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US · guidance

CMS Pub. 100-04, ch. 32, § 90.4

Edits

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

NOTE: Coverage for conditions other than those specifically designated as covered in

80.2 or specifically designated as non-covered in this section will be at the discretion of the

individual A/B MAC (B).

Appropriate diagnosis to procedure code edits should be implemented for the non-covered conditions and

services in 90.2 90.2.1, and 90.3 as applicable

As the ICD-10-CM codes E85.4, E85.81, E85.89, and E85.9

amyloidosis does not differentiate between primary and non-primary, A/B MACs (B) should perform prepay

reviews on all claims with a diagnosis of ICD-10-CM codes E85.4, E85.81, E85.89, and E85.9 and a HCPCS

procedure code of 38241 to determine whether payment is appropriate.

History

(Rev.11035, Issued:10-13-21, Effective: 11-17-21; Implementation: 11-17-21)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
5c8de2013ba9f1f6fe7fcc34764a53228d8b9ba4016967fa44d5907b33defc75
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CMS Pub. 100-04, ch. 32, § 90.4 — Edits · binding.law