(Medicare Claims Processing Manual)

Upon CMS notification, the contractor is responsible for retrieving this file and making payment based on 80 percent of the lower of the actual charge or fee schedule amount indicated on the file after the Part B deductible has been met.  The CMS will notify contractors of updates to the MPFS, file names and when the updated files will be available for retrieval.  Upon retrieval, contractors disseminate the fee schedules to their   providers.  The file is also available on the CMS Web site in the Public Use Files (PUF) area.   Addendum A  - Chapter 5, Section 20.4  Coding Guidance for Certain CPT Codes  All Claims  (Rev. 3220, Issued: 03- 16-15, Effective: ICD -10: Upon Implementation of ICD- 10, ASC- X12: 01- 01-12, Implementation: 10- 01-14, ICD -10: Upon Implementation of ICD- 10 ASC X12: 09 -16-14)  ICD-10-CM - Code and Description  A52.15 Late syphilitic neuropathy  E08.40 Diabetes mellitus due to underlying condition with diabetic neurop athy, unspecified  E08.41 Diabetes mellitus due to underlying condition with diabetic mononeuropathy  E08.42 Diabetes mellitus due to underlying condition with diabetic polyneuropathy  E09.40 Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified  E09.41 Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy  E09.42 Drug or chemical induced diabetes mellitus with neurological complications with diab etic polyneuropathy  E10.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified  E10.41 Type 1 diabetes mellitus with diabetic mononeuropathy  E10.42 Type 1 diabetes mellitus with diabetic polyneuropathy  E10.43 Type 1 diabetes mellitus with dia betic autonomic (poly)neuropathy  E10.44 Type 1 diabetes mellitus with diabetic amyotrophy  E10.49 Type 1 diabetes mellitus with other diabetic neurological complication  E10.610 Type 1 diabetes mellitus with diabetic neuropathic arthropathy  E11.40 Type 2  diabetes mellitus with diabetic neuropathy, unspecified  E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy  E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy  E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy  E11.44 Type 2 diabetes mellitus with diabetic amyotrophy  E11.49 Type 2 diabetes mellitus with other diabetic neurological complication  E11.610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy  E13.40 Other specified diabetes mellitus with d iabetic neuropathy, unspecified  E13.41 Other specified diabetes mellitus with diabetic mononeuropathy  E13.42 Other specified diabetes mellitus with diabetic polyneuropathy    ICD-10-CM - Code and Description  E13.43 Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy  E13.44 Other specified diabetes mellitus with diabetic amyotrophy  E13.49 Other specified diabetes mellitus with other diabetic neurological complication  E13.610 Other specified diabetes mellitus with diabetic neuropathic arthropathy  G13.0 Paraneoplast ic neuromyopathy and neuropathy  G13.1 Other systemic atrophy primarily affecting central nervous system in neoplastic disease  G56.40 Causalgia of unspecified upper limb  G56.41 Causalgia of right upper limb  G56.42 Causalgia of left upper limb  G56.90 Unspecified mononeuropathy of unspecified upper limb  G56.91 Unspecified mononeuropathy of right upper limb  G56.92 Unspecified mononeuropathy of left upper limb  G57.10 Meralgia paresthetica, unspecified lower limb  G57.11 Meralgia paresthetica, right low er limb  G57.12 Meralgia paresthetica, left lower limb  G57.20 Lesion of femoral nerve, unspecified lower limb  G57.21 Lesion of femoral nerve, right lower limb  G57.22 Lesion of femoral nerve, left lower limb  G57.30 Lesion of lateral popliteal nerve, unspecified lower limb  G57.31 Lesion of lateral popliteal nerve, right lower limb  G57.32 Lesion of lateral popliteal nerve, left lower limb  G57.40 Lesion of medial popliteal nerve, unspecified lower limb  G57.41 Lesion of medial popliteal nerve, right l ower limb  G57.42 Lesion of medial popliteal nerve, left lower limb  G57.60 Lesion of plantar nerve, unspecified lower limb  G57.61 Lesion of plantar nerve, right lower limb  G57.62 Lesion of plantar nerve, left lower limb  G57.70 Causalgia of unspecified lower limb  G57.71 Causalgia of right lower limb  G57.72 Causalgia of left lower limb  G57.80 Other specified mononeuropathies of unspecified lower limb  G57.81 Other specified mononeuropathies of right lower limb  G57.82 Other specified mononeuropathies of left lower limb  G57.90 Unspecified mononeuropathy of unspecified lower limb    ICD-10-CM - Code and Description  G57.91 Unspecified mononeuropathy of right lower limb  G57.92 Unspecified mononeuropathy of left lower limb  G58.7 Mononeuritis multiplex  G58.8 Other specified mononeuropathi es G58.9 Mononeuropathy, unspecified  G59 Mononeuropathy in diseases classified elsewhere  G60.0 Hereditary motor and sensory neuropathy  G60.1 Refsum's disease  G60.2 Neuropathy in association with hereditary ataxia  G60.3 Idiopathic progressive neuropathy  G60.8 Other hereditary and idiopathic neuropathies  G60.9 Hereditary and idiopathic neuropathy, unspecified  G61.0 Guillain -Barre syndrome  G61.1 Serum neuropathy  G62.0 Drug -induced polyneuropathy  G62.1 Alcoholic polyneuropathy  G62.2 Polyneuropathy due to other toxic agents  G62.82 Radiation -induced polyneuropathy  G63 Polyneuropathy in diseases classified elsewhere  G65.0 Sequelae of Guillain -Barr syndrome  G65.1 Sequelae of other inflammatory polyneuropathy  G65.2 Sequelae of toxic polyneuropathy  I70.231 Atherosclerosis of native arteries of right leg with ulceration of thigh  I70.232 Atherosclerosis of native arteries of right leg with ulceration of calf  I70.233 Atherosclerosis of native arteries of right leg with ulceration of ankle  I70.234 Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot  I70.235 Atherosclerosis of native arteries of right leg with ulceration of other part of foot  I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower right leg  I70.239 Atherosclerosis of native arteries of right leg with ulceration of unspecified site  I70.241 Atherosclerosis of native arteries of left leg with ulceration of thigh  I70.242 Atherosclerosis of native art eries of left leg with ulceration of calf  I70.243 Atherosclerosis of native arteries of left leg with ulceration of ankle  I70.244 Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot  I70.245 Atherosclerosis of native arteri es of left leg with ulceration of other part of foot    ICD-10-CM - Code and Description  I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower left leg  I70.249 Atherosclerosis of native arteries of left leg with ulceration of unspecified site  I70.331 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of thigh  I70.332 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of calf  I70.333 Atherosclerosis of unspecified type o f bypass graft(s) of the right leg with ulceration of ankle  I70.334 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of heel and midfoot  I70.335 Atherosclerosis of unspecified type of bypass graft(s) of the right le g with ulceration of other part of foot  I70.338 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of lower leg  I70.339 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulcera tion of unspecified site  I70.341 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of thigh  I70.342 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of calf  I70.343 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of ankle  I70.344 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot  I70.345 Atherosclerosis of unspecified type  of bypass graft(s) of the left leg with ulceration of other part of foot  I70.348 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of lower leg  I70.349 Atherosclerosis of unspecified type of bypass graf t(s) of the left leg with ulceration of unspecified site  I70.431 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh  I70.432 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of c alf I70.433 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle  I70.434 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot    ICD-10-CM - Code and Description  I70.435 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot  I70.438 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg  I70.439 Atherosclerosis of autologous vein bypas s graft(s) of the right leg with ulceration of unspecified site  I70.441 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh  I70.442 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration  of calf  I70.443 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle  I70.444 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot  I70.445 Atherosclerosis of autolo gous vein bypass graft(s) of the left leg with ulceration of other part of foot  I70.448 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of lower leg  I70.449 Atherosclerosis of autologous vein bypass graft( s) of the left leg with ulceration of unspecified site  I70.531 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh  I70.532 Atherosclerosis of nonautologous  biological bypass graft(s) of the right leg with ulceration of calf  I70.533 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle  I70.534 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot  I70.535 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot  I70.538 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of lower leg  I70.539 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of unspecified site  I70.541 Atherosclerosis of nonautologous  biological bypass graft(s) of the left leg with ulceration of thigh  I70.542 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf