Wednesday, April 6, 2011

Not covered ICD FOR capsule Endoscopy - 150.0, 235.2, 537.82, 787.91, 793.4

ICD-9 Codes that Support and Does not support Medical Necessity - Capsule Endoscopy

*ICD-9 Codes that Support Medical Necessity
Note: ICD-9 codes must be coded to the highest level of specificity.

152.0 - 152.9  MALIGNANT NEOPLASM OF DUODENUM - MALIGNANT NEOPLASM OF SMALL INTESTINE UNSPECIFIED SITE

235.2   NEOPLASM OF UNCERTAIN BEHAVIOR OF STOMACH INTESTINES AND RECTUM
280.0   IRON DEFICIENCY ANEMIA SECONDARY TO BLOOD LOSS (CHRONIC)
280.9   IRON DEFICIENCY ANEMIA UNSPECIFIED
537.82  ANGIODYSPLASIA OF STOMACH AND DUODENUM (WITHOUT HEMORRHAGE)
537.83  ANGIODYSPLASIA OF STOMACH AND DUODENUM WITH HEMORRHAGE
555.0   REGIONAL ENTERITIS OF SMALL INTESTINE
555.1   REGIONAL ENTERITIS OF LARGE INTESTINE
555.2   REGIONAL ENTERITIS OF SMALL INTESTINE WITH LARGE INTESTINE
555.9   REGIONAL ENTERITIS OF UNSPECIFIED SITE
558.9   OTHER AND UNSPECIFIED NONINFECTIOUS GASTROENTERITIS AND COLITIS
562.02  DIVERTICULOSIS OF SMALL INTESTINE WITH HEMORRHAGE
562.03  DIVERTICULITIS OF SMALL INTESTINE WITH HEMORRHAGE
569.82  ULCERATION OF INTESTINE
569.84  ANGIODYSPLASIA OF INTESTINE (WITHOUT HEMORRHAGE)
569.85  ANGIODYSPLASIA OF INTESTINE WITH HEMORRHAGE
578.1   BLOOD IN STOOL
578.9   HEMORRHAGE OF GASTROINTESTINAL TRACT UNSPECIFIED
579.0   CELIAC DISEASE
579.1   TROPICAL SPRUE
579.9   UNSPECIFIED INTESTINAL MALABSORPTION
787.91  DIARRHEA
792.1   NONSPECIFIC ABNORMAL FINDINGS IN STOOL CONTENTS
793.4   NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF GASTROINTESTINAL TRACT


Diagnoses that Support Medical Necessity

ICD-9 Codes that DO NOT Support Medical Necessity
All ICD-9 codes not listed above as covered.

ICD-9 Codes that DO NOT Support Medical Necessity Asterisk Explanation

Diagnoses that DO NOT Support Medical Necessity

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