Medicare (CMS) June 3rd 2018 Local Coverage Determination (LCD) Updates

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

June 3rd 2018 LCD Updates:

• A55947            Billing and Coding Guidance for Anti-Inhibitor Coagulant Complex (AICC) National Coverage Determination (NCD) 110.3
• DL37733          Biomarker Testing for Prostate Cancer Diagnosis
• L37126            Coenzyme Q10 (CoQ10)
• A52399            Denosumab (Prolia ™, Xgeva ™) – Related to LCD L33394
• A56006            E&M Coding for Oral Surgeons
• L33794            External Infusion Pumps
• A52507            External Infusion Pumps – Policy Article
• L34538            Hospice Determining Terminal Status
• L34544            Hospice – Liver Disease
• L34576            Laparoscopic Sleeve Gastrectomy for Severe Obesity
• L33436            Mohs Micrographic Surgery (MMS)
• A54835            MolDX: CDH1 Genetic Testing Coding and Billing Guidelines
• L37130            MolDX: DecisionDx-UM (Uveal Melanoma)
• A56008            MolDX: FDA Approved CLL Companion Diagnostic Test Coding and Billing Guidelines
• L36206            MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
• L36048            MolDX: HLA-B*15:02 Genetic Testing
• L36113            MolDX: MGMT Promoter Methylation Analysis
• A53112            MolDX: OncoCee™ Billing and Coding Guidelines
• L37142            MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
• L37134            MolDX: Xpresys Lung
• A52391            Nasal Punctum/Nasolacrimal Duct Dilation and Probing with or without Irrigation – Supplemental Instructions Article
• L34171            Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation
• L34175            Ophthalmic Angiography (Fluorescein and Indocyanine Green)
• A52395            Ophthalmic Angiography (Fluorescein and Indocyanine Green) – Supplemental Instructions
• L34181            Ophthalmic Biometry for Intraocular Lens Power Calculation
• A52397            Ophthalmic Biometry for Intraocular Lens Power Calculation – Supplemental Instructions Article
• L34399            Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
• A52398            Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) – Supplemental Instructions Article
• L34427            Outpatient Occupational Therapy
• L34049            Outpatient Physical and Occupational Therapy Services
• A52400            Outpatient Physical and Occupational Therapy Services Supplemental Instructions Article
• L34353            Outpatient Psychiatry and Psychology Services
• A52403            Outpatient Psychiatry and Psychology Services – Supplemental Instructions Article
• L33797            Oxygen and Oxygen Equipment
• A52514            Oxygen and Oxygen Equipment – Policy Article
• L33942            Physical Therapy – Home Health
• A55992            Physician Supervision of Dialysis for Acute Kidney Injury
• A55996            Physician Supervision of Dialysis for Acute Kidney Injury
• A52535            Process for Determining Self-Administered Drug Exclusions – Medical Policy Article
• DL37808          Water Vapor Energy Ablation (WAVE) for LUTS/BPH

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.