Codes That Are Not Covered by Medicare (Removal of ICD-9-CM Code V76.44, Prostate Cancer Screening, From the List)

CMS CAL document | source_status=Closed | review_type=New | public_comment_open=False | document_id=CAG-00297N

CMS has determined that ICD-9-CM diagnosis code V76.44, Prostate cancer screening, is not appropriately included on the list of ICD-9-CM codes that are not covered by Medicare. We intend to modify the list of “ICD-9-CM Codes Denied” in the Laboratory NCD Coding Manual. This change affects all of the 23 negotiated clinical diagnostic laboratory NCDs. Since removal of V76.44 from the codes denied list would automatically result in inappropriate inclusion on the list of covered diagnoses for blood counts, we have also added V76.44 to the list of codes that do not support medical necessity for blood counts.