The current national coverage determination (NCD) for Prothrombin Time (PT) and Fecal Occult Blood Tests (FOBT) includes ICD-9-CM codes 863.0-863.90, injury to gastrointestinal tract, in the list of covered diagnoses. We are considering adding the remaining codes in the 863.90-863.99 series. Specifically, we are considering adding the following codes to the list of covered diagnoses for PT and FOBT: 863.91, open wound, pancreas head; 863.92, open wound, pancreas body; 863.93, open wound, pancreas tail; 863.94 open wound, pancreas, multiple and unspecified sites; 863.95 open wound, appendix; and 863.99 open wound, other gastrointestinal sites.
June 3, 2003
September 17, 2003