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Medicare (CMS) December 23rd 2018 Local Coverage Determination (LCD) Updates

Medicare (CMS) December 23rd 2018 Local Coverage Determination (LCD) Updates
Centers for Medicare & Medicaid Services (CMS) Local Coverage Determination (LCD) Updates

Centers for Medicare & Medicaid Services (CMS) Local Coverage Determination (LCD) Updates »

December 23rd 2018 Medicare (CMS) LCD Updates:

  • L36402             Allergy Testing
  • A56065            Billing and Coding Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
  • A56232            Billing and Coding Guidelines for Foot Care
  • A52371            Bortezomib – Related to LCD L33394
  • L33950             Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
  • L33585             Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
  • A52849            Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography – Supplemental Instructions Article
  • L35490             Category III Codes
  • L33392             Category III CPT® Codes
  • A56195            Category III CPT® Codes- Related to Category III CPT® Codes (L33392)
  • A52953            Chemotherapy Administration
  • A52991            Chemotherapy Administration
  • A55639            Chemotherapy Agents for Non-Oncologic Conditions
  • L34093             Chemotherapy and Biologicals
  • A55703            Coding for Hemodialysis Sessions
  • A53052            Coding Guidelines for Home Health Speech-Language Pathology
  • A55052            Coding Radiopharmaceutical Agents
  • A54176            Drug Administration Coding
  • A54848            Drug Administration Coding
  • A54848            Drug Administration Coding
  • L37379             Echocardiography
  • L34633             Erythropoiesis Stimulating Agents (ESAs)
  • L37709             Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification (NAATs)
  • L36404             Foot Care
  • L34563             Home Health Speech-Language Pathology
  • L34699             Human Granulocyte/Macrophage Colony Stimulating Factors
  • A52420            Hyaluronans Intra-articular Injections of – Related to LCD L33394
  • L34771             Immune Globulins
  • A54953            Independent Diagnostic Testing Facilities- physician supervision and technician requirements
  • L35677             Infliximab
  • L34623             Intraoperative Neurophysiological Testing
  • L35724             Lab: Controlled Substance Monitoring and Drugs of Abuse Testing
  • A52842            Local Coverage Determination (LCD) Reconsideration Process – Medical Policy Article
  • A52453            Luteinizing Hormone-Releasing Hormone (LHRH) Analogs – Related to LCD L33394
  • L34373 (retired)        Magnetic Resonance Imaging (MRI) of Any Joint of the Lower Extremities
  • A54767            Medicare Preventive Coverage for Certain Vaccines
  • L35494             Mohs Micrographic Surgery
  • L37224             MolDX: APC and MUTYH Gene Testing
  • A55141            MolDX: ApoE Genotype Coding and Billing Guidelines
  • A53605            MolDX: Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) Testing Coding and Billing Guidelines
  • A54685            MolDX: Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy (ARVD/C) Testing Coding and Billing Guidelines
  • A53602            MolDX: Aspartoacyclase 2 Deficiency(ASPA) Testing Coding and Billing Guidelines
  • A54253            MolDX: Aspartoacyclase 2 Deficiency(ASPA) Testing Coding and Billing Guidelines
  • A53550            MolDX: ATP7B Gene Tests Coding and Billing Guidelines
  • A54254            MolDX: ATP7B Gene Tests Coding and Billing Guidelines
  • A53600            MolDX: BCKDHB Gene Test Coding and Billing Guidelines
  • A54255            MolDX: BCKDHB Gene Test Coding and Billing Guidelines
  • A53531            MolDX: BCR-ABL Coding and Billing Guidelines
  • A54686            MolDX: BCR-ABL Coding and Billing Guidelines
  • L37216             MolDX: BDX-XL2
  • A55135            MolDX: Billing and Coding for Lynch Syndrome Testing Services
  • A53540            MolDX: BLM Gene Analysis Coding and Billing Guidelines
  • A54256            MolDX: BLM Gene Analysis Coding and Billing Guidelines
  • L36082             MolDX: BRCA1 and BRCA2 Genetic Testing
  • L36456             MolDX: BRCA1 and BRCA2 Genetic Testing
  • L36813             MolDX: BRCA1 and BRCA2 Genetic Testing
  • L36813             MolDX: BRCA1 and BRCA2 Genetic Testing
  • L35631             MolDX: Breast Cancer Index℠ Genetic Assay
  • L36314             MolDX: Breast Cancer Index℠ Genetic Assay
  • L36458             MolDX: Breast Cancer Index℠ Genetic Assay
  • L36316             MolDX: Breast Cancer Index?; Genetic Assay
  • A55117            MolDX: CFTR Gene Analysis Billing and Coding Guidelines
  • A55118            MolDX: CFTR Gene Analysis Billing and Coding Guidelines
  • A53615            MolDX: CFTR Gene Analysis Coding and Billing Guidelines
  • A54258            MolDX: CFTR Gene Analysis Coding and Billing Guidelines
  • A55157            MolDX: CHD7 Gene Analysis Coding and Billing Guidelines
  • L35072             MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
  • L35332             MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
  • L36310             MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
  • L36312             MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
  • L36398             MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
  • A55181            MolDX: ENG and ACVRL1 Gene Tests Billing and Coding Guidelines
  • A55182            MolDX: ENG and ACVRL1 Gene Tests Billing and Coding Guidelines
  • A53536            MolDX: ENG and ACVRL1 Gene Tests Coding and Billing Guidelines
  • A54262            MolDX: ENG and ACVRL1 Gene Tests Coding and Billing Guidelines
  • A55159            MolDX: ENG and ACVRL1 Gene Tests Coding and Billing Guidelines
  • A55183            MolDX: FANCC Genetic Testing Billing and Coding Guidelines
  • A55184            MolDX: FANCC Genetic Testing Billing and Coding Guidelines
  • A53628            MolDX: FANCC Genetic Testing Coding and Billing Guidelines
  • A54263            MolDX: FANCC Genetic Testing Coding and Billing Guidelines
  • L37350             MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)
  • L37368             MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)
  • L37766             MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)
  • A55241            MolDX: Fragile X Billing and Coding Guidelines
  • A55242            MolDX: Fragile X Billing and Coding Guidelines
  • A53638            MolDX: Fragile X Coding and Billing Guidelines Update
  • A54264            MolDX: Fragile X Coding and Billing Guidelines Update
  • A55163            MolDX: Fragile X Coding and Billing Guidelines Update
  • L36815             MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
  • L36400             MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
  • L36793             MolDX: Genetic Testing for Lynch Syndrome
  • A55253            MolDX: HBB Gene Tests Billing and Coding Guidelines
  • A55254            MolDX: HBB Gene Tests Billing and Coding Guidelines
  • A53493            MolDX: HBB Gene Tests Coding and Billing Guidelines
  • A54267            MolDX: HBB Gene Tests Coding and Billing Guidelines
  • A55255            MolDX: HEXA Gene Analysis Billing and Coding Guidelines
  • A55256            MolDX: HEXA Gene Analysis Billing and Coding Guidelines
  • A53598            MolDX: HEXA Gene Analysis Coding and Billing Guidelines
  • A54268            MolDX: HEXA Gene Analysis Coding and Billing Guidelines
  • A55612            MolDX: IKBKAP Genetic Testing Billing and Coding Guidelines
  • A55613            MolDX: IKBKAP Genetic Testing Billing and Coding Guidelines
  • A53596            MolDX: IKBKAP Genetic Testing Coding and Billing Guidelines
  • A54270            MolDX: IKBKAP Genetic Testing Coding and Billing Guidelines
  • A55277            MolDX: L1CAM Gene Sequencing Billing and Coding Guidelines
  • A55278            MolDX: L1CAM Gene Sequencing Billing and Coding Guidelines
  • A53659            MolDX: L1CAM Gene Sequencing Coding and Billing Guidelines
  • A54274            MolDX: L1CAM Gene Sequencing Coding and Billing Guidelines
  • A55192            MolDX: L1CAM Gene Sequencing Coding and Billing Guidelines
  • A55283            MolDX: MCOLN1 Genetic Testing Billing and Coding Guidelines
  • A55284            MolDX: MCOLN1 Genetic Testing Billing and Coding Guidelines
  • A53630            MolDX: MCOLN1 Genetic Testing Coding and Billing Guidelines
  • A54277            MolDX: MCOLN1 Genetic Testing Coding and Billing Guidelines
  • A55285            MolDX: MECP2 Genetic Testing Billing and Coding Guidelines
  • A55286            MolDX: MECP2 Genetic Testing Billing and Coding Guidelines
  • A53574            MolDX: MECP2 Genetic Testing Coding and Billing Guidelines
  • A54278            MolDX: MECP2 Genetic Testing Coding and Billing Guidelines
  • L35974             MolDX: MGMT Promoter Methylation Analysis
  • L37001             MolDX: MGMT Promoter Methylation Analysis
  • A55191            MolDX: MMACHC Test Coding and Billing Guidelines
  • L35025             MolDX: Molecular Diagnostic Tests (MDT)
  • L35025             MolDX: Molecular Diagnostic Tests (MDT)
  • L35160             MolDX: Molecular Diagnostic Tests (MDT)
  • L35160             MolDX: Molecular Diagnostic Tests (MDT)
  • L36256             MolDX: Molecular Diagnostic Tests (MDT)
  • L36256             MolDX: Molecular Diagnostic Tests (MDT)
  • L36807             MolDX: Molecular Diagnostic Tests (MDT)
  • A54338            MolDX: Myriad’s BRACAnalysis CDx™ Coding and Billing Guidelines
  • A54689            MolDX: Myriad’s BRACAnalysis CDx™ Coding and Billing Guidelines
  • A53585            MolDX: NSD1 Gene Tests Coding and Billing Guidelines
  • A55198            MolDX: NSD1 Gene Tests Coding and Billing Guidelines
  • L37915             MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
  • A55200            MolDX: PIK3CA Gene Tests Coding and Billing Guidelines
  • A53587            MolDX: RPS19 Gene Tests Coding and Billing Guidelines
  • A54299            MolDX: RPS19 Gene Tests Coding and Billing Guidelines
  • A55205            MolDX: RPS19 Gene Tests Coding and Billing Guidelines
  • A53702            MolDX: SEPT9 Gene Test Coding and Billing Guidelines
  • A55206            MolDX: SEPT9 Gene Test Coding and Billing Guidelines
  • A53624            MolDX: SMPD1 Genetic Testing Coding and Billing Guidelines
  • A54285            MolDX: SMPD1 Genetic Testing Coding and Billing Guidelines
  • A55208            MolDX: SMPD1 Genetic Testing Coding and Billing Guidelines
  • A55209            MolDX: STAT3 Gene Testing Coding and Billing Guidelines
  • A55221            MolDX: TP53 Gene Test Coding and Billing Guidelines
  • A55222            MolDX: UGT1A1 Gene Analysis Coding and Billing Guidelines
  • L35000             Molecular Pathology Procedures
  • A56199            Molecular Pathology Procedures- Related to Molecular Policy Procedures LCD (L35000)
  • L35222             Nerve Blocks for Peripheral Neuropathy
  • A56198            New Local Coverage Determination (LCD) Request Process
  • L34555             Non-Covered Category III CPT Codes
  • L33619             Nonvascular Extremity Ultrasound
  • A55640            Not Otherwise Classified Chemotherapy Agents (NOC) Billing and Coding Guidelines
  • L33567             Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
  • A54068            Outpatient Cardiac Rehabilitation
  • A54070            Outpatient Cardiac Rehabilitation
  • A53064            Outpatient Occupational Therapy Supplemental Instructions Article
  • L33631             Outpatient Physical and Occupational Therapy Services
  • L34353             Outpatient Psychiatry and Psychology Services
  • A52403            Outpatient Psychiatry and Psychology Services – Supplemental Instructions Article
  • L34429             Outpatient Speech Language Pathology
  • L37633             Partial Hospitalization Programs
  • L33623             Percutaneous Coronary Intervention
  • L34328             Peripheral Nerve Stimulation
  • L37360             Peripheral Nerve Stimulation
  • L36593             Polysomnography
  • L33626             Psychiatric Partial Hospitalization Programs
  • L34196             Psychiatric Partial Hospitalization Programs
  • A52413            Psychiatric Partial Hospitalization Programs – Supplemental Instructions Article
  • L33632             Psychiatry and Psychology Services
  • L34646             Psychological and Neuropsychological Testing
  • A54602            Removal of Benign Skin Lesions
  • A56235            Response to Comments: Frequency of Hemodialysis
  • A56233            Response to Comments: MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs) (DL37766)
  • A56234            Response to Comments: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC) (DL37915)
  • A52452            Rituximab (Rituxan®) and Rituximab and hyaluronidase human (Rituxan Hycela™) – Related to LCD L33394
  • L33636             Routine Foot Care and Debridement of Nails
  • L33957             Sacroiliac Joint Injection
  • A56250            Sacroiliac joint injection revision to the Part B LCD
  • A53021            Self-Administered Drug Exclusion List – Medical Policy Article
  • A53022            Self-Administered Drug Exclusion List – Medical Policy Article
  • A52800            Self-Administered Drug Exclusion List (SAD List)
  • A54831            Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
  • L33580             Speech-Language Pathology
  • L34046             Speech-Language Pathology
  • A52866            Speech-Language Pathology – Supplemental Instructions Article
  • L37632             Spinal Cord Stimulators for Chronic Pain
  • A53018            Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based – Medical Policy Article
  • L36831             Visual Electrophysiology Testing
  • L37015             Visual Electrophysiology Testing
  • L37808             Water Vapor Thermal Therapy for LUTS/BPH
  • L36690             Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities

 

Centers for Medicare & Medicaid Services (CMS) Local Coverage Determination (LCD) Updates »

 

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