Coding Revisions to National Coverage Determinations

Published: 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

Subscribe to our blog

Enter your name and email for the latest updates.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Subscribe to the Experian Health blog

Get the latest industry news and updates!