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Centers for Medicare & Medicaid Services (CMS) February 25th 2018 Local Coverage Determination (LCD) Updates
Centers for Medicare & Medicaid Services (CMS) Local Coverage Determination (LCD) Updates »
February 25th 2018 LCD Updates:
- A54923 Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity
- A52370 Bevacizumab – Related to LCD L33394
- A54829 Clinical Social Worker Services
- A55913 Correct Billing and Coding for Hospital Outpatient Drugs and Biologicals Under the Outpatient Prospective Payment System (OPPS)
- L34253 (retired) Drugs and Biologicals: Botulinum Toxins
- L34254 (retired) Drugs and Biologicals: Colony Stimulating Factors
- L34256 (retired) Drugs and Biologicals: Immune Globulin Intravenous (IVIg)
- L34257 (retired) Drugs and Biologicals: Infliximab (REMICADE ®)
- L34258 (retired) Drugs and Biologicals: Octreotide Acetate for Injectable Suspension (Sandostatin LAR ® Depot)
- L34260 (retired) Drugs and Biologicals: Zoledronic Acid
- L34636 Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)
- L33670 Fundus Photography
- A55905 Fundus photography revision to the Part A and Part B LCD
- L34596 Immunizations
- L34500 (retired) Medicine: Autonomic Function Tests
- L36945 (retired) Medicine: Bioimpedance Spectroscopy (BIS) Devices for the Detection and Management of Lymphedema
- L34261 (retired) Medicine: Chiropractic Services
- L34262 (retired) Medicine: Health and Behavior Assessment/Intervention
- L36745 (retired) Medicine: Home Sleep Testing (HST)
- L34263 (retired) Medicine: Hydration Therapy
- L34264 (retired) Medicine: Long-Term Wearable Electrocardiographic Monitoring (WEM)
- L34265 (retired) Medicine: Nerve Conduction Studies (NCS) and Electromyography (EMG)
- L34266 (retired) Medicine: Neurophysiology Evoked Potentials (NEPs)
- L34267 (retired) Medicine: Noninvasive Peripheral Arterial and Venous Studies
- L35941 (retired) Medicine: Psychotherapy Services
- L34269 (retired) Medicine: Repetitive Transcranial Magnetic Stimulation (rTMS) for Resistant Depression
- L34270 (retired) Medicine: Wireless Capsule Imaging
- L36791 MolDX: Decipher® Prostate Cancer Classifier Assay
- L36398 MolDX: Genetic Testing for CYP2C19, CYP2D6, CYP2C9, and VKORC1
- A55846 MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer, Coding and Billing Guidelines
- A55911 MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer, Coding and Billing Guidelines
- A54862 Nivolumab – Related to LCD L33394
- A52450 Paclitaxel (e.g., Taxol®/Abraxane ™) – Related to LCD L33394
- L33930 Paravertebral Facet Joint Blocks
- A55906 Paravertebral facet joint blocks revision to the Part B LCD
- L34271 (retired) Pathology and Laboratory: B-type Natriuretic Peptide (BNP) Testing
- L34273 (retired) Pathology and Laboratory: Circulating Tumor Cells (CTC) Assays
- L34272 (retired) Pathology and Laboratory: C-Reactive Protein; High Sensitivity (hsCRP)
- L35660 (retired) Pathology and Laboratory: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
- L35553 (retired) Pathology and Laboratory: Genetic Testing for Lynch Syndrome
- L36582 (retired) Pathology and Laboratory: K-ras Testing prior to Treatment of Colorectal Cancer (CRC)
- L34943 (retired) Pathology and Laboratory: Molecular Pathology Procedures for Human Leukocyte Antigen (HLA) Typing
- L36444 (retired) Pathology and Laboratory: Molecular RBC Phenotype
- L36446 (retired) Pathology and Laboratory: Partial Genome Profiling in Non Small Cell Lung Cancer (NSCLC)
- L34501 (retired) Pathology and Laboratory: Qualitative Drug Testing
- L35920 (retired) Pathology and Laboratory: Quantitative Drug Testing
- L34274 (retired) Pathology and Laboratory: Vitamin D Assay Testing
- L34761 Percutaneous Coronary Interventions
- A54666 Positron Emission Tomography Scans Coverage
- A54668 Positron Emission Tomography Scans Coverage
- L35075 Proton Beam Therapy
- L33538 Radiation Therapy for T1 Basal Cell and Squamous Cell Carcinomas of the Skin
- A55907 Radiation therapy for T1 basal cell and squamous cell carcinomas of the skin revision to the Part A and Part B LCD
- L34275 (retired) Radiology: Computed Tomographic (CT) Colonography
- L34276 (retired) Radiology: Computed Tomographic Angiography of the Heart and Coronary Vessels
- L34277 (retired) Radiology: Computed Tomography of the Abdomen and Pelvis
- L36743 (retired) Radiology: Intensity Modulated Radiation Therapy (IMRT)
- L34278 (retired) Radiology: Magnetic Resonance Imaging of the Brain
- L34279 (retired) Radiology: Myocardial Perfusion Imaging (MPI)
- L34280 (retired) Radiology: Nonobstetric Pelvic Ultrasound
- L34282 (retired) Radiology: Proton Beam Therapy
- L34283 (retired) Radiology: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
- A55419 (retired) Response to Comments: Medicine: Bioimpedance Spectroscopy (BIS) Devices for the Detection and Management of Lymphedema (L36945)
- A55692 (retired) Response to Comments: MolDX: EndoPredict Breast Cancer Gene Expression Test
- A54833 (retired) Response to Comments: Pathology and Laboratory: Molecular RBC Phenotyping (L36444)
- A54834 (retired) Response to Comments: Pathology and Laboratory: Partial Genome Profiling in Non Small Cell Lung Cancer (NSCLC) (L36446)
- A55009 (retired) Response to Comments: Surgery: Implantable Pacemakers with Leads for Cardiac Rate, Dysrhythmia, Resynchronization, and Cardioversion/ Defibrillation (PM CRT AICD) (L36584)
- A55417 (retired) Response to Comments: Surgery: Spinal Cord Stimulators (SCS) for Chronic Pain (L36879)
- A55910 Response to Comments: Wound Care (DL37228)
- A54846 Screening and Diagnostic Mammography – coding guidelines
- A55914 Screening and diagnostic mammography revision to the Part A and Part B coding guidelines article (A54846)
- L34556 (retired) Spinal Cord Stimulators for Chronic Pain
- L35076 Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
- L34284 (retired) Surgery: Arthrocentesis, Aspiration, and/or Injection; Major Joint or Bursa
- L34285 (retired) Surgery: Bioengineered Skin Substitutes (BSS) for the Treatment of Diabetic and Venous Stasis Ulcers of the Lower Extremities
- L34286 (retired) Surgery: Blepharoplasty
- L34287 (retired) Surgery: Cataract Extraction
- L34288 (retired) Surgery: Colonoscopy (Diagnostic)
- L34289 (retired) Surgery: Continuous Peripheral Nerve Blocks (CPNB)
- L34290 (retired) Surgery: Debridement Services
- L35942 (retired) Surgery: Fusion for Degenerative Joint Disease of the Lumbar Spine
- L35658 (retired) Surgery: Implantable Hormone Pellets
- L34291 (retired) Surgery: Injections of the Spinal Canal
- L34292 (retired) Surgery: Interventional Renal Denervation (IRD) for Resistant Hypertension
- L36084 (retired) Surgery: Leadless Cardiac Pacemaker
- L35889 (retired) Surgery: Left Atrial Appendage
- L34293 (retired) Surgery: Lumbar Facet Blockade
- L34294 (retired) Surgery: Major Joint Replacement (Hip and Knee)
- L34295 (retired) Surgery: Nerve Blocks and Electrostimulation for Peripheral Neuropathy
- L34296 (retired) Surgery: Posterior Tibial Nerve Stimulation (PTNS) for Urinary Control
- L35554 (retired) Surgery: Reduction Mammaplasty
- L34297 (retired) Surgery: Removal of Benign or Premalignant Skin Lesions
- L34944 (retired) Surgery: Routine Foot Care
- L36879 (retired) Surgery: Spinal Cord Stimulators for Chronic Pain
- L34298 (retired) Surgery: Transoral Incisionless Fundoplication (TIF)
- L34299 (retired) Surgery: Trigger Point Injections
- L34300 (retired) Surgery: Vertebral Augmentation Procedures (VAPs)
- L34301 (retired) Surgery: YAG Capsulotomy
- L34302 (retired) Transportation Services: Ambulance
- A55892 Viscosupplementation therapy for knee revision to the Part A and Part B LCD
Centers for Medicare & Medicaid Services (CMS) Local Coverage Determination (LCD) Updates »
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