Diagnosis Code Reporting Requirements For claims with dates of service on or after September 28, 2016, CMS will allow coverage for G0499 for HBV screening only when services are reported with both of the following diagnosis codes denoting high risk: •Z11.59 - Encounter for screening for other viral disease
•Z72.89 - Other Problems related to life style.
For claims with dates of service on or after September 28, 2016, CMS will allow coverage for G0499 for subsequent visits, only when services are reported with the following diagnosis codes:
•Z11.59 and one of the high risk codes below
- Z20.2 - Z20.5
- Z72.52 - Z72.53
To review all requirements of this policy, please see:
CMS NCD listing by Chapter
Covered ICD-10 Codes.
||End stage renal disease|
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