Empire Medicare Services (New York) – Revised LMRPs

Urinalysis

CPTs: 81000, 81001, 81002, 81003, 81005, 81007 and 81015

Effective for dates of service on or after 10/01/2003, the following ICD-9-CM codes were added: 277.89, 600.00-600.01, 600.10-600.11, 600.20-600.21, 600.90-600.91, 607.85, 785.52 and 788.63. This change is effective 10/01/2003 and expands the truncated code 752.8 to 752.89

Serum Magnesium

CPT: 83735

Effective for dates of service on or after 10/01/2003 the following ICD-9-CM codes were added: 255.10-255.14, 458.21 and 458.29

RAST Type Tests

CPTs: 86003,86005

Effective for dates of service on or after 10/01/2003 ICD code 493.82 was added.

Immunocytochemistry

CPT 88342

Effective for dates of service on or after 10/01/2003, the following ICD codes were added: 600.00, 600.01, 600.10, 600.11, 600.20, 600.21, 600.90 and 600.91

Erythrocyte Sedimentation Rate (ESR)

CPTs: 85651,85652

Effective for dates of service on or after 10/01/2003, ICD-9-CM code 289.89 was added.

Viral Hepatitis Serology Tests

CPTs: 86704, 86705, 86706, 86707, 86708, 86709, 86803, 86804, 87340, 87341, 87350, 87380

Per CMS Transmittal B-03-040, Change Request 2730, POS (49) independent clinic has been added as an eligible POS effective 10/01/2003.

Per CMS Transmittal B-03-045, Change Request 2725, “paper claims” was added to the reasons for denial #7 of the “Reasons for Denial” section of the policy and coding guideline #2 was added to the “Coding Guidelines” section of the policy, effective 10/01/2003.