LCD Reference Article Response To Comments Article

Response to Comments: CT of the Abdomen and Pelvis

A59140

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Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

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Source Article ID
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Article ID
A59140
Original ICD-9 Article ID
Not Applicable
Article Title
Response to Comments: CT of the Abdomen and Pelvis
Article Type
Response to Comments
Original Effective Date
08/28/2022
Revision Effective Date
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Revision Ending Date
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Article Text

The comment period for the CT of the Abdomen and Pelvis DL34415 Local Coverage Determination (LCD) began on 3/31/22 and ended on 5/14/22. The notice period for L34415 begins on 7/14/22 and will become effective on 8/28/22.

The comment below was received from the provider community.

Response To Comments

Number Comment Response
1

For CT Abdomen/Pelvis proposed LCD, I have reviewed and would request consideration for the following ICD10 to be added to the policy.

CT Abdomen/Pelvis

Sepsis, A41.9

Distention, R14.0

Nausea and Vomiting, R11.2

Pressure Ulcer of Sacral Region, L89.150, L89.151, L89.152, L89.153, L89.154, L89.156, L89.159

Malignant Neoplasm Unspecified C80.1

Urinary Tract Infection, site not specified, N39.0

Leukocytosis D72.829

After review of the proposed additions to the ICD-10 codes that meet medical necessity in the Billing and Coding article: CT of the Abdomen and Pelvis (A56421), Palmetto GBA’s position is to add the following ICD-10 codes to the article:

R14.0 – Abdominal distension (gaseous)

L89.154 – Pressure ulcer of sacral region, stage 4.

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related Local Coverage Documents
LCDs
L34415 - CT of the Abdomen and Pelvis
Related National Coverage Documents
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SAD Process URL 1
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SAD Process URL 2
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Public Versions
Updated On Effective Dates Status
07/07/2022 08/28/2022 - N/A Currently in Effect You are here

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