Coding Information

Bill Type Codes: Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims. 12 Hospital Inpatient (Medicare Part B only) 13 Hospital Outpatient 22 Skilled Nursing - Inpatient (Medicare Part B only) 23 Skilled Nursing - Outpatient 85 Critical Access Hospital 999 Not Applicable Revenue Codes: Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes. 0300 Laboratory - General Classification 0301 Laboratory - Chemistry 0309 Laboratory - Other Laboratory CPT/HCPCS Codes: Group 1 Paragraph: Italicized and/or quoted material is excerpted from the American Medical Association, Current Procedural Terminology (CPT) codes. Group 1 CPT Codes: 82306 VITAMIN D; 25 HYDROXY, INCLUDES FRACTION(S), IF PERFORMED 82652 VITAMIN D; 1, 25 DIHYDROXY, INCLUDES FRACTION(S), IF PERFORMED ICD-10 Codes That Are Covered The following ICD-10-CM codes support the medical necessity of CPT code 82306 A15.0 Tuberculosis of lung A15.4 Tuberculosis of intrathoracic lymph nodes A15.5 Tuberculosis of larynx, trachea and bronchus A15.6 Tuberculous pleurisy A15.7 Primary respiratory tuberculosis A15.8 Other respiratory tuberculosis A17.0 Tuberculous meningitis A17.1 Meningeal tuberculoma A17.81 Tuberculoma of brain and spinal cord A17.82 Tuberculous meningoencephalitis A17.83 Tuberculous neuritis A17.89 Other tuberculosis of nervous system A18.01 Tuberculosis of spine A18.02 Tuberculous arthritis of other joints A18.03 Tuberculosis of other bones A18.09 Other musculoskeletal tuberculosis A18.11 Tuberculosis of kidney and ureter A18.12 Tuberculosis of bladder A18.13 Tuberculosis of other urinary organs A18.14 Tuberculosis of prostate A18.15 Tuberculosis of other male genital organs A18.16 Tuberculosis of cervix A18.17 Tuberculous female pelvic inflammatory disease A18.18 Tuberculosis of other female genital organs A18.2 Tuberculous peripheral lymphadenopathy A18.31 Tuberculous peritonitis A18.32 Tuberculous enteritis A18.39 Retroperitoneal tuberculosis A18.4 Tuberculosis of skin and subcutaneous tissue A18.51 Tuberculous episcleritis A18.52 Tuberculous keratitis A18.53 Tuberculous chorioretinitis A18.54 Tuberculous iridocyclitis A18.59 Other tuberculosis of eye A18.6 Tuberculosis of (inner) (middle) ear A18.7 Tuberculosis of adrenal glands A18.81 Tuberculosis of thyroid gland A18.82 Tuberculosis of other endocrine glands A18.83 Tuberculosis of digestive tract organs, not elsewhere classified A18.84 Tuberculosis of heart A18.85 Tuberculosis of spleen A18.89 Tuberculosis of other sites A19.0 Acute miliary tuberculosis of a single specified site A19.1 Acute miliary tuberculosis of multiple sites A19.2 Acute miliary tuberculosis, unspecified A19.8 Other miliary tuberculosis B38.0 Acute pulmonary coccidioidomycosis B38.1 Chronic pulmonary coccidioidomycosis B38.3 Cutaneous coccidioidomycosis B38.4 Coccidioidomycosis meningitis B38.7 Disseminated coccidioidomycosis B38.81 Prostatic coccidioidomycosis B38.89 Other forms of coccidioidomycosis B39.0 Acute pulmonary histoplasmosis capsulati B39.1 Chronic pulmonary histoplasmosis capsulati B39.3 Disseminated histoplasmosis capsulati B39.5 Histoplasmosis duboisii C82.01 Follicular lymphoma grade I, lymph nodes of head, face, and neck C82.02 Follicular lymphoma grade I, intrathoracic lymph nodes C82.03 Follicular lymphoma grade I, intra-abdominal lymph nodes C82.04 Follicular lymphoma grade I, lymph nodes of axilla and upper limb C82.05 Follicular lymphoma grade I, lymph nodes of inguinal region and lower limb C82.06 Follicular lymphoma grade I, intrapelvic lymph nodes C82.07 Follicular lymphoma grade I, spleen C82.08 Follicular lymphoma grade I, lymph nodes of multiple sites C82.09 Follicular lymphoma grade I, extranodal and solid organ sites C82.0A Follicular lymphoma grade I, in remission C82.11 Follicular lymphoma grade II, lymph nodes of head, face, and neck C82.12 Follicular lymphoma grade II, intrathoracic lymph nodes C82.13 Follicular lymphoma grade II, intra-abdominal lymph nodes C82.14 Follicular lymphoma grade II, lymph nodes of axilla and upper limb C82.15 Follicular lymphoma grade II, lymph nodes of inguinal region and lower limb C82.16 Follicular lymphoma grade II, intrapelvic lymph nodes C82.17 Follicular lymphoma grade II, spleen C82.18 Follicular lymphoma grade II, lymph nodes of multiple sites C82.19 Follicular lymphoma grade II, extranodal and solid organ sites C82.1A Follicular lymphoma grade II, in remission C82.21 Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck C82.22 Follicular lymphoma grade III, unspecified, intrathoracic lymph nodes C82.23 Follicular lymphoma grade III, unspecified, intra-abdominal lymph nodes C82.24 Follicular lymphoma grade III, unspecified, lymph nodes of axilla and upper limb C82.25 Follicular lymphoma grade III, unspecified, lymph nodes of inguinal region and lower limb C82.26 Follicular lymphoma grade III, unspecified, intrapelvic lymph nodes C82.27 Follicular lymphoma grade III, unspecified, spleen C82.28 Follicular lymphoma grade III, unspecified, lymph nodes of multiple sites C82.29 Follicular lymphoma grade III, unspecified, extranodal and solid organ sites C82.2A Follicular lymphoma grade III, unspecified, in remission C82.31 Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck C82.32 Follicular lymphoma grade IIIa, intrathoracic lymph nodes C82.33 Follicular lymphoma grade IIIa, intra-abdominal lymph nodes C82.34 Follicular lymphoma grade IIIa, lymph nodes of axilla and upper limb C82.35 Follicular lymphoma grade IIIa, lymph nodes of inguinal region and lower limb C82.36 Follicular lymphoma grade IIIa, intrapelvic lymph nodes C82.37 Follicular lymphoma grade IIIa, spleen C82.38 Follicular lymphoma grade IIIa, lymph nodes of multiple sites C82.39 Follicular lymphoma grade IIIa, extranodal and solid organ sites C82.3A Follicular lymphoma grade IIIa, in remission C82.41 Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck C82.42 Follicular lymphoma grade IIIb, intrathoracic lymph nodes C82.43 Follicular lymphoma grade IIIb, intra-abdominal lymph nodes C82.44 Follicular lymphoma grade IIIb, lymph nodes of axilla and upper limb C82.45 Follicular lymphoma grade IIIb, lymph nodes of inguinal region and lower limb C82.46 Follicular lymphoma grade IIIb, intrapelvic lymph nodes C82.47 Follicular lymphoma grade IIIb, spleen C82.48 Follicular lymphoma grade IIIb, lymph nodes of multiple sites C82.49 Follicular lymphoma grade IIIb, extranodal and solid organ sites C82.4A Follicular lymphoma grade IIIb, in remission C82.51 Diffuse follicle center lymphoma, lymph nodes of head, face, and neck C82.52 Diffuse follicle center lymphoma, intrathoracic lymph nodes C82.53 Diffuse follicle center lymphoma, intra-abdominal lymph nodes C82.54 Diffuse follicle center lymphoma, lymph nodes of axilla and upper limb C82.55 Diffuse follicle center lymphoma, lymph nodes of inguinal region and lower limb C82.56 Diffuse follicle center lymphoma, intrapelvic lymph nodes C82.57 Diffuse follicle center lymphoma, spleen C82.58 Diffuse follicle center lymphoma, lymph nodes of multiple sites C82.59 Diffuse follicle center lymphoma, extranodal and solid organ sites C82.5A Diffuse follicle center lymphoma, in remission C82.61 Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck C82.62 Cutaneous follicle center lymphoma, intrathoracic lymph nodes C82.63 Cutaneous follicle center lymphoma, intra-abdominal lymph nodes C82.64 Cutaneous follicle center lymphoma, lymph nodes of axilla and upper limb C82.65 Cutaneous follicle center lymphoma, lymph nodes of inguinal region and lower limb C82.66 Cutaneous follicle center lymphoma, intrapelvic lymph nodes C82.67 Cutaneous follicle center lymphoma, spleen C82.68 Cutaneous follicle center lymphoma, lymph nodes of multiple sites C82.69 Cutaneous follicle center lymphoma, extranodal and solid organ sites C82.6A Cutaneous follicle center lymphoma, in remission C82.81 Other types of follicular lymphoma, lymph nodes of head, face, and neck C82.82 Other types of follicular lymphoma, intrathoracic lymph nodes C82.83 Other types of follicular lymphoma, intra-abdominal lymph nodes C82.84 Other types of follicular lymphoma, lymph nodes of axilla and upper limb C82.85 Other types of follicular lymphoma, lymph nodes of inguinal region and lower limb C82.86 Other types of follicular lymphoma, intrapelvic lymph nodes C82.87 Other types of follicular lymphoma, spleen C82.88 Other types of follicular lymphoma, lymph nodes of multiple sites C82.89 Other types of follicular lymphoma, extranodal and solid organ sites C82.8A Other types of follicular lymphoma, in remission C82.91 Follicular lymphoma, unspecified, lymph nodes of head, face, and neck C82.92 Follicular lymphoma, unspecified, intrathoracic lymph nodes C82.93 Follicular lymphoma, unspecified, intra-abdominal lymph nodes C82.94 Follicular lymphoma, unspecified, lymph nodes of axilla and upper limb C82.95 Follicular lymphoma, unspecified, lymph nodes of inguinal region and lower limb C82.96 Follicular lymphoma, unspecified, intrapelvic lymph nodes C82.97 Follicular lymphoma, unspecified, spleen C82.98 Follicular lymphoma, unspecified, lymph nodes of multiple sites C82.99 Follicular lymphoma, unspecified, extranodal and solid organ sites C82.9A Follicular lymphoma, unspecified, in remission D80.0 Hereditary hypogammaglobulinemia D80.1 Nonfamilial hypogammaglobulinemia D80.2 Selective deficiency of immunoglobulin A [IgA] D80.3 Selective deficiency of immunoglobulin G [IgG] subclasses D80.4 Selective deficiency of immunoglobulin M [IgM] D80.5 Immunodeficiency with increased immunoglobulin M [IgM] D80.6 Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia D80.7 Transient hypogammaglobulinemia of infancy D80.8 Other immunodeficiencies with predominantly antibody defects D80.9 Immunodeficiency with predominantly antibody defects, unspecified D89.810 Acute graft-versus-host disease D89.811 Chronic graft-versus-host disease D89.812 Acute on chronic graft-versus-host disease D89.813 Graft-versus-host disease, unspecified D89.831 Cytokine release syndrome, grade 1 D89.832 Cytokine release syndrome, grade 2 D89.833 Cytokine release syndrome, grade 3 D89.834 Cytokine release syndrome, grade 4 D89.835 Cytokine release syndrome, grade 5 D89.839 Cytokine release syndrome, grade unspecified D89.84 IgG4-related disease E20.0 Idiopathic hypoparathyroidism E20.810 Autosomal dominant hypocalcemia E20.811 Secondary hypoparathyroidism in diseases classified elsewhere E20.812 Autoimmune hypoparathyroidism E20.818 Other specified hypoparathyroidism due to impaired parathyroid hormone secretion E20.819 Hypoparathyroidism due to impaired parathyroid hormone secretion, unspecified E20.89 Other specified hypoparathyroidism E20.9 Hypoparathyroidism, unspecified E21.0 Primary hyperparathyroidism E21.1 Secondary hyperparathyroidism, not elsewhere classified E21.2 Other hyperparathyroidism E21.3 Hyperparathyroidism, unspecified E41 Nutritional marasmus E43 Unspecified severe protein-calorie malnutrition E55.0 Rickets, active E55.9 Vitamin D deficiency, unspecified E67.3 Hypervitaminosis D E67.8 Other specified hyperalimentation E68 Sequelae of hyperalimentation E83.30 Disorder of phosphorus metabolism, unspecified E83.31 Familial hypophosphatemia E83.32 Hereditary vitamin D-dependent rickets (type 1) (type 2) E83.39 Other disorders of phosphorus metabolism E83.50 Unspecified disorder of calcium metabolism E83.51 Hypocalcemia E83.52 Hypercalcemia E84.0 Cystic fibrosis with pulmonary manifestations E84.11 Meconium ileus in cystic fibrosis E84.19 Cystic fibrosis with other intestinal manifestations E84.8 Cystic fibrosis with other manifestations E84.9 Cystic fibrosis, unspecified E89.2 Postprocedural hypoparathyroidism E89.820 Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedure E89.821 Postprocedural hematoma of an endocrine system organ or structure following other procedure E89.822 Postprocedural seroma of an endocrine system organ or structure following an endocrine system procedure E89.823 Postprocedural seroma of an endocrine system organ or structure following other procedure J63.2 Berylliosis K50.00 Crohn's disease of small intestine without complications K50.011 Crohn's disease of small intestine with rectal bleeding K50.012 Crohn's disease of small intestine with intestinal obstruction K50.013 Crohn's disease of small intestine with fistula K50.014 Crohn's disease of small intestine with abscess K50.018 Crohn's disease of small intestine with other complication K50.019 Crohn's disease of small intestine with unspecified complications K50.10 Crohn's disease of large intestine without complications K50.111 Crohn's disease of large intestine with rectal bleeding K50.112 Crohn's disease of large intestine with intestinal obstruction K50.113 Crohn's disease of large intestine with fistula K50.114 Crohn's disease of large intestine with abscess K50.118 Crohn's disease of large intestine with other complication K50.119 Crohn's disease of large intestine with unspecified complications K50.80 Crohn's disease of both small and large intestine without complications K50.811 Crohn's disease of both small and large intestine with rectal bleeding K50.812 Crohn's disease of both small and large intestine with intestinal obstruction K50.813 Crohn's disease of both small and large intestine with fistula K50.814 Crohn's disease of both small and large intestine with abscess K50.818 Crohn's disease of both small and large intestine with other complication K50.819 Crohn's disease of both small and large intestine with unspecified complications K50.90 Crohn's disease, unspecified, without complications K50.911 Crohn's disease, unspecified, with rectal bleeding K50.912 Crohn's disease, unspecified, with intestinal obstruction K50.913 Crohn's disease, unspecified, with fistula K50.914 Crohn's disease, unspecified, with abscess K50.918 Crohn's disease, unspecified, with other complication K52.0 Gastroenteritis and colitis due to radiation K70.2 Alcoholic fibrosis and sclerosis of liver K70.30 Alcoholic cirrhosis of liver without ascites K70.31 Alcoholic cirrhosis of liver with ascites K74.00 Hepatic fibrosis, unspecified K74.01 Hepatic fibrosis, early fibrosis K74.02 Hepatic fibrosis, advanced fibrosis K74.1 Hepatic sclerosis K74.2 Hepatic fibrosis with hepatic sclerosis K74.3 Primary biliary cirrhosis K74.4 Secondary biliary cirrhosis K74.5 Biliary cirrhosis, unspecified K74.60 Unspecified cirrhosis of liver K74.69 Other cirrhosis of liver K76.9 Liver disease, unspecified K83.5 Biliary cyst K83.8 Other specified diseases of biliary tract K85.00 Idiopathic acute pancreatitis without necrosis or infection K85.01 Idiopathic acute pancreatitis with uninfected necrosis K85.02 Idiopathic acute pancreatitis with infected necrosis K85.10 Biliary acute pancreatitis without necrosis or infection K85.11 Biliary acute pancreatitis with uninfected necrosis K85.12 Biliary acute pancreatitis with infected necrosis K85.20 Alcohol induced acute pancreatitis without necrosis or infection K85.21 Alcohol induced acute pancreatitis with uninfected necrosis K85.22 Alcohol induced acute pancreatitis with infected necrosis K85.30 Drug induced acute pancreatitis without necrosis or infection K85.31 Drug induced acute pancreatitis with uninfected necrosis K85.32 Drug induced acute pancreatitis with infected necrosis K85.80 Other acute pancreatitis without necrosis or infection K85.81 Other acute pancreatitis with uninfected necrosis K85.82 Other acute pancreatitis with infected necrosis K85.90 Acute pancreatitis without necrosis or infection, unspecified K85.91 Acute pancreatitis with uninfected necrosis, unspecified K85.92 Acute pancreatitis with infected necrosis, unspecified K86.0 Alcohol-induced chronic pancreatitis K86.1 Other chronic pancreatitis K86.2 Cyst of pancreas K86.3 Pseudocyst of pancreas K86.81 Exocrine pancreatic insufficiency K86.89 Other specified diseases of pancreas K90.0 Celiac disease K90.1 Tropical sprue K90.2 Blind loop syndrome, not elsewhere classified K90.3 Pancreatic steatorrhea K90.41 Non-celiac gluten sensitivity K90.49 Malabsorption due to intolerance, not elsewhere classified K90.821 Short bowel syndrome with colon in continuity K90.822 Short bowel syndrome without colon in continuity K90.829 Short bowel syndrome, unspecified K90.83 Intestinal failure K90.89 Other intestinal malabsorption K90.9 Intestinal malabsorption, unspecified K91.2 Postsurgical malabsorption, not elsewhere classified L40.0 Psoriasis vulgaris L40.1 Generalized pustular psoriasis L40.2 Acrodermatitis continua L40.3 Pustulosis palmaris et plantaris L40.4 Guttate psoriasis L40.50 Arthropathic psoriasis, unspecified L40.51 Distal interphalangeal psoriatic arthropathy L40.52 Psoriatic arthritis mutilans L40.53 Psoriatic spondylitis L40.54 Psoriatic juvenile arthropathy L40.59 Other psoriatic arthropathy L40.8 Other psoriasis L40.9 Psoriasis, unspecified M81.0 Age-related osteoporosis without current pathological fracture M81.8 Other osteoporosis without current pathological fracture M83.0 Puerperal osteomalacia M83.1 Senile osteomalacia M83.2 Adult osteomalacia due to malabsorption M83.3 Adult osteomalacia due to malnutrition M83.4 Aluminum bone disease M83.5 Other drug-induced osteomalacia in adults M83.8 Other adult osteomalacia M83.9 Adult osteomalacia, unspecified M85.80 Other specified disorders of bone density and structure, unspecified site M85.88 Other specified disorders of bone density and structure, other site N18.30 Chronic kidney disease, stage 3 unspecified N18.31 Chronic kidney disease, stage 3a N18.32 Chronic kidney disease, stage 3b N18.4 Chronic kidney disease, stage 4 (severe) N18.5 Chronic kidney disease, stage 5 N18.6 End stage renal disease N25.81 Secondary hyperparathyroidism of renal origin Q78.2 Osteopetrosis Z68.30 Body mass index [BMI] 30.0-30.9, adult Z68.31 Body mass index [BMI] 31.0-31.9, adult Z68.32 Body mass index [BMI] 32.0-32.9, adult Z68.33 Body mass index [BMI] 33.0-33.9, adult Z68.34 Body mass index [BMI] 34.0-34.9, adult Z68.35 Body mass index [BMI] 35.0-35.9, adult Z68.36 Body mass index [BMI] 36.0-36.9, adult Z68.37 Body mass index [BMI] 37.0-37.9, adult Z68.38 Body mass index [BMI] 38.0-38.9, adult Z68.39 Body mass index [BMI] 39.0-39.9, adult Z68.41 Body mass index [BMI] 40.0-44.9, adult Z68.42 Body mass index [BMI] 45.0-49.9, adult Z68.43 Body mass index [BMI] 50.0-59.9, adult Z68.44 Body mass index [BMI] 60.0-69.9, adult Z68.45 Body mass index [BMI] 70 or greater, adult Z79.3 Long term (current) use of hormonal contraceptives Z79.4 Long term (current) use of insulin Z79.51 Long term (current) use of inhaled steroids Z79.52 Long term (current) use of systemic steroids Z79.60 Long term (current) use of unspecified immunomodulators and immunosuppressants Z79.61 Long term (current) use of immunomodulator Z79.620 Long term (current) use of immunosuppressive biologic Z79.621 Long term (current) use of calcineurin inhibitor Z79.622 Long term (current) use of Janus kinase inhibitor Z79.623 Long term (current) use of mammalian target of rapamycin (mTOR) inhibitor Z79.624 Long term (current) use of inhibitors of nucleotide synthesis Z79.630 Long term (current) use of alkylating agent Z79.631 Long term (current) use of antimetabolite agent Z79.632 Long term (current) use of antitumor antibiotic Z79.633 Long term (current) use of mitotic inhibitor Z79.634 Long term (current) use of topoisomerase inhibitor Z79.64 Long term (current) use of myelosuppressive agent Z79.69 Long term (current) use of other immunomodulators and immunosuppressants Z79.810 Long term (current) use of selective estrogen receptor modulators (SERMs) Z79.811 Long term (current) use of aromatase inhibitors Z79.818 Long term (current) use of other agents affecting estrogen receptors and estrogen levels Z79.82 Long term (current) use of aspirin Z79.83 Long term (current) use of bisphosphonates Z79.84 Long term (current) use of oral hypoglycemic drugs Z79.85 Long-term (current) use of injectable non-insulin antidiabetic drugs Z79.890 Hormone replacement therapy Z79.891 Long term (current) use of opiate analgesic Z79.899 Other long term (current) drug therapy The following ICD-10-CM codes support the medical necessity of CPT code 82652 E55.0 Rickets, active E55.9 Vitamin D deficiency, unspecified E83.50 Unspecified disorder of calcium metabolism E83.52 Hypercalcemia M83.0 Puerperal osteomalacia M83.1 Senile osteomalacia M83.2 Adult osteomalacia due to malabsorption M83.3 Adult osteomalacia due to malnutrition M83.4 Aluminum bone disease M83.5 Other drug-induced osteomalacia in adults M83.8 Other adult osteomalacia M83.9 Adult osteomalacia, unspecified N20.0 Calculus of kidney N20.1 Calculus of ureter N20.2 Calculus of kidney with calculus of ureter N20.9 Urinary calculus, unspecified N22 Calculus of urinary tract in diseases classified elsewhere ICD-10 Codes That Are Not Covered N/A

Revision History Information

Revision History Date Revision History Number Revision History Explanation 08/14/2025 R6 Revision Effective Date: 08/14/2025 CONTRACTOR INFORMATION: Added: JF contractor information This update is to consolidate JE and JF to have one unified document and policy number.   10/01/2024 R5 Revision Effective Date: 10/01/2024 ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: Added: C82.0A, C82.1A, C82.2A, C82.3A, C82.4A, C82.5A, C82.6A, C82.8A, C82.9A 10/01/2024: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination. This revision is due to the 2024 Annual ICD-10 updates. 10/01/2023 R4 Updated to indicate this article is an LCD Reference Article. 10/01/2023 R3 The following updates have been made to the article due to the ICD10 updates: Eff 10/1/2023-Added D89.84, E20.810, E20.811, E20.812, E20.818, E20.819, E20.89, K90.821, K90.822, K90.829, K90.83 Eff 9/30/2023-Deleted E20.8 10/01/2022 R2 The following ICD-10 codes were added to Group 1: Z79.85, Z79.60, Z79.61, Z79.620, Z79.621, Z79.622, Z79.623, Z79.624, Z79.630, Z79.631, Z79.632, Z79.633, Z79.634, Z79.64, Z79.69. This revision is due to the annual ICD-10-CM updates effective 10/1/2022. 10/01/2020 R1 10/1/2020: The following revisions were due to the Annual ICD-10 Updates effective 10/1/2020: D89.831; D89.832; D89.833; D89.834; D89.835; D89.839; K74.00; K74.01; K74.02; N18.30; N18.31; N18.32 were added to Group 1 under ICD-10 Codes that Support Medical Necessity. N18.3 was deleted from Group 1 under ICD-10 Codes that Support Medical Necessity. Below are Description Changes in Group 1 under ICD-10 Codes that Support Medical Necessity:   Z68.30 descriptor was changed in Group 1 Z68.31 descriptor was changed in Group 1 Z68.32 descriptor was changed in Group 1 Z68.33 descriptor was changed in Group 1 Z68.34 descriptor was changed in Group 1 Z68.35 descriptor was changed in Group 1 Z68.36 descriptor was changed in Group 1 Z68.37 descriptor was changed in Group 1 Z68.38 descriptor was changed in Group 1 Z68.39 descriptor was changed in Group 1 Z68.41 descriptor was changed in Group 1 Z68.42 descriptor was changed in Group 1 Z68.43 descriptor was changed in Group 1 Z68.44 descriptor was changed in Group 1 Z68.45 descriptor was changed in Group 1