Skip to content

Centers for Medicare & Medicaid Services (CMS) December 2017 Local Coverage Determination (LCD) Updates

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

December  3rd 2017 updates:

DOCUMENT IDDOCUMENT TITLECONTRACTOR
L33270Bisphosphonates (Intravenous [IV]) and Monoclonal Antibodies in the Treatment of Osteoporosis and Their Other IndicationsFirst Coast Service Options, Inc.
A55819Bisphosphonates (intravenous [IV]) and monoclonal antibodies in the treatment of osteoporosis and their other indications – revision to the Part A and Part B LCDFirst Coast Service Options, Inc.
L33949Botulinum ToxinsCGS Administrators, LLC
A52381Botulinum Toxins – Supplemental Instructions ArticleCGS Administrators, LLC
L33950Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/DuctographyCGS Administrators, LLC
L33943B-type Natriuretic Peptide (BNP) TestingCGS Administrators, LLC
L34032Debridement ServicesCGS Administrators, LLC
L37379EchocardiographyPalmetto GBA
L37371Electroretinography (ERG)Novitas Solutions, Inc.
L34563Home Health Speech-Language PathologyPalmetto GBA
L34566Hospice – HIV DiseasePalmetto GBA
L33432Hyaluronate PolymersPalmetto GBA
A53005Implantable Infusion Pump Coding & Billing GuidelinesPalmetto GBA
A54767Medicare Preventive Coverage for Certain VaccinesPalmetto GBA
L34262Medicine: Health and Behavior Assessment/InterventionCahaba Government Benefit Administrators®, LLC
L34266Medicine: Neurophysiology Evoked Potentials (NEPs)Cahaba Government Benefit Administrators®, LLC
L34267Medicine: Noninvasive Peripheral Arterial and Venous StudiesCahaba Government Benefit Administrators®, LLC
L34308Medicine: Occupational Therapy – OutpatientCahaba Government Benefit Administrators®, LLC
L34309Medicine: Partial Hospitalization ProgramsCahaba Government Benefit Administrators®, LLC
L34310Medicine: Physical Therapy – OutpatientCahaba Government Benefit Administrators®, LLC
L34310Medicine: Physical Therapy – OutpatientCahaba Government Benefit Administrators®, LLC
A55822MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer, Coding and Billing GuidelinesPalmetto GBA
L37295MolDX: EndoPredict® Breast Cancer Gene Expression TestNoridian Healthcare Solutions, LLC
L37311MolDX: EndoPredict® Breast Cancer Gene Expression TestNoridian Healthcare Solutions, LLC
A54472MolDX: FDA-Approved KRAS TestsPalmetto GBA
L37299MolDX: Prometheus IBD sgi Diagnostic PolicyNoridian Healthcare Solutions, LLC
L37313MolDX: Prometheus IBD sgi Diagnostic PolicyNoridian Healthcare Solutions, LLC
L36021Molecular Diagnostic Tests (MDT)CGS Administrators, LLC
L36219Non Covered ServicesNoridian Healthcare Solutions, LLC
L34555Non-Covered Category III CPT CodesPalmetto GBA
L33777Noncovered ServicesFirst Coast Service Options, Inc.
L35008Non-Covered ServicesNoridian Healthcare Solutions, LLC
L36954Noncovered Services other than CPT® Category III Noncovered ServicesPalmetto GBA
L34045Non-Invasive Vascular StudiesCGS Administrators, LLC
L34552Outpatient Observation Bed/Room ServicesPalmetto GBA
L34427Outpatient Occupational TherapyPalmetto GBA
L34429Outpatient Speech Language PathologyPalmetto GBA
L36582Pathology and Laboratory: K-ras Testing prior to Treatment of Colorectal Cancer (CRC)Cahaba Government Benefit Administrators®, LLC
L34501Pathology and Laboratory: Qualitative Drug TestingCahaba Government Benefit Administrators®, LLC
L33444Pulmonary Stress TestingPalmetto GBA
L36743Radiology: Intensity Modulated Radiation Therapy (IMRT)Cahaba Government Benefit Administrators®, LLC
L34280Radiology: Nonobstetric Pelvic UltrasoundCahaba Government Benefit Administrators®, LLC
L37375Reflectance Confocal MicroscopyNovitas Solutions, Inc.
L33445Removal of Benign and Malignant Skin LesionsPalmetto GBA
L34200Removal of Benign Skin LesionsCGS Administrators, LLC
L34430Respiratory Therapy (Respiratory Care)Palmetto GBA
A55809Response to Comments: Electroretinography (ERG)Novitas Solutions, Inc.
A55824Response to Comments: L33751 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)First Coast Service Options, Inc.
A55793Response to Comments: MolDX: EndoPredict® Breast Cancer Gene Expression TestNoridian Healthcare Solutions, LLC
A55794Response to Comments: MolDX: EndoPredict® Breast Cancer Gene Expression TestNoridian Healthcare Solutions, LLC
A55778Response to Comments: MolDX: Prometheus IBD sgi Diagnostic PolicyNoridian Healthcare Solutions, LLC
A55779Response to Comments: MolDX: Prometheus IBD sgi Diagnostic PolicyNoridian Healthcare Solutions, LLC
A55784Response to Comments: Reflectance Confocal MicroscopyNovitas Solutions, Inc.
A55570Response to Comments: Scanning Computerized Ophthalmic Diagnostic ImagingNovitas Solutions, Inc.
A55817Response to Comments: Thoracic Aortography and Carotid, Vertebral, and Subclavian AngiographyNovitas Solutions, Inc.
L35038Scanning Computerized Ophthalmic Diagnostic ImagingNovitas Solutions, Inc.
L33751Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)First Coast Service Options, Inc.
A55823Scanning computerized ophthalmic diagnostic imaging (SCODI) revision to the Part A and B LCDFirst Coast Service Options, Inc.
L34022Serum PhosphorusFirst Coast Service Options, Inc.
A55820Serum phosphorus – revision to the Part A and Part B LCDFirst Coast Service Options, Inc.
A52928Sources of Information and Basis for Decision Noncovered Services LCDFirst Coast Service Options, Inc.
L34285Surgery: Bioengineered Skin Substitutes (BSS) for the Treatment of Diabetic and Venous Stasis Ulcers of the Lower ExtremitiesCahaba Government Benefit Administrators®, LLC
L34289Surgery: Continuous Peripheral Nerve Blocks (CPNB)Cahaba Government Benefit Administrators®, LLC
L34295Surgery: Nerve Blocks and Electrostimulation for Peripheral NeuropathyCahaba Government Benefit Administrators®, LLC
L34297Surgery: Removal of Benign or Premalignant Skin LesionsCahaba Government Benefit Administrators®, LLC
L34944Surgery: Routine Foot CareCahaba Government Benefit Administrators®, LLC
L36879Surgery: Spinal Cord Stimulators for Chronic PainCahaba Government Benefit Administrators®, LLC
L34299Surgery: Trigger Point InjectionsCahaba Government Benefit Administrators®, LLC
L34301Surgery: YAG CapsulotomyCahaba Government Benefit Administrators®, LLC
L35035Thoracic Aortography and Carotid, Vertebral, and Subclavian AngiographyNovitas Solutions, Inc.
L34337Transesophageal Echocardiography (TEE)CGS Administrators, LLC
A55818Wound Care Coding GuidelinesFirst Coast Service Options, Inc.

 

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.

Back To Top