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.
| Transmittal | Issue Date | Subject | CR# | NCD# | |
|---|---|---|---|---|---|
| R13809CP | 2026-06-04 | Update 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 14197 | 14463 | 100-04 (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) | |
| 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] | 14177 | 240.9 | ||
| 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] | 14311 | 20.39 | ||
| 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] | 14302 | 20.40 |
| 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] | 14200 | 20.38 | ||
| 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] | 14149 | 20.37 | ||
| R13752OTN | 2026-05-26 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- October 2026 | 14464 | 20.4, 90.2, 110.18, 110.23, 110.24, 150.3, 220.6.1, 250.4 | |
| R13760OTN | 2026-04-30 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026 [Rescinds Transmittal 13623 issued February 05, 2026] | 14356 | 90.2, 110.18, 150.13, 160.18, 210.10, 220.6.17 | |
| 2026-04-28 | Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD) [Rescinds Transmittal 13611 issued January 30, 2026, and Transmittal 13374 issued August 21, 2025] | 14177 | 240.9 | ||
| R13748NCD | 2026-04-23 | National Coverage Determination (NCD) 110.17- Anti-Cancer Chemotherapy for Colorectal Cancer | 14433 | 110.17 | |
| 2026-04-03 | Cardiac Contractility Modulation (CCM) for Heart Failure (HF) [Rescinds Transmittal 13672 issued March 09, 2026, and Transmittal 13538 issued December 19, 2025] | 14311 | 20.39 | ||
| R13709CP | 2026-04-02 | Update 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 2026 | 14430 | 100-04 (Ch.18-Sec 170.1, Ch. 32-Sec 330.1, 330.2) | |
| R13700CP | 2026-03-27 | Update 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 Coding | 14424 | 100-04 (Ch.32-Sec 10.1, Ch. 32-Sec 330.1, 330.2) | |
| R13680CP | 2026-03-26 | Update 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” | 14408 | 100-04 (Ch.18- Sec. 210, 210.1, 210.2, 210.3, 210.4) | |
| 2026-03-19 | NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension [Rescinds Transmittal 13640 issued February 13, 2026, Transmittal 13612 issued January 30, 2026, and Transmittal 13522 issued December 11, 2025] | 14302 | 20.40 | ||
| R13694CP | 2026-03-19 | Update 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) Screening | 14421 | 100-04 (Ch. 18, Sec. 110.3.2) | |
| R13677CP | 2026-03-12 | Internet-Only Manual Update, Pub. 100-04, Chapter 18 (Preventive and Screening Services), Section 10.2.1 | 14396 | 100-04 (Ch. 18, Sec. 10.2.1) | |
| R13538CP (PDF) R13538NCD (PDF) | 2026-3-9 | Cardiac Contractility Modulation (CCM) for Heart Failure (HF) | 14311 | 20.39 | |
| R13665CP | 2026-03-05 | Update 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 2026 | 14394 | 100-04 (Ch.32-Sec 40.1, 40.2.1) | |
| 2026-02-13 | NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension | 14302 | 20.40 | ||
| R13623OTN | 2026-02-05 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026 | 14356 | 90.2, 110.18, 150.13, 160.18, 210.10, 220.6.17, 250.4 | |
| 2026-01-30 | Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD) [Rescinds Transmittal 13374 issued August 21, 2025] | 14177 | 240.9 | ||
| 2026-01-30 | NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension [Rescinds Transmittal 13522 issued December 11, 2025] | 14302 | 20.40 | ||
| R13633OTN | 2026-02-23 | Billing Code Clarification for National Coverage Determination (NCD) 210.13 Screening for Hepatitis C Virus (HCV) in Adults | CR14388 | 210.13 | |
| R13641CP (PDF) | 2026-02-13 | Update to Claims Processing Instructions for National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs) | CR 14253 | 20.4 | |
| R13608CP | 2026-01-29 | 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 Transmittal 13317 issued July 24, 2025] | 14108 | 100-04 (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) | |
| R13460CP | 2025-12-23 | Update 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 Requirements | 14247 | 110.24 | |
| R13549CP (PDF) | 2025-12-18 | Update 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) 14041 | 14267 | 100-04 (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) | |
| 2025-12-18 | Revisions to Publication 100-04, Medicare Claims Processing Manual, Chapters 9, 18, and Publication 100-02, Medicare Benefit Policy Manual, Chapter 13 To Include Updated Information | 14254 | 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) | ||
| R13404CP | 2025-12-17 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2026 | 14226 | 190.12 - 190.34 | |
| 2025-12-11 | NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension | 14302 | 20.40 | ||
| 2025-12-09 | Removal 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 Claims | 14204 | 110.24 | ||
| R13455OTN.pdf (PDF) | 2025-12-05 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)-April 2026 | 14263 | 230.18 | |
| R13483CP | 2025-12-05 | Update to Claims Processing Instructions for National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs) | 14253 | 20.4 | |
| R13438OTN | 2025-09-30 | 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 Transmittal 13400 issued September 05, 2025, and Transmittal 13375 issued August 21, 2025] | 14197 | 20.16, 90.2, 110.18, 190.3, 210.2, 210.3, 210.15 | |
| 2025-09-22 | NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR) [Rescinds Transmittal 13343 issued July 31, 2025] | 14149 | 20.37 | ||
| R13423CP | 2025-09-18 | Update to Pub 100-04, Chapter 18 - Preventive and Screening Services | 14119 | 210.13 | |
| R13401OTN | 2025-09-09 | 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 Transmittal 13383 issued August 26, 2025, and Transmittal 13360 issued August 14, 2025] | 14194 | 220.4, 220.6.17, 220.13, 250.5, 260.1, 270.1, 270.3 | |
| R134010TN | 2025-08-26 | 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 Transmittal 13360 issued August 14, 2025] | 14194 | 220.4, 220.6.17, 220.13, 250.5, 260.1, 270.1, 270.3 | |
| R13375OTN | 2025-08-21 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—January 2026 Update- CR 1 of 2 | 14197 | 20.16, 90.2, 110.18, 190.3, 210.2, 210.3, 210.15 | |
| 2025-08-21 | Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD) | 14177 | 240.9 | ||
| 2025-08-14 | NCD 20.38 - Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (TTEER) | 14200 | 20.38 | ||
| R13359CP | 2025-08-13 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2025 [Rescinds and replaces Transmittal 13292 issued July 21, 2025] | 14153 | 190.12 - 190.34 | |
| 2025-07-31 | NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR) | 14149 | 20.37 | ||
| R13327OTN | 2025-07-25 | 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] | 14041 | 20.9.1, 110.24, 190.11, 210.4.1, 210.13 | |
| R13295CP | 2025-07-25 | Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule 2025: (1) Updates to Colorectal Cancer Screening and Hepatitis B Vaccine Policies | 14031 | 210.3, 210.6 | |
| R13317CP | 2025-07-24 | 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 | 14108 | 100-04 (Ch.32-Sec. 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) | |
| R13286OTN | 2025-06-25 | 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] | 13939 | 80.2, 80.2.1, 80.3, 80.3.1, 90.2, 100.1, 110.18, 110.23, 110.24, 160.18, 210.3, 250.3 | |
| 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] | 14000 | 20.36 | ||
| R13244OTN | 2025-06-09 | Screening 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) | 14092 | 210.13 | |
| R13246CP.pdf (PDF) R13246NCD.pdf (PDF) | 2025-05-22 | National Coverage Determination (NCD) 20.36 Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management | 14000 | 20.36 | |
| R13209CP R13209NCD | 2025-05-02 | National Coverage Determination (NCD) 210.15 - Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention | 13843 | 210.15 | |
| R13097OTN | 2025-03-20 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—July 2025 | 13939 | 80.2, 80.2.1, 8.23, 80.3.1, 90.2, 100.1, 110.18, 110.23,210.3,250.3, 110.24, 160.18 | |
| R13025CP | 2024-12-23 | Update 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) 13828 | 13914 | 100-04 (Ch.18- Sec.60.3, Ch.32- Sec.11.3.5, 60.4.1, 60.5.2, 320.2 and 412.1) | |
| R12990CP | 2024-12-13 | Update 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) 13818 | 13874 | 100-04 (Ch. 32-Sec. 90, 190.2 and 300.2) | |
| R12987NCD R12987CP | 2024-12-05 | National Coverage Determination (NCD) 210.15 - Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention | 13843 | 210.15 | |
| 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] | 13604 | 110.23 | ||
| R12904OTN | 2024-10-24 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)— April 2025 (CR 2 of 2) | 13828 | 190.11, 200.3, 210.3, 220.6.17, 230.18, 260.9, 270.3 | |
| R12903OTN | 2024-10-24 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—April 2025 (CR 1 of 2) | 13818 | 30.3.3, 80.2, 80.2.1, 80.3, 80.3.1, 110.4, 110.18, 110.21, 110.23, 110.24, 190.3 | |
| R12883CP | 2024-10-11 | Update 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) 13706 | 13804 | 100-04 (Ch. 18- Sec. 340.2) | |
| R12868CP R12868NCD | 2024-10-07 | Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) 110.23 [Rescinds and replaces Transmittal 12813 issued August 28, 2024, Transmittal 12781 issued August 21, 2024, and Transmittal 12627 issued May 09, 2024] | 13604 | 110.23 | |
| R12822CP | 2024-09-05 | Update 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) 13390 | 13738 | 100-04 (Ch. 18- Sec.170.1, Ch. 32- Sec.190.2) | |
| R12817CP | 2024-08-29 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2025 | 13785 | 190.12 - 190.34 | |
| 2024-08-28 | Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) 110.23 [Rescinds and replaces Transmittal 12781 issued August 21, 2024, and Transmittal 12627 issued May 09, 2024] | 13604 | 110.23 | ||
| R12757OTN | 2024-08-02 | International 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 2025 | 13706 | 20.33, 210.10 | |
| R12691CP | 2024-06-20 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2024 | 13672 | 190.12 - 190.34 | |
| R12683CP | 2024-06-13 | Update 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)13596 | 13622 | 100.1 | |
| R12649CP | 2024-05-23 | National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease (AD) | 13598 | 200.3 | |
| R12627NCD R12627CP | 2024-05-09 | Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) | 13604 | 110.23 | |
| R12626OTN | 2024-05-09 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2024 | 13596 | 90.2, 110.18, 100.1 | |
| R12600BP R12600CP | 2024-05-02 | Expand Diabetes Screening and Diabetes Definitions Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule | 13487 | BPM: 15/300/300.1 CPM: 4/300, 18/1/1.2, 18/90/90.1-90.6 | |
| R12590NCD | 2024-04-25 | Technical Revision Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03, Chapter 1, Part 4, section 310.1 | 13597 | Chapter 1, Part 4, section 310.1 | |
| R12571CP R12571NCD | 2024-04-11 | National Coverage Determination (NCD) 20.7 Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting | 13512 | 20.7 | |
| R12540CP | 2024-03-14 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2024 | 13554 | 190.12 - 190.34 | |
| R12533CP | 2024-03-07 | Update 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) 13507 | 13545 | Section 90 - 110.23 | |
| R12493OTN | 2024-02-01 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2024 Update | 13507 | 110.18, 110.23 (formerly NCD 110.8.1), 150.3, 160.18, 220.6.17, 230.1 | |
| R12440OTN | 2024-01-03 | 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] | 13391 | 90.2, 150.3, 160.18, 160.24, 190.3, 210.3, 220.4, 220.6.17, 250.3, 260.1, 260.5, 260.9 | |
| R12441OTN | 2024-01-03 | 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] | 13390 | 20.4, 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 | |
| R12435CP | 2023-12-28 | Update 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) 13391 | 13461 | Chapter 18, Sections 20.2, 60.3 Chapter 32, Sections 50.4.1, 200.2 | |
| R12364CP R12364NCD | 2023-11-16 | NCD 220.6.20 - Beta Amyloid Positron Emission Tomography in Dementia and Neurodegenerative Disease | 13429 | 220.6.20 | |
| R12355OTN | 2023-11-09 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2024 Update [Rescinds and replaces Transmittal 12184 issued August 03, 2023] | 13278 | 50.3, 90.2, 210.1 | |
| R12350OTN | 2023-11-03 | 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 12319 issued October 19, 2023] | 13391 | 90.2, 150.3, 160.18, 160.24, 190.3, 210.3, 220.4, 220.6.17, 250.3, 260.1, 260.5, 260.9 | |
| R12207OTN | 2023-08-11 | 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] | 13166 | 20.20, 90.2, 210.1 | |
| R12183NCD | 2023-08-03 | National Coverage Determination (NCD) 280.16 Power Seat Elevation Equipment on Power Wheelchairs | 13277 | 280.16 | |
| R12185CP | 2023-08-03 | National Coverage Determination (NCD) 30.3.3 Acupuncture for Chronic Low Back Pain Revised Frequency Edits | 13288 | 30.3.3 | |
| R12017OTN | 2023-05-04 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 Update | 13166 | 20.20, 90.2, 210.1 | |
| R11952OTN | 2023-04-12 | 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] | 13070 | 20.4, 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] | 13073 | 50.3 | |
| R11892NCD | 2023-03-09 | Technical Revisions Only to the National Coverage Determination (NCD) Manual | 13105 | Multiple NCDs | |
| R11884OTN | 2023-03-01 | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2023 Update [Rescinds and replaces Transmittal 11832 issued February 02, 2023] | 13070 | 20.4, 20.7, 20.20, 150.3, 150.10, 210.1, 220.13 | |
| 2023-02-23 | National Coverage Determination (NCD) 50.3 - Cochlear Implantation Manual Update | 13073 | 50.3 | ||
| 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] | 13017 | 160.22, 210.3 | ||
| 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 | |
2022-12-08 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2023 | 13026 | 190.18, 190.22, 190.23 | ||
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 | ||
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 | ||
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 | ||
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 | ||
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 | ||
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 | ||
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 | ||
2022-06-23 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2022 | 12803 | 190.12- 190.34 | ||
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 | ||
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 | ||
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] | 20.9, 20.20, 20.33, 90.2, 110.23, 210.14, 220.6.19 | |||
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 | ||
2022-05-20 |
| 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 | |
2022-04-29 |
| 12691 | 210.14 | ||
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 | ||
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 | ||
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 | ||
2021-12-22 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2022 | 12575 | 190.12-190.34 | ||
2021-12-16 | Transvenous (Catheter) Pulmonary Embolectomy National Coverage Determination (NCD) 240.6 | 12537 | 240.6 | ||
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 | ||
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 | ||
2021-10-01 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2022 | 12468 | 190.12- 190.34 | ||
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 | ||
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 | ||
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 | ||
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 | ||
2021-07-15 | Changes to the Laboratory National Coverage Determination [NCD] Edit Software for October 2021 | 12384 | 190.12- 190.34 | ||
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 | ||
2021-06-11 | National Coverage Determination (NCD) 20.9.1 Ventricular Assist Devices (VADs) | 12290 | 20.9.1 | ||
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 | ||
2021-05-20 | National Coverage Determination (NCD) 210.3 - Screening for Colorectal Cancer (CRC)-Blood-Based Biomarker Tests | 12280 | 210.3 | ||
2021-03-23 | Claims Processing Instructions for National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs) | 12104 | 20.4 | ||
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 |