LCD and Article Updates for October/November 2020
Revised LCD, Billing and Coding Articles October 2020
Botulinum Toxins(L33646)
The following CMS IOM sections have been corrected:
- CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 12: 40.9 Drugs and Biologicals [Comprehensive Outpatient Rehabilitation Facility (CORF) Coverage]
- CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 15: 260 Ambulatory Surgical Center Services
- CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 16: 120 Cosmetic Surgery
Billing and Coding: Nerve Conduction Studies and Electromyography (A57668)
Correct typographical error in Revision History dated 10/01/2020. G11.12 should read G11.11.
Billing and Coding: Heavy Metal Testing (A56767)
Correct typographical error in Revision History dated 10/01/2020. G11.12 should read G11.1.
Billing and Coding: Psychiatric Inpatient Hospitalization (A56865)
Article was revised to add T14.91XS, which was inadvertently omitted from ICD-10 Codes that Support Medical Necessity, Group 1 in a previous version.
New LCDs/Articles effective 11/1/2020
Computed Tomography Cerebral Perfusion Analysis (CTP) (L38667/A58152)
CTP (using automated post-processing software algorithmic analysis) is considered medically reasonable and necessary when the indications of coverage are met as outlined in the LCD, effective for services rendered on or after 11/1/2020.
Fluid Jet System Treatment for LUTS/BPH (L38367/A56797)
National Government Services considers water jet treatment of LUTS/BPH to be medically reasonable and necessary when performed as outlined in the LCD, effective for services rendered on or after 11/1/2020.
Revised/Articles LCDs effective 11/1/2020
Water Vapor Thermal Therapy for LUTS/BPH (L37808/A56590)
Based on a reconsideration request, the urinary retention requirement has been removed from the LCD.
Revised 10/26/2020
Posted 10/23/2020