Medicare Contractor: Palmetto GBA
Contact Information
Contractor Type
A and B MAC
Contractor Information
| Contractor Number: | 10111 |
| Business Name: | Palmetto GBA |
| Status: | A |
| Oversight Region: | Region I
|
| States: | AL - Alabama
|
Active LCDs:
ICD-10 L33420: Lab: Bladder/Urothelial Tumor Markers ICD-10 L33423: Cardiac Computed Tomography & Angiography (CCTA) ICD-10 L33428: Cosmetic and Reconstructive Surgery ICD-10 L33445: Removal of Benign and Malignant Skin Lesions ICD-10 L33456: Total Joint Arthroplasty ICD-10 L33457: Cardiac Radionuclide Imaging ICD-10 L33459: Computerized Axial Tomography (CT), Thorax ICD-10 L33467: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography ICD-10 L34410: B-type Natriuretic Peptide (BNP) Testing ICD-10 L34411: Blepharoplasty, Eyelid Surgery, and Brow Lift ICD-10 L34413: Cataract Surgery ICD-10 L34415: CT of the Abdomen and Pelvis ICD-10 L34417: CT of the Head ICD-10 L34419: Homocysteine Level, Serum ICD-10 L34422: Infrared Coagulation (IRC) of Hemorrhoids ICD-10 L34424: Magnetic Resonance Angiography ICD-10 L34425: Magnetic Resonance Imaging of the Orbit, Face, and/or Neck ICD-10 L34426: Ophthalmic Angiography (Fluorescein and Indocyanine Green) ICD-10 L34427: Outpatient Occupational Therapy ICD-10 L34428: Outpatient Physical Therapy ICD-10 L34429: Outpatient Speech Language Pathology ICD-10 L34430: Respiratory Therapy (Respiratory Care) ICD-10 L34431: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) ICD-10 L34433: Somatosensory Testing ICD-10 L34434: Upper Gastrointestinal Endoscopy and Visualization ICD-10 L34454: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy ICD-10 L34512: Corneal Pachymetry ICD-10 L34513: Lab: Flow Cytometry ICD-10 L34549: Ambulance Services ICD-10 L34551: One Day Stays for Chest Pain ICD-10 L34552: Outpatient Observation Bed/Room Services ICD-10 L34553: Stretta Procedure ICD-10 L34554: In Vitro Chemosensitivity & Chemoresistance Assays ICD-10 L34555: Non-Covered Category III CPT Codes ICD-10 L34570: Psychiatric Inpatient Hospitalization ICD-10 L34573: Cardiac Event Detection ICD-10 L34574: Dental Services ICD-10 L34575: Frequency of Hemodialysis ICD-10 L34576: Laparoscopic Sleeve Gastrectomy for Severe Obesity ICD-10 L34577: Retroperitoneal Ultrasound ICD-10 L34578: Surface Electrical Stimulation in the Treatment of Dysphagia ICD-10 L34580: Intravenous Immunoglobulin (IVIG) ICD-10 L35024: MolDX: Genetic Testing for Lynch Syndrome ICD-10 L35025: MolDX: Molecular Diagnostic Tests (MDT) ICD-10 L35026: Rituximab ICD-10 L35048: Nerve Conduction Studies and Electromyography ICD-10 L35071: MolDX: Circulating Tumor Cell Marker Assays ICD-10 L35072: MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing ICD-10 L35073: MolDX: NRAS Genetic Testing ICD-10 L35632: MolDX: ConfirmMDx Epigenetic Molecular Assay ICD-10 L35633: MolDX: GeneSight® Assay for Refractory Depression ICD-10 L35677: Infliximab ICD-10 L35724: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing ICD-10 L35868: MolDX: Decipher® Prostate Cancer Classifier Assay ICD-10 L35869: MolDX: Prolaris™ Prostate Cancer Genomic Assay ICD-10 L35922: Lab: Special Histochemical Stains and Immunohistochemical Stains ICD-10 L35974: MolDX: MGMT Promoter Methylation Analysis ICD-10 L36033: MolDX: HLA-B*15:02 Genetic Testing ICD-10 L36044: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease ICD-10 L36074: MolDX: Molecular RBC Phenotyping ICD-10 L36082: MolDX: BRCA1 and BRCA2 Genetic Testing ICD-10 L36089: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) ICD-10 L36109: Minimally Invasive Treatment for Benign Prostatic Hyperplasia Involving Prostatic Urethral Lift (Urolift®) ICD-10 L36125: MolDX: Breast Cancer Assay: Prosigna ICD-10 L36129: MolDX: Biomarkers in Cardiovascular Risk Assessment ICD-10 L36153: MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay ICD-10 L36427: Wireless Capsule Endoscopy ICD-10 L36464: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy ICD-10 L36471: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy ICD-10 L36593: Polysomnography ICD-10 L36665: MolDX: ProMark Risk Score ICD-10 L36761: GlycoMark Testing for Glycemic Control ICD-10 L36763: MolDX: 4Kscore Assay ICD-10 L36827: MolDX: APC and MUTYH Gene Testing ICD-10 L36854: MolDX: Percepta® Bronchial Genomic Classifier ICD-10 L36912: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) ICD-10 L36954: Noncovered Services other than CPT® Category III Noncovered Services ICD-10 L37022: Lab: Coenzyme Q10 (CoQ10) ICD-10 L37031: MolDX: BDX-XL2 ICD-10 L37033: MolDX: DecisionDx-UM (Uveal Melanoma) ICD-10 L37043: MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease ICD-10 L37176: White Cell Colony Stimulating Factors ICD-10 L37260: MolDX: Prometheus IBD sgi Diagnostic Policy ICD-10 L37262: MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer ICD-10 L37264: MolDX: EndoPredict Breast Cancer Gene Expression Test ICD-10 L37266: MolDX: AlloSure® Donor-Derived Cell-Free DNA Test ICD-10 L37379: Echocardiography ICD-10 L37531: Micro-Invasive Glaucoma Surgery (MIGS) ICD-10 L37581: MolDX: Cystatin C Measurement ICD-10 L37602: MolDX: MDS FISH ICD-10 L37612: MolDX: Corus® CAD Assay ICD-10 L37632: Spinal Cord Stimulators for Chronic Pain ICD-10 L37633: Partial Hospitalization Programs ICD-10 L37638: Health and Behavior Assessment/Intervention ICD-10 L37641: Continuous Peripheral Nerve Blocks (CPNB) ICD-10 L37642: Nerve Blocks and Electrostimulation for Peripheral Neuropathy ICD-10 L37643: Routine Foot Care ICD-10 L37644: YAG Capsulotomy ICD-10 L37699: MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC) ICD-10 L37701: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC) ICD-10 L37709: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs) ICD-10 L37713: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels ICD-10 L37725: MolDX: DecisionDx-Melanoma ICD-10 L37761: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor ICD-10 L37774: Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication ICD-10 L37779: Intraoperative Radiation Therapy ICD-10 L37785: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease ICD-10 L37794: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test ICD-10 L37826: Lumbar Artificial Disc Replacement ICD-10 L37848: Lumbar Spinal Fusion ICD-10 L37857: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test ICD-10 L37859: MolDX: myPath Melanoma Assay ICD-10 L37863: Voretigene Neparvovec-rzyl (Luxturna™) ICD-10 L37870: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer ICD-10 L37873: Topical Oxygen Therapy Retired LCDs:
ICD-10 L33433: Infectious Disease Molecular Diagnostic Testing ICD-10 L34412: Cardiac Rehabilitation ICD-10 L34416: Computerized Axial Tomography of the Chest/Thorax ICD-10 L35631: MolDX: Breast Cancer Index℠ Genetic Assay ICD-10 L36143: MolDX: NSCLC, Comprehensive Genomic Profile Testing ICD-10 L36466: Application of Skin Substitutes ICD-10 L36483: MolDX: Chromosome 1p/19q Deletion Analysis ICD-10 L37639: Noninvasive Peripheral Arterial and Venous Studies ICD-10 L37640: Intensity Modulated Radiation Therapy (IMRT)Draft LCDs:
ICD-10 L37580: MolDX: Cystatin C Measurement ICD-10 L37582: GlycoMark Testing for Glycemic Control ICD-10 L37583: MolDX: ProMark Risk Score ICD-10 L37584: MolDX: Breast Cancer Index? Genetic Assay ICD-10 L37585: MolDX: ConfirmMDx Epigenetic Molecular Assay ICD-10 L37588: MolDX: Decipher® Prostate Cancer Classifier Assay ICD-10 L37589: MolDX: Prolaris™ Prostate Cancer Genomic Assay ICD-10 L37590: In Vitro Chemosensitivity & Chemoresistance Assays ICD-10 L37591: Helicobacter Pylori Infection Testing ICD-10 L37601: MolDX: MDS FISH ICD-10 L37611: MolDX: Corus® CAD Assay ICD-10 L37698: MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC) ICD-10 L37700: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC) ICD-10 L37708: MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs) ICD-10 L37712: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels ICD-10 L37714: MolDX: Pigmented Lesion Assay (PLA) ICD-10 L37718: MolDX: Comprehensive Genomic Profiling to Guide Treatment in Patients with Metastatic Colorectal Cancer ICD-10 L37720: MolDX: Comprehensive Genomic Profiling to Guide Treatment in Patients with Metastatic Melanoma ICD-10 L37722: MolDX: Comprehensive Genomic Profiling to Guide Treatment in Patients with Advanced Primary Peritoneal, Fallopian Tube and Ovarian Cancer ICD-10 L37724: MolDX: DecisionDx-Melanoma ICD-10 L37760: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor ICD-10 L37773: Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication ICD-10 L37778: Intraoperative Radiation Therapy ICD-10 L37793: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test ICD-10 L37825: Lumbar Artificial Disc Replacement ICD-10 L37847: Lumbar Spinal Fusion ICD-10 L37849: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy ICD-10 L37852: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies ICD-10 L37856: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test ICD-10 L37858: MolDX: myPath Melanoma Assay ICD-10 L37862: Voretigene Neparvovec-rzyl (Luxturna™) ICD-10 L37864: MolDX: NeuroIDgenetix® Test for Depression ICD-10 L37869: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer ICD-10 L37872: Topical Oxygen Therapy ICD-10 L38025: Corneal Hysteresis ICD-10 L38032: Cervical Disc Replacement ICD-10 L38036: Lab: Drug Interaction Testing ICD-10 L38038: MolDX: TruGraf Blood Gene Expression Test ICD-10 L38040: MolDX: Prospera ICD-10 L38042: MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Solid Tumors ICD-10 L38044: MolDX: Next-Generation Sequencing for Solid Tumors ICD-10 L38046: MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies ICD-10 L38050: MolDX: Pigmented Lesion Assay ICD-10 L38221: Vertebroplasty/Kyphoplasty ICD-10 L38237: MolDX: Razor 14-Gene Lung Cancer Assay ICD-10 L38239: MolDX: Erythrocyte Molecular Antigen Typing ICD-10 L38241: MolDX: SelectMDx for Prostate Cancer ICD-10 L38250: Micro-Invasive Glaucoma Surgery (MIGS) ICD-10 L38253: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC) ICD-10 L38254: MolDX: AlloSure® Cell-Free DNA Testing ICD-10 L38256: MolDX: DecisionDx-Melanoma ICD-10 L38257: MolDX: Molecular Microscope® Diagnostic System for the Heart ICD-10 L38259: MolDX: Tests on Allograft Kidney Biopsy Tissue to Assess for Graft Rejection ICD-10 L38273: MolDX: Repeat Germline Testing ICD-10 L38275: Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea ICD-10 L38277: Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease ICD-10 L38279: Endoscopic Balloon Dilation of the Eustachian Tubes ICD-10 L38289: MolDX: Signatera and Minimal Residual Disease Testing for Colorectal Cancer ICD-10 L38291: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Favorable Intermediate Risk Disease ICD-10 L38293: MolDX: Pharmacogenomics Testing ICD-10 L38295: MolDX: Combinatorial Pharmacogenomics Limited Coverage ICD-10 L38313: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
Contractor Articles (257) 
Active Articles:
ICD-10 A53047: Complex Cataract Surgery: Appropriate Use and Documentation ICD-10 A53053: CPT Code 97755 - Assistive Technology Assessment ICD-10 A53060: Coding Article for Ophthalmology: Extended Ophthalmoscopy and Fundus Photography ICD-10 A53064: Billing and Coding: Outpatient Occupational Therapy ICD-10 A53065: Outpatient Physical Therapy Supplemental Instruction Article ICD-10 A53066: Self-Administered Drug Exclusion List: ICD-10 A53095: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers ICD-10 A53098: MolDX: Afirma™ Assay by Veracyte Update ICD-10 A53099: MolDX: AlloMap Billing and Coding Guidelines Update ICD-10 A53100: MolDX: Avise PG Assay Billing/Coding Update ICD-10 A53101: MolDX: bioTheranostics Cancer TYPE ID® Update ICD-10 A53103: MolDX: HERmark® Assay by Monogram Update ICD-10 A53104: MolDX: MammaPrint Billing and Coding Guidelines Update ICD-10 A53105: MolDX: Oncotype DX® Breast Cancer Assay Billing and Coding Guidelines ICD-10 A53106: MolDX: Oncotype DX® Colon Cancer Assay Update ICD-10 A53107: MolDX: Progensa® PCA3 Assay Coverage Update ICD-10 A53108: MolDx: ResponseDX Tissue of Origin® Coding and Billing Guidelines ICD-10 A53110: MolDX: Vectra™ DA Coding and Billing Guidelines ICD-10 A53112: MolDX: OncoCee™ Billing and Coding Guidelines ICD-10 A53457: MolDX: 4q25-AF Risk Genotype Coding and Billing Guidelines ICD-10 A53467: MolDX: LPA-Aspirin Genotype Coding and Billing Guidelines ICD-10 A53468: MolDX: LPA-Intron 25 Genotype Coding and Billing Guidelines ICD-10 A53480: MolDX: HTTLPR Gene Testing Coding and Billing Guidelines ICD-10 A53484: MolDX: BluePrint® Coding and Billing Guidelines ICD-10 A53489: MolDX: PreDx® Coding and Billing Guidelines ICD-10 A53493: MolDX: HBB Gene Tests Coding and Billing Guidelines ICD-10 A53497: Oral Maxillofacial Prosthesis ICD-10 A53524: MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response Coding and Billing Guidelines ICD-10 A53531: MolDX: BCR-ABL Coding and Billing Guidelines ICD-10 A53536: MolDX: ENG and ACVRL1 Gene Tests Coding and Billing Guidelines ICD-10 A53538: MolDX: SULT4A1 Genetic Testing Coding and Billing Guidelines ICD-10 A53540: MolDX: BLM Gene Analysis Coding and Billing Guidelines ICD-10 A53542: MolDX: GBA Genetic Testing Coding and Billing Guidelines ICD-10 A53544: MolDX: myPap™ Coding and Billing Guidelines ICD-10 A53548: MolDX: VEGFR2 Tests Coding and Billing Guidelines ICD-10 A53550: MolDX: ATP7B Gene Tests Coding and Billing Guidelines ICD-10 A53554: MolDX: know error® Billing and Coding Guidelines Update ICD-10 A53556: MolDX: CYP2B6 Test Coding and Billing Guidelines ICD-10 A53558: MolDX: PIK3CA Gene Tests Coding and Billing Guidelines ICD-10 A53562: MolDX: STAT3 Gene Testing Coding and Billing Guidelines ICD-10 A53565: MolDX: CHD7 Gene Analysis Coding and Billing Guidelines ICD-10 A53567: MolDX: PTCH1 Gene Testing Coding and Billing Guidelines ICD-10 A53574: MolDX: MECP2 Genetic Testing Coding and Billing Guidelines ICD-10 A53576: MolDX: KIF6 Genotype Billing and Coding Guidelines ICD-10 A53585: MolDX: NSD1 Gene Tests Coding and Billing Guidelines ICD-10 A53587: MolDX: RPS19 Gene Tests Coding and Billing Guidelines ICD-10 A53589: MolDX: TERC Gene Tests Coding and Billing Guidelines ICD-10 A53591: MolDX: TP53 Gene Test Coding and Billing Guidelines ICD-10 A53593: MolDX: UGT1A1 Gene Analysis Coding and Billing Guidelines ICD-10 A53596: MolDX: IKBKAP Genetic Testing Coding and Billing Guidelines ICD-10 A53598: MolDX: HEXA Gene Analysis Coding and Billing Guidelines ICD-10 A53600: MolDX: BCKDHB Gene Test Coding and Billing Guidelines ICD-10 A53602: MolDX: Aspartoacyclase 2 Deficiency(ASPA) Testing Coding and Billing Guidelines ICD-10 A53605: MolDX: Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) Testing Coding and Billing Guidelines ICD-10 A53615: MolDX: CFTR Gene Analysis Coding and Billing Guidelines ICD-10 A53619: MolDX: HAX1 Gene Sequencing Coding and Billing Guidelines ICD-10 A53624: MolDX: SMPD1 Genetic Testing Coding and Billing Guidelines ICD-10 A53628: MolDX: FANCC Genetic Testing Coding and Billing Guidelines ICD-10 A53630: MolDX: MCOLN1 Genetic Testing Coding and Billing Guidelines ICD-10 A53638: MolDX: Fragile X Coding and Billing Guidelines Update ICD-10 A53652: MolDX: ApoE Genotype Coding and Billing Guidelines ICD-10 A53657: MolDX: 9p21 Genotype Test Coding and Billing Guideline ICD-10 A53659: MolDX: L1CAM Gene Sequencing Coding and Billing Guidelines ICD-10 A53664: MolDX: PAX6 Gene Sequencing Coding and Billing Guidelines ICD-10 A53669: MolDX: Mitochondrial Nuclear Gene Tests Coding and Billing Guidelines ICD-10 A53698: MolDX: SLCO1B1 Genotype Coding and Billing Guidelines ICD-10 A53702: MolDX: SEPT9 Gene Test Coding and Billing Guidelines ICD-10 A53704: MolDX: Immunohistochemistry (IHC) Indications for Breast Pathology ICD-10 A53773: Low frequency, non-contact, non-thermal ultrasound (CPT code 97610) ICD-10 A53775: Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation ICD-10 A53778: Infusion, Injection and Hydration Services ICD-10 A53781: Spiracur SNaP® Wound Care System ICD-10 A53784: The Routine Costs of Investigational Chemotherapy Drugs Studied In a Qualifying Clinical Trial ICD-10 A53793: Gender Reassignment Services for Gender Dysphoria ICD-10 A53988: Percutaneous Ventricular Assist Device ICD-10 A54018: MolDX: FDA-Approved BRAF Tests ICD-10 A54021: MolDX: FDA-Approved EGFR Tests ICD-10 A54035: MolDX: MMACHC Test Coding and Billing Guidelines ICD-10 A54038: Billing and Coding: Infrared Coagulation (IRC) of Hemorrhoids ICD-10 A54338: MolDX: Myriad’s BRACAnalysis CDx™ Coding and Billing Guidelines ICD-10 A54472: MolDX: FDA-Approved KRAS Tests ICD-10 A54682: Neulasta® (pegfilgrastim) Onpro® Kit (On-body Injector) ICD-10 A54735: Billing Requirements for PET Scan Claims to Identify Bone Metastasis of Cancer ICD-10 A54768: Billing Requirements for Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy ICD-10 A54769: Influenza Diagnostic Tests ICD-10 A54795: MolDX: Targeted and Comprehensive Genomic Profile Next-Generation Sequencing Testing in Cancer ICD-10 A54812: Antibacterial Drugs ICD-10 A54831: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing ICD-10 A54832: Short Tandem Repeat (STR) Markers and Chimerism (codes 81265-81268) Coding and Billing Guidelines ICD-10 A54835: MolDX: CDH1 Genetic Testing Coding and Billing Guidelines ICD-10 A54880: Additional Claim Documentation Requirements for Not Otherwise Classified (NOC) Drugs and Biological Products with Specific FDA Label Indications ICD-10 A54987: Billing and Coding: MolDX: Genetic Testing for Lynch Syndrome ICD-10 A55071: Once in a Lifetime Abdominal Aortic Aneurysm (AAA) Screening Article ICD-10 A55227: Incomplete Colonoscopy/Failed Colonoscopy ICD-10 A55297: Billing and Coding of Drug and Biological Infusions ICD-10 A55310: Billing and Coding Instructions for Lemtrada® (alemtuzumab) When Used in the Treatment of Relapsing Multiple Sclerosis ICD-10 A55336: Billing and Coding: Retroperitoneal Ultrasound ICD-10 A55354: Billing and Coding: Frequency of Hemodialysis ICD-10 A55695: MolDX: Abbott RealTime IDH1 and IDH2 testing for Acute Myeloid Leukemia (AML) Coding and Billing Guidelines ICD-10 A55709: Coenzyme Q10 (Q10) Coding and Billing Guideline ICD-10 A55717: Billing and Coding: Lab: Flow Cytometry ICD-10 A55718: Special Stains and Immunohistochemistry (IHC) Indications for Gastric Pathology ICD-10 A55816: IDTFs and Low Dose CT Scan for Lung Cancer Screening for HCPCS Code G0297 ICD-10 A55822: MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer, Coding and Billing Guidelines ICD-10 A55913: Correct Billing and Coding for Hospital Outpatient Drugs and Biologicals Under the Outpatient Prospective Payment System (OPPS) ICD-10 A55958: Accreditation and Credentialing Requirements for Polysomnography LCD L36593 ICD-10 A56008: MolDX: FDA Approved CLL Companion Diagnostic Test Coding and Billing Guidelines ICD-10 A56068: Response to Comments: MolDX: Breast Cancer IndexSM Genetic Assay ICD-10 A56072: MolDX: Microsatellite Instability-High (MSI-H) and Mismatch Repair Deficient (dMMR) Biomarker Coding and Billing Guidelines for Patients with Unresectable or Metastatic Solid Tumors ICD-10 A56141: Billing and Coding: Chemotherapy ICD-10 A56215: Response to Comments: Frequency of Hemodialysis ICD-10 A56272: Response to Comments: MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test ICD-10 A56285: Billing and Coding: MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay ICD-10 A56315: Response to Comments: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test ICD-10 A56325: Response to Comments: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease ICD-10 A56329: Response to Comments: MolDX: MDS FISH ICD-10 A56343: Implantable Automatic Defibrillators – Coding and Billing ICD-10 A56344: Response to Comments: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer ICD-10 A56346: Billing and Coding: Removal of Benign and Malignant Skin Lesions ICD-10 A56379: Response to Comments: MolDX: myPath Melanoma Assay ICD-10 A56380: Billing and Coding: Rituximab ICD-10 A56384: Billing and Coding for Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication ICD-10 A56389: Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization ICD-10 A56390: Billing and Coding: Lumbar Artificial Disc Replacement ICD-10 A56392: Response to Comments: Topical Oxygen Therapy ICD-10 A56393: Response to Comments: Lumbar Artificial Disc Replacement ICD-10 A56396: Billing and Coding: Lumbar Spinal Fusion ICD-10 A56397: Response to Comments: Lumbar Spinal Fusion ICD-10 A56401: Response to Comments: Voretigene Neparvovec-rzyl (Luxturna™) ICD-10 A56419: Billing and Coding: Voretigene Neparvovec-rzyl (Luxturna™) ICD-10 A56421: Billing and Coding: CT of the Abdomen and Pelvis ICD-10 A56431: Billing and Coding: Topical Oxygen Therapy ICD-10 A56432: Billing and Coding: Infliximab ICD-10 A56468: Billing and Coding: Ambulance Services ICD-10 A56476: Billing and Coding: Cardiac Radionuclide Imaging ICD-10 A56480: Billing and Coding: Non-Covered Category III CPT Codes ICD-10 A56503: Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift ICD-10 A56506: Billing and Coding: Noncovered Services other than CPT® Category III Noncovered Services ICD-10 A56562: Billing and Coding: Health and Behavior Assessment/Intervention ICD-10 A56580: Billing and Coding: Computerized Axial Tomography (CT), Thorax ICD-10 A56584: Billing and Coding: Surface Electrical Stimulation in the Treatment of Dysphagia ICD-10 A56593: Billing and Coding: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs) ICD-10 A56605: Billing and Coding: B-type Natriuretic Peptide (BNP) Testing ICD-10 A56606: Billing and Coding: Cardiac Event Detection ICD-10 A56607: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB) ICD-10 A56611: Billing and Coding: Corneal Pachymetry ICD-10 A56612: Billing and Coding: CT of the Head ICD-10 A56613: Billing and Coding: Cataract Surgery ICD-10 A56614: Billing and Coding: Pyschiatric Inpatient Hospitalization ICD-10 A56619: Billing and Coding: Nerve Conduction Studies and Electromyography ICD-10 A56625: Billing and Coding: Echocardiography ICD-10 A56632: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy ICD-10 A56658: Billing and Coding: Cosmetic and Reconstructive Surgery ICD-10 A56663: Billing and Coding: Dental Services ICD-10 A56673: Billing and Coding: Outpatient Observation Bed/Room Services ICD-10 A56675: Billing and Coding: Homocysteine Level, Serum ICD-10 A56680: Billing and Coding: Routine Foot Care ICD-10 A56684: Billing and Coding: Intraoperative Radiation Therapy ICD-10 A56685: Billing and Coding: Partial Hospitalization Programs ICD-10 A56687: Billing and Coding: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy ICD-10 A56690: Billing and Coding: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor ICD-10 A56691: Billing and Coding: Cardiac Computed Tomography & Angiography (CCTA) ICD-10 A56703: Billing and Coding: Stretta Procedure ICD-10 A56717: Billing and Coding: Respiratory Therapy (Respiratory Care) ICD-10 A56718: Billing and Coding: Intravenous Immunoglobulin (IVIG) ICD-10 A56723: Billing and Coding: Minimally Invasive Treatment for Benign Prostatic Hyperplasia Involving Prostatic Urethral Lift (Urolift®) ICD-10 A56727: Billing and Coding: Wireless Capsule Endoscopy ICD-10 A56729: Billing and Coding: Magnetic Resonance Imaging of the Orbit, Face, and/or Neck ICD-10 A56731: Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathy ICD-10 A56748: Billing and Coding: White Cell Colony Stimulating Factors ICD-10 A56754: Billing and Coding: Intravesical Instillation of Bacillus Calmette-Guérin (BCG) ICD-10 A56769: Billing and Coding: Somatosensory Testing ICD-10 A56774: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green) ICD-10 A56775: Billing and Coding: Magnetic Resonance Angiography ICD-10 A56777: Billing and Coding: Total Joint Arthroplasty ICD-10 A56792: Billing and Coding: YAG Capsulotomy ICD-10 A56824: Billing and Coding: MolDX: APC and MUTYH Gene Testing ICD-10 A56825: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) ICD-10 A56838: Billing and Coding: Lab: Special Histochemical Stains and Immunohistochemical Stains ICD-10 A56842: Billing and Coding: MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing ICD-10 A56849: Billing and Coding: MolDX: Percepta® Bronchial Genomic Classifier ICD-10 A56851: Billing and Coding: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels ICD-10 A56852: Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity ICD-10 A56853: Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) ICD-10 A56854: Billing and Coding: MolDX: BRCA1 and BRCA2 Genetic Testing ICD-10 A56857: Billing and Coding: MolDX: HLA-DQB1*06:02 Testing for Narcolepsy ICD-10 A56858: Billing and Coding: MolDX: myPath Melanoma Assay ICD-10 A56859: Billing and Coding: MolDX: HLA Testing for Transplant Histocompatibility ICD-10 A56866: Billing and Coding: Micro-Invasive Glaucoma Surgery (MIGS) ICD-10 A56868: Billing and Coding: Outpatient Speech Language Pathology ICD-10 A56869: Billing and Coding: Use of Laterality Modifiers ICD-10 A56870: Billing and Coding: MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) ICD-10 A56871: Billing and Coding: In Vitro Chemosensitivity & Chemoresistance Assays ICD-10 A56872: Billing and Coding: GlycoMark Testing for Glycemic Control ICD-10 A56873: Billing and Coding: MolDX: Circulating Tumor Cell Marker Assays ICD-10 A56875: Billing and Coding: MolDX: Breast Cancer Index™ (BCI) Gene Expression Test ICD-10 A56876: Billing and Coding: Spinal Cord Stimulators for Chronic Pain ICD-10 A56877: Billing and Coding: MolDX: HLA-B*15:02 Genetic Testing ICD-10 A56898: Billing and Coding: MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test ICD-10 A56899: Billing and Coding: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) ICD-10 A56906: Billing and Coding: MolDX: DecisionDx-UM (Uveal Melanoma) ICD-10 A56911: Billing and Coding: MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease ICD-10 A56913: Billing and Coding: MolDX: MDS FISH ICD-10 A56918: Billing and Coding: MolDX: Prolaris™ Prostate Cancer Genomic Assay ICD-10 A56921: Billing and Coding: MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease ICD-10 A56922: Billing and Coding: MolDX: Molecular RBC Phenotyping ICD-10 A56924: Billing and Coding: MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer ICD-10 A56927: Billing and Coding: MolDX: GeneSight® Assay for Refractory Depression ICD-10 A56929: Billing and Coding: MolDX: BDX-XL2 ICD-10 A56930: Billing and Coding: MolDX: Corus® CAD Assay ICD-10 A56932: Billing and Coding: MolDX: 4Kscore Assay ICD-10 A56933: Billing and Coding: MolDX: Prometheus IBD sgi Diagnostic Policy ICD-10 A56941: Billing and Coding: MolDX: MGMT Promoter Methylation Analysis ICD-10 A56948: Billing and Coding: MolDX: Cystatin C Measurement ICD-10 A56949: Billing and Coding: MolDX: Breast Cancer Assay: Prosigna ICD-10 A56955: Billing and Coding: MolDX: ConfirmMDx Epigenetic Molecular Assay ICD-10 A56959: Billing and Coding: MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease ICD-10 A56960: Billing and Coding: MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC) ICD-10 A56962: Billing and Coding: MolDX: NRAS Genetic Testing ICD-10 A56963: Billing and Coding: MolDX: EndoPredict Breast Cancer Gene Expression Test ICD-10 A56964: Billing and Coding: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC) ICD-10 A56965: Billing and Coding: MolDX: AlloSure® Donor-Derived Cell-Free DNA Test ICD-10 A56968: Response to Comments: Corneal Hysteresis ICD-10 A56995: Billing and Coding: Polysomnography ICD-10 A57010: Response to Comments: Cervical Disc ReplacementRetired Articles:
ICD-10 A53777: Herceptin (trastuzumab): Coverage and Billing ICD-10 A53779: Kyprolis® (Carfilzomib) Coding and Billing Guidelines and Indications ICD-10 A54656: MolDX: FDA Approved ALK Companion Diagnostic Tests Coding and Billing Guidelines ICD-10 A55035: Billing Requirements for Application of Skin Substitutes (Part B Services Only) ICD-10 A55804: Billing Requirements for Onivyde® (Irinotecan liposome) J9205 ICD-10 A55944: Billing and Coding for the Rezum® System for Benign Prostatic Hyperplasia (BPH) ICD-10 A55945: Accreditation and Credentialing Requirements for Polysomnography LCD L36593 ICD-10 A55967: Durolane® Coding and Billing Guidelines ICD-10 A55995: Response to Comments: MolDX: In Vitro Chemosensitivity & Chemoresistance Assays ICD-10 A56014: Response to Comments: MolDX: GeneSight® Assay for Refractory Depression ICD-10 A56038: Response to Comments: MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC) ICD-10 A56059: Response to Comments: MolDX: ConfirmMDx Epigenetic Molecular Assay ICD-10 A56060: Response to Comments: MolDX: Genetic Testing for Lynch Syndrome ICD-10 A56069: Response to Comments: MolDX: Decipher® Prostate Cancer Classifier Assay ICD-10 A56074: MolDX: Quidel Solana Strep Complete Assay and Quidel Lyra Direct Strep Assay Coding and Billing Guidelines ICD-10 A56084: Response to Comments: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor ICD-10 A56088: Response to Comments: Intraoperative Radiation Therapy ICD-10 A56089: Response to Comments: GlycoMark Testing for Glycemic Control ICD-10 A56090: Response to Comments: MolDX: Circulating Tumor Cell Marker Assays ICD-10 A56105: Response to Comments: MolDX: ProMark Risk Score ICD-10 A56114: Response to Comments: MolDX: Prolaris™ Prostate Cancer Genomic Assay ICD-10 A56129: Response to Comments: MolDX: Corus® CAD Assay ICD-10 A56140: Response to Comments: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels ICD-10 A56143: Response to Comments: MolDX: Cystatin C Measurement ICD-10 A56149: Response to Comments: Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication ICD-10 A56150: Response to Comments: MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs) ICD-10 A56160: Response to Comments: MolDX: DecisionDx-Melanoma ICD-10 A56172: Response to Comments: Micro-Invasive Glaucoma Surgery (MIGS) ICD-10 A56174: Response to Comments: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC) ICD-10 A56212: Response to Comments: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy ICD-10 A56317: MolDX: Breast Cancer Index™ (BCI) Assay by Biotheranostics ICD-10 A56408: Response to Comments: Remote Perimetric or Microperimetric Patient Monitoring Systems
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