What insurance policy changes affect code K76.83?

There are 7 tracked policy changes affecting code K76.83, including updates from Medicare/CMS - Transmittals, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for code K76.83?

Payers that have issued tracked updates for code K76.83 include: Medicare/CMS - Transmittals, Blue Cross & Blue Shield of Mississippi.

How do I get notified when code K76.83 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to code K76.83. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for code K76.83?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

PAYER POLICY CHANGES

K76.83 Insurance Policy Changes

code K76.83 is referenced in 7 tracked payer policy changes from Medicare/CMS - Transmittals and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for code K76.83 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medicare/CMS - Transmittals · Effective Jan 1, 2027Medium impact
R13923OTN: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- January 2027 2 of 2
Already effective September 30, 2026 and October 1, 2026: ICD-10 codes I42.00, I42.01, I42.09, I42.81, I42.89 and I47.22 were added to Groups 1 and 2 of NCD 20.4 for implantable cardioverter defibrillators, and I42.0 and I42.8 were end-dated from those groups. Codes were also added for PET (FDG) for oncologic conditions, microvolt T-wave alternans, cytogenic studies, and liver and intestinal transplantation. Place of service 11 was added to NCD 20.4 effective October 20, 2023, the general effective date for this update is January 1, 2027, and no policy is changed by these updates.
Medicare/CMS - Transmittals · Effective Jan 1, 2027Medium impact
R13903OTN: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- January 2027 2 of 2
CMS is making a quarterly update of ICD-10 coding for National Coverage Determinations (NCDs), with an effective date of January 1, 2027 and an implementation date of January 4, 2027. The coding changes add ICD-10 codes to NCD indications and groups effective October 1, 2026, and end-date I42.0 and I42.8 from Groups 1 and 2 effective September 30, 2026. No policy is changed by these updates, and any policy-related changes to NCDs continue through the NCD process.
Blue Cross & Blue Shield of Mississippi · Effective Oct 1, 2026Medium impact
Parenteral (PEN) and Enteral (EN) Nutrition Support in the Home
Intestinal failure-associated liver disease, ICD-10 K76.83, was added to the covered diagnosis codes effective 10/01/2026. Parenteral nutrition in the home is medically necessary for inanition from conditions such as Crohn's disease, obstruction, short bowel syndrome and malabsorption when the patient can receive no more than 30% of caloric needs orally or cannot benefit from enteral feedings. Enteral feeding is not medically necessary if 25% of estimated daily calories or less are being administered, except when transitioning off total parenteral nutrition.
Blue Cross & Blue Shield of Mississippi · Effective Oct 1, 2026Medium impact
Vitamin D Testing
Serum measurement of vitamin D (25-hydroxyvitamin D [25(OH)D], CPT 82306) is considered medically necessary up to four times per calendar year for the following conditions, among others: biliary cirrhosis, celiac disease, hypercalcemia or hypocalcemia, hyperparathyroidism or hypoparathyroidism, intestinal malabsorption, liver cirrhosis, long-term use of anticonvulsants, glucocorticoids or other medications known to lower vitamin D levels, malnutrition, osteomalacia, osteoporosis, rickets, sarcoidosis, stage III-V chronic kidney disease and end stage renal disease, and vitamin D deficiency on replacement therapy to monitor treatment efficacy. Routine serum vitamin D testing performed for screening purposes in asymptomatic patients is considered not medically necessary. Intestinal failure-associated liver disease (ICD-10 K76.83) is listed as a new diagnosis code effective 10/01/2026.
Blue Cross & Blue Shield of Mississippi · Effective Oct 1, 2026Medium impact
Lipid Testing
Lipid panel (CPT 80061) is covered once per calendar year as part of the Healthy You! wellness benefit. Diagnostic lipid testing may be considered medically necessary when it meets the listed criteria, and monitoring of dietary or pharmacologic therapy is covered up to three times per calendar year. A 10/01/2026 code update added ICD-10 diagnosis codes K74.0A and K76.83 to the Code Reference section and removed deleted ICD-10 diagnosis code E88.1.
Blue Cross & Blue Shield of Mississippi · Effective Oct 1, 2026Medium impact
Bone Mineral Density Studies
Bone density measurements are covered once per lifetime for general osteoporosis screening for women beginning at age 65 under the Healthy You! Wellness benefit, and screening is limited to the hips or spine using DEXA. An initial hip or spine measurement may be considered medically necessary for women age 65 and older, men age 70 and older, and others at risk of osteoporosis, and repeat measurements may be considered not more often than every 5 years for at-risk individuals who previously tested normal. The 10/01/2026 update added ICD-10 codes K74.0A, K76.83, Z68.18 and Z68.19, and Z68.1 was deleted as of 09/30/2026.
Blue Cross & Blue Shield of Mississippi · Effective Oct 1, 2026Medium impact
Complete Blood Count, Hemoglobin, and Hematocrit
A hemoglobin (Hgb), hematocrit (Hct), red blood cell count (RBC), or complete blood count (CBC) may be considered medically necessary for listed indications, including bone marrow dysfunction, red blood cell disorders, polycythemia, and other listed conditions. A CBC may be considered medically necessary for listed white blood count and platelet indications and other listed conditions, and these tests are considered not medically necessary for all other indications. On 10/01/2026, the Code Reference section was updated to remove ICD-10 codes B88.0, D71, G35, R10.2, R76.8, and Z84.1 and to add ICD-10 codes including K6A.01, K6A.09, K6A.8, K74.0A, and K76.83.

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R13923OTN: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- January 2027 2 of 2

R13903OTN: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- January 2027 2 of 2

Parenteral (PEN) and Enteral (EN) Nutrition Support in the Home

Vitamin D Testing

Lipid Testing

Bone Mineral Density Studies

Complete Blood Count, Hemoglobin, and Hematocrit

What insurance policy changes affect code K76.83?

Which payers have updated policy for code K76.83?

How do I get notified when code K76.83 policy changes?

Why do payers change policies for code K76.83?