ICD-10

The International Classification of Disease (ICD)-10 code sets provide flexibility to accommodate future health care needs, facilitating timely electronic processing of claims by reducing requests for additional information to providers. ICD-10 also includes significant improvements over ICD-9 in coding primary care encounters, external causes of injury, mental disorders, and preventive health. The ICD-10 code sets' breadth and granularity reflect advances in medicine and medical technology, as well as capture added detail on socioeconomics, ambulatory care conditions, problems related to lifestyle, and the results of screening tests.

As a result, medical terminology and disease classifications are being updated to be consistent with current clinical practice per regulations at 45 CFR Part 162. All Centers for Medicare & Medicaid Services (CMS) ICD-10 system changes have been phased-in and are scheduled for completion by October 1, 2014, giving a full year for additional testing, fine-tuning, and preparation prior to full implementation of ICD-10 CM/PCS for all Health Insurance Portability and Accountability Act (HIPAA)-covered entities. ICD-10-CM/PCS will replace ICD-9-CM/PCS diagnosis and procedure codes in all health care settings for dates of service, or dates of discharge for inpatients, that occur on or after the implementation date of ICD-10.

The Coverage and Analysis Group at CMS is the Federal entity that oversees National Coverage Determination (NCD) and Local Coverage Determination (LCD) policies. NCDs and LCDs constitute Medicare coverage decisions made by CMS and applied both nationally and locally across all health insurance payers. In light of HIPAA as it relates to ICD-10, CMS is responsible for converting the ICD-9 codes to ICD-10 codes in NCDs and LCDs as the Agency finds appropriate. There are approximately 330 NCDs spanning a range of time and not all NCDs are appropriate for translation. CMS has determined which NCDs/LCDs should be translated and is in the process of completing the associated systems changes. CMS change request (CR) transmittals and Medicare Learning Network Articles (MLN Matters®) are the vehicles used to communicate information regarding NCD/LCD translations.

The table below contains the various CRs and associated documents that CMS/CAG has issued to date as part of its ICD-10 conversion activities related to NCDs. It will be updated periodically. For more in depth information related to the contents of the table, please contact: Pat Brocato-Simons, patricia.brocatosimons@cms.hhs.gov, 410-786-0261.

The information below is for translations of NCDs. If you have questions about translations of LCDs, please contact your Medicare Administrative Contractor. The contact information can be found here.

 

Links related to ICD-10 NCDs (as of 02/06/2023)
Transmittal Issue Date Subject CR# NCD#
R11832OTN 2023-02-02 International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2023 Update 13070 20.4, 20.7, 20.20, 150.3, 150.10, 210.1, 220.13
R11774CP

2022-12-30

National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) Tcell Therapy

[Rescinds and replaces Transmittal 11721 issued November 28, 2022]

12928

110.24

R11734CP

2022-12-08

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2023

13026

190.18, 190.22, 190.23

R11700CP

2022-11-10

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2023

[Rescinds and replaces Transmittal 11583, dated September 1, 2022]

12888

190.12-190.34

R11692NCD

2022-11-09

National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease (AD)

12950

200.3

R11693BP

2022-11-09

International Classification of Disease (ICD-10) Code Update for Coverage of Intravenous Immune Globulin (IVIG) Treatment of Primary Immune Deficiency Diseases in the Home

12973

Chapter 15, Section 50.6 of the

BPM, Pub 100-02

R11676OTN

2022-11-03

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2023 Update

12960

20.4, 210.10

R11636OTN

2022-10-05

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2023 Update--2 of 2

[Rescinds and replaces Transmittal 11546, dated August 4, 2022]

12842

20.32, 110.18, 110.23, 160.18, 190.3, 210.6, 220.6.17, 220.6.20, 260.1, 260.5, 260.9

R11587NCD

2022-09-08

Revision to National Coverage Determination (NCD) 240.2 (Home Use of Oxygen) to Align to 1834(a)(5)(E) of the Social Security Act

12877

240.2, 240.2.2

R11584OTN

2022-08-31

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2023 Update

[Rescinds and replaces Transmittal 11545 dated August 5, 2022]

12822

20.9.1, 20.20, 20.30, 20.31, 20.31.1, 20.31.2, 20.31.3, 30.3.3, 110.24, 180.1

R11465CP

2022-06-23

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2022

12803

190.12- 190.34

R11461OTN

2022-06-21

National Coverage Determination (NCD) 90.2, Next Generation Sequencing (NGS)

[Rescinds and replaced Transmittal 11055, dated October 21, 2021

12483

90.2

R11460OTN

2022-06-17

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2022 Update [Rescinds Transmittal 11400, dated May 4, 2022]

12705

20.31, 20.31.1, 20.31.2, 20.31.3, 90.2, 160.18, 180.1, 270.3

R11453OTN

2022-06-10

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2021

[Rescinds and replaces Transmittal 10832, dated June 2, 2021, and Transmittal 10804, dated May 17, 2021]

12124

20.9, 20.20, 20.33, 90.2, 110.23, 210.14, 220.6.19

R11429CP

R11429NCD

2022-05-23

Revisions to National Coverage Determination (NCD) 240.2 (Home Use of Oxygen) and 240.2.2 (Home Oxygen Use for Cluster Headache)

[Rescinds and replaces Transmittal 11263, dated February 10, 2022]

12607

240.2

R11426NCD

R11426CP

R11426BP

2022-05-20


An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to the Medical Nutrition Therapy (MNT) Policy, and (3) Updates to the Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR), and Intensive Cardiac Rehabilitation (ICR) Conditions of Coverage

12613

180.1, 180.2, 220.6

R11391OTN

2022-04-29

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- July 2022

[Rescinds and replaces Transmittal 11264, dated February 10, 2022, and Transmittal 11342, dated April 6, 2022]

12606

20.4, 30.3.3, 110.24, 150.3, 160.18, 190.1

R11388CP

R11388NCD

2022-04-29


National Coverage Determination (NCD) 210.14 Reconsideration – Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)

12691

210.14

R11364OTN

2022-04-27

Common Working File CWF Editing-National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds

[Rescinds and replaces Transmittal 11262, dated February 10, 2022]

12611

270.3

R11214NCD

R11214CP

2022-01-20

National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds

[Rescinds and replaces Transmittal 11171, dated January 12, 2022]

12403

270.3

R11179OTN

2022-01-12

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- April 2022 (CR 1 of 2)

[Rescinded Transmittal 11068, dated October 21, 2021]

12480

20.4, 20.9.1, 20.31, 20.31.1, 20.31.2, 20.31.3, 30.3.3, 110.18, 110.23, 110.24

R11170CP

2021-12-22

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2022

12575

190.12-190.34

R11159NCD

2021-12-16

Transvenous (Catheter) Pulmonary Embolectomy National Coverage Determination (NCD) 240.6

12537

240.6

R11158NCD

2021-12-16

National Coverage Determination (NCD) 220.6.19, Positron Emission Tomography NaF-18 (NaF-18 PET) to Identify Bone Metastasis of Cancer- Manual Update Only

12526

220.6.19

R11083OTN

2021-10-29

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs) -- April 2022 (CR 2 of 2 for April 2022)

12482

160.27, 190.1, 190.3, 190.5, 210.2, 220.4, 220.6.17, 220.13, 260.9

R11013CP

2021-10-01

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2022

12468

190.12- 190.34

R11025OTN

2021-09-28

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2022

[Rescinds and replaces Transmittal 10963, dated August 19, 2021]

12399

20.4, 110.23, 110.24, 150.13, 160.18, 210.14

R10985NCD

R10985CP

2021-09-08

Claims Processing Instructions for National Coverage Determination 20.33 -

Transcatheter Edge-to-Edge Repair [TEER] for Mitral Valve Regurgitation

12361

20.33

R10927NCD

2021-08-02

National Coverage Determination (NCD) Removal

[Rescinds and replaces Transmittal 10888, dated July 19, 2021 and Transmittal 10838, dated June 8, 2021]

12254

20.5, 30.4, 100.9, 110.19, 220.2.1, 220.6.16, 220.6

R10891NCD

R10891CP

2021-07-20

2021-07-19

National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy

[Rescinds and replaces Transmittal 10796, dated May 20, 2021]

12177

110.24

R10877CP

2021-07-15

Changes to the Laboratory National Coverage Determination [NCD] Edit Software for October 2021

12384

190.12- 190.34

R10854CP

2021-06-15

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2021

[Rescinds and replaces Transmittal 10658, dated March 23, 2021]

12171

190.12- 190.34

R10837CP

R10837NCD

2021-06-11

National Coverage Determination (NCD) 20.9.1 Ventricular Assist Devices (VADs)

12290

20.9.1

R10817OTN

2021-05-21

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2021

12279

20.33, 30.3.3

R10818CP

R10818NCD

2021-05-20

National Coverage Determination (NCD) 210.3 - Screening for Colorectal Cancer (CRC)-Blood-Based Biomarker Tests

12280

210.3

R10635CP

2021-03-23

Claims Processing Instructions for National Coverage Determination (NCD) 20.4

Implantable Cardiac Defibrillators (ICDs)

12104

20.4

R10566OTN

2021-01-14

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021

[Rescinded Transmittal 10515, dated December 10, 2020 and Transmittal 10432, dated October 30, 2020]

12027

20.5, 20.33, 110.10, 110.21, 110.23, 160.18, 180.1, 190.3, 210.6, 220.4, 220.6.17, 220.13, 260.1

R10346NCD

2020-09-11

National Coverage Determination (NCD 90.2): Next Generation Sequencing (NGS) for Medicare Beneficiaries with Germline (Inherited) Cancer

11837

90.2

R10337CP

R10337NCD

2020-08-27

National Coverage Determination (NCD30.3.3): Acupuncture for Chronic Low Back Pain (cLBP)

[Rescinded Transmittal 10128, dated May 8, 2020]

11755

30.3.3

R10305CP

2020-08-14

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2020

[Rescinded Transmittal 10215, dated July 10, 2020]

11889

190.12- 190.34

R10261OTN

2020-07-31

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2021 Update

11905

50.3, 90.2, 220.6.17

R10199NCD

2020-06-23

National Coverage Determination (NCD) 160.18 Vagus Verve Stimulation (VNS)

[Rescinded Transmittal 10145, dated May 22, 2020]

11461

160.18

R10193OTN

2020-06-19

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2020 Update

[Rescinded Transmittal 2439, dated February 21, 2020]

11655

90.2, 150.3, 190.3, 220.6.1, 220.6.8, 220.6.19, 230.18, 270.1

R10179NCD

R10179CP

2020-06-10

NCD (20.32) Transcatheter Aortic Valve Replacement (TAVR)

[Rescinded Transmittals 217 and 4546 dated March 13, 2020]

11660

20.32

R10073CP

R10073NCD

2020-05-01

National Coverage Determination (NCD) 20.19 Ambulatory Blood Pressure Monitoring (ABPM)

11650

20.19

R2427OTN

2020-02-04

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2020 Update [Rescinded Transmittal 2382, dated November 1, 2019]

11491

20.9, 20.9.1, 20.34, 110.4, 110.23, 190.3, 190.11, 210.3, 260.9

R4475CP

2019-12-13

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2020

11593

190.12- 190.34

R4424CP

2019-10-29

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2020

[Rescinded Transmittal 4400, dated September 27, 2019]

11485

190.12- 190.34

R2362OTN

2019-09-19

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2020 Update

[Rescinded Transmittal 2348, dated August 9, 2019]

11392

20.7, 110.18, 110.23, 150.3, 220.4, 220.13, 270.3

R4330CP

2019-07-05

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2019

11344

190.12- 190.34

R2298OTN

2019-05-03

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)

11229

20.31, 20.31.1, 20.31.2, 20.31.3, 110.18, 150.3, 220.13

R215NCD

2019-04-10

National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS)

[Rescinded Transmittal 210, dated November 30, 2018 and Transmittal 214, dated March 6, 2019]

 10878

90.2

R4265CP

2019-03-22

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2019

11224

190.12- 190.34

R213NCD

2019-02-14

National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs)

[Rescinded Transmittal 211 dated December 13, 2018]

10865

20.4

R2243OTN

2019-02-01

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)

11134

20.29, 110.18, 110.21, 110.23, 150.3, 160.18, 160.24

R4229CP

2019-02-01

Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD)—Clarification of Payment Rules and Expansion of International Classification of Diseases Tenth Edition (ICD-10) Diagnosis Codes

11022

20.35

R4225CP

2019-02-01

Update to Mammography Editing

11132

220.4

R2202OTN

2018-11-09

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)

11005

20.7, 110.21, 210.2, 220.4, 230.18, 80.11

R2200OTN

2018-11-08

International Classification of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)

[Rescinded Transmittal 2138, dated September 18, 2018, and Transmittal 2122, dated August 10, 2018]

10859

110.18, 110.21, 190.3, 190.11, 220.6.17, 260.1, 270.1, 270.3, 80.11

R208NCD

R4147CP

2018-10-19

Magnetic Resonance Imaging (MRI)

10877

220.2

R4139CP

2018-09-28

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2019

10941

190.12- 190.34

R4092CP

2018-07-20

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2018

10873

190.12- 190.34

R207NCD

R4049CP

2018-05-11

Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD)

[Rescinded Transmittals 205, 3992, 206 and 4016]

10295

20.35

R2076OTN

2018-05-04

International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)

10622

110.18, 150.3, 190.11, 220.13, 220.6.16, 220.6.17

R3961CP

2018-02-02

Editing Update for Mammography Services

10435

220.4

R2039OTN

2018-02-28

ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs)

[Rescinded Transmittal 2033 dated February 16, 2018]

10473

20.5, 110.18, 110.21, 150.3, 190.1, 190.11, 210.3, 210.4.1, 210.6, 220.4, 220.6.17, 250.4

R2005OTN

2018-01-18

ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs)

[Rescinded Transmittal 1975 dated November 9, 2017]

10318

20.9, 20.9.1, 20.16, 20.29, 20.30, 20.33, 40.1, 80.11, 80.2 80.2.1 80.3 80.3.1, 110.18, 110.21, 110.23, 160.27, 190.3, 190.11, 220.4, 220.6.17, 220.13, 260.1, 270.1, 270.3

R3937CP

2017-12-22

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2018

10424

190.12- 190.34

R3844CP

2017-11-21

Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services, and Addition of Anesthesia and Prolonged Preventive Services

10181

220.4, 210.3 and other preventive services

R203NCD

R3921CP

2017-11-17

Hyperbaric Oxygen (HBO) Therapy (Section C, Topical Application of Oxygen)

10220

20.29

R3911CP

2017-11-09

New Positron Emission Tomography (PET) Radiopharmaceutical/Tracer Unclassified Codes

10319

220.6

R3901CP

2017-11-03

Update to Pub 100-04, Chapter 18 Preventive and Screening Services - Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)

10338

210.14

R3872CP

2017-10-06

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2018

10309

190.12- 190.34

R3835CP

R190NCD
R3461CP

2017-08-16

2016-02-05

Screening for the Human Immunodeficiency Virus (HIV) Infection

[Rescinded Transmittal 3778 dated May 24, 2017]

9980

9403

210.7

R3831CP

R198NCD

2017-08-04

2017-06-29

Screening for Hepatitis B Virus (HBV) Infection

[Rescinded Transmittal 3804 dated June 29, 2017; Transmittal 197, Pub. 100-03, and Transmittal 3793, Pub. 100-04 dated June 9, 2017]

9859

210.6

R201NCD

R3815CP

2017-07-28

National Coverage Determination (NCD20.8.4): Leadless Pacemakers

10117

20.8.4

R1875OTN

2017-07-27

ICD-10 Coding Revisions to National Coverage Determinations (NCDs)

10184

160.18, 210.4.1, 220.6.17, 220.6.20

R3811CP  R200NCD

TN 3787 (Medicare Claims Processing)

R3175CP

R2959CPR167NCD

2017-07-27

2017-05-26

2015-01-30

2014-05-16

Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS)[Rescinded Transmittals 199, Pub. 100-03 and 3805, Pub. 100-04, dated July 11, 2017]

Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS)

Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS)-Blinded Clinical Trial – Follow-Up CR to Implement a Second Claims Processing Procedure Code

Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS)

10089

8954

8757

150.13

R3797CP

2017-06-16

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2017

10156

190.23, 190.21, 190.27

R1854OTN

2017-05-26

ICD-10 Coding Revisions to National Coverage Determinations (NCDs) for October 2017

10086

20.29, 20.31, 20.31.1, 20.31.2, 20.31.3, 40.7, 80.2, 80.2.1, 80.3, 80.3.1, 80.11, 100.1, 110.4, 110.23, 190.3, 190.11, 210.13, 220.4, 220.6.17, 270.1

R3738CP

2017-03-17

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2017

10036

190.21, 190.33

R1798OTN

2017-02-17

ICD-10 Coding Revisions to National Coverage Determinations (NCDs) for July 2017

9982

20.31, 20.31.1, 20.31.2, 20.31.3, 20.34, 190.3, 220.4, 260.3.1, 270.1

R1792OTN

2017-02-03

ICD-10 Coding Revisions to National Coverage Determination (NCDs) for April 2017         [Rescinded Transmittal 1755, dated November 18, 2016]

9861

40.1, 40.7, 80.2 80.2.1 80.3 80.3.1, 80.11, 100.1, 110.4, 110.18, 110.23, 180.1, 190.1, 210.3, 220.4, 220.6.17, 260.5, 260.3.1, 270.6

R3691CP

2017-01-13

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2017

9934

190.12-190.34

R1753OTN

2016-11-17

Coding Revisions to National Coverage Determination (NCDs) for January 2017 [Rescinded Transmittal 1708, dated August 19, 2016]

9751

20.7, 20.19, 20.33, 40.1, 160.18, 180.1, 190.3, 220.6.17, 220.6.20, 230.18, 260.1

R3656CP

2016-11-16

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2017 [Rescinded Transmittal 3628, dated October 21, 2016]

9806

190.12-190.34

R3556CP

R193NCD

2016-07-01

Stem Cell Transplantation for Multiple Myeloma, Myelofibrosis, Sickle Cell Disease, and Myelodysplastic Syndromes [Rescinded Transmittal 3509 dated April 29, 2016]

Stem Cell Transplantation for Multiple Myeloma, Myelofibrosis, Sickle Cell Disease, and Myelodysplastic Syndromes [Rescinded Transmittal 191 dated April 29, 2016]

9620

110.23

R1672OTN

2016-06-03

Coding Revisions to National Coverage Determinations (NCDs) for October 2016 [Rescinded Transmittal 1665, dated May 13, 2016]

9631

20.29, 20.4, 20.7, 20.9, 50.3, 110.18, 210.3, 210.4, 210.4.1, 220.4, 230.9, 260.9

R3515CP

2016-05-06

Percutaneous Left Atrial Appendage Closure (LAAC)

9638

20.34

R1658OTN

2016-04-29

Coding Revisions to National Coverage Determinations for July 2016

[Rescinded Transmittal 1630 dated February 26, 2016]

9540

20.29, 20.33, 90.1, 110.18, 110.4, 150.3, 160.18, 160.24, 210.14, 210.3, 220.13, 220.4, 230.18, 260.1

R3485CP

2016-03-25

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2016

9584

190.12-190.34

R189NCD

R3460CP

2016-02-05

Screening for Cervical Cancer With Human Papillomavirus (HPV) Testing—National Coverage Determination (NCD)

9434

210.2.1

R188NCD

R183NCD

2015-12-30

2015-08-28

National Coverage Determination (NCD) for Screening for Colorectal Cancer Using Cologuard - A Multitarget Stool DNA Test

[Rescinded Transmittal 3319 dated August 6, 2015]

9115

210.3

R3429CP

2015-12-22

New Influenza Virus Vaccine Code

[Rescinded Transmittal 3403 dated November 9, 2015]

9357

n/a

R3421CP

R187NCD

R3204CP

R179NCD

2015-12-10

2015-02-20

National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

[Rescinded Transmittal 3384, dated October 26, 2015 and Transmittal 186, dated October 26, 2015]

9078

20.8.3

R1580OTN

2015-12-03

ICD-10 Conversion/Coding Infrastructure Revisions to National Coverage Determinations (NCDs)--3rd Maintenance CR for January/April 2016

[Rescinded Transmittal 1547 dated October 5, 2015]

9252

20.5, 20.7, 20.9.1, 20.9, 20.16, 20.20, 20.29, 80.2, 80.2.1, 80.3, 80.3.1, 80.11, 100.1, 110.4, 110.10, 110.21, 150.3, 160.18, 160.24, 180.1, 190.11, 210.2, 210.3, 220.6.16, 220.13, 250.3, 250.5, 260.1, 270.6

R3393CP

R3285CP

R3215CP

R177NCD

2015-11-05

2015-06-19

2015-03-11

2014-11-19

Reporting of Type of Bill (TOB) 014x for Billing Screening of Hepatitis C Virus (HCV) in Adults

Screening for Hepatitis C Virus (HCV) in Adults – Implementation of Additional Common Working File (CWF) and Shared System Maintainer (SSMs) Edits

Screening for Hepatitis C Virus (HCV) in Adults

[Rescinded Transmittal 3127 dated November 19, 2014 and Transmittal 174 dated September 5, 2014]

9360

9200

8871

210.13

R3396CP

2015-11-05

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2016

[Rescinded Transmittal 3366 dated October 2, 2015]

9352

190.12-190.34

R3374CP

2015-10-15

Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)

9246

210.14

R182NCD

R3265CP

2015-05-22

NCD20.30 Microvolt T-wave Alternans (MTWA)

9162

20.30

R3241CP

2015-04-24

Transcatheter Mitral Valve Repair (TMVR)-National Coverage Determination (NCD)

[Rescinded Transmittal 3142 dated December 5, 2014]

9002

20.33

R3228CP

2015-04-03

Changes to the Laboratory National Coverage Determination (NCD) Software for July 2015

9124

190.12-190.34

R3232CP

2015-04-03

Preventive and Screening Services — Update - Intensive Behavioral Therapy for Obesity, Screening Digital Tomosynthesis Mammography, and Anesthesia Associated with Screening Colonoscopy

[Rescinded Transmittal 3160 dated January 7, 2015]

8874

210.12, 220.4, 210.3

R1478OTN

2015-03-06

ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs)--2nd Maintenance CR for July 2015

9087

20.29, 20.9.1, 50.3, 80.2, 80.2.1, 80.3, 80.3.1, 110.10, 150.3, 160.18, 180.1, 210.2, 250.3

R3162CP

R168NCD

2015-01-08

2014-05-28

Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February 6, 2014) Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/R162NCD dated 4/18/14)

8739

220.6.17

R172NCD
R3054CP

2014-08-29

Ventricular Assist Devices for Bridge-to-Transplant and Destination Therapy

8803

20.9.1

R3050CP

R2551CP

R143NCD

2014-08-22

2012-09-24

 

2012-05-18

Extracorporeal Photopheresis

Extracorporeal Photopheresis (ICD-10)—replaces R2543 dated 9/7/12, R2506 dated 8/3/12, R2494 dated 7/10/12, R2473 dated 5/18/12

Extracorporeal Photopheresis (ICD-10)

8808

7806

110.4

R3058CP

R171NCD

2014-07-18

Cardiac Rehabilitation Programs for Chronic Heart Failure

8758

20.10.1

R2976CP

2014-06-13

Changes to the Laboratory NCD Software for October 2014

8797

190.12-190.34

R1388OTN

2014-05-23

ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to NCDs - Maintenance CR (29 NCDs) for October 2014

8691

20.5, 20.7, 20.20, 20.29, 50.3, 70.2.1, 80.2, 80.2.1, 80.3, 80.3.1, 100.1, 110.4, 110.8.1, 110.10, 150.3, 160.18, 160.24, 160.27, 180.1, 190.1, 190.8, 190.11, 210.1, 210.2, 210.3, 210.10, 250.3, 250.4, 250.5

R2931CP
R185BP     R165NCD

2014-04-15

Aprepitant for Chemotherapy-Induced Emesis—Replaces R2883CP, R180BP, R163NCD dated 2/21/14

8418

110.18

R2915CP
R164NCD

2014-03-27

Beta Amyloid Positron Emission Tomography (PET) in Dementia and Neurodegenerative Disease—replaces R2871CP and R160NCD dated 2/6/14

8526

220.6.20

R2865CP

2014-01-31

Changes to the Laboratory NCD Edit Software for ICD-10 Codes

[Rescinded Transmittal 2806 dated November 1, 2013]

8494

190.12-190.34

R2852CP

2014-01-10

Changes to the Laboratory NCD Edit Software for April 2014 (ICD-10)

8585

190.12-190.34

R2841CP R158NCD

 

R150NCD R2641CP

2013-12-23

 

 

2013-01-29

Bariatric Surgery for Treatment of Co-Morbid Conditions Related to Morbid Obesity—replaces R2816CP and R157NCD dated 11/15/13

 

Bariatric Surgery for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrectomy (LSG) — replaces R148 and R2590 dated 11/9/12

8484

8028

100.1

R2827CP

 

R2737CP

 

R2628CP

R147NCD R2552CP

2013-11-29

 

2013-07-11

 

 

2013-01-07

2012-09-24

Transcatheter Aortic Valve Replacement (TAVR) Follow-up - Implementation of Permanent CPT Code

Transcatheter Aortic Value Replacement (TAVR)-Implementation of Mandatory Reporting of Clinical Trial Number(replaces R2689 dated 5/3/13)

Transcatheter Aortic Valve Replacement (TAVR) Coding Update/Policy Clarification

Transcatheter Aortic Valve Replacement (TAVR)—replaces R2512/R145NCD dated 8/3/12

8537

 

8255

 

 

8168

7897

20.32

R154NCD, R2720CP

2013-06-10

Autologous Platelet-Rich Plasma (PRP) for Chronic Non- Healing Wounds—replaces R153NCD/R2710CP 5/21/13 and R152NCD/R2666CP dated 3/8/13

8213

270.3

R1199OTN

2013-03-15

ICD-10 Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS NCDs(CR 3 of 3)-30 NCDs for July/October 2013

8197

20.16, 20.30, 20.31, 20.31.1, 20.31.2, 20.4, 20.7, 40.1, 40.7, 50.3, 100.14, 110.4, 110.8.1, 150.10, 180.1, 190.1, 190.11, 190.3, 190.5, 190.8, 210.10,210.2, 210.4, 210.4.1, 210.7, 220.4, 220.6.16, 220.6.19, 260.1, 260.9

R1174OTN

2013-02-01

Changes to the Laboratory NCD Software for ICD-10

8202

190.12-190.34

R1165OTN

2013-01-18

ICD-10 Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS NCDs (CR 2 of 3 )-11 NCDs for April 2013(replaces R11620 dated 1/4/13)

8109

20.16, 20.20, 20.29, 20.9, 90.1, 210.1, 210.3, 260.1, 260.3.1, 260.5, 270.1

R149NCD R2605CP

2012-11-30

Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)—replaces R144NCD/R2511 dated 8/3/12

7836

160.27

R1122OTN

2012-09-14

ICD-10 Conversion from ICD-9 of the Medicare Shared Systems as They Relate to CMS NCDs (CR 1 of 3) (ICD-10)19 NCDs for January 2013

7818

20.19, 20.5, 70.2.1, 80.11, 80.2, 80.2.1, 80.3, 80.3.1, 110.10, 110.21, 110.4, 150.3, 160.18, 160.24, 220.13, 230.9, 250.3, 250.4, 250.5

R2476CP

 

R141NCD

2012-05-23

 

2012-01-26

Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10)—replaces R2402 dated 1/26/12

Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10)

7610

210.10

R2465CP

2012-05-11

Assigned Codes for Home Oxygen Use for Cluster Headache (CH) in a Clinical Trial (ICD-10)

7820

240.2.2

R142NCD R2421CP

2012-03-07

Intensive Behavioral Therapy for Obesity—replaces R2409 dated 2/3/12

7641

210.12

R852OTN

2011-01-28

Expansion of Multi Carrier System (MCS) Procedure Code File to Accommodate ICD-10 Diagnosis Codes

7297

n/a

R2394CP

R140NCD

R2380CP

2012-01-25

2012-01-06

CWF Editing for Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer (PROVENGE)

Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer—replaces R136 and R2339 dated 11/2/11, R133 dated 7/8/11.

7659

7431

 110.22

Page Last Modified:
02/07/2023 06:09 AM