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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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