ICD-10 codes for National Coverage

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: CAG Inquiries (caginquiries@cms.hhs.gov).

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 7/16/26)

TransmittalIssue DateSubjectCR#NCD#
R13849CP2026-07-02Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 202614536190.12-190.34
R13809CP2026-06-04Update to the Internet Only Manual (IOM) Publication 100-04, Chapters 3, 13, 17, 18 and 32 for Coding Revisions to National Coverage Determination (NCDs) - January 2026 Change Requests (CRs) 14194 and 1419714463100-04 (Ch. 3 - Sec. 90.4.2, Ch. 13- Sec. 30.1.3.1, 60.16, Ch.17 - Sec 80.2, Ch. 18 - Sec. 20.2, 30.6, 60, 250.1 and Ch. 32 - Sec. 11.3.2 and 260.1.1)

R13808NCD

R13808CP

2026-05-29

Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD)

[Rescinds and replaces Transmittal 13756 issued April 28, 2026, Transmittal 13611 issued January 30, 2026, and Transmittal 13374 issued August 21, 2025]

14177240.9

R13806CP

R13806NCD

2026-05-28

Cardiac Contractility Modulation (CCM) for Heart Failure (HF)

[Rescinds and replaces Transmittal 13716 issued April 03, 2026, Transmittal 13672 issued March 09, 2026, and Transmittal 13538 issued December 19, 2025]

1431120.39

R13802NCD

R13802CP

2026-05-28

NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension

[Rescinds and replaces Transmittal 13695 issued March 19, 2026, Transmittal 13640 issued February 13, 2026, Transmittal 13612 issued January 30, 2026, and Transmittal 13522 issued December 11, 2025]

1430220.40

R13801NCD

R13801CP

2026-05-28

NCD 20.38 - Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER)

[Rescinds and replaces Transmittal 13366 issued August 14, 2025]

1420020.38

R13800NCD

R1300CP

2026-05-28

NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR)

[Rescinds and replaces Transmittal 13427 issued September 22, 2025 and Transmittal 13343 issued July 31, 2025]

1414920.37
R13752OTN2026-05-26International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- October 20261446420.4, 90.2, 110.18, 110.23, 110.24, 150.3, 220.6.1, 250.4
R13760OTN2026-04-30

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026

[Rescinds and replaces Transmittal 13623 issued February 05, 2026]

1435690.2, 110.18, 150.13, 160.18, 210.10, 220.6.17
R13748NCD2026-04-23National Coverage Determination (NCD) 110.17- Anti-Cancer Chemotherapy for Colorectal Cancer14433110.17
R13709CP2026-04-02Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 18, Section 170.1 and Chapter 32, sections 330.1 and 330.2 for Updates in Change Request (CR) 14356 - International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 202614430100-04 (Ch.18-Sec 170.1, Ch. 32-Sec 330.1, 330.2)
R13700CP2026-03-27Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Section 10.1 Incorporating Manual Updates from Change Request (CR) 11650 - National Coverage Determination (NCD) 20.19 Ambulatory Blood Pressure Monitoring (ABPM) and CR 12376 – Revisions to Chapters 13, 18 and 32 To Update Coding14424100-04 (Ch.32-Sec 10.1, Ch. 32-Sec 330.1, 330.2)
R13680CP2026-03-26Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 18, Sections 210 - 210.4 in Reference to Change Request (CR) 14388 “Billing Code Clarification for National Coverage Determination (NCD) 210.13 Screening for Hepatitis C Virus (HCV) in Adults”14408100-04 (Ch.18- Sec. 210, 210.1, 210.2, 210.3, 210.4)
R13694CP2026-03-19Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18, Section 110.3.2, to Align with Medicare Preventive Services for Ultrasound Abdominal Aortic Aneurysm (AAA) Screening14421100-04 (Ch. 18, Sec. 110.3.2)
R13677CP2026-03-12Internet-Only Manual Update, Pub. 100-04, Chapter 18 (Preventive and Screening Services), Section 10.2.114396100-04 (Ch. 18, Sec. 10.2.1)
R13665CP2026-03-05Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 32, Sections 40.1 and 40.2.1 for Updates in Change Request (CR) 14263 International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 202614394100-04 (Ch.32-Sec 40.1, 40.2.1)
R13633OTN2026-02-23Billing Code Clarification for National Coverage Determination (NCD) 210.13 Screening for Hepatitis C Virus (HCV) in Adults14388210.13
R13641CP2026-02-13

Update to Claims Processing Instructions for National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs)

[Rescinds and replaces Transmittal 13483 issued December 05, 202]

1425320.4
R13608CP2026-01-29

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Sections 150.4, 150.6, 200.2, 300.2, 400.2, 400.2.2, 400.2.3, 400.2.3.1, 400.2.4, and 400.3 for Coding Revisions to National Coverage Determinations (NCDs) - July 2025 Change Request (CR) 13939

[Rescinds and replaces Transmittal 13317 issued July 24, 2025]

14108100-04 (Ch.32-Sec. 150.4, 150.6, 300.2, 400.2, 400.2.2, 400.2.3, 400.2.3.1, 400.2.4, and 400.3)
R13460CP2025-12-23Update to the Internet Only Manual (IOM) for Inpatient Billing of Chimeric Antigen Receptor (CAR) T-Cell Therapy in Publication (Pub.) 100-04; Chapter 32 Billing Requirements for Special Services, Section 400.3 Payment Requirements14247110.24
R13549CP (PDF)2025-12-18Update to the Internet Only Manual (IOM) Publication 100-04, Chapter 18, Sections 150.1, 150.2.1, 150.3 and Chapter 32, Sections 12.1, 12.3, 320.3.3, 400.2.2, 400.2.3 and 400.2.3.1 for Coding Revisions to National Coverage Determination (NCDs) - October 2025 Change Request (CR) 1404114267100-04 (Ch. 18, Sec. 150.1, 150.2.1, 150.3; Ch. 32, Sec. 12.1, 12.3, 320.3.3, 400.2.2, 400.2.3 and 400.2.3.1)

R13547CP

R13547BP

2025-12-18Revisions to Publication 100-04, Medicare Claims Processing Manual, Chapters 9, 18, and Publication 100-02, Medicare Benefit Policy Manual, Chapter 13 To Include Updated Information14254

100-02 (Ch. 13, sec. 50.1, 80.1, 220.1 and 220.3)

100-04 (Ch.9 - Sec. 60.2, 60.3, 70.3; Ch.18 - Sec. 10.2, 10.2.2.1 and 10.2.2.2)

R13404CP2025-12-17Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 202614226190.12 - 190.34
R13432CP2025-12-09Removal of Chimeric Antigen Receptor (CAR) T-cell Therapy and Risk Evaluation Mitigation Strategy (REMS) – NCD 110.24 and the “KX’ Modifier for CAR-T Cell Therapy Claims14204110.24
R13455OTN2025-12-05International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)-April 202614263230.18
R13438OTN2025-09-30

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—January 2026 Update- CR 1 of 2

[Rescinds and replaces Transmittal 13400 issued September 05, 2025, and Transmittal 13375 issued August 21, 2025]

1419720.16, 90.2, 110.18, 190.3, 210.2, 210.3, 210.15
R13423CP2025-09-18Update to Pub 100-04, Chapter 18 - Preventive and Screening Services14119210.13
R13401OTN2025-09-09

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—January 2026 Update—CR 2 of 2

[Rescinds and replaces Transmittal 13383 issued August 26, 2025, and Transmittal 13360 issued August 14, 2025]

14194220.4, 220.6.17, 220.13, 250.5, 260.1, 270.1, 270.3
R13359CP2025-08-13

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2025

[Rescinds and replaces Transmittal 13292 issued July 21, 2025]

14153190.12 - 190.34
R13327OTN2025-07-25

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) - October 2025

[Rescinds and replaces Transmittal 13251 issued June 06, 2025]

1404120.9.1, 110.24, 190.11, 210.4.1, 210.13
R13295CP2025-07-25Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule 2025: (1) Updates to Colorectal Cancer Screening and Hepatitis B Vaccine Policies14031210.3, 210.6
R13286OTN2025-06-25

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—July 2025

[Rescinds and replaces Transmittal 13097 issued March 20, 2025]

1393980.2, 80.2.1, 80.3, 80.3.1, 90.2, 100.1, 110.18, 110.23, 110.24, 160.18, 210.3, 250.3

R13282NCD

R13282CP

2025-06-20

National Coverage Determination (NCD) 20.36 Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management

[Rescinds and replaces Transmittal 13246 issued May 22, 2025]

1400020.36
R13244OTN2025-06-09Screening for Hepatitis C Virus (HCV) Health Insurance Portability and Accountability Act (HIPAA) Eligibility Transaction System (HETS) Coding Updates (Part 2 HETS Business Requirements for CR 14041)14092210.13

R13209CP

R13209NCD

2025-05-02

National Coverage Determination (NCD) 210.15 - Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention

[Rescinds Transmittal 12987 issued December 05, 2024]

13843210.15
R13025CP2024-12-23Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18 Section 60.3 and Chapter 32 Sections 11.3.5, 60.4.1, 60.5.2, 320.2 and 412.1 for Coding Revisions to the National Coverage Determinations (NCDs) - April 2025 (2 of 2) Change Request (CR) 1382813914100-04(Ch.18- Sec.60.3, Ch.32- Sec.11.3.5, 60.4.1, 60.5.2, 320.2 and 412.1)
R12990CP2024-12-13Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32 Sections 90, 190.2 and 300.2 for Coding Revisions to the National Coverage Determinations (NCDs) - April 2025 (1 of 2) Change Request (CR) 1381813874100-04(Ch. 32-Sec. 90, 190.2 and 300.2)

R12948CP

R12948NCD

2024-11-06

Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) 110.23

[Rescinds and replaces Transmittal 12868 issued October 07, 2024, Transmittal 12813 issued August 28, 2024, Transmittal 12781 issued August 21, 2024, and Transmittal 12627 issued May 09, 2024]

13604110.23
R12904OTN2024-10-24International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)— April 2025 (CR 2 of 2)13828190.11, 200.3, 210.3, 220.6.17, 230.18, 260.9, 270.3
R12903OTN2024-10-24International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—April 2025 (CR 1 of 2)1381830.3.3, 80.2, 80.2.1, 80.3, 80.3.1, 110.4, 110.18, 110.21, 110.23, 110.24, 190.3
R12883CP2024-10-11Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18 Section 170.1 and Chapter 32 Section 340.2 for Coding Revisions to the National Coverage Determinations (NCDs) - January 2025 Change Request (CR) 1370613804100-04(Ch. 18- Sec. 340.2)
R12822CP2024-09-05Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18 Section 170.1 and Chapter 32 Section 190.2 for Coding Revisions to the National Coverage Determinations (NCDs)--April 2024 Change Request (CR) 1339013738100-04 (Ch. 18- Sec.170.1, Ch. 32- Sec.190.2)
R12817CP2024-08-29Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 202513785190.12 - 190.34
R12757OTN2024-08-02International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) and Update to the Appropriate Use Criteria (AUC) Program--January 20251370620.33, 210.10
R12691CP2024-06-20Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 202413672190.12 - 190.34
R12683CP2024-06-13Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Section 150.3 for Coding Revisions to the National Coverage Determinations (NCDs)--October 2024 Change Request (CR)1359613622100.1
R12649CP2024-05-23National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease (AD)13598200.3
R12626OTN2024-05-09International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 20241359690.2, 110.18, 100.1

R12600BP

R12600CP

2024-05-02Expand Diabetes Screening and Diabetes Definitions Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule13487

BPM: 15/300/300.1

CPM: 4/300, 18/1/1.2, 18/90/90.1-90.6

R12590NCD2024-04-25Technical Revision Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03, Chapter 1, Part 4, section 310.113597Chapter 1, Part 4, section 310.1

R12571CP

R12571NCD

2024-04-11National Coverage Determination (NCD) 20.7 Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting1351220.7
R12540CP2024-03-14Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 202413554190.12 - 190.34
R12533CP2024-03-07Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Section 90 for Coding Revisions to the National Coverage Determinations (NCDs)--July 2024 Change Request (CR) 1350713545Section 90 - 110.23

R12497CP

R12497BP

2024-02-08Pulmonary Rehabilitation, Cardiac Rehabilitation and Intensive Cardiac Rehabilitation (PR/CR/ICR) Expansion of Supervising Practitioners13513Manual section 140-NCDs 20.31, 20.31.1, 20.31.2, 20.31.3, 240.8
R12493OTN2024-02-01International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2024 Update13507110.18, 110.23 (formerly NCD 110.8.1), 150.3, 160.18, 220.6.17, 230.18
R12444OTN2024-01-04

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2024 Update

[Rescinds and replaces Transmittal 12355 issued November 09, 2023, and Transmittal 12184 issued August 03, 2023]

1327850.3, 90.2, 210.1
R12440OTN2024-01-03

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2024 Update--CR 2 of 2

[Rescinds and replaces Transmittal 12350 issued November 03, 2023, and Transmittal 12319 issued October 19, 2023]

1339190.2, 150.3, 160.18, 160.24, 190.3, 210.3, 220.4, 220.6.17, 250.3, 260.1, 260.5, 260.9
R12441OTN2024-01-03

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2024 Update--CR 1 of 2

[Rescinds and replaces Transmittal 12318 issued October 19, 2023]

1339020.4, 20.9.1, 20.16, 20.20, 20.30, 20.31, 20.31.1, 20.31.2, 20.31.3, 110.4, 110.18, 210.10
R12435CP2023-12-28Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18, Sections 20.2, 60.3 and Chapter 32, Sections 50.4.1, 200.2 for Coding Revisions to the National Coverage Determinations (NCDs)--April 2024 Change Request (CR) 1339113461

Chapter 18, Sections 20.2, 60.3

Chapter 32, Sections 50.4.1, 200.2

R12364CP

R12364NCD

2023-11-16NCD 220.6.20 - Beta Amyloid Positron Emission Tomography in Dementia and Neurodegenerative Disease13429220.6.20
R12219CP2023-08-24Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 202413350190.12 - 190.34
R12207OTN2023-08-11

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

[Rescinds and replaces Transmittal 12017 issued May 04, 2023]

1316620.20, 90.2, 210.1

R12183NCD

2023-08-03National Coverage Determination (NCD) 280.16 Power Seat Elevation Equipment on Power Wheelchairs13277280.16
R12185CP2023-08-03National Coverage Determination (NCD) 30.3.3 Acupuncture for Chronic Low Back Pain Revised Frequency Edits1328830.3.3
R12113CP2023-06-29Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 202313269190.12 - 190.34
R12112NCD2023-06-29Technical Revisions Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-031322020.33, 20.4, 190.1, 280.1
R11952OTN2023-04-12

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

[Rescinds and replaces Transmittal 11884 issued March 01, 2023, and Transmittal 11832 issued February 02, 2023]

1307020.4, 20.7, 20.20, 150.3, 150.10, 210.1, 220.13

R11929CP

R11929NCD

2023-03-27

National Coverage Determination (NCD) 50.3 - Cochlear Implantation Manual Update

[Rescinds and replaces Transmittal 11875 issued February 23, 2023]

1307350.3
R11892NCD2023-03-09Technical Revisions Only to the National Coverage Determination (NCD) Manual13105Multiple NCDs

R11865BP

R11865NCD

R11865CP

2023-02-16

An Omnibus CR to Implement Policy Updates in the CY 2023 PFS Final Rule, Including (1) Removal of Selected NCDs (NCD 160.22 Ambulatory EEG Monitoring), and, (2) Expanding Coverage of Colorectal Cancer Screening - Full Agile Pilot CR

[Rescinds and replaces Transmittal 11824 issued January 27, 2023]

13017160.22, 210.3
R11774CP2022-12-30

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

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

12928110.24
R11734CP2022-12-08Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 202313026190.18, 190.22, 190.23
R11700CP2022-11-10

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

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

12888190.12- 190.34
R11692NCD2022-11-09National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease (AD)12950200.3
R11693BP2022-11-09International Classification of Disease (ICD-10) Code Update for Coverage of Intravenous Immune Globulin (IVIG) Treatment of Primary Immune Deficiency Diseases in the Home12973Chapter 15, Section 50.6 of the BPM, Pub 100-02
R11676OTN2022-11-03International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2023 Update1296020.4, 210.10
R11636OTN2022-10-05

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]

1284220.32, 110.18, 110.23, 160.18, 190.3, 210.6, 220.6.17, 220.6.20, 260.1, 260.5, 260.9
R11587NCD2022-09-08Revision to National Coverage Determination (NCD) 240.2 (Home Use of Oxygen) to Align to 1834(a)(5)(E) of the Social Security Act12877240.2, 240.2.2
R11584OTN2022-08-31

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]

1282220.9.1, 20.20, 20.30, 20.31, 20.31.1, 20.31.2, 20.31.3, 30.3.3, 110.24, 180.1
R11465CP2022-06-23Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 202212803190.12- 190.34
R11461OTN2022-06-21

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

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

1248390.2
R11460OTN2022-06-17International 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]1270520.31, 20.31.1, 20.31.2, 20.31.3, 90.2, 160.18, 180.1, 270.3
R11453OTN2022-06-10

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]

1212420.9, 20.20, 20.33, 90.2, 110.23, 210.14, 220.6.19, 230.9

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]

12607240.2

R11426NCD

R11426CP

R11426BP

2022-05-20An 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 Coverage12613180.1, 180.2, 220.6
R11391OTN2022-04-29

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]

1260620.4, 30.3.3, 110.24, 150.3, 160.18, 190.1

R11388CP

R11388NCD

2022-04-29National Coverage Determination (NCD) 210.14 Reconsideration – Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)12691210.14
R11364OTN2022-04-27

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]

12611270.3

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]

12403270.3
R11179OTN2022-01-12

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]

1248020.4, 20.9.1, 20.31, 20.31.1, 20.31.2, 20.31.3, 30.3.3, 110.18, 110.23, 110.24
R11170CP2021-12-22Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 202212575190.12- 190.34
R11159NCD2021-12-16Transvenous (Catheter) Pulmonary Embolectomy National Coverage Determination (NCD) 240.612537240.6
R11158NCD2021-12-16National Coverage Determination (NCD) 220.6.19, Positron Emission Tomography NaF-18 (NaF-18 PET) to Identify Bone Metastasis of Cancer- Manual Update Only12526220.6.19
R11083OTN2021-10-29International 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)12482160.27, 190.1, 190.3, 190.5, 210.2, 220.4, 220.6.17, 220.13, 260.9
R11013CP2021-10-01Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 202212468190.12- 190.34
R11025OTN2021-09-28

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]

1239920.4, 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

1236120.33
R10927NCD2021-08-02

National Coverage Determination (NCD) Removal

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

1225420.5, 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]

12177110.24
R10877CP2021-07-15Changes to the Laboratory National Coverage Determination [NCD] Edit Software for October 202112384190.12- 190.34
R10854CP2021-06-15

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

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

12171190.12- 190.34

R10837CP

R10837NCD

2021-06-11National Coverage Determination (NCD) 20.9.1 Ventricular Assist Devices (VADs)1229020.9.1
R10817OTN2021-05-21International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 20211227920.33, 30.3.3

R10818CP

R10818NCD

2021-05-20National Coverage Determination (NCD) 210.3 - Screening for Colorectal Cancer (CRC)-Blood-Based Biomarker Tests12280210.3
R10635CP2021-03-23

Claims Processing Instructions for National Coverage Determination (NCD) 20.4

Implantable Cardiac Defibrillators (ICDs)

1210420.4
R10566OTN2021-01-14

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]

1202720.5, 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
R10346NCD2020-09-11National Coverage Determination (NCD 90.2): Next Generation Sequencing (NGS) for Medicare Beneficiaries with Germline (Inherited) Cancer1183790.2

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]

1175530.3.3
R10305CP2020-08-14

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

[Rescinded Transmittal 10215, dated July 10, 2020]

11889190.12- 190.34
R10261OTN2020-07-31International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2021 Update1190550.3, 90.2, 220.6.17
R10199NCD2020-06-23

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

[Rescinded Transmittal 10145, dated May 22, 2020]

11461160.18
R10193OTN2020-06-19

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]

1165590.2, 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]

1166020.32

R10073CP

R10073NCD

2020-05-01National Coverage Determination (NCD) 20.19 Ambulatory Blood Pressure Monitoring (ABPM)1165020.19
R2427OTN2020-02-04International 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]1149120.9, 20.9.1, 20.34, 110.4, 110.23, 190.3, 190.11, 210.3, 260.9
R4475CP2019-12-13Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 202011593190.12- 190.34
R4424CP2019-10-29

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

[Rescinded Transmittal 4400, dated September 27, 2019]

11485190.12- 190.34
R2362OTN2019-09-19

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]

1139220.7, 110.18, 110.23, 150.3, 220.4, 220.13, 270.3
R4330CP2019-07-05Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 201911344190.12- 190.34
R2298OTN2019-05-03International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)1122920.31, 20.31.1, 20.31.2, 20.31.3, 110.18, 150.3, 220.13
R215NCD2019-04-10

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

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

 1087890.2
R4265CP2019-03-22Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 201911224190.12- 190.34
R213NCD2019-02-14

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

[Rescinded Transmittal 211 dated December 13, 2018]

1086520.4
R2243OTN2019-02-01International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)1113420.29, 110.18, 110.21, 110.23, 150.3, 160.18, 160.24
R4229CP2019-02-01Supervised 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 Codes1102220.35
R4225CP2019-02-01Update to Mammography Editing11132220.4
R2202OTN2018-11-09International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)1100520.7, 110.21, 210.2, 220.4, 230.18, 80.11
R2200OTN2018-11-08

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]

10859110.18, 110.21, 190.3, 190.11, 220.6.17, 260.1, 270.1, 270.3, 80.11

R208NCD

R4147CP

2018-10-19Magnetic Resonance Imaging (MRI)10877220.2
R4139CP2018-09-28Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 201910941190.12- 190.34
R4092CP2018-07-20Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 201810873190.12- 190.34

R207NCD

R4049CP

2018-05-11

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

[Rescinded Transmittals 205, 3992, 206 and 4016]

1029520.35
R2076OTN2018-05-04International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)10622110.18, 150.3, 190.11, 220.13, 220.6.16, 220.6.17
R3961CP2018-02-02Editing Update for Mammography Services10435220.4
R2039OTN (PDF)2018-02-28

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

[Rescinded Transmittal 2033 dated February 16, 2018]

1047320.5, 110.18, 110.21, 150.3, 190.1, 190.11, 210.3, 210.4.1, 210.6, 220.4, 220.6.17, 250.4
R2005OTN2018-01-18

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

[Rescinded Transmittal 1975 dated November 9, 2017]

1031820.9, 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
R3937CP2017-12-22Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 201810424190.12- 190.34
R3844CP2017-11-21Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services, and Addition of Anesthesia and Prolonged Preventive Services10181220.4, 210.3 and other preventive services

R203NCD

R3921CP

2017-11-17Hyperbaric Oxygen (HBO) Therapy (Section C, Topical Application of Oxygen)1022020.29
R3911CP2017-11-09New Positron Emission Tomography (PET) Radiopharmaceutical/Tracer Unclassified Codes10319220.6
R3901CP2017-11-03Update to Pub 100-04, Chapter 18 Preventive and Screening Services - Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)10338210.14
R3872CP2017-10-06Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 201810309190.12- 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]

9859210.6

R201NCD

R3815CP

2017-07-28National Coverage Determination (NCD20.8.4): Leadless Pacemakers1011720.8.4
R1875OTN2017-07-27ICD-10 Coding Revisions to National Coverage Determinations (NCDs)10184160.18, 210.4.1, 220.6.17, 220.6.20

R3811CP  R200NCD

TN 3787 (Medicare Claims Processing) (PDF)

R3175CP

R2959CP
R167NCD

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
R3797CP2017-06-16Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 201710156190.23, 190.21, 190.27
R1854OTN2017-05-26ICD-10 Coding Revisions to National Coverage Determinations (NCDs) for October 20171008620.29, 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
R3738CP2017-03-17Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 201710036190.21, 190.33
R1798OTN2017-02-17ICD-10 Coding Revisions to National Coverage Determinations (NCDs) for July 2017998220.31, 20.31.1, 20.31.2, 20.31.3, 20.34, 190.3, 220.4, 260.3.1, 270.1
R1792OTN2017-02-03ICD-10 Coding Revisions to National Coverage Determination (NCDs) for April 2017
[Rescinded Transmittal 1755, dated November 18, 2016]		986140.1, 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
R3691CP2017-01-13Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 20179934190.12-190.34
R1753OTN2016-11-17Coding Revisions to National Coverage Determination (NCDs) for January 2017 [Rescinded Transmittal 1708, dated August 19, 2016]975120.7, 20.19, 20.33, 40.1, 160.18, 180.1, 190.3, 220.6.17, 220.6.20, 230.18, 260.1
R3656CP2016-11-16Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2017 [Rescinded Transmittal 3628, dated October 21, 2016]9806190.12-190.34

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]

9620110.23((formerly NCD 110.8.1)
R1672OTN2016-06-03Coding Revisions to National Coverage Determinations (NCDs) for October 2016 [Rescinded Transmittal 1665, dated May 13, 2016]963120.29, 20.4, 20.7, 20.9, 50.3, 110.18, 210.3, 210.4, 210.4.1, 220.4, 230.9, 260.9
R3515CP2016-05-06Percutaneous Left Atrial Appendage Closure (LAAC)963820.34
R1658OTN2016-04-29

Coding Revisions to National Coverage Determinations for July 2016

[Rescinded Transmittal 1630 dated February 26, 2016]

954020.29, 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
R3485CP2016-03-25Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 20169584190.12-190.34

R189NCD

R3460CP

2016-02-05Screening for Cervical Cancer With Human Papillomavirus (HPV) Testing—National Coverage Determination (NCD)9434210.2.1

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]

9115210.3
R3429CP2015-12-22

New Influenza Virus Vaccine Code

[Rescinded Transmittal 3403 dated November 9, 2015]

9357n/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]

907820.8.3
R1580OTN2015-12-03

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]

925220.5, 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
R3396CP2015-11-05

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

[Rescinded Transmittal 3366 dated October 2, 2015]

9352190.12-190.34
R3374CP2015-10-15Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)9246210.14

R182NCD

R3265CP

2015-05-22NCD20.30 Microvolt T-wave Alternans (MTWA)916220.30
R3241CP2015-04-24

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

[Rescinded Transmittal 3142 dated December 5, 2014]

900220.33
R3228CP2015-04-03Changes to the Laboratory National Coverage Determination (NCD) Software for July 20159124190.12-190.34
R3232CP2015-04-03

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]

8874210.12, 220.4, 210.3
R1478OTN2015-03-06ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs)--2nd Maintenance CR for July 2015908720.29, 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)8739220.6.17
R172NCD
R3054CP		2014-08-29Ventricular Assist Devices for Bridge-to-Transplant and Destination Therapy880320.9.1

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 (PDF)

R171NCD (PDF)

2014-07-18Cardiac Rehabilitation Programs for Chronic Heart Failure875820.10.1
R2976CP2014-06-13Changes to the Laboratory NCD Software for October 20148797190.12-190.34
R1388OTN2014-05-23ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to NCDs - Maintenance CR (29 NCDs) for October 2014869120.5, 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		2014-04-15Aprepitant for Chemotherapy-Induced Emesis—Replaces R2883CP, R180BP, R163NCD dated 2/21/148418110.18
R2915CP
R164NCD		2014-03-27Beta Amyloid Positron Emission Tomography (PET) in Dementia and Neurodegenerative Disease—replaces R2871CP and R160NCD dated 2/6/148526220.6.20
R2865CP2014-01-31

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

[Rescinded Transmittal 2806 dated November 1, 2013]

8494190.12-190.34
R2852CP2014-01-10Changes to the Laboratory NCD Edit Software for April 2014 (ICD-10)8585190.12-190.34

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, R2720CP2013-06-10Autologous Platelet-Rich Plasma (PRP) for Chronic Non- Healing Wounds—replaces R153NCD/R2710CP 5/21/13 and R152NCD/R2666CP dated 3/8/138213270.3
R1199OTN2013-03-15ICD-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 2013819720.16, 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
R1174OTN2013-02-01Changes to the Laboratory NCD Software for ICD-108202190.12-190.34
R1165OTN2013-01-18ICD-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)810920.16, 20.20, 20.29, 20.9, 90.1, 210.1, 210.3, 260.1, 260.3.1, 260.5, 270.1
R149NCD
 R2605CP		2012-11-30Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)—replaces R144NCD/R2511 dated 8/3/127836160.27
R1122OTN2012-09-14ICD-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 2013781820.19, 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)

7610210.10
R2465CP2012-05-11Assigned Codes for Home Oxygen Use for Cluster Headache (CH) in a Clinical Trial (ICD-10)7820240.2.2
R142NCD
R2421CP		2012-03-07Intensive Behavioral Therapy for Obesity—replaces R2409 dated 2/3/127641210.12

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

Related Links

Page Last Modified:
07/16/2026 04:17 PM
Help with File Formats and Plug-Ins