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Centers for Medicare & Medicaid Services (CMS) April 22nd 2018 Local Coverage Determination (LCD) Updates

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

April 22nd 2018 LCD Updates:

  • A55958               Accreditation and Credentialing Requirements for Polysomnography LCD L36593
  • L34528                Blepharoplasty, Blepharoptosis and Brow Lift
  • L37547                Chest X-Ray Policy
  • L37549                Chest X-Ray Policy
  • L37066                Coenzyme Q10 (CoQ10)
  • L37068                Coenzyme Q10 (CoQ10)
  • L37193                Coenzyme Q10 Testing
  • L34417                CT of the Head
  • L34741                Drugs and Biologics (Non-chemotherapy)
  • L35996                Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
  • L34215                Flow Cytometry
  • L36094                Flow Cytometry
  • L34567                Hospice Alzheimer’s Disease & Related Disorders
  • L34699                Human Granulocyte/Macrophage Colony Stimulating Factors
  • L34596                Immunizations
  • A53778               Infusion, Injection and Hydration Services
  • L37224                MolDX: APC and MUTYH Gene Testing
  • A53101               MolDX: bioTheranostics Cancer TYPE ID® Update
  • L37009 (retired)   MolDX: Chromosome 1p/19q Deletion Analysis
  • L37005                MolDX: ConfirmMDx Epigenetic Molecular Assay
  • DL37770             MolDX: CORUS® CAD ASSAY
  • A55532               MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response Coding and Billing Guidelines
  • DL37768             MolDX: CYSTATIN C Measurement
  • A55160               MolDX: FANCC Genetic Testing Coding and Billing Guidelines
  • DL37766             MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)
  • A55163               MolDX: Fragile X Coding and Billing Guidelines Update
  • A55164               MolDX: GBA Genetic Testing Coding and Billing Guidelines
  • A55165               MolDX: HAX1 Gene Sequencing Coding and Billing Guidelines
  • A55167               MolDX: HERmark® Assay by Monogram
  • A55136               MolDX: Immunohistochemistry (IHC) Indications for Breast Pathology
  • DL37772             MolDX: MDS FISH
  • DL37764             MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
  • A55231               MolDX: Oncotype DX® Colon Cancer Assay Update
  • A55202               MolDX: Progensa® PCA3 Assay Coverage Update
  • L36787                MolDX: Prolaris™ Prostate Cancer Genomic Assay
  • L37011                MolDX: ProMark Risk Score
  • A55210               MolDX: SULT4A1 Genetic Testing Coding and Billing Guidelines
  • L36593                Polysomnography
  • A55936               Response to Comments: Chest X-Ray Policy
  • A55938               Response to Comments: Chest X-Ray Policy
  • A52800               Self-Administered Drug Exclusion List (SAD List)
  • L33369                Therapeutic Shoes for Persons with Diabetes
  • A52501               Therapeutic Shoes for Persons with Diabetes – Policy Article
  • L34976                Vertebroplasty, Vertebral Augmentation; Percutaneous
  • A55959               Vertebroplasty, vertebral augmentation; percutaneous revision to the Part A and Part B LCD
  • A55960               Vertebroplasty, Vertebral Augmentation; Percutaneous Coding Guidelines


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


Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on Payer decisions in real-time. Whenever changes occur, email notifications containing a summary of those changes are delivered to your inbox. Clients can access detailed coverage reports and medical policies on the interactive Dashboard portal. Save time and keep focused on the important Payer medical policy reviews and coverage decisions affecting your product!

Policy Alerts takes a client-focused hands-on approach and works hard to provide our customers with helpful insights and actionable analytics over raw data. We understand what our clients need and we are dedicated to making sure we provide timely, accurate and always up-to-date reports that can be used to implement and support a successful reimbursement strategy.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.

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