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Medicare

Glenda Posted Mon 20th of May, 2019 14:57:30 PM
What is Medicare L code for Lung Transplant and NCD
SuperCoder Answered Tue 21st of May, 2019 05:13:21 AM

There is no L code available for Lung Transplant in Medicare data. However, HCPCS code S2060 is Lobar Lung Transplantation. In this procedure code the provider performs a lobar lung transplantation, typically with one lobe from each of two living donors when a complete donor lung from a cadaver, or deceased person, is unavailable for a critically ill patient.

For NCD, under CPT 85610 (Prothrombin Time) cross-mapped with diagnosis Encounter For Aftercare Following Lung Transplant (ICD-10 Code Z48.24), Encounter For Aftercare Following Heart-Lung Transplant (ICD-10 Code Z48.280) and Lung Transplant Status (ICD-10 Code Z94.2), for these Lung transplant diagnosis, only one NCD number is provided by Medicare i.e. 190.17 {(Prothrombin Time (PT)}.

Hope this helps!

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