Centers for Medicare & Medicaid Services (CMS) February 11th 2018 Local Coverage Determination (LCD) Updates

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

February 11th 2018 LCD Updates:

• L34093                 Chemotherapy and Biologicals
• L34093                 Chemotherapy and Biologicals
• L37421                 Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
• L33618                 Major Joint Replacement (Hip and Knee)
• A55899                Major joint replacement (hip and knee) revision to the Part A and Part B LCD
• L36310                 MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
• L36312                 MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
• A54418                MolDX: FDA-Approved BRAF Tests Billing and Coding Guidelines
• A54420                MolDX: FDA-Approved BRAF Tests Billing and Coding Guidelines
• L36327                 MolDX-CDD: ConfirmMDx Epigenetic Molecular Assay
• L36329                 MolDX-CDD: ConfirmMDx Epigenetic Molecular Assay
• A55900                Multiple Part A and Part B LCDs being retired
• L34049                 Outpatient Physical and Occupational Therapy Services
• A55670 (retired)   Response to Comments: Cardiac Computed Tomography & Angiography (CCTA)
• A55668 (retired)   Response to Comments: Echocardiography
• A55664 (retired)   Response to Comments: Vertebroplasty/Kyphoplasty
• A55898                Self-administered drug (SAD) list revision to the Part A and Part B article
• A52571                Self-Administered Drug Exclusion List
• A55901                Tympanometry retired Part B LCD

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.