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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
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CPT codes, descriptions, and other data only are copyright 2023 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is notrecommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services.The AMA assumes no liability for data contained or not contained herein. Current Dental Terminology © 2023 American Dental Association. All rights reserved. Copyright © 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:
Response To Comments
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Coding Information
Bill Type Codes
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Revenue Codes
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CPT/HCPCS Codes
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CPT/HCPCS Modifiers
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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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Revenue Codes
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
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Non-Excluded CPT/HCPCS Ended Codes - Table Format
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Revision History Information
Revision History Date | Revision History Number | Revision History Explanation |
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02/01/2024 | R8 | Revision Effective: 02/01/2024 Revision Explanation: Annual review, no changes were made. |
11/16/2023 | R7 | Revision Effective: 11/16/2023 Revision Explanation: Updated LCD Reference Article section. |
01/26/2023 | R6 | R6 Revision Effective: 01/26/2023 Revision Explanation: Annual review, no changes were made. |
02/03/2022 | R5 | R5 Revision Effective: 02/03/2022 Revision Explanation: Annual review, no changes were made. |
05/27/2021 | R4 | R4 Revision Effective: 5/27/2021 Revision Explanation: Annual review, no changes were made. |
11/07/2019 | R3 | R3 Revision Effective: n/a Revision Explanation: Annual review, no changes made. |
11/07/2019 | R2 | R2 Revision Effective: 11/07/2019 Revision Explanation: Added regulations to CMS National Policy Section for billing and coding no other changes made. |
09/12/2019 | R1 | R1 Revision Effective: 09/19/2019 Revision Explanation: Converted article into new Billing and Coding template no other changes made. |
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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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Statutory Requirements URLs
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Rules and Regulations URLs
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CMS Manual Explanations URLs
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Other URLs
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Public Versions
Updated On | Effective Dates | Status | |
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01/25/2024 | 02/01/2024 - N/A | Currently in Effect | You are here |
11/08/2023 | 11/16/2023 - 01/31/2024 | Superseded | View |
01/20/2023 | 01/26/2023 - 11/15/2023 | Superseded | View |
Some older versions have been archived. Please visit theMCD Archive Site to retrieve them. |
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LCD Reference Article
Articles are a type of document published by the Medicare Administrative Contractors (MACs). Articles often contain coding or other guidelines and may or may not be in support of a Local Coverage Determination (LCD).
Articles identified as “Not an LCD Reference Article” are articles that do not directly support a Local Coverage Determination (LCD). They do not include a citation of an LCD. An example would include, but is not limited to, the Self-Administered Drug (SAD) Exclusion List Articles. If you have a question about this kind of article, please contact the MAC listed within the Contractor Information section of the article.
Articles which directly support an LCD are known as “LCD Reference Articles”. The referenced LCD may be cited in the Article Text field and may also be linked to in the Related Documents field. Examples may include but are not limited to Response to Comments and some Billing and Coding Articles. If you have a question about this kind of article, please contact the MAC listed within the Contractor Information section of the article.
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