Usually Self Administered - R1
A52656: Hyperthermia Therapy for Cancer Treatment
A52663: Percutaneous Endovascular Cardiac Assist Procedures and Devices
A52789: Coverage and Non-Coverage of CPT Category III Codes
ICD-10 A52792: Coverage and Non-Coverage of CPT Category III Codes
A52798: Pegfilgrastim (Neulasta) J2505
A52803: Bariatric Surgery Coverage
A52874: Obinutuzumab (GAZYVA™): Wastage Billing Instructions
ICD-10 A52881: Determination of Approved and Accepted Off-label Drug Indications
ICD-10 A52882: Obinutuzumab (GAZYVA™): Wastage Billing Instructions
ICD-10 A52914: Hyperbaric Oxygen Therapy
ICD-10 A52920: Injectable Bulking Agents for the Treatment of Fecal Incontinence
ICD-10 A52947: Percutaneous Endovascular Cardiac Assist Procedures and Devices
ICD-10 A52952: Chemotherapy Administration
ICD-10 A52962: Hyperthermia Therapy for Cancer Treatment
ICD-10 A53025: Bariatric Surgery Coverage
ICD-10 A53029: Pegfilgrastim (Neulasta) J2505
ICD-10 A53030: MitraClip® Percutaneous Mitral Valve Repair System
ICD-10 A53031: Self-Administered Drug Exclusion List
ICD-10 A53081: Sclerosing of Varicose Veins
A53138: Medical Nutrition Therapy - R2
A53144: Sclerosing of Varicose Veins
A53182: Testopel™ Coverage
A53257: Radiofrequency Ablation of Uterine Fibroids
ICD-10 A53258: Radiofrequency Ablation of Uterine Fibroids
A53271: Wound Care & Debridement – Provided by Physician, NPP or as Incident-to Services
A53273: Wound Care & Debridement – Provided by Therapist
A53278: Therapy Evaluation and Assessment Services
A53280: Medical Necessity of Therapy Services
A53284: High Compression Bandage System Clarification
ICD-10 A53285: High Compression Bandage System Clarification
A53288: Therapy Driving Evaluations
ICD-10 A53295: Wound Care & Debridement – Provided by Physician, NPP or as Incident-to Services
ICD-10 A53297: Wound Care & Debridement – Provided by Therapist
ICD-10 A53303: Medical Necessity of Therapy Services
ICD-10 A53308: Therapy Evaluation and Assessment Services
A53317: Treatment with Yttrium-90 Microspheres
ICD-10 A53321: Fracture Care
A53324: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
ICD-10 A53336: Therapy Students and Aides
A53337: Therapy Students and Aides
A53347: Sterilization
A53349: Outpatient Therapy Biofeedback Training
ICD-10 A53350: Outpatient Therapy Biofeedback Training
ICD-10 A53355: Sterilization
ICD-10 A53358: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
A53363: Outpatient Cardiac Rehabilitation
A53745: AlloMap
A53754: Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees
A53811: HemoDialysis Frequency
ICD-10 A53827: HemoDialysis Frequency
A53857: Hydration Services
A53858: Jetrea® (Ocriplasmin)
A53862: NMP22 Bladder Check® Test for Monitoring Bladder Cancer
A53864: Peripheral Nerve Blocks Non-covered for the Treatment of Diabetic Peripheral Neuropathic Pain
A53869: Qutenza® 8% Patch Billing and Coverage
A53876: STRATIFY JCV™ Coding and Billing Guidelines
A53877: High Resolution Anoscopy
A53891: Self-Administered Drugs - Process to Determine Which Drugs Are Not Usually Self-administered By the Patient
A53911: Dropless Cataract Surgery
ICD-10 A53956: High Resolution Anoscopy
A53965: Spinal Fusion Services: Documentation Requirements
ICD-10 A53971: Spinal Fusion Services: Documentation Requirements
A54010: MolDX Excluded Tests
ICD-10 A54023: NMP22 Bladder Check® Test for Monitoring Bladder Cancer
A54030: Urolift
ICD-10 A54041: Urolift
ICD-10 A54060: Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees
ICD-10 A54067: Outpatient Cardiac Rehabilitation
ICD-10 A54071: Treatment with Yttrium-90 Microspheres
A54125: Ocular Photodynamic (OPT) Therapy with Verteporfin
ICD-10 A54127: Ocular Photodynamic (OPT) Therapy with Verteporfin
ICD-10 A54129: Ocular Photodynamic Therapy (OPT) with Verteporfin
A54134: Response to Comments: Treatment of Ulcers & Symptomatic Hyperkeratoses, L35464.
A54154: Response to Comments: Flow Cytometry, L35219
A54165: Response to Comments: Blepharoplasty, Eyelid Surgery, and Brow Lift L35529
A54213: Response to Comments: MolDx: Breast Cancer Genetic Assay, L33512
A54218: Response to Comments: MolDX: GeneSight® Assay for Refractory Depression, L35522
A54224: Response to Comments: MolDX: ConfirmMDx Epigenetic Molecular Assay, L35796
A54234: Response to Comments: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing, L35476
A54304: Response to Comments: Non-Covered Services Policy, L35238
ICD-10 A54355: MolDX: Afirma™ Assay by Veracyte Billing and Coding Guidelines
ICD-10 A54363: MolDX: AlloMap Billing and Coding Guidelines
ICD-10 A54375: MolDX: Avise PG Assay Billing and Coding Guidelines
ICD-10 A54385: MolDX: bioTheranostics Cancer TYPE ID® Billing and Coding Guidelines
ICD-10 A54417: MolDX: FDA-Approved BRAF Tests Billing and Coding Guidelines
ICD-10 A54421: MolDX: FDA-Approved EGFR Tests Billing and Coding Guidelines
ICD-10 A54428: MolDX: Corus® CAD Test Billing and Coding Guidelines
ICD-10 A54429: MolDX: Corus® CAD Test Billing and Coding Guidelines
ICD-10 A54436: MolDX: HERmark® Assay by Monogram Billing and Coding Guidelines
ICD-10 A54444: MolDX: MammaPrint Billing and Coding Guidelines
ICD-10 A54483: MolDX: Oncotype DX® Colon Cancer Coding and Billing Guidelines
ICD-10 A54487: MolDX: Progensa® PCA3 Assay Coding and Billing Guidelines
ICD-10 A54493: MolDx: ResponseDX Tissue of Origin® Coding and Billing Guidelines
ICD-10 A54497: MolDX: FDA-Approved KRAS Tests
ICD-10 A54502: MolDX: Vectra™ DA Billing and Coding Guidelines
A54535: Intraocular Bevacizumab Coding/Billing Guidelines
ICD-10 A54536: Intraocular Bevacizumab Coding/Billing Guidelines
A54538: Therapeutic Apheresis for Familial Hypercholesterolemia
ICD-10 A54542: Therapeutic Apheresis for Familial Hypercholesterolemia
ICD-10 A54571: Positron Emission Tomography Scans Coverage
ICD-10 A54583: Parenteral Iron Administration in Beneficiaries with Chronic Kidney Disease (CKD) with Iron Deficiency Anemia (IDA) or Reduced Iron Stores
A54625: Coding for High Dose Rate Brachytherapy for Non-Melanoma Skin Cancers
ICD-10 A54634: Hydration Services
ICD-10 A54658: Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home – Medicare Benefit Policy Manual, Chapter 15, 50.6
ICD-10 A54696: Non-Coverage of 0075T
ICD-10 A54746: MolDX: CYP Gene Evidence Analysis
ICD-10 A55185: MolDX: FDA Approved ALK Companion Diagnostic Tests Billing and Coding Guidelines
ICD-10 A55212: Incident To Clarification for OPPS and CAH Outpatient
ICD-10 A55423: DecisionDx-UM™ Billing Guidelines
ICD-10 A56080: MolDX: Quidel Solana Strep Complete Assay and Quidel Lyra Direct Strep Assay Billing and Coding Guidelines
ICD-10 A56110: Maintenance Programs