Billing and Coding: Coenzyme Q10 (CoQ10) (A55715) (2024)

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A55715

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Draft Article

Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

Document Note

Note History

Contractor Information

Article Information

General Information

Source Article ID
N/A

Article ID
A55715

Original ICD-9 Article ID
Not Applicable

Article Title
Billing and Coding: Coenzyme Q10 (CoQ10)

Article Type
Billing and Coding

Original Effective Date
08/31/2017

Revision Effective Date
02/01/2024

Revision Ending Date
N/A

Retirement Date
N/A


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Current Dental Terminology &copy 2023 American Dental Association. All rights reserved.

Copyright &copy 2024, the American Hospital Association, Chicago, Illinois. Reproduced with permission.No portion of the AHA copyrighted materials contained within this publication may becopied without the express written consent of the AHA. AHA copyrighted materials including the UB‐04 codes anddescriptions may not be removed, copied, or utilized within any software, product, service, solution, or derivative workwithout the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816.

Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes,resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions;and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is onlyauthorized with an express license from the American Hospital Association.The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness oraccuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in thepreparation of this material, or the analysis of information provided in the material. The views and/or positionspresented in the material do not necessarily represent the views of the AHA. CMS and its products and services arenot endorsed by the AHA or any of its affiliates.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833(e). Prohibits Medicare payment for any claim which lacks the necessary information to process the claim.

CMS Internet-Only Manual, Pub. 100-02, Medicare Benefit Policy Manual, Chapter 15, §§80.0, 80.1.1, 80.2. Clinical Laboratory services.

CMS Internet-Only Manual, Pub. 100-04, Medicare Claims Processing Manual, Chapter 16, §50.5 Jurisdiction of Laboratory Claims, §60.1.2 Independent Laboratory Specimen Drawing, §60.2. Travel Allowance

CMS Internet-Only Manual, Pub. 100-04, Medicare Claims Processing Manual, Chapter 23, §10 Reporting ICD Diagnosis and Procedure Codes

Article Guidance

Article Text

Coenzyme Q10 (CoQ10 or Q10) supplementation is purported to prolong life and prevent age-related functional declines; inhibit the development and/or progression of atherosclerosis; have value as an adjunct to conventional medical therapy in the treatment of congestive heart failure, conventional angina therapy, and cancer; provide protection against myocardial damage during ischemia-reperfusion during cardiac surgery; provide benefit in the treatment of hypertension, CV disease and diabetes; play a role in neurodegenerative diseases such as Parkinson’s disease, Huntington’s disease and Friedreich’s ataxia; enhance athletic performance and enhance fertility. As such, serum or other body fluid testing for Q10 levels has been advocated. However, the scientific evidence to support coverage for Q10 testing for any purpose is controversial and/or limited for all diseases. Consequently, Q10 testing is not reasonable and necessary (LCD L37022), and claims for testing will be denied.

To receive a Q10 service denial, please submit the following claim information:

  • CPT code 82542
  • For a voluntary issued Advanced Beneficiary Notice (ABN), append with GX modifier
  • Select the appropriate diagnosis for the patient

Coding Information

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ICD-10-CM Codes that Support Medical Necessity

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ICD-10-CM Codes that DO NOT Support Medical Necessity

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ICD-10-PCS Codes

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Additional ICD-10 Information

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Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typicallyused to report this service. Absence of a Bill Type does not guarantee that thearticle does not apply to that Bill Type. Complete absence of all Bill Types indicatesthat coverage is not influenced by Bill Type and the article should be assumed toapply equally to all claims.

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Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service.In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under otherRevenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicatesthat coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

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Other Coding Information

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Coding Table Information

Excluded CPT/HCPCS Codes - Table Format

CodeDescriptor Generic NameDescriptor Brand NameExclusion Effective DateExclusion End DateReason for Exclusion
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Non-Excluded CPT/HCPCS Ended Codes - Table Format

CodeDescriptor Generic NameDescriptor Brand NameExclusion Effective DateExclusion End DateReason for Exclusion

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Revision History Information

Revision History DateRevision History NumberRevision History Explanation
02/01/2024R8

Revision Effective: 02/01/2024

Revision Explanation: Annual review, no changes were made.

11/16/2023R7

Revision Effective: 11/16/2023

Revision Explanation: Updated LCD Reference Article section.

01/26/2023R6

R6

Revision Effective: 01/26/2023

Revision Explanation: Annual review, no changes were made.

02/03/2022R5

R5

Revision Effective: 02/03/2022

Revision Explanation: Annual review, no changes were made.

05/27/2021R4

R4

Revision Effective: 5/27/2021

Revision Explanation: Annual review, no changes were made.

11/07/2019R3

R3

Revision Effective: n/a

Revision Explanation: Annual review, no changes made.

11/07/2019R2

R2

Revision Effective: 11/07/2019

Revision Explanation: Added regulations to CMS National Policy Section for billing and coding no other changes made.

09/12/2019R1

R1

Revision Effective: 09/19/2019

Revision Explanation: Converted article into new Billing and Coding template no other changes made.

N/A

Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2

Related Local Coverage Documents
LCDs
L37126 - Coenzyme Q10 (CoQ10)

Related National Coverage Documents
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SAD Process URL 1
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SAD Process URL 2
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Statutory Requirements URLs

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Rules and Regulations URLs

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CMS Manual Explanations URLs

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Public Versions

Updated OnEffective DatesStatus
01/25/202402/01/2024 - N/A Currently in EffectYou are here
11/08/202311/16/2023 - 01/31/2024SupersededView
01/20/202301/26/2023 - 11/15/2023SupersededView
Some older versions have been archived. Please visit theMCD Archive Site to retrieve them.

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Billing and Coding: Coenzyme Q10 (CoQ10) (A55715) (2024)

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