(Medicare National Coverage Determinations Manual)

Medicare National Coverage Determinations Manual Crosswalk to CIM Sections Cross references are provided at detailed level only (e.g., at each of sections 10.1 through 10.5) as opposed to Section 10. Note that the sections are in CPT category sequence and not in Medicare benefit category sequence. NCD Section Title CIM Section # 10 Anesthesia and Pain Management Header 10.1 Use Of Visual Tests Prior To And General Anesthesia During Cataract Surgery CIM 35-44 10.2 Transcutaneous Electrical Nerve Stimulation (TENS) for Acute Post-Operative Pain CIM 45-19 10.3 Inpatient Hospital Pain Rehabilitation Programs CIM 35-21 10.4 Outpatient Hospital Pain Rehabilitation Programs CIM 35-21.1 10.5 Autogenous Epidural Blood Graft CIM 45-11 10.6 Anesthesia in Cardiac Pacemaker Surgery CIM 35-79 20 Cardiovascular System Header 20. 1 Vertebral Artery Surgery CIM 35-37 20. 2 Extracranial-Intracranial (EC-IC) Arterial Bypass Surgery CIM 35-37 20.3 Thoracic Duct Drainage (TDD) In Renal Transplants CIM 35-58 20.4 Implantation of Automatic Defibrillators CIM 35-85 20.5 Extracorporeal Immunoadsorption (ECI) Using Protein A Columns  CIM 35-90 20.6 Transmyocardial Revascularization (TMR) CIM 35-94 20.7 Percutaneous Transluminal Angioplasty (PTA)    CIM 50-32 20.8 Cardiac Pacemakers CIM 65-6 NCD Section Title CIM Section # 20.8.1 Cardiac Pacemaker Evaluation Services CIM 50-1 20.8.1.1 Transtelephonic Monitoring of Cardiac Pacemakers CIM 50-1 20.8.2 Self-Contained Pacemaker Monitors CIM 60-7 20.8.3 Anesthesia in Cardiac Pacemaker Surgery CIM 35-79 20.9 Artificial Hearts and Related Devices CIM 65-16 20.10 Cardiac Rehabilitation Programs CIM 35-25 20.11 Intraoperative Ventricular Mapping  CIM 35-75 20.12 Diagnostic Endocardial Electrical Stimulation (Pacing)    CIM 35-78 20.13 HIS Bundle Study CIM 50-3 20.14 Plethysmography CIM 50-6 20.15 Electrocardiographic Services CIM 50-15 20.16 Cardiac Output Monitoring By Electrical Bioimpedance CIM 50-54 20.17 Noninvasive Tests of Carotid Function CIM 50-37 20.18 Carotid Body Resection/Carotid Body Denervation CIM 35-7 20.19 Ambulatory Blood Pressure Monitoring CIM 50-42 20.20 External Counterpulsation (ECP) for Severe Angina CIM 35-74 20.21 Chelation Therapy for Treatment of Atherosclerosis CIM 35-64 20.22 Ethylenediamine-Tetra-Acetic (EDTA) Chelation Therapy for Treatment of Atherosclerosis CIM 45-20 20.23 Fabric Wrapping of Abdominal Aneurysms CIM 35-34 NCD Section Title CIM Section # 20.24 Displacement Cardiography CIM 50-50 20.25 Cardiac Catheterization Performed in Other Than a Hospital Setting CIM 35-45 20.26 Partial Ventriculectomy CIM 35-95 20.27 Cardiointegram (CIG) as an Alternative to Stress Test or Thallium Stress Test    CIM 50-47 20.28 Therapeutic Embolization CIM 35-35 20.29 Hyperbaric Oxygen Therapy CIM 35-10 30 Complementary and Alternative Medicine Header 30.1 Biofeedback Therapy CIM 35-27 30.1.1 Biofeedback Therapy For The Treatment Of Urinary Incontinence CIM 35-27.1 30.2 Thermogenic Therapy CIM 35-6 30.3 Acupuncture CIM 35-8 30.4 Electrosleep Therapy CIM 35-18 30.5 Transcendental Meditation CIM 35-92 30.6 Intravenous Histamine Therapy CIM 35-19 30.7 Laetrile and Related Substances CIM 45-10 30.8 Cellular Therapy CIM 35-5 30.9 Transillumination Light Scanning or Diaphanography CIM 50-46 40 Endocrine System and Metabolism Header 40.1 Diabetes Outpatient Self-Management Training CIM 80-2 40.2 Home Blood Glucose Monitors CIM 60-11 and CIM 60-14 NCD Section Title CIM Section # 40.3 Closed-Loop Blood Glucose Control Device (CBGCD) CIM 35-70 40.4 Insulin Syringe CIM 45-3 40.5 Treatment of Obesity CIM 35-26 50 Ear, Nose and Throat (ENT) Header  50.1 Speech Generating Devices CIM 60-23 50.2 Electronic Speech Aids CIM 65-5 50.3 Cochlear Implantation CIM 65-14 50.4 Tracheostomy Speaking Valve CIM 65-165 50.5 Oxygen Treatment of Inner Ear/Carbon Therapy CIM 35-29 50.6 Tinnitus Masking CIM 35-63 50.7 Cochleostomy with Neurovascular Transplant for Menieres Disease CIM 35-50 50.8 Ultrasonic Surgery CIM 35-4 60 Emergency Medicine Reserved - no text 70 Evaluation and Management of Patients (office/hospital/home) Header 70.1 Consultations With a Beneficiarys Family and Associates CIM 35-14 70.2 Consultation Services Rendered By a Podiatrist in a Skilled Nursing Facility CIM 50-8 70.2.1 Services Provided for the Diagnosis and Treatment of Diabetic Sensory Neuropathy with Loss of Protective Sensation (aka Diabetic Peripheral Neuropathy) CIM 50.8.1 70.3 Physicians Office Within an Institution  Coverage of Services and Supplies Incident to a Physicians Services CIM 45-15 NCD Section Title CIM Section # 70.4 Pronouncement of Death CIM 50-19 70.5 Hospital and Skilled Nursing Facility Admission Diagnostic Procedures CIM 50-28 80 Eye Header 80.1 Hydrophilic Contact Lens for Corneal Bandage CIM 45-7 80.2 Photodynamic Therapy CIM 35-100 80.3 Photosensitive Drugs CIM 45-30 80.4 Hydrophilic Contact Lenses CIM 65-1 80.5 Scleral Shell CIM 65.3 80.6 Intraocular Photography CIM 35-39 80.7 Refractive Keratoplasty CIM 35-54 80.8 Endothelial Cell Photography   CIM 50-38 80.9 Computer Enhanced Perimetry CIM 50-49 80.10 Phaco-Emulsification Procedure  (Cataract Extraction) CIM 35-9 80.11 Vitrectomy CIM 35-16 80.12 Intraocular Lenses (IOLs) CIM 65-7 90 Genetics Reserved - no text 100 Gastrointestinal System Header 100.1 Gastric Bypass Surgery for Obesity CIM 35-40 100.2 Endoscopy CIM 35-59 100.3 24-Hour Ambulatory Esophegeal pH Monitoring CIM 35-83 100.4 Esophageal Manometry CIM 50-25 100.5 Diagnostic Breath Analyses CIM 50-51 NCD Section Title CIM Section # 100.6 Gastric Freezing CIM 35-65 100.7 Colonic Irrigation CIM 35-1 100.8 Intestinal By-Pass Surgery CIM 35-33 100.9 Implantation of Anti-Gastroesophageal Reflux Device CIM 35-69 100.10 Injection Sclerotherapy for Esophageal Variceal Bleeding   CIM 35-73 100.11 Gastric Balloon for Treatment of Obesity CIM 35-86 100.12 Gastrophotography CIM 50-9 100.13 Laproscopic Cholecystectomy CIM 35-91 110 Hematology/Immunology/Oncology Header 110.1 Hyperthermia for Treatment of Cancer CIM 35-49 110.2 Certain Drugs Distributed by the National Cancer Institute CIM 45-16 110.3 Anti-Inhibitor Coagulant Complex (AICC) CIM 45-24 110.4 Extracorporeal Photopheresis CIM 35-88 110.5 Granulocyte Transfusions CIM 45-18 110.6 Scalp Hypothermia During Chemotherapy to Prevent Hair Loss CIM 45-21 110.7 Blood Transfusions CIM 45-27 110.8 Blood Platelet Transfusions CIM 35-30 10.8.1 Stem Cell Transplantation CIM 35.30.1 110.9 Antigens Prepared for Sublingual Administration CIM 45-28 110.10 Intravenous Iron Therapy CIM 45-29 110.11 Food Allergy Testing and Treatment CIM 50-53 NCD Section Title CIM Section # 110.12 Challenge Ingestion Food Testing CIM 50-22 110.13 Cytotoxic Food Tests CIM 50-2 110.14 Apheresis  (Therapeutic Pheresis) CIM 35-60 110.15 Ultrafiltration, Hemoperfusion and Hemofiltration CIM 35-38 110.16 Nonselective (Random) Transfusions and Living Related Donor Specific Transfusions (DST) in Kidney Transplantation CIM 35-71 120 Infectious Diseases Reserved - no text 130 Mental Health Header 130.1 Inpatient Hospital Stays for the Treatment of Alcoholism CIM 35-22 130.2 Outpatient Hospital Services for Treatment of Alcoholism CIM 35-22 130.3 Chemical Aversion Therapy for Treatment of Alcoholism CIM 35-23 130.4 Electrical Aversion Therapy for Treatment of Alcoholism CIM 35-23.1 130.5 Treatment of Alcoholism and Drug Abuse in a Freestanding Clinic CIM 35-22.3 130.6 Treatment of Drug Abuse (Chemical Dependency) CIM 35-22.2 130.7 Withdrawal Treatments for Narcotic Addictions CIM 35-42 130.8 Hemodialysis for Treatment of Schizophrenia CIM 35-51 140 Miscellaneous Surgical Procedures Header 140.1 Abortion  CIM 35-99 140.2 Breast Reconstruction Following Mastectomy CIM 35-47 NCD Section Title CIM Section # 140.3 Transsexual Surgery CIM 35-61 140.4 Plastic Surgery to Correct "Moon Face" CIM 35-12 140.5 Laser Procedures CIM 35-52 150 Musculoskeletal  System Header 150.1 Manipulation CIM 35-2 150.2 Osteogenic Stimulator CIM 35-48 150.3 Bone (Mineral) Density Studies CIM 50-44 150.4 Neuromuscular Electrical Stimulator (NMES) in the Treatment of Disuse Atrophy CIM 35-77 150.5 Diathermy Treatment CIM 35-41 150.6 Vitamin B12 Injections to Strengthen Tendons; Ligaments; etc; of the Foot CIM 45-4 150.7 Prolotherapy; Joint Sclerotherapy, and Ligamentous Injections with Sclerosing Agents CIM 35-13 150.8 Fluidized Therapy Dry Heat for Certain Musculoskeletal Disorders CIM 35-56 160 Nervous System Header 160.1 Induced Lesions of Nerve Tracts CIM 35-17 160.2 Treatment of Motor Function Disorders with Electric Nerve Stimulation CIM 35-20 160.3 Assessing Patients Suitability for Electrical Nerve Stimulation CIM 35-46 160.4 Steroetactic Cingulotomy as a Means of Psychosurgery CIM 35-84 160.5 Sterotaxic Depth Electrode Implantation CIM 50-40 160.6 Carotid Sinus Nerve Stimulator CIM 65-4 NCD Section Title CIM Section # 160.7 Electrical Nerve Stimulators CIM 65-8 160.7.1 Assessing Patients Suitability for Electrical Nerve Stimulation Therapy CIM 35-46 160.8 Electroencephalographic Monitoring During Surgical Procedures Involving the Cerebral Vasculature CIM 35-57 160.9 Electroencephalographic (EEG) Monitoring During Open-Heart Surgery CIM 35-57.1 160.10 Evoked Response Tests CIM 50-31 160.11 Osteogenic Stimulation  CIM 35-48 160.12 Neuromuscular Electrical Stimulation (NMES) in the Treatment of Disuse Atrophy CIM 35-77 160.13 Supplies Used in the Delivery of Transcutaneous Electrical Nerve Stimulation (TENS) and Neuromuscular Electrical Stimulation (NMES) CIM 45-25 160.14 Invasive Intracranial Pressure Monitoring CIM