Coding Information

Bill Type Codes: Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims. 12 Hospital Inpatient (Medicare Part B only) 13 Hospital Outpatient 14 Hospital - Laboratory Services Provided to Non-patients 18 Hospital - Swing Beds 21 Skilled Nursing - Inpatient (Including Medicare Part A) 22 Skilled Nursing - Inpatient (Medicare Part B only) 23 Skilled Nursing - Outpatient 72 Clinic - Hospital Based or Independent Renal Dialysis Center 75 Clinic - Comprehensive Outpatient Rehabilitation Facility (CORF) 77 Clinic - Federally Qualified Health Center (FQHC) 83 Ambulatory Surgery Center 85 Critical Access Hospital Revenue Codes: Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes. 0300 Laboratory - General Classification 0301 Laboratory - Chemistry 0302 Laboratory - Immunology 0303 Laboratory - Renal Patient (Home) 0304 Laboratory - Non-Routine Dialysis 0305 Laboratory - Hematology 0306 Laboratory - Bacteriology & Microbiology 0307 Laboratory - Urology 0309 Laboratory - Other Laboratory CPT/HCPCS Codes: Group 1 Paragraph: Note: The following CPT codes associated with the services outlined in this Billing and Coding Article will not have diagnosis code limitations applied at this time: 82180, 84252, 84425, 84446, 84590, 84597 Note: Code 82306 includes fractions, if performed. Code 82652 includes fractions, if performed. Note: Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book. Group 1 CPT Codes: 82306 VITAMIN D; 25 HYDROXY, INCLUDES FRACTION(S), IF PERFORMED 82652 VITAMIN D; 1, 25 DIHYDROXY, INCLUDES FRACTION(S), IF PERFORMED Group 2 Paragraph: N/A Group 2 CPT Codes: 82379 CARNITINE (TOTAL AND FREE), QUANTITATIVE, EACH SPECIMEN Group 3 Paragraph: N/A Group 3 CPT Codes: 82607 CYANOCOBALAMIN (VITAMIN B-12); 82746 FOLIC ACID; SERUM 83090 HOMOCYSTEINE Group 4 Paragraph: N/A Group 4 CPT Codes: 84207 PYRIDOXAL PHOSPHATE (VITAMIN B-6) Group 5 Paragraph: N/A Group 5 CPT Codes: 85385 FIBRINOGEN; ANTIGEN Group 6 Paragraph: N/A Group 6 CPT Codes: 86352 CELLULAR FUNCTION ASSAY INVOLVING STIMULATION (EG, MITOGEN OR ANTIGEN) AND DETECTION OF BIOMARKER (EG, ATP) Group 7 Paragraph: N/A Group 7 CPT Codes: 83698 LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2 (LP-PLA2) ICD-10 Codes That Are Covered It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 82306 and 82652 A15.0 Tuberculosis of lung A15.4 Tuberculosis of intrathoracic lymph nodes A15.5 Tuberculosis of larynx, trachea and bronchus A15.6 Tuberculous pleurisy A15.7 Primary respiratory tuberculosis A15.8 Other respiratory tuberculosis A15.9 Respiratory tuberculosis unspecified A17.0 Tuberculous meningitis A17.1 Meningeal tuberculoma A17.81 Tuberculoma of brain and spinal cord A17.82 Tuberculous meningoencephalitis A17.83 Tuberculous neuritis A17.89 Other tuberculosis of nervous system A17.9 Tuberculosis of nervous system, unspecified A18.01 Tuberculosis of spine A18.02 Tuberculous arthritis of other joints A18.03 Tuberculosis of other bones A18.09 Other musculoskeletal tuberculosis A18.10 Tuberculosis of genitourinary system, unspecified A18.11 Tuberculosis of kidney and ureter A18.12 Tuberculosis of bladder A18.13 Tuberculosis of other urinary organs A18.14 Tuberculosis of prostate A18.15 Tuberculosis of other male genital organs A18.16 Tuberculosis of cervix A18.17 Tuberculous female pelvic inflammatory disease A18.18 Tuberculosis of other female genital organs A18.2 Tuberculous peripheral lymphadenopathy A18.31 Tuberculous peritonitis A18.32 Tuberculous enteritis A18.39 Retroperitoneal tuberculosis A18.4 Tuberculosis of skin and subcutaneous tissue A18.50 Tuberculosis of eye, unspecified A18.51 Tuberculous episcleritis A18.52 Tuberculous keratitis A18.53 Tuberculous chorioretinitis A18.54 Tuberculous iridocyclitis A18.59 Other tuberculosis of eye A18.6 Tuberculosis of (inner) (middle) ear A18.7 Tuberculosis of adrenal glands A18.81 Tuberculosis of thyroid gland A18.82 Tuberculosis of other endocrine glands A18.83 Tuberculosis of digestive tract organs, not elsewhere classified A18.84 Tuberculosis of heart A18.85 Tuberculosis of spleen A18.89 Tuberculosis of other sites A19.0 Acute miliary tuberculosis of a single specified site A19.1 Acute miliary tuberculosis of multiple sites A19.2 Acute miliary tuberculosis, unspecified A19.8 Other miliary tuberculosis A19.9 Miliary tuberculosis, unspecified B38.1 Chronic pulmonary coccidioidomycosis B38.2 Pulmonary coccidioidomycosis, unspecified B38.3 Cutaneous coccidioidomycosis B38.4 Coccidioidomycosis meningitis B38.7 Disseminated coccidioidomycosis B38.81 Prostatic coccidioidomycosis B38.89 Other forms of coccidioidomycosis B38.9 Coccidioidomycosis, unspecified B39.1 Chronic pulmonary histoplasmosis capsulati B39.2 Pulmonary histoplasmosis capsulati, unspecified B39.3 Disseminated histoplasmosis capsulati B39.4 Histoplasmosis capsulati, unspecified B39.5 Histoplasmosis duboisii B39.9 Histoplasmosis, unspecified C82.00 Follicular lymphoma grade I, unspecified site C82.01 Follicular lymphoma grade I, lymph nodes of head, face, and neck C82.02 Follicular lymphoma grade I, intrathoracic lymph nodes C82.03 Follicular lymphoma grade I, intra-abdominal lymph nodes C82.04 Follicular lymphoma grade I, lymph nodes of axilla and upper limb C82.05 Follicular lymphoma grade I, lymph nodes of inguinal region and lower limb C82.06 Follicular lymphoma grade I, intrapelvic lymph nodes C82.07 Follicular lymphoma grade I, spleen C82.08 Follicular lymphoma grade I, lymph nodes of multiple sites C82.09 Follicular lymphoma grade I, extranodal and solid organ sites C82.10 Follicular lymphoma grade II, unspecified site C82.11 Follicular lymphoma grade II, lymph nodes of head, face, and neck C82.12 Follicular lymphoma grade II, intrathoracic lymph nodes C82.13 Follicular lymphoma grade II, intra-abdominal lymph nodes C82.14 Follicular lymphoma grade II, lymph nodes of axilla and upper limb C82.15 Follicular lymphoma grade II, lymph nodes of inguinal region and lower limb C82.16 Follicular lymphoma grade II, intrapelvic lymph nodes C82.17 Follicular lymphoma grade II, spleen C82.18 Follicular lymphoma grade II, lymph nodes of multiple sites C82.19 Follicular lymphoma grade II, extranodal and solid organ sites C82.20 Follicular lymphoma grade III, unspecified, unspecified site C82.21 Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck C82.22 Follicular lymphoma grade III, unspecified, intrathoracic lymph nodes C82.23 Follicular lymphoma grade III, unspecified, intra-abdominal lymph nodes C82.24 Follicular lymphoma grade III, unspecified, lymph nodes of axilla and upper limb C82.25 Follicular lymphoma grade III, unspecified, lymph nodes of inguinal region and lower limb C82.26 Follicular lymphoma grade III, unspecified, intrapelvic lymph nodes C82.27 Follicular lymphoma grade III, unspecified, spleen C82.28 Follicular lymphoma grade III, unspecified, lymph nodes of multiple sites C82.29 Follicular lymphoma grade III, unspecified, extranodal and solid organ sites C82.30 Follicular lymphoma grade IIIa, unspecified site C82.31 Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck C82.32 Follicular lymphoma grade IIIa, intrathoracic lymph nodes C82.33 Follicular lymphoma grade IIIa, intra-abdominal lymph nodes C82.34 Follicular lymphoma grade IIIa, lymph nodes of axilla and upper limb C82.35 Follicular lymphoma grade IIIa, lymph nodes of inguinal region and lower limb C82.36 Follicular lymphoma grade IIIa, intrapelvic lymph nodes C82.37 Follicular lymphoma grade IIIa, spleen C82.38 Follicular lymphoma grade IIIa, lymph nodes of multiple sites C82.39 Follicular lymphoma grade IIIa, extranodal and solid organ sites C82.40 Follicular lymphoma grade IIIb, unspecified site C82.41 Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck C82.42 Follicular lymphoma grade IIIb, intrathoracic lymph nodes C82.43 Follicular lymphoma grade IIIb, intra-abdominal lymph nodes C82.44 Follicular lymphoma grade IIIb, lymph nodes of axilla and upper limb C82.45 Follicular lymphoma grade IIIb, lymph nodes of inguinal region and lower limb C82.46 Follicular lymphoma grade IIIb, intrapelvic lymph nodes C82.47 Follicular lymphoma grade IIIb, spleen C82.48 Follicular lymphoma grade IIIb, lymph nodes of multiple sites C82.49 Follicular lymphoma grade IIIb, extranodal and solid organ sites C82.50 Diffuse follicle center lymphoma, unspecified site C82.51 Diffuse follicle center lymphoma, lymph nodes of head, face, and neck C82.52 Diffuse follicle center lymphoma, intrathoracic lymph nodes C82.53 Diffuse follicle center lymphoma, intra-abdominal lymph nodes C82.54 Diffuse follicle center lymphoma, lymph nodes of axilla and upper limb C82.55 Diffuse follicle center lymphoma, lymph nodes of inguinal region and lower limb C82.56 Diffuse follicle center lymphoma, intrapelvic lymph nodes C82.57 Diffuse follicle center lymphoma, spleen C82.58 Diffuse follicle center lymphoma, lymph nodes of multiple sites C82.59 Diffuse follicle center lymphoma, extranodal and solid organ sites C82.60 Cutaneous follicle center lymphoma, unspecified site C82.61 Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck C82.62 Cutaneous follicle center lymphoma, intrathoracic lymph nodes C82.63 Cutaneous follicle center lymphoma, intra-abdominal lymph nodes C82.64 Cutaneous follicle center lymphoma, lymph nodes of axilla and upper limb C82.65 Cutaneous follicle center lymphoma, lymph nodes of inguinal region and lower limb C82.66 Cutaneous follicle center lymphoma, intrapelvic lymph nodes C82.67 Cutaneous follicle center lymphoma, spleen C82.68 Cutaneous follicle center lymphoma, lymph nodes of multiple sites C82.69 Cutaneous follicle center lymphoma, extranodal and solid organ sites C82.80 Other types of follicular lymphoma, unspecified site C82.81 Other types of follicular lymphoma, lymph nodes of head, face, and neck C82.82 Other types of follicular lymphoma, intrathoracic lymph nodes C82.83 Other types of follicular lymphoma, intra-abdominal lymph nodes C82.84 Other types of follicular lymphoma, lymph nodes of axilla and upper limb C82.85 Other types of follicular lymphoma, lymph nodes of inguinal region and lower limb C82.86 Other types of follicular lymphoma, intrapelvic lymph nodes C82.87 Other types of follicular lymphoma, spleen C82.88 Other types of follicular lymphoma, lymph nodes of multiple sites C82.89 Other types of follicular lymphoma, extranodal and solid organ sites C82.90 Follicular lymphoma, unspecified, unspecified site C82.91 Follicular lymphoma, unspecified, lymph nodes of head, face, and neck C82.92 Follicular lymphoma, unspecified, intrathoracic lymph nodes C82.93 Follicular lymphoma, unspecified, intra-abdominal lymph nodes C82.94 Follicular lymphoma, unspecified, lymph nodes of axilla and upper limb C82.95 Follicular lymphoma, unspecified, lymph nodes of inguinal region and lower limb C82.96 Follicular lymphoma, unspecified, intrapelvic lymph nodes C82.97 Follicular lymphoma, unspecified, spleen C82.98 Follicular lymphoma, unspecified, lymph nodes of multiple sites C82.99 Follicular lymphoma, unspecified, extranodal and solid organ sites D86.0 Sarcoidosis of lung D86.1 Sarcoidosis of lymph nodes D86.2 Sarcoidosis of lung with sarcoidosis of lymph nodes D86.3 Sarcoidosis of skin D86.81 Sarcoid meningitis D86.82 Multiple cranial nerve palsies in sarcoidosis D86.83 Sarcoid iridocyclitis D86.84 Sarcoid pyelonephritis D86.85 Sarcoid myocarditis D86.86 Sarcoid arthropathy D86.87 Sarcoid myositis D86.89 Sarcoidosis of other sites D86.9 Sarcoidosis, unspecified E20.0 Idiopathic hypoparathyroidism E20.810 Autosomal dominant hypocalcemia E20.811 Secondary hypoparathyroidism in diseases classified elsewhere E20.812 Autoimmune hypoparathyroidism E20.818 Other specified hypoparathyroidism due to impaired parathyroid hormone secretion E20.819 Hypoparathyroidism due to impaired parathyroid hormone secretion, unspecified E20.89 Other specified hypoparathyroidism E20.9 Hypoparathyroidism, unspecified E21.0 Primary hyperparathyroidism E21.1 Secondary hyperparathyroidism, not elsewhere classified E21.2 Other hyperparathyroidism E21.3 Hyperparathyroidism, unspecified E55.0 Rickets, active E55.9 Vitamin D deficiency, unspecified E67.3 Hypervitaminosis D E67.8 Other specified hyperalimentation E68 Sequelae of hyperalimentation E83.30 Disorder of phosphorus metabolism, unspecified E83.31 Familial hypophosphatemia E83.32 Hereditary vitamin D-dependent rickets (type 1) (type 2) E83.39 Other disorders of phosphorus metabolism E83.51 Hypocalcemia E83.52 Hypercalcemia E83.59 Other disorders of calcium metabolism E84.0 Cystic fibrosis with pulmonary manifestations E84.19 Cystic fibrosis with other intestinal manifestations E84.8 Cystic fibrosis with other manifestations E89.2 Postprocedural hypoparathyroidism G73.7 Myopathy in diseases classified elsewhere J63.2 Berylliosis K50.00 Crohn's disease of small intestine without complications K50.011 Crohn's disease of small intestine with rectal bleeding K50.012 Crohn's disease of small intestine with intestinal obstruction K50.013 Crohn's disease of small intestine with fistula K50.014 Crohn's disease of small intestine with abscess K50.018 Crohn's disease of small intestine with other complication K50.019 Crohn's disease of small intestine with unspecified complications K50.10 Crohn's disease of large intestine without complications K50.111 Crohn's disease of large intestine with rectal bleeding K50.112 Crohn's disease of large intestine with intestinal obstruction K50.113 Crohn's disease of large intestine with fistula K50.114 Crohn's disease of large intestine with abscess K50.118 Crohn's disease of large intestine with other complication K50.119 Crohn's disease of large intestine with unspecified complications K50.80 Crohn's disease of both small and large intestine without complications K50.811 Crohn's disease of both small and large intestine with rectal bleeding K50.812 Crohn's disease of both small and large intestine with intestinal obstruction K50.813 Crohn's disease of both small and large intestine with fistula K50.814 Crohn's disease of both small and large intestine with abscess K50.818 Crohn's disease of both small and large intestine with other complication K50.819 Crohn's disease of both small and large intestine with unspecified complications K50.90 Crohn's disease, unspecified, without complications K50.911 Crohn's disease, unspecified, with rectal bleeding K50.912 Crohn's disease, unspecified, with intestinal obstruction K50.913 Crohn's disease, unspecified, with fistula K50.914 Crohn's disease, unspecified, with abscess K50.918 Crohn's disease, unspecified, with other complication K50.919 Crohn's disease, unspecified, with unspecified complications K51.00 Ulcerative (chronic) pancolitis without complications K51.011 Ulcerative (chronic) pancolitis with rectal bleeding K51.012 Ulcerative (chronic) pancolitis with intestinal obstruction K51.013 Ulcerative (chronic) pancolitis with fistula K51.014 Ulcerative (chronic) pancolitis with abscess K51.018 Ulcerative (chronic) pancolitis with other complication K51.019 Ulcerative (chronic) pancolitis with unspecified complications K51.20 Ulcerative (chronic) proctitis without complications K51.211 Ulcerative (chronic) proctitis with rectal bleeding K51.212 Ulcerative (chronic) proctitis with intestinal obstruction K51.213 Ulcerative (chronic) proctitis with fistula K51.214 Ulcerative (chronic) proctitis with abscess K51.218 Ulcerative (chronic) proctitis with other complication K51.219 Ulcerative (chronic) proctitis with unspecified complications K51.30 Ulcerative (chronic) rectosigmoiditis without complications K51.311 Ulcerative (chronic) rectosigmoiditis with rectal bleeding K51.312 Ulcerative (chronic) rectosigmoiditis with intestinal obstruction K51.313 Ulcerative (chronic) rectosigmoiditis with fistula K51.314 Ulcerative (chronic) rectosigmoiditis with abscess K51.318 Ulcerative (chronic) rectosigmoiditis with other complication K51.319 Ulcerative (chronic) rectosigmoiditis with unspecified complications K51.40 Inflammatory polyps of colon without complications K51.411 Inflammatory polyps of colon with rectal bleeding K51.412 Inflammatory polyps of colon with intestinal obstruction K51.413 Inflammatory polyps of colon with fistula K51.414 Inflammatory polyps of colon with abscess K51.418 Inflammatory polyps of colon with other complication K51.419 Inflammatory polyps of colon with unspecified complications K51.50 Left sided colitis without complications K51.511 Left sided colitis with rectal bleeding K51.512 Left sided colitis with intestinal obstruction K51.513 Left sided colitis with fistula K51.514 Left sided colitis with abscess K51.518 Left sided colitis with other complication K51.519 Left sided colitis with unspecified complications K51.80 Other ulcerative colitis without complications K51.811 Other ulcerative colitis with rectal bleeding K51.812 Other ulcerative colitis with intestinal obstruction K51.813 Other ulcerative colitis with fistula K51.814 Other ulcerative colitis with abscess K51.818 Other ulcerative colitis with other complication K51.819 Other ulcerative colitis with unspecified complications K51.90 Ulcerative colitis, unspecified, without complications K51.911 Ulcerative colitis, unspecified with rectal bleeding K51.912 Ulcerative colitis, unspecified with intestinal obstruction K51.913 Ulcerative colitis, unspecified with fistula K51.914 Ulcerative colitis, unspecified with abscess K51.918 Ulcerative colitis, unspecified with other complication K51.919 Ulcerative colitis, unspecified with unspecified complications K52.0 Gastroenteritis and colitis due to radiation K70.2 Alcoholic fibrosis and sclerosis of liver K70.30 Alcoholic cirrhosis of liver without ascites K70.31 Alcoholic cirrhosis of liver with ascites K74.00 Hepatic fibrosis, unspecified K74.01 Hepatic fibrosis, early fibrosis K74.02 Hepatic fibrosis, advanced fibrosis K74.3 Primary biliary cirrhosis K74.4 Secondary biliary cirrhosis K74.5 Biliary cirrhosis, unspecified K74.60 Unspecified cirrhosis of liver K74.69 Other cirrhosis of liver K83.5 Biliary cyst K83.8 Other specified diseases of biliary tract K87 Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere K90.0 Celiac disease K90.1 Tropical sprue K90.2 Blind loop syndrome, not elsewhere classified K90.3 Pancreatic steatorrhea K90.49 Malabsorption due to intolerance, not elsewhere classified K90.81 Whipple's disease K90.821 Short bowel syndrome with colon in continuity K90.822 Short bowel syndrome without colon in continuity K90.829 Short bowel syndrome, unspecified K90.83 Intestinal failure K90.89 Other intestinal malabsorption K90.9 Intestinal malabsorption, unspecified K91.2 Postsurgical malabsorption, not elsewhere classified L40.0 Psoriasis vulgaris L40.1 Generalized pustular psoriasis L40.2 Acrodermatitis continua L40.3 Pustulosis palmaris et plantaris L40.4 Guttate psoriasis L40.50 Arthropathic psoriasis, unspecified L40.51 Distal interphalangeal psoriatic arthropathy L40.52 Psoriatic arthritis mutilans L40.53 Psoriatic spondylitis L40.54 Psoriatic juvenile arthropathy L40.59 Other psoriatic arthropathy L40.8 Other psoriasis L40.9 Psoriasis, unspecified M32.0 Drug-induced systemic lupus erythematosus M32.10 Systemic lupus erythematosus, organ or system involvement unspecified M32.11 Endocarditis in systemic lupus erythematosus M32.12 Pericarditis in systemic lupus erythematosus M32.13 Lung involvement in systemic lupus erythematosus M32.14 Glomerular disease in systemic lupus erythematosus M32.15 Tubulo-interstitial nephropathy in systemic lupus erythematosus M32.19 Other organ or system involvement in systemic lupus erythematosus M32.8 Other forms of systemic lupus erythematosus M32.9 Systemic lupus erythematosus, unspecified M33.00 Juvenile dermatomyositis, organ involvement unspecified M33.01 Juvenile dermatomyositis with respiratory involvement M33.02 Juvenile dermatomyositis with myopathy M33.09 Juvenile dermatomyositis with other organ involvement M33.10 Other dermatomyositis, organ involvement unspecified M33.11 Other dermatomyositis with respiratory involvement M33.12 Other dermatomyositis with myopathy M33.19 Other dermatomyositis with other organ involvement M33.20 Polymyositis, organ involvement unspecified M33.21 Polymyositis with respiratory involvement M33.22 Polymyositis with myopathy M33.29 Polymyositis with other organ involvement M33.90 Dermatopolymyositis, unspecified, organ involvement unspecified M33.91 Dermatopolymyositis, unspecified with respiratory involvement M33.92 Dermatopolymyositis, unspecified with myopathy M33.99 Dermatopolymyositis, unspecified with other organ involvement M36.0 Dermato(poly)myositis in neoplastic disease M60.80 Other myositis, unspecified site M60.811 Other myositis, right shoulder M60.812 Other myositis, left shoulder M60.819 Other myositis, unspecified shoulder M60.821 Other myositis, right upper arm M60.822 Other myositis, left upper arm M60.829 Other myositis, unspecified upper arm M60.831 Other myositis, right forearm M60.832 Other myositis, left forearm M60.839 Other myositis, unspecified forearm M60.841 Other myositis, right hand M60.842 Other myositis, left hand M60.849 Other myositis, unspecified hand M60.851 Other myositis, right thigh M60.852 Other myositis, left thigh M60.859 Other myositis, unspecified thigh M60.861 Other myositis, right lower leg M60.862 Other myositis, left lower leg M60.869 Other myositis, unspecified lower leg M60.871 Other myositis, right ankle and foot M60.872 Other myositis, left ankle and foot M60.879 Other myositis, unspecified ankle and foot M60.88 Other myositis, other site M60.89 Other myositis, multiple sites M60.9 Myositis, unspecified M79.11 Myalgia of mastication muscle M79.12 Myalgia of auxiliary muscles, head and neck M79.18 Myalgia, other site M79.7 Fibromyalgia M80.00XA - M80.00XS - Age-related osteoporosis with current pathological fracture, unspecified site, sequela M80.011A - M80.011S - Age-related osteoporosis with current pathological fracture, right shoulder, sequela M80.012A - M80.012S - Age-related osteoporosis with current pathological fracture, left shoulder, sequela M80.019A - M80.019S - Age-related osteoporosis with current pathological fracture, unspecified shoulder, sequela M80.021A - M80.021S - Age-related osteoporosis with current pathological fracture, right humerus, sequela M80.022A - M80.022S - Age-related osteoporosis with current pathological fracture, left humerus, sequela M80.029A - M80.029S - Age-related osteoporosis with current pathological fracture, unspecified humerus, sequela M80.031A - M80.031S - Age-related osteoporosis with current pathological fracture, right forearm, sequela M80.032A - M80.032S - Age-related osteoporosis with current pathological fracture, left forearm, sequela M80.039A - M80.039S - Age-related osteoporosis with current pathological fracture, unspecified forearm, sequela M80.041A - M80.041S - Age-related osteoporosis with current pathological fracture, right hand, sequela M80.042A - M80.042S - Age-related osteoporosis with current pathological fracture, left hand, sequela M80.049A - M80.049S - Age-related osteoporosis with current pathological fracture, unspecified hand, sequela M80.051A - M80.051S - Age-related osteoporosis with current pathological fracture, right femur, sequela M80.052A - M80.052S - Age-related osteoporosis with current pathological fracture, left femur, sequela M80.059A - M80.059S - Age-related osteoporosis with current pathological fracture, unspecified femur, sequela M80.061A - M80.061S - Age-related osteoporosis with current pathological fracture, right lower leg, sequela M80.062A - M80.062S - Age-related osteoporosis with current pathological fracture, left lower leg, sequela M80.069A - M80.069S - Age-related osteoporosis with current pathological fracture, unspecified lower leg, sequela M80.071A - M80.071S - Age-related osteoporosis with current pathological fracture, right ankle and foot, sequela M80.072A - M80.072S - Age-related osteoporosis with current pathological fracture, left ankle and foot, sequela M80.079A - M80.079S - Age-related osteoporosis with current pathological fracture, unspecified ankle and foot, sequela M80.08XA - M80.08XS - Age-related osteoporosis with current pathological fracture, vertebra(e), sequela M80.0B1A Age-related osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture M80.0B1D Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing M80.0B1G Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing M80.0B1K Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion M80.0B1P Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion M80.0B1S Age-related osteoporosis with current pathological fracture, right pelvis, sequela M80.0B2A Age-related osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture M80.0B2D Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing M80.0B2G Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing M80.0B2K Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion M80.0B2P Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion M80.0B2S Age-related osteoporosis with current pathological fracture, left pelvis, sequela M80.80XA - M80.80XS - Other osteoporosis with current pathological fracture, unspecified site, sequela M80.811A - M80.811S - Other osteoporosis with current pathological fracture, right shoulder, sequela M80.812A - M80.812S - Other osteoporosis with current pathological fracture, left shoulder, sequela M80.819A - M80.819S - Other osteoporosis with current pathological fracture, unspecified shoulder, sequela M80.821A - M80.821S - Other osteoporosis with current pathological fracture, right humerus, sequela M80.822A - M80.822S - Other osteoporosis with current pathological fracture, left humerus, sequela M80.829A - M80.829S - Other osteoporosis with current pathological fracture, unspecified humerus, sequela M80.831A - M80.831S - Other osteoporosis with current pathological fracture, right forearm, sequela M80.832A - M80.832S - Other osteoporosis with current pathological fracture, left forearm, sequela M80.839A - M80.839S - Other osteoporosis with current pathological fracture, unspecified forearm, sequela M80.841A - M80.841S - Other osteoporosis with current pathological fracture, right hand, sequela M80.842A - M80.842S - Other osteoporosis with current pathological fracture, left hand, sequela M80.849A - M80.849S - Other osteoporosis with current pathological fracture, unspecified hand, sequela M80.851A - M80.851S - Other osteoporosis with current pathological fracture, right femur, sequela M80.852A - M80.852S - Other osteoporosis with current pathological fracture, left femur, sequela M80.859A - M80.859S - Other osteoporosis with current pathological fracture, unspecified femur, sequela M80.861A - M80.861S - Other osteoporosis with current pathological fracture, right lower leg, sequela M80.862A - M80.862S - Other osteoporosis with current pathological fracture, left lower leg, sequela M80.869A - M80.869S - Other osteoporosis with current pathological fracture, unspecified lower leg, sequela M80.871A - M80.871S - Other osteoporosis with current pathological fracture, right ankle and foot, sequela M80.872A - M80.872S - Other osteoporosis with current pathological fracture, left ankle and foot, sequela M80.879A - M80.879S - Other osteoporosis with current pathological fracture, unspecified ankle and foot, sequela M80.88XA - M80.88XS - Other osteoporosis with current pathological fracture, vertebra(e), sequela M80.8B1A Other osteoporosis with current pathological fracture, right pelvis, initial encounter for fracture M80.8B1D Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with routine healing M80.8B1G Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing M80.8B1K Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion M80.8B1P Other osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with malunion M80.8B1S Other osteoporosis with current pathological fracture, right pelvis, sequela M80.8B2A Other osteoporosis with current pathological fracture, left pelvis, initial encounter for fracture M80.8B2D Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with routine healing M80.8B2G Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing M80.8B2K Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with nonunion M80.8B2P Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion M80.8B2S Other osteoporosis with current pathological fracture, left pelvis, sequela M81.0 Age-related osteoporosis without current pathological fracture M81.6 Localized osteoporosis [Lequesne] M81.8 Other osteoporosis without current pathological fracture M83.0 Puerperal osteomalacia M83.1 Senile osteomalacia M83.2 Adult osteomalacia due to malabsorption M83.3 Adult osteomalacia due to malnutrition M83.4 Aluminum bone disease M83.5 Other drug-induced osteomalacia in adults M83.8 Other adult osteomalacia M83.9 Adult osteomalacia, unspecified M85.80 Other specified disorders of bone density and structure, unspecified site M85.9 Disorder of bone density and structure, unspecified M89.9 Disorder of bone, unspecified M94.9 Disorder of cartilage, unspecified N18.30 Chronic kidney disease, stage 3 unspecified N18.31 Chronic kidney disease, stage 3a N18.32 Chronic kidney disease, stage 3b N18.4 Chronic kidney disease, stage 4 (severe) N18.5 Chronic kidney disease, stage 5 N18.6 End stage renal disease N25.81 Secondary hyperparathyroidism of renal origin Q78.0 Osteogenesis imperfecta Q78.2 Osteopetrosis Z68.30 Body mass index [BMI] 30.0-30.9, adult Z68.31 Body mass index [BMI] 31.0-31.9, adult Z68.32 Body mass index [BMI] 32.0-32.9, adult Z68.33 Body mass index [BMI] 33.0-33.9, adult Z68.34 Body mass index [BMI] 34.0-34.9, adult Z68.35 Body mass index [BMI] 35.0-35.9, adult Z68.36 Body mass index [BMI] 36.0-36.9, adult Z68.37 Body mass index [BMI] 37.0-37.9, adult Z68.38 Body mass index [BMI] 38.0-38.9, adult Z68.39 Body mass index [BMI] 39.0-39.9, adult Z68.41 Body mass index [BMI] 40.0-44.9, adult Z68.42 Body mass index [BMI] 45.0-49.9, adult Z68.43 Body mass index [BMI] 50.0-59.9, adult Z68.44 Body mass index [BMI] 60.0-69.9, adult Z68.45 Body mass index [BMI] 70 or greater, adult Z79.3 Long term (current) use of hormonal contraceptives Z79.51 Long term (current) use of inhaled steroids Z79.52 Long term (current) use of systemic steroids Z79.891 Long term (current) use of opiate analgesic Z79.899 Other long term (current) drug therapy Z98.0 Intestinal bypass and anastomosis status Z98.84 Bariatric surgery status It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 82379 D63.1 Anemia in chronic kidney disease E71.40 Disorder of carnitine metabolism, unspecified E71.41 Primary carnitine deficiency E71.42 Carnitine deficiency due to inborn errors of metabolism E71.43 Iatrogenic carnitine deficiency E71.440 Ruvalcaba-Myhre-Smith syndrome E71.448 Other secondary carnitine deficiency I95.3 Hypotension of hemodialysis It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 82607, 82746 and 83090 D51.0 Vitamin B12 deficiency anemia due to intrinsic factor deficiency D51.1 Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria D51.2 Transcobalamin II deficiency D51.3 Other dietary vitamin B12 deficiency anemia D51.8 Other vitamin B12 deficiency anemias D51.9 Vitamin B12 deficiency anemia, unspecified D52.0 Dietary folate deficiency anemia D52.1 Drug-induced folate deficiency anemia D52.8 Other folate deficiency anemias D52.9 Folate deficiency anemia, unspecified D53.1 Other megaloblastic anemias, not elsewhere classified D53.9 Nutritional anemia, unspecified D69.6 Thrombocytopenia, unspecified D81.818 Other biotin-dependent carboxylase deficiency D81.819 Biotin-dependent carboxylase deficiency, unspecified E41 Nutritional marasmus E43 Unspecified severe protein-calorie malnutrition E45 Retarded development following protein-calorie malnutrition E46 Unspecified protein-calorie malnutrition E53.8 Deficiency of other specified B group vitamins E64.0 Sequelae of protein-calorie malnutrition E72.10 Disorders of sulfur-bearing amino-acid metabolism, unspecified E72.11 Homocystinuria E72.12 Methylenetetrahydrofolate reductase deficiency E72.19 Other disorders of sulfur-bearing amino-acid metabolism F03.90 Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety F03.A0 Unspecified dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety F03.A11 Unspecified dementia, mild, with agitation F03.A18 Unspecified dementia, mild, with other behavioral disturbance F03.A2 Unspecified dementia, mild, with psychotic disturbance F03.A3 Unspecified dementia, mild, with mood disturbance F03.A4 Unspecified dementia, mild, with anxiety F03.B0 Unspecified dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety F03.B11 Unspecified dementia, moderate, with agitation F03.B18 Unspecified dementia, moderate, with other behavioral disturbance F03.B2 Unspecified dementia, moderate, with psychotic disturbance F03.B3 Unspecified dementia, moderate, with mood disturbance F03.B4 Unspecified dementia, moderate, with anxiety F03.C0 Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety F03.C11 Unspecified dementia, severe, with agitation F03.C18 Unspecified dementia, severe, with other behavioral disturbance F03.C2 Unspecified dementia, severe, with psychotic disturbance F03.C3 Unspecified dementia, severe, with mood disturbance F03.C4 Unspecified dementia, severe, with anxiety F10.20 Alcohol dependence, uncomplicated G25.70 Drug induced movement disorder, unspecified G25.71 Drug induced akathisia G25.79 Other drug induced movement disorders G25.89 Other specified extrapyramidal and movement disorders G25.9 Extrapyramidal and movement disorder, unspecified G26 Extrapyramidal and movement disorders in diseases classified elsewhere G30.0 Alzheimer's disease with early onset G30.1 Alzheimer's disease with late onset G30.8 Other Alzheimer's disease G30.9 Alzheimer's disease, unspecified G60.3 Idiopathic progressive neuropathy G60.9 Hereditary and idiopathic neuropathy, unspecified K14.0 Glossitis K14.6 Glossodynia K31.83 Achlorhydria K50.00 Crohn's disease of small intestine without complications K50.011 Crohn's disease of small intestine with rectal bleeding K50.012 Crohn's disease of small intestine with intestinal obstruction K50.013 Crohn's disease of small intestine with fistula K50.014 Crohn's disease of small intestine with abscess K50.018 Crohn's disease of small intestine with other complication K50.019 Crohn's disease of small intestine with unspecified complications K50.10 Crohn's disease of large intestine without complications K50.111 Crohn's disease of large intestine with rectal bleeding K50.112 Crohn's disease of large intestine with intestinal obstruction K50.113 Crohn's disease of large intestine with fistula K50.114 Crohn's disease of large intestine with abscess K50.118 Crohn's disease of large intestine with other complication K50.119 Crohn's disease of large intestine with unspecified complications K50.80 Crohn's disease of both small and large intestine without complications K50.811 Crohn's disease of both small and large intestine with rectal bleeding K50.812 Crohn's disease of both small and large intestine with intestinal obstruction K50.813 Crohn's disease of both small and large intestine with fistula K50.814 Crohn's disease of both small and large intestine with abscess K50.818 Crohn's disease of both small and large intestine with other complication K50.819 Crohn's disease of both small and large intestine with unspecified complications K50.90 Crohn's disease, unspecified, without complications K50.911 Crohn's disease, unspecified, with rectal bleeding K50.912 Crohn's disease, unspecified, with intestinal obstruction K50.913 Crohn's disease, unspecified, with fistula K50.914 Crohn's disease, unspecified, with abscess K50.918 Crohn's disease, unspecified, with other complication K50.919 Crohn's disease, unspecified, with unspecified complications K90.0 Celiac disease K90.1 Tropical sprue K90.2 Blind loop syndrome, not elsewhere classified K90.3 Pancreatic steatorrhea K90.49 Malabsorption due to intolerance, not elsewhere classified K90.81 Whipple's disease K90.821 Short bowel syndrome with colon in continuity K90.822 Short bowel syndrome without colon in continuity K90.829 Short bowel syndrome, unspecified K90.83 Intestinal failure K90.89 Other intestinal malabsorption K90.9 Intestinal malabsorption, unspecified K91.2 Postsurgical malabsorption, not elsewhere classified R20.0 Anesthesia of skin R20.1 Hypoesthesia of skin R20.2 Paresthesia of skin R20.3 Hyperesthesia R20.8 Other disturbances of skin sensation R20.9 Unspecified disturbances of skin sensation R26.0 Ataxic gait R26.1 Paralytic gait R26.81 Unsteadiness on feet R26.89 Other abnormalities of gait and mobility R26.9 Unspecified abnormalities of gait and mobility R27.0 Ataxia, unspecified R27.8 Other lack of coordination R27.9 Unspecified lack of coordination R41.1 Anterograde amnesia R41.2 Retrograde amnesia R41.3 Other amnesia R41.82 Altered mental status, unspecified R41.9 Unspecified symptoms and signs involving cognitive functions and awareness R45.84 Anhedonia Z51.11 Encounter for antineoplastic chemotherapy Z79.3 Long term (current) use of hormonal contraceptives Z79.891 Long term (current) use of opiate analgesic Z79.899 Other long term (current) drug therapy Z86.39 Personal history of other endocrine, nutritional and metabolic disease Z98.0 Intestinal bypass and anastomosis status Z99.2 Dependence on renal dialysis It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 84207 D64.0 Hereditary sideroblastic anemia D64.1 Secondary sideroblastic anemia due to disease D64.2 Secondary sideroblastic anemia due to drugs and toxins D64.3 Other sideroblastic anemias E53.1 Pyridoxine deficiency E67.2 Megavitamin-B6 syndrome E83.39 Other disorders of phosphorus metabolism G25.70 Drug induced movement disorder, unspecified G25.71 Drug induced akathisia G25.79 Other drug induced movement disorders G25.89 Other specified extrapyramidal and movement disorders G25.9 Extrapyramidal and movement disorder, unspecified G26 Extrapyramidal and movement disorders in diseases classified elsewhere G60.9 Hereditary and idiopathic neuropathy, unspecified K14.0 Glossitis R74.8 Abnormal levels of other serum enzymes It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 85385 D47.3 Essential (hemorrhagic) thrombocythemia D65 Disseminated intravascular coagulation [defibrination syndrome] D68.2 Hereditary deficiency of other clotting factors D68.32 Hemorrhagic disorder due to extrinsic circulating anticoagulants D68.4 Acquired coagulation factor deficiency D69.3 Immune thrombocytopenic purpura D69.41 Evans syndrome D69.42 Congenital and hereditary thrombocytopenia purpura D69.49 Other primary thrombocytopenia D69.51 Posttransfusion purpura D69.59 Other secondary thrombocytopenia D69.6 Thrombocytopenia, unspecified R79.1 Abnormal coagulation profile It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 86352 D81.4 Nezelof's syndrome D82.0 Wiskott-Aldrich syndrome D82.1 Di George's syndrome D83.1 Common variable immunodeficiency with predominant immunoregulatory T-cell disorders T86.00 Unspecified complication of bone marrow transplant T86.01 Bone marrow transplant rejection T86.02 Bone marrow transplant failure T86.03 Bone marrow transplant infection T86.09 Other complications of bone marrow transplant T86.10 Unspecified complication of kidney transplant T86.11 Kidney transplant rejection T86.12 Kidney transplant failure T86.13 Kidney transplant infection T86.19 Other complication of kidney transplant T86.20 Unspecified complication of heart transplant T86.21 Heart transplant rejection T86.22 Heart transplant failure T86.23 Heart transplant infection T86.290 Cardiac allograft vasculopathy T86.298 Other complications of heart transplant T86.30 Unspecified complication of heart-lung transplant T86.31 Heart-lung transplant rejection T86.32 Heart-lung transplant failure T86.33 Heart-lung transplant infection T86.39 Other complications of heart-lung transplant T86.40 Unspecified complication of liver transplant T86.41 Liver transplant rejection T86.42 Liver transplant failure T86.43 Liver transplant infection T86.49 Other complications of liver transplant T86.5 Complications of stem cell transplant T86.810 Lung transplant rejection T86.811 Lung transplant failure T86.812 Lung transplant infection T86.818 Other complications of lung transplant T86.819 Unspecified complication of lung transplant T86.850 Intestine transplant rejection T86.851 Intestine transplant failure T86.852 Intestine transplant infection T86.858 Other complications of intestine transplant T86.859 Unspecified complication of intestine transplant T86.890 Other transplanted tissue rejection T86.891 Other transplanted tissue failure T86.892 Other transplanted tissue infection T86.898 Other complications of other transplanted tissue T86.899 Unspecified complication of other transplanted tissue Z48.21 Encounter for aftercare following heart transplant Z48.22 Encounter for aftercare following kidney transplant Z48.23 Encounter for aftercare following liver transplant Z48.24 Encounter for aftercare following lung transplant Z48.280 Encounter for aftercare following heart-lung transplant Z48.290 Encounter for aftercare following bone marrow transplant Z94.0 Kidney transplant status Z94.1 Heart transplant status Z94.2 Lung transplant status Z94.3 Heart and lungs transplant status Z94.4 Liver transplant status Z94.81 Bone marrow transplant status Z94.82 Intestine transplant status Z94.83 Pancreas transplant status It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 83698 E11.65 Type 2 diabetes mellitus with hyperglycemia E11.9 Type 2 diabetes mellitus without complications E13.9 Other specified diabetes mellitus without complications E78.00 Pure hypercholesterolemia, unspecified E78.01 Familial hypercholesterolemia E78.1 Pure hyperglyceridemia E78.2 Mixed hyperlipidemia E78.3 Hyperchylomicronemia E78.49 Other hyperlipidemia I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris ICD-10 Codes That Are Not Covered XX000

Revision History Information

Revision History Date Revision History Number Revision History Explanation 10/01/2023 R9 Article revised and published on 10/26/2023 effective for dates of service on and after 10/01/2023 to reflect the Annual ICD-10-CM Code Updates. The following ICD-10-CM code has been deleted and therefore has been removed from the article: E20.8 in Group 1 Codes. The following ICD-10-CM codes have been added to the article: E20.810, E20.811, E20.812, E20.818, E20.819, E20.89, K90.821, K90.822, K90.829, K90.83, M80.0B1A, M80.0B1D, M80.0B1G, M80.0B1K, M80.0B1P, M80.0B1S, M80.0B2A, M80.0B2D, M80.0B2G, M80.0B2K, M80.0B2P, M80.0B2S, M80.8B1A, M80.8B1D, M80.8B1G, M80.8B1K, M80.8B1P, M80.8B1S, M80.8B2A, M80.8B2D, M80.8B2G, M80.8B2K, M80.8B2P and M80.8B2S in Group 1 Codes. The following ICD-10-CM codes have been added to the article: K90.821, K90.822, K90.829 and K90.83 in Group 3 Codes. Minor formatting changes made throughout the coding section. 01/01/2023 R8 Article revised and published on 01/26/2023 effective for dates of service on and after 01/01/2023 to reflect the Annual HCPCS/CPT Code Updates. For the following CPT code either the short description and/or the long description was changed. Depending on which description is used in this article, there may not be any change in how the code displays: 83090 in Group 3 Codes 10/01/2022 R7 Article revised and published on 10/20/2022 effective for dates of service on and after 10/01/2022 to reflect the annual ICD-10-CM code updates. ICD-10-CM code F03.91 has been deleted from ICD-10-CM Codes that Support Medical Necessity Group 3. The following ICD-10-CM codes have been added to ICD-10-CM Codes that Support Medical Necessity Group 3: F03.A0, F03.A11, F03.A18, F03.A2, F03.A3, F03.A4, F03.B0, F03.B11, F03.B18, F03.B2, F03.B3, F03.B4, F03.C0, F03.C11, F03.C18, F03.C2, F03.C3, and F03.C4. ICD-10-CM code F03.90 in ICD-10-CM Codes that Support Medical Necessity had a description change. The CPT/HCPCS Code Group 8 has been removed from the article. The codes that were included in this group are listed in the CPT/HCPCS Code Group 1 paragraph. There is no change in coverage with the removal of Group 8. 10/01/2021 R6 Article revised and published on 10/14/2021 effective for dates of service on and after 10/01/2021 to reflect the annual ICD-10-CM code updates. The following ICD-10-CM codes have undergone a descriptor change: Z68.30 and Z68.41 in Group 1. 10/01/2020 R5 Article revised and published on 10/01/2020 effective for dates of service on and after 10/01/2020 to reflect the Annual ICD-10-CM Code Updates. The following ICD-10-CM code(s) have been added to the Group 1 Codes: K74.00, K74.01, K74.02, N18.30, N18.31, N18.32. The following ICD-10-CM code(s) have been deleted from the Group 1 Codes: K74.0 and N18.3. The following Group 1 ICD-10-CM code(s) have undergone a descriptor change: Z68.30, Z68.31, Z68.32, Z68.33, Z68.34, Z68.35, Z68.36, Z68.37, Z68.38, Z68.39, Z68.41, Z68.42, Z68.43, Z68.44, Z68.45. 07/01/2020 R4 Article revised and published on 06/25/2020 effective for dates of service on and after 07/01/2020, as a non-discretionary update to remove the group 9 paragraph note and codes. Minor formatting changes have been made. 10/01/2019 R3 Article revised and published on 10/17/2019 effective for dates of service on and after 10/01/2019 to reflect the Annual ICD-10-CM Code Updates. The following ICD-10-CM code has undergone a descriptor change: Z68.43. Please note, system changes have been made to our articles in response to CMS Change Request 10901. The Coding Section has been reordered and new sections for CPT/HCPCS Modifiers and Other Coding Information have been added. 03/28/2019 R2 Article revised and published on 04/18/2019 to correct the revision history explanation from 03/28/2019. The revision history for 03/28/2019 should read Article revised and published on 03/28/2019 to add reporting guidelines and to add the CPT and ICD-10 codes from the related L34914, Assays for Vitamins and Metabolic Function. 03/28/2019 R1 Article revised and published on 03/28/2019 to add the CPT and ICD-10 codes from the related LCD, L35424 Chiropractic Services in response to CMS Change Request 10901. Information in the billing for chiropractic services section revised to ensure consistency with IOM language. Deleted information regarding services being denied.