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December 19, 2019

Policy Billing and Coding Articles Updated During Annual HCPCS and ICD-10 Updates

CGS has reviewed the related billing and coding articles for our policies and made changes based on the annual ICD-10 and HCPCS update. The ICD-10 update changes took effect 10/01/2019 and the HCPCS update will become effective 01/01/2020.

The billing and coding articles listed below were updated with ICD-10 annual updates effective 10/01/2019 and have been available through the Medicare Coverage Database (MCD) since this date.

  • A56448: Billing and Coding: Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
  • A56500: Billing and Coding for Cardiac Catheterization and Coronary Angiography
  • A56451: Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
  • A56452: Billing and Coding: Cardiac Event Detection
  • A56456: Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
  • A56459: Billing and Coding: Debridement Services
  • A56596: Billing and Coding: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs)
  • A57386: MolDX: Biomarkers in Cardiovascular Risk Assessment
  • A56974: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
  • A56697: Billing and Coding: Non-Invasive Vascular Studies
  • A57071: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
  • A57193: Billing and Coding: Routine Foot Care and Debridement of Nails
  • A54961: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
  • A56809: Billing and Coding for Transesophageal Echocardiography (TEE)
  • A57306: Transthoracic Echocardiography (TTE)

The billing and coding articles listed below were updated with HCPCS annual updates effective 01/01/2020 and will available through the MCD 12/26/2019 under future effective articles.

  • A57230: Billing and Coding: Category III CPT® Codes
  • A56981: Billing and Coding: MolDX: DecisionDx-UM (Uveal Melanoma)
  • A56973: Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT)
  • A56697: Billing and Coding: Non-Invasive Vascular Studies
  • A57071: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
  • A57067: Billing and Coding: Outpatient Physical and Occupational Therapy Services
  • A57040: Billing and Coding: Speech-Language Pathology

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