The ICD-10-CM guidelines for coding home prothrombin time monitoring have
recently been updated to further define the medically necessary indications.
Therefore, Independence is updating our policies on home prothrombin time
monitoring to reflect these coding changes.
The following policies were posted as Notifications on April 3, 2018, and
will go into effect July 2, 2018:
- Commercial: #05.00.26g: Home Prothrombin Time
Monitoring
- Medicare Advantage: #MA05.016d: Home Prothrombin Time
Monitoring
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 Notifications for these policies, visit our Medical Policy Portal and
select Accept and Go to Medical Policy Online. Then
select Commercial or Medicare Advantage under
Active Notifications.