10/01/2019
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R20
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This LCD was converted to the new "no-codes" format. There has been no change in coverage with this LCD revision.
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- Revisions Due To Code Removal
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08/01/2019
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R19
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Consistent with Change Request 10901, all coding information, National coverage provisions, and Associated Information (Documentation Requirements, Utilization Guidelines) have been removed from the LCD and placed in the related Billing and Coding Article, A56747. There has been no change in coverage with this LCD revision.
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- Provider Education/Guidance
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10/01/2018
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R18
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Corrected Source listing.
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10/01/2018
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R17
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LCD revised for annual ICD-10 updates.
For Group 1, ICD-10 code I63.8 is deleted and replaced by I63.81 and I63.89 and ICD-10 codes I67.850 and I67.858 are being added.
For Group 4, ICD-10 code R93.8 is deleted and replaced by R93.811, R93.812, R93.913, R93.819, and R93.89.
DATE (10/01/2018): At this time, the 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy.
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- Revisions Due To ICD-10-CM Code Changes
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05/01/2018
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R16
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LCD revised to add sources submitted for a reconsideration request to add “history of aneurysm” to Indications and a diagnosis code for personal history of other diseases of the circulatory system to covered ICD-10 codes for MRA of the head/neck. No change was made in coverage.
DATE (05/01/2018): At this time, the 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy.
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11/01/2017
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R15
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LCD revised to add ICD-10 code I72.6 as payable for MRA of the head and neck (group 1), effective for dates of service on or after 10/01/2016.
DATE (11/01/2017): At this time, the 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy.
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- Request for Coverage by a Provider (Part A)
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10/01/2017
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R14
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LCD revised for annual ICD-10 updates for 2018.
Deleted ICD-10 codes S06.4X7D, S06.4X7S, S06.4X8D, S06.4X8S, S06.5X7D, S06.5X7S, S06.5X8D, S06.5X8S, S06.6X7D, S06.6X7S, S06.6X8D, and S06.6X8S were removed from Group 1 (70544, 70545, 70546, 70547, 70548, 70549).
Minor wording changes made.
DATE (10/01/2017): At this time, the 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy.
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- Revisions Due To ICD-10-CM Code Changes
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03/16/2017
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R13
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Added ICD-10 codes H93.A1-H93.A3 for MRA of the head/neck, effective 10/01/2016.
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- Request for Coverage by a Practitioner (Part B)
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10/01/2016
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R12
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Added ICD-10 code I60.2 for MRA of the head/neck, replacing deleted codes I60.21 and I60.22.
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- Revisions Due To ICD-10-CM Code Changes
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10/01/2016
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R11
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LCD revised for annual ICD-10 updates for 2017 with the following changes: • For MRA of the head/neck, ICD-10 codes T85.113A-T85.113S, T85.123A-T85.123S, T85.193A-T85.193S, I72.5, I77.70, I77.75 were added. • For MRA of the chest, ICD-10 codes Q25.21 and Q25.29 replaced deleted code Q25.2 • For MRA of the abdomen and pelvis, ICD-10 codes K55.011-K55.069 replaced deleted code K55.0 • For MRA of peripheral arteries, ICD-10 codes I72.6 and I77.77 were added.
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- Revisions Due To ICD-10-CM Code Changes
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10/01/2015
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R10
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Bill type codes added.
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10/01/2015
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R9
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ICD-10 codes I60.9 and I61.9 were added as payable for MRA of the head/neck (group 1) effective 10/01/2015.
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- Request for Coverage by a Practitioner (Part B)
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10/01/2015
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R8
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ICD-10 code G45.9 was added as payable for MRA of the head/neck (group 1) effective 10/01/2015.
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- Request for Coverage by a Practitioner (Part B)
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10/01/2015
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R7
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The following ICD-10 codes have been added as payable for MRA of the head/neck (Group 1), effective 10/01/2015: I63.00, I63.019, I63.039, I63.10, I63.119, I63.139, I63.20, I63.211, I63.212, I63.219, I63.22, I63.231, I63.232, I63.239, I63.29, I63.30, I63.319, I63.329, I63.339, I63.349, I63.40, I63.419, I63.429, I63.439, I63.449, I63.50, I63.511, I63.512, I63.519, I63.521, I63.522, I63.529, I63.531, I63.532, I63.539, I63.541, I63.542, I63.549, I63.59, I63.9.
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- Request for Coverage by a Practitioner (Part B)
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10/01/2015
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R6
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ICD-10 codes were revised to add the 7th digit for D=subsequent encounter in the S15. range.
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- Provider Education/Guidance
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10/01/2015
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R5
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ICD-10 codes were revised to add the 7th digit for D=subsequent encounter and S=sequela, where the 7th digit, A=initial encounter, was already included.
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- Provider Education/Guidance
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10/01/2015
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R4
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Added ICD-10 code I73.9 to covered diagnoses for MRA of lower extremities, and for abdomen and pelvis.
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- Request for Coverage by a Provider (Part A)
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10/01/2015
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R3
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Revised to add asterisk note for ICD-10 Group 1.
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10/01/2015
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R2
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Revised to add asterisk note for ICD-10 Group 1.
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10/01/2015
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R1
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Updated to include changes made to LCD since April 2014.
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