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National Intelligence Report

ICD-9 Changes to National Policies for Lab Tests
November 20, 2006

Effective January 1, 2007, Medicare will cover additional ICD-9 diagnosis codes under its National Coverage Determinations (NCDs) for 23 of the most frequently ordered clinical laboratory tests. For lab tests covered under the NCDs to be payable, active valid ICD-9 codes must be used on Part B lab claims to document that the testing is medically necessary. Lab billing systems should implement the 2007 update as of January 1. There is no grace period to shift to new codes.

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