First Coast Service Options, Inc. has revised their local coverage determination (LCD) for major joint replacement (hip and knee). The revision removes diagnosis codes M96.65, T84.020A, T84.020D, T84.020S, T84.021A, T84.021D, T84.021S, Z89.621, and Z89.622, that were included in the “ICD-10 Codes that Support Medical Necessity/Group 2 Codes:/Total Knee Arthroplasty” section of the LCD in error. The LCD revision is effective for claims processed on or after October 1, 2018, for services rendered on or after March 2, 2016.
To access the revised LCD, click HERE.
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