Centers for Medicare & Medicaid Services (CMS) January 28th 2018 Local Coverage Determination (LCD) Updates

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

January 28th 2018 LCD Updates:

• DL37600 Administrative Multianalyte Assays with Algorithmic Analyses (MAAA) and Proprietary Laboratory Analyses (PLA) Services
• A53387 Aflibercept (Eylea) Coding and Billing Guidelines
• A53387 Aflibercept (Eylea) Coding and Billing Guidelines
• L36408 Allergy Immunotherapy
• A52371 Bortezomib – Related to LCD L33394
• L33392 Category III CPT® Codes
• L34093 Chemotherapy and Biologicals
• L34585 Chiropractic Services
• A55052 Coding Radiopharmaceutical Agents
• A52399 Denosumab (Prolia ™, Xgeva ™) – Related to LCD L33394
• A54176 Drug Administration Coding
• L34303 (retired) Drugs and Biologicals: Bevacizumab (AVASTIN®)
• L34304 (retired) Drugs and Biologicals: Gemcitabine Hydrochloride (Gemzar ^®)
• L34305 (retired) Drugs and Biologicals: Oxaliplatin (Eloxatin ^®)
• L34306 (retired) Drugs and Biologicals: Rituximab (Rituxan ^®)
• L34315 Electrocardiograms
• L37283 Electrocardiograms
• DL37697 Emergency and Non-Emergency Ground Ambulance Services
• DL37606 Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
• L34563 Home Health Speech-Language Pathology
• L34699 Human Granulocyte/Macrophage Colony Stimulating Factors
• L34307 (retired) Medicine: Dysphagia/Swallowing Therapy
• L34308 (retired) Medicine: Occupational Therapy – Outpatient
• L34309 (retired) Medicine: Partial Hospitalization Programs
• L34310 (retired) Medicine: Physical Therapy – Outpatient
• L34311 (retired) Medicine: Speech Language Pathology – Outpatient
• L37578 Micro-Invasive Glaucoma Surgery (MIGS)
• L37578 Micro-Invasive Glaucoma Surgery (MIGS)
• A55145 MolDX: BCKDHB Gene Test Coding and Billing Guidelines
• A55161 MolDX: FDA-Approved BRAF Tests
• A55193 MolDX: FDA-Approved EGFR Tests
• A54421 (retired) MolDX: FDA-Approved EGFR Tests Billing and Coding Guidelines
• A54423 (retired) MolDX: FDA-Approved EGFR Tests Billing and Coding Guidelines
• A54497 (retired) MolDX: FDA-Approved KRAS Tests
• A54501 (retired) MolDX: FDA-Approved KRAS Tests
• A55162 MolDX: FDA-Approved KRAS Tests
• L36400 MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
• L36789 MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
• L36807 MolDX: Molecular Diagnostic Tests (MDT)
• L37226 MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
• L37539 MolDX: Prometheus IBD sgi Diagnostic Policy
• A55822 MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer, Coding and Billing Guidelines
• A55484 MolDX: TP53 Gene Test Billing and Coding Guidelines
• A55487 MolDX: TP53 Gene Test Billing and Coding Guidelines
• A55222 MolDX: UGT1A1 Gene Analysis Coding and Billing Guidelines
• A55232 MolDX: VEGFR2 Tests Coding and Billing Guidelines
• L35000 Molecular Pathology Procedures
• DL35000 Molecular Pathology Procedures
• A54862 Nivolumab – Related to LCD L33394
• A52480 Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) – Policy Article
• L34106 Percutaneous Vertebral Augmentation
• L34228 Percutaneous Vertebral Augmentation
• L34228 Percutaneous Vertebral Augmentation
• L34646 Psychological and Neuropsychological Testing
• A55879 Response to Comments: MolDX: Prometheus IBD sgi Diagnostic Policy (L37539)
• A55884 Response to Comments: Treatment of varicose veins of the lower extremity, L33762
• A53018 Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based – Medical Policy Article
• L34588 Trigger Points, Local Injections
• L34592 Vertebroplasty (Percutaneous) and Vertebral Augmentation including cavity creation
• L36831 Visual Electrophysiology Testing

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

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