November 15, 2023

CMS Issues ICD-10 Revisions to NCDs Relevant to Radiology

The Centers for Medicare and Medicaid Services (CMS) recently released Change Request (CR) 13391, which contains International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding revisions to various National Coverage Determinations (NCD). Modifications include NCDs relevant to radiology:

  • NCD 150.3 Bone Mass Measurements. Medicare administrative contractors (MACs) are instructed to add ICD-10 diagnosis codes M80.0B1A, M80.0B2A, M80.8B1A, and M80.8B2A.
  • NCD 220.4 Mammograms. MACs are instructed to add ICD-10 diagnosis codes for mammographic density found on imaging of breast: R92.30, R92.311, R92.312, R92.313, R92.321, R92.322, R92.323, R92.331, R92.332, R92.333, R92.341, R92.342 and R92.343.
  • NCD 220.6.17 Positron Emission Tomography (FDG) for Oncologic Conditions. CMS instructs MACs to end-date ICD-10 diagnosis code D48.1 and add ICD-10 diagnosis codes D48.19, Other specified neoplasm of uncertain behavior of connective and other soft tissue.

These changes took effect Oct. 1. See Change Request 13391 further details, including a full list of affected NCDs.

For more information, contact Maria Tran, American College of Radiology® Director of Economic Policy.