ND Committee Review
Internal Medical Policy Committee 1-22-2020 adding codes
Internal Medical Policy Committee 1-19-2021 Coding update
- Added Diagnosis Codes: F10.130, F10.131, F10.132, F10.139, F10.930, F10.931, F10.932, F10.939, F11.13, F12.13, F13.130, F13.131, F13.132, F13.139, F14.13, F14.93, F15.13, F19.130, F19.131, F19.132, F19.139
Internal Medical Policy Committee 9-21-2021 Revision with coding updates
Added criteria from M-80 Electroencephalogram for Headaches; and
Removed Diagnosis code R40; and
Added Diagnosis codes for procedure codes 95812, 95813, 95816 and 95819
- G44.001, G44.009, G44.011, G44.019, G44.021, G44.029, G44.031, G44.039, G44.041, G44.049, G44.051, G44.059, G44.091, G44.099, G44.1, G44.201, G44.211, G44.219, G44.221, G44.229, G44.301, G44.309, G44.311, G44.319, G44.321, G44.329, G44.40; G44.41, G44.51, G44.52, G44.53, G44.59, G44.81, G44.82, G44.83, G44.84, G44.85, G44.86, G44.89, R51.0, R51.9; and
Internal Medical Policy Committee 5-24-2022 Revision with coding updates
- Removed the following Procedure codes 95700; 95712; 95713; 95715 and 95716
- Added the following Procedure codes 95708; 95717; 95719; 95721; 95723; 95725; 95812; 95813; 95816; 95819 and 95822
- Removed the following Diagnosis codes F10.11; F11.11; F11.23; F13.11; F11.93; F13.11; F14.11; F14.23; F15.11; F16.11; F18.11; F19.11; G40.11; P10.0; R40.2130; R40.2131; R40.2132; R40.2133; R40.2134; R40.2140; R40.2141; R40.2142; R40.2143; R40.2144; R40.2230; R40.2231; R40.2232; R40.2233; R40.2234; R40.2240; R40.2241; R40.2242; R40.2243; R40.2244; R40.2250; R40.2251; R40.252; R40.2253; R40.2254; R40.2330; R40.2331; R40.2332; R40.2333; R40.2334; R40.2360; R40.2363; R40.2410; R40.2411; R40.2412; R40.2413; R40.2414; R40.2420; R40.2421; R40.2422; R40.2423; R40.2430; R40.2431; R40.2432; R40.2433; R40.4234; R40.2440; R40.2441; R40.2442; R40.2443; R40.2444; R40.3; R56.1 and R56.9
- Added too many diagnosis codes to individually list here (see policy).
Internal Medical Policy Committee 9-28-2022 Coding update - Effective October 01, 2022
- Removed Diagnosis codes E87.2 and I47.2
- Added Diagnosis codes I47.20; I47.29; S06.1XAA; S06.1XAD; S06.1XAS; S06.2XAA; S06.2XAD; S06.2XAS; S06.30AA; S06.30AD; S06.30AS; S06.89AA; S06.89AD; S06.89AS; S06.9XAA; S06.9XAD; and S06.9XAS
Internal Medical Policy Committee 3-23-2023 Coding update - Effective May 01, 2023
- Removed Procedure code P28.4
- Added Procedure codes P28.40; P28.41; P28.42; P28.43 and P28.49
Internal Medical Policy Committee 11-15-2023 Coding update - Effective October 01, 2023
- Added Procedure codes E88.43, G23.3, G37.81, G37.89, G93.42, G93.43, and G93.44.
- Removed Procedure codes G20 and G37.8.
