Code intelligence

K21.9 reimbursement alerts

Policy changes, MAC LCD updates, and CMS guidance matched to code K21.9.

Normal code riskView ICD-10 detail

Signal breakdown

4 shown · 4 total in platform

Risk: Normal
0

Critical

0%

0

High

0%

4

Routine

100%

0

Low

0%

New this month

alerts added in last 30 days

Effective soon

no upcoming deadlines

LCD L39780: Lower Esophageal Magnetic Sphincter Augmentation — Palmetto GBA

Policy LCD-L39780 · Gastroenterology

Routine

New LESMA procedure impacts Gastroenterology billing.

LCD L34659: Endoscopic Treatment of GERD — WPS

Policy LCD-L34659 · Gastroenterology

Routine

WPS finalizes GERD endoscopic tx coverage; effective 07/30/2026 in 6 states.

LCD L35080: Select Minimally Invasive GERD Procedures — Wellpoint Federal

Policy LCD-L35080 · Gastroenterology

Routine

Wellpoint LCD covers minimally invasive GERD procedures (Part A & B).

LCD L34540: Stretta Procedure — CGS

Policy LCD-L34540 · Gastroenterology

Routine

New LCD for Stretta Procedure effective 09/04/2025.

Audit documentation

Building an audit file that includes K21.9?

The Tripwire Audit Pack exports 12 months of Gastroenterology policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.

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