Click here to view the Humana Medical Policy Updates Updates » January 2025 Humana Medical…
Medicare (CMS) January 6th 2019 Local Coverage Determination (LCD) Updates
Centers for Medicare & Medicaid Services (CMS) Local Coverage Determination (LCD) Updates »
January 6th 2019 Medicare (CMS) LCD Updates:
- A56243 2019 HCPCS Part A/B, Part A and Part B local coverage determination changes
- L36466 (retired) Application of Skin Substitutes
- A56141 Billing and Coding for Chemotherapy
- A55944 (retired) Billing and Coding for the Rezum® System for Benign Prostatic Hyperplasia (BPH)
- A55035 (retired) Billing Requirements for Application of Skin Substitutes (Part B Services Only)
- L34411 Blepharoplasty, Eyelid Surgery, and Brow Lift
- A56246 Bortezomib (Velcade) revision to the Part A and Part B LCD
- L33273 Bortezomib (Velcade®)
- L33422 Brain Natriuretic Peptide (BNP) Level
- L36499 BRCA1 and BRCA2 Genetic Testing
- A55723 Coding for Hemodialysis Sessions
- A56262 Coding for Hemodialysis Sessions
- L36393 Controlled Substance Monitoring and Drugs of Abuse Testing
- L35698 CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing
- A55967 (retired) Durolane® Coding and Billing Guidelines
- L37398 Electroretinography (ERG)
- L36230 Evaluation and Management Services in a Nursing Facility
- L34974 (retired) Facet Joint Injections
- L35014 Frequency of Hemodialysis
- L37564 Frequency of Hemodialysis
- A56264 Frequency of hemodialysis – new Part A and Part B LCD
- L33684 Hemophilia Clotting Factors
- A56261 Independent diagnostic testing facility (IDTF) revision to the Part B LCD “Coding Guideline” attachment
- L33704 Infliximab (Remicade TM )
- L37022 Lab: Coenzyme Q10 (CoQ10)
- A55695 MolDX: Abbott RealTime IDH1 and IDH2 testing for Acute Myeloid Leukemia (AML) Coding and Billing Guidelines
- L37033 MolDX: DecisionDx-UM (Uveal Melanoma)
- L37264 MolDX: EndoPredict Breast Cancer Gene Expression Test
- L36174 (retired) MolDX: NSCLC, Comprehensive Genomic Profile Testing
- L37744 MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
- L37746 MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
- L34519 Molecular Pathology Procedures
- L33777 Noncovered Services
- L33747 Pegfilgrastim (Neulasta®)
- L33624 Psychiatric Inpatient Hospitalization
- L33972 Psychiatric Partial Hospitalization Program
- A56037 Psychiatric Partial Hospitalization Program Coding Guidelines
- L34520 Psychological and Neuropsychological Tests
- A56224 Response to Comments: Frequency of Hemodialysis
- A56263 Response to Comments: Frequency of Hemodialysis L37564
- A56256 Response to Comments: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
- A56257 Response to Comments: MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
- L33746 Rituximab (Rituxan®)
- A56244 Self-administered drug (SAD) list revision to the Part A and Part B article
- A52571 Self-Administered Drug Exclusion List
- L36035 Spinal Cord Stimulation for Chronic Pain
- L34223 Stereotactic Radiosurgery
- L33413 Therapy and Rehabilitation Services
- A56245 Therapy and rehabilitation services – revision to the Part A and Part B LCD
- L33767 Viscosupplementation Therapy For Knee
Centers for Medicare & Medicaid Services (CMS) Local Coverage Determination (LCD) Updates »
Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.
Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. When changes occur, instant email alerts are delivered to your inbox. Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business!
Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports.
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. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.