Prophylactic surgery for Medicare patients, specifically Noridian

Hello all

It is my understanding that there is no NDC for prophylactic oophorectomy for patients with BRCA mutations and/or family history of cancer, but that some MACs may cover this service. Have any of you successfully billed Noridian for prophylactic oophorectomy? If so, what ICD-10 codes did you use?



Beth Aldridge, CPC
Coding Manager

Northern California Medical Associates, Inc
Phone: (707) 573-6145
Fax: (707) 573-6932

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