The policies below have been edited from the complete Medicare Limited Coverage Policies and National Coverage Determinations and are intended to be a guide/quick reference, not a substitute for the complete Medicare Limited Coverage Policies, National Coverage Determinations or the ICD-9 manual.
The complete policies may be accessed through Highmark Medicare Services website at http://www.highmarkmedicareservices.com/policy/index.html.
Please refer to the ICD-9 manual for a complete listing of ICD-9 codes. The ultimate responsibility for correct coding lies with the ordering physician. All ICD-9 codes must be medically appropriate for the patient’s condition and consistent with the information found in the patient’s medical record for the date of service.
