Code intelligence

J30.9 reimbursement alerts

Policy changes, MAC LCD updates, and CMS guidance matched to code J30.9.

Elevated code riskView ICD-10 detail

Signal breakdown

14 shown · 14 total in platform

Risk: Elevated
0

Critical

0%

13

High

93%

1

Routine

7%

0

Low

0%

New this month

+5

alerts added in last 30 days

Effective soon

5

policies effective within 30 days

LCD L36408: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) — WPS

Policy LCD-L36408 · Allergy/Immunology

High

Prepare for new billing guidelines for AIT by 2025.

LCD L40048: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) — NGS

Policy LCD-L40048 · Allergy/Immunology

High

New AIT LCD effective 10/26/2025 may affect billing.

LCD L32553: Allergy Immunotherapy — CGS

Policy LCD-L32553 · Allergy/Immunology

High

New LCD may impact allergy immunotherapy billing.

Proposed LCD DL40048: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) — NGS

Policy LCD-DL40048 · Allergy/Immunology

High

Changes to AIT and SCIT billing may be on the horizon.

Proposed LCD DL40050: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) — Noridian

Policy LCD-DL40050 · Allergy/Immunology

High

Proposed LCD requires billing team review.

Proposed LCD DL36408: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) — WPS

Policy LCD-DL36408 · Allergy/Immunology

High

Impact on allergen immunotherapy billing expected.

LCD L40326: Allergy Diagnostic Testing — CGS

Policy LCD-L40326 · Multi-specialty

High

CGS J15 allergy diagnostic testing LCD takes effect Oct 4, 2026.

Proposed LCD DL40328: Allergy Diagnostic Testing — Palmetto GBA

Policy LCD-DL40328 · Allergy/Immunology

High

Impact on Allergy Testing billing practices due to new LCD.

Proposed LCD DL40324: Allergy Diagnostic Testing — Noridian

Policy LCD-DL40324 · Allergy/Immunology

High

New LCD for Allergy Testing requires billing team review.

LCD L40330: Allergy Diagnostic Testing — Wellpoint Federal

Policy LCD-L40330 · Multi-specialty

High

Wellpoint Federal allergy testing LCD takes effect Sept 2026.

LCD L40324: Allergy Diagnostic Testing — Noridian

Policy LCD-L40324 · Multi-specialty

High

Noridian allergy testing LCD goes live Sept 2026 — prep now.

LCD L40328: Allergy Diagnostic Testing — Palmetto GBA

Policy LCD-L40328 · Multi-specialty

High

Palmetto GBA finalizes allergy testing coverage rules effective 09/27/2026.

LCD L40341: Allergy Diagnostic Testing — WPS

Policy LCD-L40341 · Multi-specialty

High

WPS final LCD for allergy testing takes effect Sept 27, 2026.

LCD L33591: RAST Type Tests — Wellpoint Federal

Policy LCD-L33591 · Clinical Laboratory

Routine

RAST allergy test coverage rules active Apr 2026 under Wellpoint Federal.

Audit documentation

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