ICD-9-CM CODING UPDATE – OCTOBER 1, 2007
National Government Services Medical Policy Update -- Indiana (00630) and Kentucky (00660) -- Revised Local Coverage Determinations (LCDs) and Supplemental Instructions Articles Local Coverage Determination: B-type Natriuretic Peptide ( BNP) Testing (R1) 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 (CMDs) and Medical Policy Unit (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. Local Coverage Determination (LCD): Cardiac Catheterization & Coronary Angiography R11: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. For ICD-9-CM coding group 1 (conditions for which left heart catheterization and coronary angiography, performed separately or combined):
For ICD-9-CM coding group 2 (conditions for which right heart catheterization performed):
Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Cardiac Catheterization & Coronary Angiography R2: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update References to AdminaStar Federal were updated to National Government Services and minor administrative changes made to coding guidelines. The local coverage determination (LCD associated with this) supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Cardiac Computed Tomography and Computed Tomography Coronary Angiography R2: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 414.2 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 (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Cardiac Computed Tomography and Computed Tomography Coronary Angiography R2: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update References to AdminaStar Federal were updated to National Government Services, and minor administrative changes made to coding guidelines. The local coverage determination (LCD) associated with this supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Cataract Extraction R9: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 364.8 was deleted from the group 2 ( complex cataract surgery) coding list in the “ICD-9 Codes that Support Medical Necessity” section of the policy and replaced with codes 364.81 and 364.89. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Cataract Extraction R4: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update References to AdminaStar Federal were updated to National Government Services, and minor administrative changes made to coding guidelines. The local coverage determination (LCD) associated with this supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Computed Tomography R19: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. The “ICD-9 Codes that Support Medical Necessity” section was updated as follows: For CT Head, Neck, Face, Orbit, Jaw ( CPT codes 70450, 70460, 70470, 70480, 70481, 70482, 70486, 70487, 70488, 70490, 70491, 70492, 76376, 76377): New ICD-9-CM codes 200.31, 200.32, 200.34, 200.38, 200.41, 200.42, 200.44, 200.48, 200.51, 200.52, 200.54, 200.58, 200.61, 200.62, 200.64, 200.68, 200.71, 200.72, 200.74, 200.78, 202.71, 202.72, 202.74, 202.78, 258.01, 331.5, 389.05, 389.06, 389.13, 389.17, 733.45 were added. ICD-9-CM code 359.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 359.21, 359.22, 359.23, and 359.29. ICD-9-CM code 389.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 389.20, 389.21, and 389.22. ICD-9-CM code 787.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 787.20, 787.21, 787.22, 787.23, 787.24, and 787.29. For CT Chest and Thorax ( CPT codes 71250, 71260, 71270, 76376, 76377): New ICD-9-CM codes 200.30, 200.32, 200.40, 200.42, 200.50, 200.52, 200.60, 200.62, 200.70, 200.72, 202.70, 202.72, 415.12, and 423.3 were added. For CT Abdomen and Pelvis ( CPT codes: 72192, 72193, 72194, 74150, 74160, 74170, 76376, 76377): New ICD-9-CM codes200.30, 200.33, 200.35, 200.36, 200.37, 200.38, 200.40, 200.43, 200.45, 200.46, 200.47, 200.48, 200.50, 200.53, 200.55, 200.56, 200.57, 200.58, 200.60, 200.63, 200.65, 200.66, 200.67, 200.68, 200.70, 200.73, 200.75, 200.76, 200.77, 200.78, 202.70, 202.73, 202.75, 202.76, 202.77, 202.78, 258.01, 258.02, 258.03 were added. ICD-9-CM code 233.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 233.30, 233.31, 233.32, and 233.39. ICD-9-CM code 255.4 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 255.41 and 255.42. ICD-9-CM code 789.5 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 789.51 and 789.59. The descriptions for ICD-9-CM codes 359.3, 389.14, and 389.18 were updated. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Computed Tomography R3: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. References to AdminaStar Federal were updated to National Government Services, and minor administrative changes made to coding guidelines. The local coverage determination (LCD) associated with this supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Diagnostic and Therapeutic Colonoscopy/Proctosidmoidoscopy R8: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 569.43 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 (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Diagnostic And Therapeutic Colonoscopy/Proctosigmoidoscopy R4: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. References to AdminaStar Federal were updated to National Government Services, and minor administrative changes made to coding guidelines. The local coverage determination (LCD associated with this) supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Electrocardiography R15: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM codes 040.42, 359.21, 414.2, 415.12 and 423.3 were added to the “ICD-9 Codes that Support Medical Necessity” section of the policy. ICD-9-CM code 255.4 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and replaced with ICD-9-CM codes 255.41 and 255.42. Coding description for ICD-9-CM code 005.1 was updated. Please note: In March, 2007, the 7 Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Electrocardiography R3: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. References to AdminaStar Federal were updated to National Government Services and minor administrative changes made to coding guidelines. The local coverage determination (LCD associated with this) supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Erythropoietin Analogues for Non-End Stage Renal Disease (Non-ESRD) Anemia R9: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 284.8 was deleted from the coding list for Anemia Associated with Hepatitis C in the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM code 284.89. Local Coverage Determination (LCD): Esophagogastroduodenoscopy (EGD) R6: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 787.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy (coding list for HCPCS Codes 43200-43228, 43234, 43235, 43239, 43241, 43243-43251, 43255, 43256, 43258, 74235, 74350, 74360 only) and replaced with ICD-9-CM codes 787.20, 787.21, 787.22, 787.23, 787.24, and 787.29. ICD-9-CM code 789.5 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy (coding list for endoscopic ultrasound to guide celiac plexus block/neurolysis only) and replaced with ICD-9-CM codes 789.51 and 789.59. Coding description for ICD-9-CM code 005.1 was updated. References were added to the CMS National Coverage Policy section for the GA/GY/GZ modifier. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Esophagogastroduodenoscopy (EGD) R1: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. Coding guidelines have been updated with instructions on the use of the -GA, -GZ, -GY modifiers by physicians, practitioners, or suppliers when billing claims to Medicare. References were added to the CMS National Coverage Policy section for the GA/GY/GZ modifier. Minor formatting changes made to conform to National Government Services documentation standards. The local coverage determination (LCD) associated with this supplemental instructions article (SIA) was similarly updated. Local Coverage Determination (LCD): Magnetic Resonance Angiography (MRA) R9: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 415.12 was added to the coding list for Chest ( CPT/HCPCS Code 71555) in the “ICD-9 Codes that Support Medical Necessity” section of the policy. ICD-9-CM code 440.4 was added to the coding list for Peripheral Arteries of Lower Extremities ( CPT/HCPCS Code 73725) in the “ICD-9 Codes that Support Medical Necessity” section of the policy. Local Coverage Determination (LCD): Myocardial Perfusion Imaging R12: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 414.2 was added to the “ICD-9 Codes that Support Medical Necessity” section of the policy. Local Coverage Determination (LCD): Magnetic Resonance Imaging R16: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. The “ICD-9 Codes that Support Medical Necessity” section was updated as follows: For MRI Head, Neck, Face, Orbit, Jaw ( CPT codes 70450, 70460, 70470, 70480, 70481, 70482, 70486, 70487, 70488, 70490, 70491, 70492, 76376, 76377): New ICD-9-CM codes 200.31, 200.32, 200.34, 200.38, 200.41, 200.42, 200.44, 200.48, 200.51, 200.52, 200.54, 200.58, 200.61, 200.62, 200.64, 200.68, 200.71, 200.72, 200.74, 200.78, 202.71, 202.72, 202.74, 202.78, 258.01, 331.5, 389.05, 389.06, 389.13, 389.17, 733.45 were added. ICD-9-CM code 359.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 359.21, 359.22, 359.23, and 359.29. ICD-9-CM code 389.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 389.20, 389.21, and 389.22. ICD-9-CM code 787.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 787.20, 787.21, 787.22, 787.23, 787.24, and 787.29. For MRI Chest and Thorax ( CPT codes 71250, 71260, 71270, 76376, 76377): New ICD-9-CM codes 200.30, 200.32, 200.40, 200.42, 200.50, 200.52, 200.60, 200.62, 200.70, 200.72, 202.70, 202.72, 415.12 and 423.3 were added. For MRI Abdomen and Pelvis ( CPT codes: 72192, 72193, 72194, 74150, 74160, 74170, 76376, 76377): New ICD-9-CM codes200.30, 200.33, 200.35, 200.36, 200.37, 200.38, 200.40, 200.43, 200.45, 200.46, 200.47, 200.48, 200.50, 200.53, 200.55, 200.56, 200.57, 200.58, 200.60, 200.63, 200.65, 200.66, 200.67, 200.68, 200.70, 200.73, 200.75, 200.76, 200.77, 200.78, 202.70, 202.73, 202.75, 202.76, 202.77, 202.78, 258.01, 258.02, 258.03 were added. ICD-9-CM code 233.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 233.30, 233.31, 233.32, and 233.39. ICD-9-CM code 255.4 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 255.41 and 255.42. ICD-9-CM code 789.5 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and was replaced with ICD-9-CM codes 789.51 and 789.59. The descriptions for ICD-9-CM codes 359.3, 389.14, and 389.18 were updated. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Magnetic Resonance Imaging R3: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. References to AdminaStar Federal were updated to National Government Services, and minor administrative changes made to coding guidelines. The local coverage determination (LCD associated with this) supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Neuromuscular Junction Testing R1: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM codes 040.42, 359.21, 359.22 were added to the “ICD-9 Codes that Support Medical Necessity” section of the policy. ICD-9-CM code 787.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and replaced with ICD-9-CM codes 787.20, 787.21, 787.22, 787.23, 787.24, and 787.29. Coding descriptions for ICD-9-CM code 005.1 and 359.3 were updated. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Neuromuscular Junction Testing R1: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update . References to AdminaStar Federal were updated to National Government Services and minor administrative changes made to coding guidelines. The local coverage determination (LCD associated with this) supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Non-Invasive Vascular Studies R11: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 415.12 was added to the coding list for Extremity Venous Evaluation (93965, 93970, and 93971) in the “ICD-9 Codes that Support Medical Necessity” section of the policy. ICD-9-CM code 440.4 was added to the coding lists for Extremity Arterial Evaluation (93922, 93923, 93924, 93925, 93926, 93930, and 93931) and Pre-surgical Conduit Mapping for Coronary Artery Bypass Graft Procedures (93965, 93970 and 93971) in the “ICD-9 Codes that Support Medical Necessity” section of the policy. ICD-9-CM code V12.54 was added to the coding list for Cerebrovascular Evaluation (93875, 93880, 93882, 93886, and 93888) in the “ICD-9 Codes that Support Medical Necessity” section of the policy. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Non-Invasive Vascular Studies R1: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. References to AdminaStar Federal were updated to National Government Services and minor administrative changes made to coding guidelines. The local coverage determination (LCD associated with this) supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Psychology and Psychiatric Services R11: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 331.5 was added to the Medical Diagnoses coding list in the “ICD-9 Codes that Support Medical Necessity” section of the policy. The “Indications and Limitations of Coverage and/or Medical Necessity” section was updated as follows: ICD-9-CM codes 315.34, 389.05, 389.06 were added to the coding list in the narrative for Section II: Special Clinical Psychiatric Diagnostic or Evaluative Procedure (90802) and the description for ICD-9-CM code 389.7 was updated. Local Coverage Determination (LCD): Radiological Examination of the Chest R12: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM codes 200.30, 200.31, 200.32, 200.34, 200.40, 200.41, 200.42, 200.44, 200.50, 200.51, 200.52, 200.54, 200.60, 200.61, 200.62, 200.64, 200.70, 200.71, 200.72, 200.74, 202.70, 202.71, 202.72, 202.74, 414.2, 415.12, 423.3, and 488 were added to the “ICD-9 Codes that Support Medical Necessity” section of the policy. ICD-9-CM code 787.2 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and replaced with ICD-9-CM codes 787.20, 787.24, and 787.29. ICD-9-CM code 999.3 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy and replaced with ICD-9-CM codes 999.31 and 999.39. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Radiological Examination of the Chest R1: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. References to AdminaStar Federal were updated to National Government Services and minor administrative changes made to coding guidelines. The local coverage determination (LCD associated with this) supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Removal of Benign Skin Lesions R6: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 624.0 was deleted from the “ICD-9 Codes that Support Medical Necessity” section of the policy for the coding list for CPT codes 11300-11313, 11400-11446, 17000-17004and replaced with ICD-9-CM codes 624.01, 624.02 and 624.09. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Removal of Benign Skin Lesions R6: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. References to AdminaStar Federal were updated to National Government Services, and minor administrative changes made to coding guidelines. The local coverage determination (LCD) associated with this supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Routine Foot Care R11: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM code 440.4* was added to the “ICD-9 Codes that Support Medical Necessity” section of the policy. Local Coverage Determination (LCD): Transesophageal Echocardiography (TEE) R10: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM codes 415.12 and 449 were added to the “ICD-9 Codes that Support Medical Necessity” section of the policy. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Transesophageal Echocardiography (TEE) R2: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. References to AdminaStar Federal were updated to National Government Services, and minor administrative changes made to coding guidelines. The local coverage determination (LCD) associated with this supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes. Local Coverage Determination (LCD): Transthoracic Echocardiography ( TTE) R12: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. ICD-9-CM codes 415.12, 414.2, 423.3, and 449 were added to the “ICD-9 Codes that Support Medical Necessity” section of the policy. Please note: In March 2007, the seven Contractor Medical Directors (CMDs) and Medical Policy Unit (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. The supplemental instructions article (SIA) associated with this local coverage determination (LCD) was similarly updated. No notice period required and none given. Supplemental Instructions Article (SIA): Transthoracic Echocardiography ( TTE) R5: Effective Date 10/01/2007 Source of Revision: Annual ICD-9-CM coding update. References to AdminaStar Federal were updated to National Government Services, and minor administrative changes made to coding guidelines. The local coverage determination (LCD) associated with this supplemental instructions article (SIA) was updated to implement ICD-9-CM coding changes.
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