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Coding Revisions to National Coverage Determinations

April 19, 2016 by Experian Health

On February 26th, CMS published a One-Time Notification, Transmittal 1630, Change Request 9540.

This change request (CR) is the 6th maintenance update of ICD-10 conversions and other coding updates specific to national coverage determinations (NCDs) with   implementation date of July 5, 2016 for all Medicare Contractors

The majority of the NCDs included are a result of feedback received from previous ICD-10 NCD CR7818, CR8109, CR8197, CR8691, CR9087, and CR9252. Some are the result of revisions required to other NCD-related CRs released separately.

Edits to ICD-10 and other coding updates specific to NCDs will be included in subsequent, quarterly releases as needed. No policy-related changes are included with these updates as any policy-related changes to NCDs continue to be implemented via the current, long-standing NCD process

The NCD’s updated per this CR are listed below:

  • NCD20.29 – Hyperbaric Oxygen Therapy
  • NCD90.1 – Pharmacogenomic Testing for Warfarin Response
  • NCD110.18 – Aprepitant for Chemotherapy-Induced Emesis
  • NCD150.3 – Bone Mineral Density Studies (See also Medlearn Matters SE 1525 04/12/16)
  • NCD160.18 – Vagus Nerve Stimulation for Treatment of Seizures
  • NCD160.24 – Deep Brain Stimulation for Essential Tremor
  • NCD210.3 – Colorectal Cancer Screening Tests
  • NCD210.14 – Screening for Lung Cancer with Low-Dose CT
  • NCD230.18 – Sacral Nerve Stimulation for Urinary Incontinence
  • NCD260.1 – Adult Liver Transplantation
  • NCD110.4 – Extracorporeal Photopheresis
  • NCD20.33 – Transcatheter Mitral Valve Repair
  • NCD220.13 – Percutaneous Image-Guided Breast Biopsy
  • NCD220.4 – Mammograms

Read the details of this direction here: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2016-Transmittals-Items/R1630OTN.html?DLPage=1&DLEntries=10&DLFilter=R1630Otn&DLSort=1&DLSortDir=ascending

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