Centers for Medicare & Medicaid Services (CMS) April 1st 2018 Local Coverage Determination (LCD) Updates

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

April 1st 2018 LCD Updates:

• A55945               Accreditation and Credentialing Requirements for Polysomnography LCD L36593
• A52457               Ankle-Foot/Knee-Ankle-Foot Orthoses – Policy Article
• L33686               Ankle-Foot/Knee-Ankle-Foot Orthosis
• A54061               Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees
• A54063               Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees
• A55944               Billing and Coding for the Rezum® System for Benign Prostatic Hyperplasia (BPH)
• A55297               Billing and Coding of Drug and Biological Infusions
• L36267               Bowel Management Devices
• A54516               Bowel Management Devices – Policy Article
• L33823               Cervical Traction Devices
• A52476               Cervical Traction Devices – Policy Article
• A52430               Clinical Trials – Medical Policy Article
• A54799               Controlled Substance Monitoring and Drugs of Abuse Coding and Billing Guidelines
• A54848               Drug Administration Coding
• L33783               Enteral Nutrition
• A52493               Enteral Nutrition – Policy Article
• L33737               Eye Prostheses
• A52462               Eye Prostheses – Policy Article
• L36906               GlycoMark Testing for Glycemic Control
• A52494               High Frequency Chest Wall Oscillation Devices – Policy Article
• L33820               Hospital Beds And Accessories
• A52508               Hospital Beds And Accessories – Policy Article
• L34089               Human Papillomavirus (HPV) Testing
• L33824               Immunosuppressive Drugs
• A52474               Immunosuppressive Drugs – Policy Article
• A52432               Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach (0192T)
• L33610               Intravenous Immune Globulin
• L35891               Intravenous Immune Globulin
• L34090               Laser Ablation of the Prostate
• A52390               Laser Ablation of the Prostate – Supplemental Instructions Article
• A52510               Mechanical In-exsufflation Devices – Policy Article
• L37244               Micro-Invasive Glaucoma Surgery (MIGS)
• L36483 (retired)   MolDX: Chromosome 1p/19q Deletion Analysis
• L36542 (retired)   MolDX: Chromosome 1p/19q Deletion Analysis
• L36557 (retired)   MolDX: Chromosome 1p/19q Deletion Analysis
• L36973               MolDX: Circulating Tumor Cell Marker Assays
• L35025               MolDX: Molecular Diagnostic Tests (MDT)
• L36850               Peripheral Nerve Blocks
• L33800               Respiratory Assist Devices
• A52517               Respiratory Assist Devices – Policy Article
• A55450 (retired)  Response to Comments: MolDX-CDD: Percepta© Bronchial Genomic Classifier
• A54961               Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
• L35906               Somatosensory Testing
• L33556 (retired)   Vitamin D Assay Testing

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.