Centers for Medicare & Medicaid Services (CMS) February 4th 2018 Local Coverage Determination (LCD) Updates

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

February 4th 2018 LCD Updates:

• A55667 (retired)        Response to Comments: Cosmetic and Reconstructive Surgery
• A55896           Destruction of Paravertebral Facet Joint Nerve(s) Coding Guideline
• A55895           Ambulatory surgical center (ASC) inappropriate use of modifier 50
• A55894           Destruction of paravertebral facet joint nerve(s) clarification of article /revision to the Part B LCD/“Coding Guideline” article
• L33767            Viscosupplementation Therapy For Knee
• L34960            Hydration Therapy
• L33774            Wireless Capsule Endoscopy
• L33771            Vitamin D; 25 hydroxy, includes fraction(s), if performed
• L33410            Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
• L36035            Spinal Cord Stimulation for Chronic Pain
• L34021            Sedimentation Rate, Erythrocyte
• L33538            Radiation Therapy for T1 Basal Cell and Squamous Cell Carcinomas of the Skin
• L34912            Genetic Testing for Lynch Syndrome
• L33726            Gemcitabine (Gemzar®)
• L33661            Flow Cytometry
• L36276            Erythropoiesis Stimulating Agents
• L33669            Electrocardiography
• L33274            Botulinum Toxins
• L33273            Bortezomib (Velcade®)
• L36356            Bone Mineral Density Studies
• L33270            Bisphosphonates (Intravenous [IV]) and Monoclonal Antibodies in the Treatment of Osteoporosis and Their Other Indications
• L33967            Vitamin B ₁₂ Injections
• L33963            Tympanometry
• L33941            Routine Foot Care
• L33810            Computerized Corneal Topography
• L33804            Allergen Immunotherapy
• A55852           Response to Comments: Vitamin D Assay Testing
• L33939            Reduction Mammaplasty
• A55891           Reduction mammaplasty revision to the Part B LCD
• A55889           Multiple Part A/B and Part B local coverage determination revisions
• L37535            Vitamin D Assay Testing
• A55848           Response to Comments: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
• L37421            Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
• L36711            Intensity Modulated Radiation Therapy (IMRT)
• L35006            Controlled Substance Monitoring and Drugs of Abuse Testing
• L34422            Infrared Coagulation (IRC) of Hemorrhoids
• L34574            Dental Services
• L34410            B-type Natriuretic Peptide (BNP) Testing
• L35099            Frequency of Laboratory Tests
• L35093            Intravenous Immune Globulin (IVIG)
• L35047            Oral Maxillofacial Prosthesis
• L34585            Chiropractic Services
• A55681           Additional Information Required for Coverage and Pricing for Category III CPT® Codes
• A55607           Additional Information Required for Coverage and Pricing for Category III CPT® Codes
• L35008            Non-Covered Services
• L36219            Non-Covered Services
• L37539            MolDX: Prometheus IBD sgi Diagnostic Policy
• A55161           MolDX: FDA-Approved BRAF Tests
• A53784           The Routine Costs of Investigational Chemotherapy Drugs Studied In a Qualifying Clinical Trial
• A53778           Infusion, Injection and Hydration Services
• A54735           Billing Requirements for PET Scan Claims to Identify Bone Metastasis of Cancer
• A53988           Percutaneous Ventricular Assist Device
• A54812           Antibacterial Drugs
• A53781           Spiracur SNaP^® Wound Care System
• A53698           MolDX: SLCO1B1 Genotype Coding and Billing Guidelines
• A53567           MolDX: PTCH1 Gene Testing Coding and Billing Guidelines
• A53587           MolDX: RPS19 Gene Tests Coding and Billing Guidelines
• A53702           MolDX: SEPT9 Gene Test Coding and Billing Guidelines
• A53624           MolDX: SMPD1 Genetic Testing Coding and Billing Guidelines
• A53591           MolDX: TP53 Gene Test Coding and Billing Guidelines
• A54832           Short Tandem Repeat (STR) Markers and Chimerism (codes 81265-81268) Coding and Billing Guidelines
• A53548           MolDX: VEGFR2 Tests Coding and Billing Guidelines
• A55071           Once in a Lifetime Abdominal Aortic Aneurysm (AAA) Screening Article
• A53593           MolDX: UGT1A1 Gene Analysis Coding and Billing Guidelines
• A54831           Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
• A53562           MolDX: STAT3 Gene Testing Coding and Billing Guidelines
• A53538           MolDX: SULT4A1 Genetic Testing Coding and Billing Guidelines
• A55822           MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer, Coding and Billing Guidelines
• A53589           MolDX: TERC Gene Tests Coding and Billing Guidelines
• A53664           MolDX: PAX6 Gene Sequencing Coding and Billing Guidelines
• A53558           MolDX: PIK3CA Gene Tests Coding and Billing Guidelines
• A53489           MolDX: PreDx® Coding and Billing Guidelines
• A53630           MolDX: MCOLN1 Genetic Testing Coding and Billing Guidelines
• A53468           MolDX: LPA-Intron 25 Genotype Coding and Billing Guidelines
• A53574           MolDX: MECP2 Genetic Testing Coding and Billing Guidelines
• A53669           MolDX: Mitochondrial Nuclear Gene Tests Coding and Billing Guidelines
• A53480           MolDX: HTTLPR Gene Testing Coding and Billing Guidelines
• A53467           MolDX: LPA-Aspirin Genotype Coding and Billing Guidelines
• A53493           MolDX: HBB Gene Tests Coding and Billing Guidelines
• A53598           MolDX: HEXA Gene Analysis Coding and Billing Guidelines
• A53576           MolDX: KIF6 Genotype Billing and Coding Guidelines
• A53659           MolDX: L1CAM Gene Sequencing Coding and Billing Guidelines
• A53554           MolDX: know error® Billing and Coding Guidelines Update
• A53585           MolDX: NSD1 Gene Tests Coding and Billing Guidelines
• A53544           MolDX: myPap™ Coding and Billing Guidelines
• A54795           MolDX: Next Generation Sequencing Coding and Billing Guidelines
• A53596           MolDX: IKBKAP Genetic Testing Coding and Billing Guidelines
• A54035           MolDX: MMACHC Test Coding and Billing Guidelines
• A53638           MolDX: Fragile X Coding and Billing Guidelines Update
• A53542           MolDX: GBA Genetic Testing Coding and Billing Guidelines
• A53619           MolDX: HAX1 Gene Sequencing Coding and Billing Guidelines
• A53565           MolDX: CHD7 Gene Analysis Coding and Billing Guidelines
• A53524           MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response Coding and Billing Guidelines
• A53602           MolDX: Aspartoacyclase 2 Deficiency(ASPA) Testing Coding and Billing Guidelines
• A53536           MolDX: ENG and ACVRL1 Gene Tests Coding and Billing Guidelines
• A53628           MolDX: FANCC Genetic Testing Coding and Billing Guidelines
• A53556           MolDX: CYP2B6 Test Coding and Billing Guidelines
• A53615           MolDX: CFTR Gene Analysis Coding and Billing Guidelines
• A53600           MolDX: BCKDHB Gene Test Coding and Billing Guidelines
• A53550           MolDX: ATP7B Gene Tests Coding and Billing Guidelines
• A53484           MolDX: BluePrint® Coding and Billing Guidelines
• A53540           MolDX: BLM Gene Analysis Coding and Billing Guidelines
• A53457           MolDX: 4q25-AF Risk Genotype Coding and Billing Guidelines
• A55310           Billing and Coding Instructions for Lemtrada® (alemtuzumab) When Used in the Treatment of Relapsing Multiple Sclerosis
• A53652           MolDX: ApoE Genotype Coding and Billing Guidelines
• A53657           MolDX: 9p21 Genotype Test Coding and Billing Guideline
• A53779           Kyprolis® (Carfilzomib) Coding and Billing Guidelines and Indications
• A54769           Influenza Diagnostic Tests
• A55816           IDTFs and Low Dose CT Scan for Lung Cancer Screening for HCPCS Code G0297
• A53793           Gender Reassignment Services for Gender Dysphoria
• A53777           Herceptin (trastuzumab): Coverage and Billing
• A54835           CDH1 Genetic Testing Coding and Billing Guidelines
• A55709           Coenzyme Q10 (Q10) Coding and Billing Guideline
• A54880           Additional Claim Documentation Requirements for Not Otherwise Classified (NOC) Drugs and Biological Products with Specific FDA Label Indications
• A55804           Billing Requirements for Onivyde® (Irinotecan liposome) J9205
• A55297           Billing and Coding of Drug and Biological Infusions
• A53435           Thermal Capsulorrhaphy
• A53488           Radiology Services: Multiple, Identical Services on Same Day
• A53452           Sacroiliac-Bone Implant System
• A53472           Pre/Postoperative Care: Date of Service
• A53482           Repeat or Duplicate Services on the Same Day
• A53430           Videostroboscopy and Nasopharyngoscopy Procedures Performed by Speech-Language Pathologists (SLPs)
• A54559           Xofigo Billing Instructions
• A53423           Repeat X-ray or EKG Interpretations by Same or Different Physician
• A53444           Periodic Adjustment of Gastric Restrictive Device after the Global Period: Coding and Billing Instructions
• A53419           Neuromodulation for Fecal Incontinence
• A53446           Oral Surgery and Maxillofacial Surgery Specialty Codes
• A53986           Percutaneous Ventricular Assist Device
• A54555           Low frequency, non-contact, non-thermal ultrasound (CPT code 97610)
• A54767           Medicare Preventive Coverage for Certain Vaccines
• A53708           Coding and Billing External Components for Cochlear Implants
• A53432           Anesthetic ‘Caine Drugs’
• A53441           Amniotic Membrane Billing Guidelines for HCPCS Code V2790
• A53044           ArgusM II Retinal Prosthesis System
• A53426           FDA Approved Ramucirumab (Cyramza)®
• A53408           Coverage for High Resolution Anoscopy
• A53399           CPT Modifier 59: Gastroenterology
• A53931           Fracture of Ribs with Internal Fixation
• A53495           Glaucoma Screening
• A53501           Implantable Miniature Telescope (IMT) for Macular Degeneration
• A53414           Intraoperative Radiation Therapy (IOERT)
• A53043           Endometrial Hyperplasia Treatment
• A53006           Hemorrhoid Artery Ligation CPT Code 0249T Article
• A54750           FDA approves Iluvien for Diabetic Macular Edema
• A53387           Aflibercept (Eylea) Coding and Billing Guidelines
• A53698           MolDX: SLCO1B1 Genotype Coding and Billing Guidelines
• A54424           MolDX: FDA-Approved EGFR Tests Billing and Coding Guidelines
• A54422           MolDX: FDA-Approved EGFR Tests Billing and Coding Guidelines
• A55117           MolDX: CFTR Gene Analysis Billing and Coding Guidelines
• A55118           MolDX: CFTR Gene Analysis Billing and Coding Guidelines
• L36902            Polysomnography and Other Sleep Studies
• L34005            Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
• L37254            Chiropractic Services
• A55888           MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer Billing and Coding Guidelines
• L33945            Cerumen (Earwax) Removal
• L33960            Cardiovascular Nuclear Medicine
• A55881           MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer Billing and Coding Guidelines
• L36975            Bladder/Urothelial Tumor Markers
• A52382           Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy – Supplemental Instructions Article
• A52383           Corneal Pachymetry – Supplemental Instructions Article
• L34062            Dialysis Access Maintenance
• L34032            Debridement Services
• L34008            Computerized Corneal Topography
• L33999            Corneal Pachymetry
• A54500           MolDX: FDA-Approved KRAS Tests
• A54498           MolDX: FDA-Approved KRAS Tests
• A54419 (retired)        MolDX: FDA-Approved BRAF Tests Billing and Coding Guidelines
• A54417 (retired)        MolDX: FDA-Approved BRAF Tests Billing and Coding Guidelines
• A53493           MolDX: HBB Gene Tests Coding and Billing Guidelines
• A53053           CPT Code 97755 – Assistive Technology Assessment

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

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