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Frequency Limitations: CPT 77080 and 77085 with the diagnoses below do not have a frequency:
ICD-9 255.0, 733.00, 733.01, 733.02, 733.03, 733.09, or 733.90 (ICD-10 E24.4, E24.9, E24.2, E24.3, E24.8, E24.0, M81.0, M81.8, M81.6, M89.9 and M94.9)
CPT codes G0130, 77078, 77081, 76977 have a frequency of once every 23 months for screening (EXCEPT for CPT 77080 and CPT 77085) when they are reported with the ICD codes 255.0, 733.00-733.09 or 733.90 (ICD-10 E24.0 - E24.9, M81.0, M81.6, M89.9 and M94.9)
G0130, 77078, 77081, 76977
To review all requirements of this policy, please see:
CMS NCD listing by Chapter
Covered ICD-10 Codes.
.... and many more.
|E24.0||Pituitary-dependent Cushing's disease|
|E24.2||Drug-induced Cushing's syndrome|
|E24.3||Ectopic ACTH syndrome|
|E24.4||Alcohol-induced pseudo-Cushing's syndrome|
|E24.8||Other Cushing's syndrome|
|E24.9||Cushing's syndrome, unspecified|
|E28.310||Symptomatic premature menopause|
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