Serum Iron Studies (Expansion of the Chronic Renal Failure Covered Codes to Include Hypertensive Renal Disease)

The current national coverage determination (NCD) for Serum Iron Studies includes a statement in the indications section that serum ferritin may be appropriate for monitoring iron status in patients with chronic renal disease.  The list of ICD-9-CM codes covered by Medicare includes 585 and 586 for renal failure.  The list does not include codes for hypertensive renal failure.  We are considering adding the following codes to the list of covered diagnoses for serum iron studies:  403.01, hypertensive renal disease, malignant, with renal failure; 403.11, hypertensive renal disease, benign, with renal failure; 403.91, hypertensive renal disease, unspecified, with renal failure; 404.02, hypertensive heart and renal disease, malignant, with renal failure; 404.03, hypertensive heart and renal disease, malignant, with heart failure and renal failure; 404.12 hypertensive heart and renal disease, benign, with renal failure; 404.13, hypertensive heart and renal disease, benign, with heart failure and renal failure; 404.92 hypertensive heart and renal disease, unspecified, with renal failure; 404.93 hypertensive heart and renal disease, unspecified, with heart failure and renal failure

July 3, 2003

October 30, 2003

January 23, 2004