190.27 - Human Chorionic Gonadotropin

Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)

190.27 - Human Chorionic Gonadotropin

Other Names/Abbreviations hCG

Description

Human Chorionic Gonadotropin (hCG) is useful for monitoring and diagnosis of germ cell neoplasms of the ovary, testis, mediastinum, retroperitoneum, and central nervous system. In addition, hCG is useful for monitoring pregnant patients with vaginal bleeding, hypertension and/or suspected fetal loss.

HCPCS Codes (Alphanumeric, CPT AMA)

84702

Code

Description

Gonadotropin, chorionic (hCG); quantitative

ICD-10-CM Codes Covered by Medicare Program

The ICD-10-CM codes in the table below can be viewed on CMS' website as part of Downloads: Lab Code List, at



Code C38.1 C38.2 C38.3 C38.8 C45.1 C48.0 C48.1 C48.8 C56.1 C56.2 C56.9 C57.4 C58

Description Malignant neoplasm of anterior mediastinum Malignant neoplasm of posterior mediastinum Malignant neoplasm of mediastinum, part unspecified Malignant neoplasm of overlapping sites of heart, mediastinum and pleura Mesothelioma of peritoneum Malignant neoplasm of retroperitoneum Malignant neoplasm of specified parts of peritoneum Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum Malignant neoplasm of right ovary Malignant neoplasm of left ovary Malignant neoplasm of unspecified ovary Malignant neoplasm of uterine adnexa, unspecified Malignant neoplasm of placenta

NCD 190.27

Fu Associates, Ltd.

*October 2017 Changes ICD-10-CM Version ? Red

1939

October 2017

Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)

Code C62.00 C62.01 C62.02 C62.10 C62.11 C62.12 C62.90

C62.91

C62.92 C75.3 C78.1 C78.6 C79.60 C79.61 C79.62 C79.82 D39.2 *D49.59 G89.3 J98.59 N89.8 N94.89

O00.00 O00.01 O00.10 O00.11

Description Malignant neoplasm of unspecified undescended testis Malignant neoplasm of undescended right testis Malignant neoplasm of undescended left testis Malignant neoplasm of unspecified descended testis Malignant neoplasm of descended right testis Malignant neoplasm of descended left testis Malignant neoplasm of unspecified testis, unspecified whether descended or undescended Malignant neoplasm of right testis, unspecified whether descended or undescended Malignant neoplasm of left testis, unspecified whether descended or undescended Malignant neoplasm of pineal gland Secondary malignant neoplasm of mediastinum Secondary malignant neoplasm of retroperitoneum and peritoneum Secondary malignant neoplasm of unspecified ovary Secondary malignant neoplasm of right ovary Secondary malignant neoplasm of left ovary Secondary malignant neoplasm of genital organs Neoplasm of uncertain behavior of placenta *Neoplasm of unspecified behavior of other genitourinary organ Neoplasm related pain (acute) (chronic) Other diseases of mediastinum, not elsewhere classified Other specified noninflammatory disorders of vagina Other specified conditions associated with female genital organs and menstrual cycle Abdominal pregnancy without intrauterine pregnancy Abdominal pregnancy with intrauterine pregnancy Tubal pregnancy without intrauterine pregnancy Tubal pregnancy with intrauterine pregnancy

NCD 190.27

Fu Associates, Ltd.

*October 2017 Changes ICD-10-CM Version ? Red

1940

October 2017

Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)

Code O00.20 O00.21 O00.80 O00.81 O00.90 O00.91 O01.0 O01.1 O01.9 O02.0 O02.1 O02.81

O02.89 O02.9 O03.0 O03.37 O03.5

O03.87 O09.A0 O09.A1 O09.A2 O09.A3 O11.1 O11.2 O11.3 O11.4 O11.5

Description Ovarian pregnancy without intrauterine pregnancy Ovarian pregnancy with intrauterine pregnancy Other ectopic pregnancy without intrauterine pregnancy Other ectopic pregnancy with intrauterine pregnancy Unspecified ectopic pregnancy without intrauterine pregnancy Unspecified ectopic pregnancy with intrauterine pregnancy Classical hydatidiform mole Incomplete and partial hydatidiform mole Hydatidiform mole, unspecified Blighted ovum and nonhydatidiform mole Missed abortion Inappropriate change in quantitative human chorionic gonadotropin (hCG) in early pregnancy Other abnormal products of conception Abnormal product of conception, unspecified Genital tract and pelvic infection following incomplete spontaneous abortion Sepsis following incomplete spontaneous abortion Genital tract and pelvic infection following complete or unspecified spontaneous abortion Sepsis following complete or unspecified spontaneous abortion Supervision of pregnancy with history of molar pregnancy, unspecified trimester Supervision of pregnancy with history of molar pregnancy, first trimester Supervision of pregnancy with history of molar pregnancy, second trimester Supervision of pregnancy with history of molar pregnancy, third trimester Pre-existing hypertension with pre-eclampsia, first trimester Pre-existing hypertension with pre-eclampsia, second trimester Pre-existing hypertension with pre-eclampsia, third trimester Pre-existing hypertension with pre-eclampsia, complicating childbirth Pre-existing hypertension with pre-eclampsia, complicating the puerperium

NCD 190.27

Fu Associates, Ltd.

*October 2017 Changes ICD-10-CM Version ? Red

1941

October 2017

Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)

Code O11.9 O12.04 O12.05 O12.14 O12.15 O12.24 O12.25 O13.1

O13.2

O13.3

O13.4

O13.5

O13.9

O14.00 O14.02 O14.03 O14.04 O14.05 O14.10 O14.12 O14.13 O14.14 O14.15 O14.20

Description Pre-existing hypertension with pre-eclampsia, unspecified trimester Gestational edema, complicating childbirth Gestational edema, complicating the puerperium Gestational proteinuria, complicating childbirth Gestational proteinuria, complicating the puerperium Gestational edema with proteinuria, complicating childbirth Gestational edema with proteinuria, complicating the puerperium Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirth Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester Mild to moderate pre-eclampsia, unspecified trimester Mild to moderate pre-eclampsia, second trimester Mild to moderate pre-eclampsia, third trimester Mild to moderate pre-eclampsia, complicating childbirth Mild to moderate pre-eclampsia, complicating the puerperium Severe pre-eclampsia, unspecified trimester Severe pre-eclampsia, second trimester Severe pre-eclampsia, third trimester Severe pre-eclampsia complicating childbirth Severe pre-eclampsia, complicating the puerperium HELLP syndrome (HELLP), unspecified trimester

NCD 190.27

Fu Associates, Ltd.

*October 2017 Changes ICD-10-CM Version ? Red

1942

October 2017

Medicare National Coverage Determinations (NCD) Coding Policy Manual and Change Report (ICD-10-CM)

Code O14.22 O14.23 O14.24 O14.25 O14.90 O14.92 O14.93 O14.94 O14.95 O15.00 O15.02 O15.03 O15.1 O15.2 O15.9 O16.1 O16.2 O16.3 O16.4 O16.5 O16.9 O20.0 O24.415 O24.425 O24.435 O44.20 O44.21 O44.22

Description HELLP syndrome (HELLP), second trimester HELLP syndrome (HELLP), third trimester HELLP syndrome, complicating childbirth HELLP syndrome, complicating the puerperium Unspecified pre-eclampsia, unspecified trimester Unspecified pre-eclampsia, second trimester Unspecified pre-eclampsia, third trimester Unspecified pre-eclampsia, complicating childbirth Unspecified pre-eclampsia, complicating the puerperium Eclampsia complicating pregnancy, unspecified trimester Eclampsia complicating pregnancy, second trimester Eclampsia complicating pregnancy, third trimester Eclampsia complicating labor Eclampsia complicating the puerperium Eclampsia, unspecified as to time period Unspecified maternal hypertension, first trimester Unspecified maternal hypertension, second trimester Unspecified maternal hypertension, third trimester Unspecified maternal hypertension, complicating childbirth Unspecified maternal hypertension, complicating the puerperium Unspecified maternal hypertension, unspecified trimester Threatened abortion Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugs Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs Partial placenta previa NOS or without hemorrhage, unspecified trimester Partial placenta previa NOS or without hemorrhage, first trimester Partial placenta previa NOS or without hemorrhage, second trimester

NCD 190.27

Fu Associates, Ltd.

*October 2017 Changes ICD-10-CM Version ? Red

1943

October 2017

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