May 2018 Revised LCDs and Articles

Drugs and Biologicals, Coding Article (A52855)

The paragraph for “Drugs with No Charges” has been revised and moved under the heading “For Claims Submitted to the Part B MAC.”

Hyaluronans Intra-articular Injections of – Related to LCD L33394 (A52420)

CPT code 20611 has been added to the “Coding Information” section guidelines 1 and 2.

Lumbar Epidural Injections (L35937)

ICD-10-CM code M48.061 has been added effective for dates of service on or after 10/1/2017.

Magnetic Resonance Angiography (MRA) (L33633)

LCD revised to add sources submitted for a reconsideration request to add “history of aneurysm” to Indications and a diagnosis code for personal history of other diseases of the circulatory system to covered ICD-10 codes for MRA of the head/neck. No change was made in coverage.

Rituximab (Rituxan®) – Related to LCD L33394 (A52452)

Based on a provider/practitioner request, ICD-10-CM code D89.811 has been added effective 10/1/2015.

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