Glycated Hemoglobin/Glycated Protein (Addition of ICD-9-CM 271.3, Intestinal disaccharidase deficiencies and disaccharide malabsorption)

CMS CAL document | source_status=Closed | review_type=New | public_comment_open=False | document_id=CAG-00336N

CMS received an external request to add ICD-9-CM 271.3, Intestinal disaccharidase deficiencies and disaccharide malabsorption, as a covered indication for the Glycated Hemoglobin/Glycated Protein NCD at 190.21 of the NCD Manual CMS has determined that ICD-9-CM diagnosis code 271.3, Intestinal disaccharidase deficiencies and disaccharide malabsorption, does not flow from the existing narrative for conditions for which a glycated hemoglobin/glycated protein test is reasonable and necessary. CMS will not modify the list of “ICD-9-CM Codes Covered by Medicare Program” in the NCD for Glycated Hemoglobin/Glycated Protein. Intestinal disaccharidase deficiencies will remain on the "ICD-9-CM Codes that Do Not Support Medical Necessity" list, and providers seeking coverage for the clinical laboratory diagnostic test may continue to submit additional documentation to support a determination of medical necessity.