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Breast Biopsy 19083-19084

Pessie Posted Tue 22nd of May, 2018 12:32:17 PM
CMS does not allow N63.11 for this code ,can you clarify.?
SuperCoder Answered Wed 23rd of May, 2018 06:20:23 AM

Hi,

The Centers for Medicare & Medicaid (CMS) has updated several National Coverage Determinations (NCDs) in Change Request 10318 - ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs). CMS indicates these updates will not be effective within the Fiscal Intermediary Standard System (FISS) or the Multi-Carrier System (MCS) until April, 2018. This applies to NCD 220.4 - Diagnostic Mammograms, and NCD 220.13 - Percutaneous Image-Guided Breast Biopsy.

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R2076OTN.pdf

Thanks!

Pessie Posted Wed 23rd of May, 2018 06:50:20 AM
THANKS, That is what I was told by MCR after the denial. Is it possible to post the correct ICD codes on supercoder to avoid further denials? Thanks again
SuperCoder Answered Thu 24th of May, 2018 03:29:53 AM

Hi Pessie,

The issue was till April, but the current status for this issue is resolved and CMS will accept claims with ICD-10 code n63.11. 

Thanks!

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