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Coding Analysis for Labs (CAL) Tracking Sheet for Prothrombin Time and Partial Thromboplastin Time (Revision of ICD-9-CM Codes for Pre-operative Examinations) (CAG-00184N)


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The current national coverage determination (NCD) for Prothrombin Time (PT) includes ICD-9-CM code V72.84, pre-operative examination, unspecified, in the list of covered diagnoses.  We have received a request to add the other codes in the V72 series, specifically V72.81 pre-operative cardiovascular examination, V72.82, pre-operative respiratory examination, and V72.83, other specified pre-operative examination.  The rationale for the request is that if V72.84 is covered, these other pre-operative codes should be covered as well.  Consequently, we believe it is appropriate to consider the entire series of pre-operative codes as a unit.  Thus, we will be examining codes V72.84 and V72.85 as well.  Because the same issues pertain to the NCD for Partial Thromboplastin Time (PTT), we will also review the V72 series for PTT.
Diagnostic Laboratory Tests
Requestor Name(s):  Carl Faulstick, Affiliated Healthcare Systems, Incorporated, Bangor, Maine
Formal Request Accepted and Review Initiated:  02/27/2003
Expected NCA Completion Date:  06/30/2003
Public Comment Period:  03/27/2003 - N/A
Decision Memo Released:  09/29/2003
Lead Analyst(s): 
  • Jackie Sheridan-Moore
March 3, 2003 Formal request accepted by CMS.
June 3, 2003 We are extending the expected completion date to June 30, 2003 to allow for review and clearances.
September 29, 2003 Decision memorandum posted on the Internet.
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