Centers for Medicare & Medicaid Services (CMS) April 8th 2018 Local Coverage Determination (LCD) Updates

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

April 8th 2018 LCD Updates:

• L33417              Allergy Skin Testing
• A54117             Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds
• A53049             Approved Drugs and Biologicals; Includes Cancer Chemotherapeutic Agents
• A55947             Billing and Coding Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
• A52371             Bortezomib – Related to LCD L33394
• L33559              Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
• L33392              Category III CPT® Codes
• L37022              Coenzyme Q10 (CoQ10)
• A54314             Controlled Substance Monitoring and Drugs of Abuse Coding and Billing Guidelines
• L36029              Controlled Substance Monitoring and Drugs of Abuse Testing
• L33428              Cosmetic and Reconstructive Surgery
• A54660             Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home – Medicare Benefit Policy Manual, Chapter 15, 50.6
• A54662             Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home – Medicare Benefit Policy Manual, Chapter 15, 50.6
• A52463             Facial Prostheses – Policy Article
• A55933             Flow Cytometry Coverage Clarification
• A55934             Flow Cytometry Coverage Clarification
• L36906              GlycoMark Testing for Glycemic Control
• L33432              Hyaluronate Polymers
• L35021              Hyperbaric Oxygen (HBO) Therapy
• L37640 (retired) Intensity Modulated Radiation Therapy (IMRT)
• L35003              Intraoperative Neurophysiological Testing
• A53414 (retired) Intraoperative Radiation Therapy (IOERT)
• A52465             Knee Orthoses – Policy Article
• A52496             Lower Limb Prostheses – Policy Article
• L34424              Magnetic Resonance Angiography
• A52497             Manual Wheelchair Bases – Policy Article
• L36109              Minimally Invasive Treatment for Benign Prostatic Hyperplasia Involving Prostatic Urethral Lift (Urolift®)
• L36910              MolDX: APC and MUTYH Gene Testing
• L36487 (retired) MolDX: Chromosome 1p/19q deletion analysis
• A53524             MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response Coding and Billing Guidelines
• L35868              MolDX: Decipher® Prostate Cancer Classifier Assay
• L36343              MolDX: Decipher® Prostate Cancer Classifier Assay
• L36345              MolDX: Decipher® Prostate Cancer Classifier Assay
• L36656              MolDX: Decipher® Prostate Cancer Classifier Assay
• L36656              MolDX: Decipher® Prostate Cancer Classifier Assay
• A53536             MolDX: ENG and ACVRL1 Gene Tests Coding and Billing Guidelines
• A53638             MolDX: Fragile X Coding and Billing Guidelines Update
• A53542             MolDX: GBA Genetic Testing Coding and Billing Guidelines
• L35633              MolDX: GeneSight® Assay for Refractory Depression
• A53103             MolDX: HERmark® Assay by Monogram Update
• L36033              MolDX: HLA-B*15:02 Genetic Testing
• L36048              MolDX: HLA-B*15:02 Genetic Testing
• L36143              MolDX: NSCLC, Comprehensive Genomic Profile Testing
• L36143              MolDX: NSCLC, Comprehensive Genomic Profile Testing
• L37262              MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer
• L37262              MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer
• L35869              MolDX: Prolaris™ Prostate Cancer Genomic Assay
• L36002              MolDX: Prolaris™ Prostate Cancer Genomic Assay
• L36002              MolDX: Prolaris™ Prostate Cancer Genomic Assay
• L36348              MolDX: Prolaris™ Prostate Cancer Genomic Assay
• L36350              MolDX: Prolaris™ Prostate Cancer Genomic Assay
• L36704              MolDX: ProMark Risk Score
• L36706              MolDX: ProMark Risk Score
• L37299              MolDX: Prometheus IBD sgi Diagnostic Policy
• L37313              MolDX: Prometheus IBD sgi Diagnostic Policy
• L37352              MolDX: Prometheus IBD sgi Diagnostic Policy
• A53538             MolDX: SULT4A1 Genetic Testing Coding and Billing Guidelines
• L36021              Molecular Diagnostic Tests (MDT)
• A52466             Nebulizers – Policy Article
• L36954              Noncovered Services other than CPT® Category III Noncovered Services
• L37639 (retired) Noninvasive Peripheral Arterial and Venous Studies
• A52488             Pneumatic Compression Devices – Policy Article
• A52498             Power Mobility Devices – Policy Article
• A52452             Rituximab (Rituxan®) – Related to LCD L33394
• L35094              Services That Are Not Reasonable and Necessary
• L34433              Somatosensory Testing
• A52469             Speech Generating Devices (SGD) – Policy Article
• A53972             Spinal Fusion Services: Documentation Requirements
• A53975             Spinal Fusion Services: Documentation Requirements
• A52960             Sterilization
• A52960             Sterilization
• A53356             Sterilization
• A54543             Therapeutic Apheresis for Familial Hypercholesterolemia
• A54545             Therapeutic Apheresis for Familial Hypercholesterolemia
• A55946             Topical photosensitizers used with PDT for actinic keratoses and certain skin cancers retired Part A and Part B LCD
• L33456              Total Joint Arthroplasty
• A52492             Tracheostomy Care Supplies – Policy Article
• A54072             Treatment with Yttrium-90 Microspheres
• A52504             Wheelchair Options/Accessories – Policy Article
• A52505             Wheelchair Seating – Policy Article
• L37176              White Cell Colony Stimulating Factors
• L35089              Wireless Capsule Endoscopy

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

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