Effective Date: August 7 & October 1, 2023
Implementation Date: August 7 & October 2, 2023
CR 13166 is a maintenance update of ICD-10 conversions and other coding updates specific to NCDs. These NCD coding changes are the result of newly available codes, coding revisions to NCDs released separately, or coding feedback received.
The translations from ICD-9 to ICD-10 aren't consistent one-to-one matches, nor are all ICD-10 codes appearing in a complete General Equivalence Mappings (GEMs) guide or other mapping guides appropriate when reviewed against individual NCD policies.
Relevant NCD coding changes in CR 13166 include:
- NCD 20.20-External Counterpulsation Therapy (ECP) for Severe Angina, effective August 7, 2023
- NCD 90.2-Next Generation Sequencing (NGS), effective August 7, 2023
- NCD 210.1-Prostate Screening Tests, effective October 1, 2023
CMS isn't including any policy changes in this ICD-10 quarterly update. We cover NCD policy changes using the current, longstanding NCD process.
Your MAC will adjust any claims processed in error associated with CR 13166 that you bring to their attention.