ICD-10 C and M Meeting Materials

The March 9-10, 2021 ICD-10 COORDINATION AND MAINTENANCE COMMITTEE MEETING will be fully virtual.

CMS is modifying the approach for presenting the new technology add-on payment (NTAP) related ICD-10-PCS procedure code requests that involve the administration of a therapeutic agent for the March 9-10, 2021 ICD-10 Coordination and Maintenance Committee meeting due to the volume of NTAP applications and corresponding procedure code requests being considered for FY 2022. Consistent with the requirements of section 1886(d)(5)(K)(iii) of the Social Security Act, applicants submitted requests to create a unique procedure code to describe the administration of a therapeutic agent, such as the option to create a new code in Section X within the ICD-10-PCS procedure code classification. In order to accommodate the number of requests received for the March 9-10, 2021 ICD-10 Coordination and Maintenance Committee meeting, CMS will initially display only those meeting materials associated with the NTAP related ICD-10-PCS procedure code requests that involve the administration of a therapeutic agent in early February 2021.

The six NTAP related ICD-10-PCS procedure code requests that involve the administration of a therapeutic agent are:

Administration of Trilaciclib
Administration of ZEPZELCA™ (lurbinectedin)
Administration of ENSPRYNG™ satralizumab-mwge
Administration of Ciltacabtagene Autoleucel (cilta-cel)
Administration of Amivantamab
Transfusion of Pathogen Reduced Cryoprecipitated Fibrinogen Complex (PRCFC)

These topics will not be presented during the March 9-10, 2021 meeting. CMS will solicit public comments regarding any clinical questions or coding options presented for these six procedure code topics in advance of the meeting continuing through the end of the public comment period, April 9, 2021. Members of the public should send any questions or comments to the CMS mailbox at: ICDProcedureCodeRequest@cms.hhs.gov by the April 9, 2021 deadline.

CMS intends to post a question and answer document in advance of the meeting to address any clinical or coding questions that members of the public may have submitted. Following the conclusion of the meeting, CMS will post an updated question and answer document to address any additional clinical or coding questions that members of the public may have submitted during the meeting that CMS was not able to address or that were submitted after the meeting.

The NTAP related ICD-10-PCS procedure code requests that do not involve the administration of a therapeutic agent and all non-NTAP related procedure code requests will continue to be presented during the virtual meeting on March 9, 2021 consistent with the standard meeting process.

CMS will make all meeting materials and related documents available below. Any inquiries related to the procedure code topics scheduled for the March 9-10, 2021 ICD-10 Coordination and Maintenance Committee meeting that are under consideration for October 1, 2021 implementation should be sent to the CMS mailbox at: ICDProcedureCodeRequest@cms.hhs.gov.

Below are the meeting materials for the procedure code issues listed by date of the scheduled meetings. These materials include the Agenda and Handouts, as well as any slides or other files if they were made available.

Presentations for procedure code requests are conducted by both the requestor and CMS during the C&M meeting. Discussion from the requestor generally focuses on the clinical issues for the procedure or technology, followed by the proposed coding options from a CMS analyst. Topics presented may also include requests for new procedure codes that relate to a new technology add-on payment (NTAP) policy request.

The materials for all meetings prior to March 2019 are located at the following link. /Medicare/Coding/ICD9ProviderDiagnosticCodes/ICD-9-CM-C-and-M-Meeting-Materials.

CMS WILL NO LONGER BE PROVIDING PAPER COPIES OF HANDOUTS FOR THE MEETING. ELECTRONIC COPIES OF ALL MEETING MATERIALS ARE POSTED ON THE CMS WEBSITE PRIOR TO THE MEETING.

List of Meetings: