Blood Counts (Addition of ICD-9-CM Codes V77.1, V81.0, V81.1, and V81.2 to the list of Codes that Do Not Support Medical Necessity)

CMS CAL document | source_status=Closed | review_type=New | public_comment_open=False | document_id=CAG-00285N

CMS has determined that ICD-9-CM diagnosis codes V77.1, Special screening for diabetes mellitus, V81.0, Special screening for ischemic heart disease, V81.1, Special screening for hypertension, and V81.2, Special screening for other and unspecified cardiovascular conditions, do not flow from the existing narrative for conditions for which blood counts testing is reasonable and necessary. We intend to modify the list of “ICD-9-CM Codes that Do Not Support Medical Necessity” in the NCD for blood counts by adding codes V77.1, V81.0, V81.1, and V81.2.