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National Government Services, Inc.
 Medicare Monthly Review Part A and B
A Combined Part A and Part B Newsletter
MMR-2007 10B, October 2007

National Government Services Medical Policy Update - Indiana (00630) and Kentucky (00660) - Revised Local Coverage Determination (LCD): B-type Natriuretic Peptide ( BNP) Testing (R1) – Effective Date: 10/01/2007

Source of Revision: Annual ICD-9-CM Coding Update.

ICD-9-CM code 423.3 was added to the "ICD-9 Codes that Support Medical Necessity" section of the policy.

Please note: In March, 2007, the seven Contractor Medical Directors and MPU associates thoroughly reviewed each existing legacy LCD and applied agreed-upon criteria to determine the final roster of National Government Services policies. During the March 21 - 23 meeting, the CMDs decided which policies to retain/consolidate as all-National Government Services LCDs and which policies to retire. Data were pulled (including edit effectiveness data) and criteria were applied to each policy in making the retention determinations. The preparation and review of the policies in March constitutes the annual review for every legacy LCD and fulfills requirements in Chapter 13, Section 13.4(C) of the Medicare Program Integrity Manual. References to AdminaStar Federal were updated to National Government Services. No update of the supplemental instructions article (SIA) associated with this local coverage determination (LCD) was required. No notice period required and none given.