About this policy
CMS CAL document | source_status=Closed | review_type=New | public_comment_open=False | document_id=CAG-00372N
Coverage indications
CMS has determined that ICD-9-CM diagnosis code, 158.9, Malignant neoplasm of peritoneum, unspecified, flows from the existing narrative for conditions for which a human chorionic gonadotropin (hCG) test is reasonable and necessary. Consequently, ICD-9-CM diagnosis code 158.9 shall be added to the list of “ICD-9-CM Codes Codes Covered by Medicare Program” for the national coverage determination (NCD) for hCG testing, as stated in Section 190.27 of the NCD Manual.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Codes labeled “Inferred from policy title” are not listed in the policy document; Backwork attached them because the policy title names the drug.
| Code | Code system | Status in this policy |
|---|---|---|
| J0725 | HCPCS | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |