Novitas Updates Modified Barium Swallow Study LCD

June 17, 2019
Rick Gawenda

Novitas Solutions, Inc, Medicare Administrative Contractor in the states of Arkansas, Colorado, Delaware, Louisiana, Maryland, Mississippi, New Jersey, Oklahoma and Pennsylvania as well as the District of Columbia, has released a revised local coverage determination (LCD) on Modifier Barium Swallow Studies. The LCD provides covered indications where instrumental assessment of swallowing may be helpful as well as the settings where the procedure will be reimbursed if medically necessary.

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  1. Does this expand the current acceptable ICD-10 codes for indication of a MBSS? Currently, we are very limited with acceptable diagnosis.

    1. You would want to read the LCD to see if Novitas limits modified barium swallow studies to certain ICD-10 diagnosis codes.