Local Coverage Determinations: 2009 ICD-9-CM Updates
The Local Coverage Determinations (LCDs) revisions listed below are based on the 2009 ICD-9-CM coding changes. Effective October 1, 2008, these revised LCDs may be accessed on our Active LCDs page.
2009 ICD-9 CM Codes
| LCDs | Old Code | Replaced with | ADD |
|---|---|---|---|
| Drugs and Biologicals: Colony Stimulating Factors (L20891) | For J1440, J1441 and J2820: 203.02, 205.02, 238.77 | ||
| Drugs and Biologicals: Immune Globulin Intravenous (IVIg) (L13075) | 695.1 | For J1561, J1566, J1568, J1569, J1572 and Q4097: 695.10 – 695.19 | For J1561, J1566, J1568, J1569, J1572 and Q4097: 204.12 |
| Drugs and Biologicals: Pamidronate Disodium (Aredia) (L855) | For J2430: 203.02; For Hypercalcemia of Malignancy: 199.2, 203.12, 203.82, 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02, 208.12, 208.22, 208.82, 208.92, 209.00 – 209.30 |
||
| Drugs and Biologicals: Rituximab (Rituxan) (L1007) | 204.12 | ||
| Drugs and Biologicals: Zoledronic Acid (L25722) | For J3487: 199.2,
203.02, 203.12, 203.82, 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02, 208.12, 208.22, 208.82, 208.92, 209.00 – 209.30 |
||
| Medicine: Debridement Services (L1505) | 707.21, 707.22, 707.23, 707.24, 998.30, 998.33 | ||
| Medicine: Occupational Therapy – Outpatient (L13314) | 729.9 | For Rehab CPT Codes : 729.90 – 729.99 | |
| Medicine: Physical Therapy – Outpatient (L13267) | 729.9 | For Rehab CPT Codes: 729.90 – 729.99 | For Rehab CPT Codes: 707.21, 707.22, 707.23, 707.24 |
| Medicine: Wireless Capsule Imaging (L15152) | For CPT 91110: 558.41, 558.42 | ||
| Radiology: Computed Tomographic Angiography of the Heart and Coronary Vessels (L22653) | 414.3 | ||
| Radiology: Computed Tomography of the Abdomen and Pelvis (L1495) | 599.7;
780.6 |
599.70 –599.72; 780.60 – 780.62 |
038.12, 199.2, 203.02, 203.12, 203.82, 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02, 208.12, 208.22, 208.82, 208.92, 209.00 – 209.69, 558.41, 558.42, 571.42, 625.70, 625.71, 625.79 |
| Radiology: Computed Tomography of the Head or Brain (L13071) | 046.1; 136.2 780.6 |
046.11; 136.21, 136.29; 780.60 – 780.62 |
046.19, 046.71, 046.72, 046.79, 199.2,
203.02, 208.92, 346.02 – 346.93, 349.31, 349.39 |
| Radiology: Computed Tomography of the Thorax (L22686) | 511.8;
997.3 |
511.81, 511.89; 997.31, 997.39 |
199.2, 203.02, 203.12, 203.82, 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02, 208.12, 208.22, 208.82, 208.92, 209.00 – 209.69, 482.42, 530.13, 535.70, 535.71 |
| Radiology: Magnetic Resonance Imaging of the Brain (L13118) | 046.1; 136.2; 337.0 |
046.11; 136.21, 136.29; 337.00 – 337.09 |
046.19, 046.71, 046.72, 046.79, 199.2, 205.02, 205.12, 205.22, 205.32, 205.82, 205.90, 205.91, 205.92, 346.02 – 346.93, 349.31, 349.39 |
| Radiology: Magnetic Resonance Imaging of the Spine (L1261) | 046.1 | 046.11 | 046.19, 046.71, 046.72, 046.79, 199.2, 203.02, 203.12, 203.82, 204.02, 204.12, 204.22, 204.82, 204.92, 205.02, 205.12, 205.22, 205.32, 205.82, 205.92, 206.02, 206.12, 206.22, 206.82, 206.92, 207.02, 207.12, 207.22, 207.82, 208.02, 208.12, 208.22, 208.82, 208.92, 209.00 – 209.69, 349.31, 349.39 |
| Radiology: Ultrasound of the Abdomen and Retroperitoneum (L21027) | 599.7 | For CPT Codes 76770 and 76775: 599.70 – 599.72 | For CPT Codes 76700 and 76705: 199.2,
range 209.00 – 209.20, 209.23, range 209.25 – 209.60,
209.63,
range 209.65 – 209.69, 535.70, 535.71, 571.42; |
| Surgery: Colonoscopy (Diagnostic) (L2365) | 199.2, 558.41, 558.42, 569.44 | ||
| Surgery: Upper Gastrointestinal Endoscopy (L1200) | 199.2, 209.00 – 209.20, 209.22, 209.23, 209.25 – 209.60, 209.62, 209.63, 209.65 – 209.69, 530.13, 535.70, 535.71, 558.41, 558.42 |
Page last updated: August 20, 2008
