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Coding Analysis for Labs (CAL) Tracking Sheet for Prothrombin Time and Fecal Occult Blood (Revision of ICD-9-CM Codes for Injury to Gastrointestinal Tract) (CAG-00187N)


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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.
Diagnostic Laboratory Tests
Requestor Name(s):  Internally Generated
Formal Request Accepted and Review Initiated:  06/03/2003
Expected NCA Completion Date:  09/01/2003
Public Comment Period:  07/03/2003 - N/A
Decision Memo Released:  09/17/2003
Lead Analyst(s): 
  • Jackie Sheridan-Moore
June 3, 2003 Opened formal NCD request and posted tracking sheet on the Internet.
September 17, 2003 Posted decision memo on the Internet.
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