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  • ICD-10 Changes Specific To National Coverage Determination
  • Post author
    Lacy Gaskins

ICD-10 Changes Specific To National Coverage Determination

The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) review and utilize a range of ICD-10 changes and updates specific to national coverage determinations (NCDs) according to one in a number of ICD-10 conversions and coding updates.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1792OTN.pdf

Subject: ICD-10 Coding Revisions to National Coverage Determination (NCDs)

Number: 1792

Title: Change Request 9861

Release Date: Feb. 3, 2017

Effective Date: Oct. 1, 2016

Implementation Date: March 3, 2017

Special Notes: Transmittal 1755, dated November 18, 2016, is being rescinded and replaced by Transmittal 1792, dated, February 3, 2017to: (1) change implementation date, (2) NCD180.1: add B MAC responsibility to requirement 8, (3) NCD100.1: revise spreadsheet to replace truncated diagnosis codes with full translations, (4) NCD80.2: revise spreadsheet and requirement 3 to clarify additions/deletions and FISS RCs, (5) NCD80.11: revise spreadsheet & requirement 4 to correct FISS RCs to 59015/59016 and add B MAC responsibility, (6) NCD110.4: add A/MAC responsibility, remove B/MAC responsibility in requirement 15 to deactivate FISS RC 31808/31835, revise spreadsheet history, (7) NCD110.23: revise spreadsheet to remove additional allogeneic PCS codes, add additional allogeneic PCS codes, remove MCS, add B/MAC responsibility to requirement 7, (8) NCD220.4: clarify expired CPT codes in spreadsheet, add B/MAC responsibility to requirement 10, (9) NCD220.6.17: revise spreadsheet & requirement 11 to replace deleted HCPCS C9461 with A9515 effective 1/1/17, add dx D47.Z1 effective 10/1/15, add B/MAC responsibility, (10) NCD210.3: add B/MAC responsibility to requirement 9, (11) NCD40.7: add B/MAC responsibility to requirement 2, (12) NCD270.6: Remove FISS responsibility from requirement 14, (13) add STC to requirements 1-16. All other information remains the same.

  • Post author
    Lacy Gaskins

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