Medicare Code Edits · FY 2026 MCE v43.0

Non-covered Procedure Codes Transfuse II ICD-10-PCS

Deactivated by CMS as of October 1, 2018

This edit identified certain transfusion procedures as non-covered when reported with multiple myeloma diagnoses. CMS discontinued it (MCE edit 11.E, non-covered procedures for multiple myeloma) as of October 1, 2018, so it is no longer part of Medicare claims processing.

Active Medicare Code Edits

Non-covered Procedures Non-covered: Transplants Non-covered: Transfuse Non-covered: Over Age 60 Non-covered: Sterilization Limited Coverage Wrong Procedure Performed Procedure Inconsistent with LOS Questionable Obstetric Admission

Source: CMS Definitions of Medicare Code Edits v43.0. This page is kept for reference; the edit is no longer part of Medicare claims processing.