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US · guidance

CMS Pub. 100-04, ch. 32, § 414.2

Claims Processing Instructions for TTVR Professional Claims

activein force · 2026-08-25 – presentas-observed

Professional claims for TTVR in a clinical research study shall be covered when billed with:

• HCPCS code 0646T,

• ICD-10 Z00.6 (as other diagnosis code),

• the 8-digit clinical trial identifier number,

• One of the ICD-10 diagnosis codes listed in section 414.1 as principal diagnosis code

• Modifier Q0,

History

(Rev. 13800; Issued:05-28-26; Effective: 03-19-25; Implementation: 01-05-26)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
ebbbbb078cef7d4e1c82fd77e8c7e93700996247c0195007d4d3df7f116b1fe6
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