The ICD-10-CM guidelines for coding home prothrombin time monitoring have
recently been updated to further define the medically necessary indications.
Therefore, AmeriHealth is updating our policy on home prothrombin time
monitoring to reflect these coding changes. Medical Policy #05.00.26g, which
was posted as a Notification on April 3, 2018, will go into effect July
2, 2018.
Additions
The following ICD-10 codes have been added as medically
necessary indications for pulmonary embolism and venous thromboembolism:
|
ICD-10 code
|
Code description
|
|
I27.24
|
Chronic thromboembolic pulmonary hypertension
|
|
I80.8
|
Phlebitis and thrombophlebitis of other sites
|
Deletions
The following ICD-10 code has been removed because there
are more specific codes for the indication of chronic atrial
fibrillation:
|
ICD-10 code
|
Code description
|
| I48.91 |
Unspecified atrial fibrillation
|
For more information
To view the Notification for this policy, visit our Medical Policy Portal and
select Accept and Go to Medical Policy Online. Then
select Commercial under Active Notifications.