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2024-12-01 07:27:07

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Under Article Text added verbiage, "For single genes performed by NGS, these tests must demonstrate compliance with L38123 MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies and its accompanying billing and coding article, A55624 Billing and Coding: MolDX: Targeted and Comprehensive Genomic Profile Next-Generation Sequencing Testing in Cancer.” This revision is effective on 03/17/2022.

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Under ICD-10 Codes that Support Medical Necessity Group 1: Codes deleted D46.20, D46.4, D46.9, D47.9, D72.829, and D75.9.

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NOTE: When entering the DEX Z- Code® on the SV101-7 documentation field for Part B claims please do not add additional characters and/or information on the line.

Under ICD-10 Codes that Support Medical Necessity Group 1: Codes the description was revised for C94.6. This revision is due to the Annual ICD-10-CM Update and will become effective on 10/1/2022.

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Under CPT/HCPCS Codes Group 1: Code added 0040U. This revision is due to the code being previously omitted in error and is retroactive effective for date of service on or after 01/13/2020.

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Under CPT/HCPCS Codes Group 1: Codes added 81279, 81338 and 81339. This revision is due to the Q1 2021 CPT/HCPCS Code Update and is retroactive effective for dates of service on or after 1/1/2021

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Under ICD-10-CM Codes that Support Medical Necessity Group 1: Codes added D75.838. This revision is due to the Annual ICD-10 Update and will become effective on 10/1/21.

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Under CPT/HCPCS Codes Group 1: Codes the description was revised for 81450. This revision is due to the 2024 Annual/Q1 CPT/HCPCS Code Update and is effective 1/1/2024.

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Under ICD-10 Codes that Support Medical Necessity Group 1: Codes deleted C88.8. This revision is due to the Annual ICD-10-CM Code Update and will become effective on 10/1/2024.

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Under CPT/HCPCS Codes Group 1: Codes the description was revised for 81450. This revision is due to the 2023 Annual/Q1 CPT/HCPCS Code Update and is retroactive effective for dates of service on or after 1/1/2023.

Article is revised to add CMS references. Under CPT/HCPCS Codes Group 1: Codes deleted CPT® codes 81403, 81445, 81450, and 81455. Under CPT/HCPCS Codes Group 2: Paragraph added verbiage, “CPT® codes that are also referenced in other articles”. Under CPT/HCPCS Group 2: Codes added CPT® codes 81403, 81445, 81450, and 81455.

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Under ICD-10 Codes that Support Medical Necessity Group 1: Paragraph deleted the verbiage, “Group 1 CPT codes and Group 2 CPT codes apply to Group 1 ICD-10 Codes”. This revision is retroactive effective for dates of service on or after 1/1/2021.

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Under CMS National Coverage Policy updated section heading for 2nd regulation. Under Article Text revised 3rd and 6th bullets to remove “DEX Z-Code™” and replaced with “DEX Z-Code®”. Added “NOTE: When entering the DEX Z-Code® on the SV101-7 documentation field for Part B claims please do not add additional characters and/or information on the line”. This revision is effective 1/1/2024.

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Under CPT/HCPCS Codes Group 1: Codes added 0027U and deleted 81402. Deleted CPT/HCPCS Codes Group 2 Paragraph and CPT/HCPCS Codes Group 2: Codes including 81403, 81445, 81455. Due to the deletion of CPT/HCPCS Codes Group 2: Codes 81450 was moved to CPT/HCPCS Codes Group 1: Codes.

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