45999+ Unlisted procedure, rectum (stapled transanal rectal resection [STARR]) 46707 Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS]) 46999+ Transanal radiofrequency therapy for fecal incontinence (e.g., Secca® System) 53899+ Treatment(s) for incontinence, pulsed magnetic neuromodulation, per day LCR B2010-062 August 2010 Update Explanation of Revision: LCD revised to add the following procedure codes to the ‘CPT/HCPCS Codes, Local Noncoverage Decisions, Procedures’ section of the LCD: 0223T, 0224T, 0225T, 0228T, 0229T, 0230T, 0231T, 0232T, 0233T, 46999-Transanal radiofrequency therapy for fecal incontinence (e.g., Secca® System), and 93799-Noninvasive assessment of central blood pressure (e.g., SphygmoCor System/Device). Changed LCD title to Noncovered Services. The effective date of this revision is based on date of service. Revision Number:10 Start Date of Comment Period:N/A Start Date of Notice Period:08/01/2010 Revised Effective Date:07/01/2010 .............................. Revision Number:2 Start Date of Comment Period:02/20/2009 Start Date of Notice Period:05/01/2009 Revised Effective Date: 06/30/2009 LCR B2009-070 April 2009 Update Explanation of Revision: CPT code 89399*+ was changed to 89240*+ and CPT code 01995 was changed to 01999. The effective date of this revision is based on process date. The ‘Local Noncoverage Decisions, Procedures’ section was revised to add CPT codes 0184T*, 45999*+ (Unlisted procedure, rectum (stapled transanal rectal resection [STARR]), 97799* (Vertebral Axial Decompression/Intervertebral Differential Dynamics) and similar devices that would fall under this category of a non-covered benefit for this service have been listed and CPT code 0187T has been deleted from this LCD. The effective date of this revision is based on date of service. Revision Number:1 Start Date of Comment Period:N/A Start Date of Notice Period:03/01/2009 Revised Effective Date: 03/02/2009 ....................................
