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Non-covered Procedure Codes Over Age 60 - ICD-10-PCS Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding claims data. The following 2 ICD-10-PCS codes are intended for non-covered procedure codes over age 60. The procedures shown below are identified as "Non-covered procedures" when the beneficiary is over age 60.

  • Replacement of Lower Joints

    • 0SR20JZ - Replacement of Lumbar Vertebral Disc with Synthetic Substitute, Open Approach

    • 0SR40JZ - Replacement of Lumbosacral Disc with Synthetic Substitute, Open Approach