On Oct. 30, 2020, the Centers for Medicare and Medicaid Services (CMS) issued Change Request (CR) 12027 containing International Classification of Diseases, 10th Revisions (ICD-10) coding updates to various National Coverage Determinations (NCD).
Modifications to radiology-relevant NCDs include the following:
- NCD 220.13 Percutaneous Image-Guided Breast Biopsy: Medicare administrative contractors (MACs) are instructed to add ICD-10 codes N61.21, N61.22, N61.23 effective Oct. 1, 2020.
- NCD 220.4 Mammograms: The CR instructs the MACs to add ICD-10 codes N61.21, N61.22, N61.23 effective Oct. 1, 2020.
- NCD 220.6.17 PET for Oncologic Conditions: CMS instructs MACs to add ICD-10 codes C79.51, C94.40, C94.41, C94.42, D47.Z2, D47.Z9, G13.0 effective April 1, 2021.
See Medicare Learning Network Matters article MM12027 for further details including a full list of affected NCDs.