Palmetto GBA

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
ICD-10 L38026: Corneal Hysteresis
ICD-10 L38033: Cervical Disc Replacement

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

Active Articles:

ICD-10 A53047: Billing and Coding: Complex Cataract Surgery: Appropriate Use and Documentation
ICD-10 A53053: Billing and Coding: CPT Code 97755 - Assistive Technology Assessment
ICD-10 A53060: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
ICD-10 A53064: Billing and Coding: Outpatient Occupational Therapy
ICD-10 A53065: Billing and Coding: Outpatient Physical Therapy
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: Billing and Coding: MolDX: AlloMap
ICD-10 A53100: Billing and Coding: MolDX: Avise PG Assay
ICD-10 A53101: MolDX: bioTheranostics Cancer TYPE ID® Update
ICD-10 A53103: Billing and Coding: MolDX: HERmark® Assay by Monogram Update
ICD-10 A53104: Billing and Coding: MolDX: MammaPrint
ICD-10 A53105: Billing and Coding: MolDX: Oncotype DX® Breast Cancer Assay
ICD-10 A53106: MolDX: Oncotype DX® Colon Cancer Assay Update
ICD-10 A53107: Billing and Coding: MolDX: Progensa® PCA3 Assay Coverage Update
ICD-10 A53108: Billing and Coding: MolDx: ResponseDX Tissue of Origin®
ICD-10 A53110: Billing and Coding: MolDX: Vectra™ DA
ICD-10 A53112: Billing and Coding: MolDX: OncoCee™
ICD-10 A53457: Billing and Coding: MolDX: 4q25-AF Risk Genotype
ICD-10 A53467: Billing and Coding: MolDX: LPA-Aspirin Genotype
ICD-10 A53468: Billing and Coding: MolDX: LPA-Intron 25 Genotype
ICD-10 A53480: Billing and Coding: MolDX: HTTLPR Gene Testing
ICD-10 A53484: Billing and Coding: MolDX: BluePrint® Test
ICD-10 A53489: Billing and Coding: MolDX: PreDx®
ICD-10 A53493: Billing and Coding: MolDX: HBB Gene Tests
ICD-10 A53497: Billing and Coding: Oral Maxillofacial Prosthesis
ICD-10 A53524: Billing and Coding: MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response
ICD-10 A53531: MolDX: BCR-ABL Coding and Billing Guidelines
ICD-10 A53536: Billing and Coding: MolDX: ENG and ACVRL1 Gene Tests
ICD-10 A53538: Billing and Coding: MolDX: SULT4A1 Genetic Testing
ICD-10 A53540: Billing and Coding: MolDX: BLM Gene Analysis
ICD-10 A53542: Billing and Coding: MolDX: GBA Genetic Testing
ICD-10 A53544: Billing and Coding: MolDX: myPap™
ICD-10 A53548: Billing and Coding: MolDX: VEGFR2 Tests
ICD-10 A53550: Billing and Coding: MolDX: ATP7B Gene Tests
ICD-10 A53554: Billing and Coding: MolDX: know error®
ICD-10 A53556: Billing and Coding: MolDX: CYP2B6 Test
ICD-10 A53558: Billing and Coding: MolDX: PIK3CA Gene Tests
ICD-10 A53562: Billing and Coding: MolDX: STAT3 Gene Testing
ICD-10 A53565: Billing and Coding: MolDX: CHD7 Gene Analysis
ICD-10 A53567: Billing and Coding: MolDX: PTCH1 Gene Testing
ICD-10 A53574: Billing and Coding: MolDX: MECP2 Genetic
ICD-10 A53576: Billing and Coding: MolDX: KIF6 Genotype
ICD-10 A53585: Billing and Coding: MolDX: NSD1 Gene Tests
ICD-10 A53587: Billing and Coding: MolDX: RPS19 Gene Tests
ICD-10 A53589: Billing and Coding: MolDX: TERC Gene Tests
ICD-10 A53591: Billing and Coding: MolDX: TP53 Gene Test
ICD-10 A53593: Billing and Coding: MolDX: UGT1A1 Gene Analysis
ICD-10 A53596: Billing and Coding: MolDX: IKBKAP Genetic Testing
ICD-10 A53598: Billing and Coding: MolDX: HEXA Gene Analysis
ICD-10 A53600: Billing and Coding: MolDX: BCKDHB Gene Test
ICD-10 A53602: Billing and Coding: MolDX: Aspartoacyclase 2 Deficiency(ASPA) Testing
ICD-10 A53605: MolDX: Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) Testing Coding and Billing Guidelines
ICD-10 A53615: Billing and Coding: MolDX: CFTR Gene Analysis
ICD-10 A53619: Billing and Coding: MolDX: HAX1 Gene Sequencing
ICD-10 A53624: Billing and Coding: MolDX: SMPD1 Genetic Testing
ICD-10 A53628: Billing and Coding: MolDX: FANCC Genetic Testing
ICD-10 A53630: MolDX: MCOLN1 Genetic Testing Coding and Billing Guidelines
ICD-10 A53638: Billing and Coding: MolDX: Fragile X
ICD-10 A53652: Billing and Coding: MolDX: ApoE Genotype
ICD-10 A53657: Billing and Coding: MolDX: 9p21 Genotype Test
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: Billing and Coding: 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: Billing and Coding: Infusion, Injection and Hydration Services
ICD-10 A53781: Billing and Coding: Spiracur SNaP^® Wound Care System
ICD-10 A53784: Billing and Coding: The Routine Costs of Investigational Chemotherapy Drugs Studied In a Qualifying Clinical Trial
ICD-10 A53793: Billing and Coding: Gender Reassignment Services for Gender Dysphoria
ICD-10 A53988: Billing and Coding: Percutaneous Ventricular Assist Device
ICD-10 A54018: Billing and Coding: MolDX: FDA-Approved BRAF Tests
ICD-10 A54021: Billing and Coding: 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: Billing and Coding: MolDX: Myriad’s BRACAnalysis CDx™
ICD-10 A54472: Billing and Coding: MolDX: FDA-Approved KRAS Tests
ICD-10 A54682: Billing and Coding: Neulasta® (pegfilgrastim) Onpro® Kit (On-body Injector)
ICD-10 A54735: Billing and Coding: PET Scan Claims to Identify Bone Metastasis of Cancer
ICD-10 A54768: Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
ICD-10 A54769: Billing and Coding: Influenza Diagnostic Tests
ICD-10 A54795: Billing and Coding: MolDX: Targeted and Comprehensive Genomic Profile Next-Generation Sequencing Testing in Cancer
ICD-10 A54799: Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing
ICD-10 A54812: Antibacterial Drugs
ICD-10 A54831: Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker
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: Billing and Coding: 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 A55069: Billing and Coding: Screening Colonoscopy Converted to a Diagnostic and/or Therapeutic Colonoscopy
ICD-10 A55071: Billing and Coding: Once in a Lifetime Abdominal Aortic Aneurysm (AAA) Screening Article
ICD-10 A55227: Billing and Coding: 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: Billing and Coding: MolDX: Abbott RealTime IDH1 and IDH2 testing for Acute Myeloid Leukemia (AML)
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: Billing and Coding: IDTFs and Low Dose CT Scan for Lung Cancer Screening for HCPCS Code G0297
ICD-10 A55822: Billing and Coding: MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer
ICD-10 A55913: Billing and Coding: 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: Billing and Coding: MolDX: FDA Approved CLL Companion Diagnostic Test
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: Billing and Coding: Implantable Automatic Defibrillators
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: 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: Psychiatric 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 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 A56943: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
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 A56957: Billing and Coding: MolDX: ProMark Risk Score
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 A56961: Billing and Coding: MolDX: DecisionDx-Melanoma
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 Replacement
ICD-10 A57021: Billing and Coding: Cervical Disc Replacement
ICD-10 A57503: Billing and Coding: MolDX: Testing of Multiple Genes

Retired 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