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Federal Register / Vol. 86, No. 16 / Wednesday, January 27, 2021 / Notices Matters To Be Considered: The tentative agenda will include discussions on ICD10CM and ICD
10PCS topics listed below. Agenda items are subject to change as priorities dictate. Please refer to the posted agenda for updates one month prior to the meeting.

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ICD10PCS Topics 1. Administration of Trilaciclib
2. Administration of ZEPZELCATM
lurbinectedin
3. Administration of ENSPRYNGTM
satralizumab-mwge
4. Administration of ciltacabtagene autoleucel cilta-cel
5. Administration of Amivantamab
6. Administration of Molnupiravir
7. Transfusion of Pathogen Reduced Cryoprecipitated Fibrinogen Complex PRCFC
8. Administration of OTL103
9. Administration of OTL200
10. Application of Topical Agent for NonExcisional Eschar Removal
11. Application of Bioengineered Skin Construct
12. Computer-Aided Assessment, Characterization and Notification Software for Head CT Scan
13. Computer-Aided Detection, Triage and Notification Software for Acute Subdural Hemorrhage with Non-Contrast CT of the Head
14. Computer-Aided Detection, Triage and Notification Software for Computed Tomography Pulmonary Angiography CTPA
15. Computer-Aided Detection, Triage and Notification Software for Stroke with Non-Contrast CT of the Head
16. Transthoracic Echocardiography with AIGuide Image Acquisition
17. Tissue Oxygen Saturation Imaging of GI
Tract
18. Mechanical Thrombectomy using AI
Assistance
19. Transcatheter Replacement of Pulmonary Valve
20. Combined Thoracic Aortic Arch Replacement and Descending Thoracic Aorta Restriction
21. Extraluminal Autologous Saphenous Vein Graft Support
22. Coronary Intravascular Lithotripsy IVL
23. Percutaneous Creation of an ArterioVenous Fistula AVF
24. Pharyngeal Electrical Stimulation
25. Patient Specific Intervertebral Body Fusion
26. Colonic Irrigation for Colonoscopy
27. Blood Collection Utilizing Specimen Diversion
28. Concurrent Measurement of mRNA, PCR
test and Detection of Antibodies
29. Metal Ureteral Stents 30. Regional Anticoagulation for Renal Replacement Therapy 31. Gene Expression Assay 32. Total Artificial Heart Systems 33. Tourniquets Used for Acute Hemorrhage Control 34. Measurement of Flow in a Cerebral Fluid Shunt
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35. Endoscopic Suturing Device for Upper and Lower GI Procedures 36. Section X Updates 37. Addenda and Key Updates Applicant has submitted a New Technology Add-on Payment NTAP
application for FY 2022.

Presentations for procedure code requests are conducted by both the requestor and CMS during the Coordination & Maintenance Committee meeting. Discussion from the requestor generally focuses on the clinical issues for the procedure or technology, followed by the proposed coding options from a CMS analyst. Topics presented may also include requests for new procedure codes that relate to a new technology add-on payment NTAP policy request.
CMS is modifying the approach for presenting the new technology add-on payment NTAP related ICD10PCS
procedure code requests that involve the administration of a therapeutic agent for the March 910, 2021 ICD10
Coordination and Maintenance Committee meeting due to the volume of NTAP applications and corresponding procedure code requests being considered for FY 2022.
Consistent with the requirements of section 1886d5Kiii of the Social Security Act, applicants submitted requests to create a unique procedure code to describe the administration of a therapeutic agent, such as the option to create a new code in Section X within the ICD10PCS procedure code classification. In order to accommodate the number of requests received for the March 910, 2021 ICD10 Coordination and Maintenance Committee meeting, CMS will initially only display those meeting materials associated with the NTAP related ICD10PCS procedure code requests that involve the administration of a therapeutic agent on the CMS website in early February 2021
at: https www.cms.gov/Medicare/
Coding/ICD10/C-and-M-MeetingMaterials.
The six NTAP related ICD10PCS
procedure code requests that involve the administration of a therapeutic agent are:
1. Administration of Trilaciclib 2. Administration of ZEPZELCATM
lurbinectedin 3. Administration of ENSPRYNGTM
satralizumab-mwge 4. Administration of Ciltacabtagene Autoleucel cilta-cel 5. Administration of Amivantamab 6. Transfusion of Pathogen Reduced Cryoprecipitated Fibrinogen Complex PRCFC

These topics will not be presented during the March 910, 2021 meeting.

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CMS will solicit public comments regarding any clinical questions or coding options included for these six procedure code topics in advance of the meeting continuing through the end of the public comment period, April 9, 2021. Members of the public should send any questions or comments to the CMS mailbox at:
ICDProcedureCodeRequest@
cms.hhs.gov by the April 9, 2021
deadline.
CMS intends to post a question and answer document in advance of the meeting to address any clinical or coding questions that members of the public may have submitted. Following the conclusion of the meeting, CMS will post an updated question and answer document to address any additional clinical or coding questions that members of the public may have submitted during the meeting that CMS
was not able to address or that were submitted after the meeting.
The NTAP related ICD10PCS
procedure code requests that do not involve the administration of a therapeutic agent and all non-NTAP
related procedure code requests will continue to be presented during the virtual meeting on March 9, 2021
consistent with the standard meeting process.
CMS will make all meeting materials and related documents available at:
https www.cms.gov/Medicare/Coding/
ICD10/C-and-M-Meeting-Materials. Any inquiries related to the procedure code topics scheduled for the March 910, 2021 ICD10 Coordination and Maintenance Committee meeting that are under consideration for October 1, 2021 implementation should be sent to the CMS mailbox at:
ICDProcedureCodeRequest@
cms.hhs.gov.
ICD10CM Topics 1. Anatomical Flank Specificity 2. ANCA vasculitis 3. Apnea related conditions of Newborn 4. Atrial and Atrioventricular Septal Defect 5. Alzheimers/Vascular Dementia 6. Endometriosis 7. Limb girdle muscular dystrophies expansion 8. Lumbar disc degeneration, with pain 9. Mild Cognitive Disorder due to Physiological Conditions representation 10. Prolonged Grief Disorder 11. Refractory Angina Pectoris 12. Rheumatic mitral valve leaflet calcification 13. Slipped Upper Femoral Epiphysis 14. Short Stature due to Endocrine Disorder 15. Substance Use Disorder, unspecified, in remission 16. Torsade de pointes expansion 17. Von Willebrand Disease
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