Medicare (CMS) May 28th 2018 Local Coverage Determination (LCD) Updates

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

May 28th 2018 LCD Updates:

• L34549              Ambulance Services
• L34411              Blepharoplasty, Eyelid Surgery, and Brow Lift
• L35490              Category III Codes
• L33279 (retired)  Circulating Tumor Cell Testing
• A55993              Circulating tumor cell testing retired Part A and Part B LCD
• L35121              Coronary Computed Tomography Angiography (CCTA)
• L34741              Drugs and Biologics (Non-chemotherapy)
• A55951              Endometrial Hyperplasia Treatment with Intrauterine Device (Hormone-Eluting)
• L34074              Immune Globulin Intravenous (IVIg)
• L34314              Immune Globulin Intravenous (IVIg)
• L34580              Intravenous Immunoglobulin (IVIG)
• L36521              Lumbar Epidural Injections
• A55137              MolDX 4q25-AF Risk Genotype Testing Coding and Billing Guidelines
• L35443              MolDX: GeneSight ® Assay for Refractory Depression
• L37013              MolDX: 4Kscore Assay
• A55138              MolDX: 9p21 Genotype Test Coding and Billing Guideline
• A55139              MolDX: Afirma™ Assay by Veracyte Update
• A55140              MolDX: AlloMap Billing and Coding Guidelines Update
• L36882              MolDX: APC and MUTYH Gene Testing
• L36884              MolDX: APC and MUTYH Gene Testing
• A55141              MolDX: ApoE Genotype Coding and Billing Guidelines
• A55142              MolDX: Aspartoacyclase 2 Deficiency (ASPA) Testing Coding and Billing Guidelines
• A55143              MolDX: ATP7B Gene Tests Coding and Billing Guidelines
• A55144              MolDX: Avise PG Assay Billing/Coding Update
• A54188              MolDX: bioTheranostics Cancer TYPE ID® Update
• A55147              MolDX: bioTheranostics Cancer TYPE ID® Update
• A55970              MolDX: CDH1 Genetic Testing Billing and Coding Guidelines
• A55971              MolDX: CDH1 Genetic Testing Billing and Coding Guidelines
• A54878              MolDX: CDH1 Genetic Testing Coding and Billing Guidelines
• A55622              MolDX: CDH1 Genetic Testing Coding and Billing Guidelines
• L36327              MolDX: ConfirmMDx Epigenetic Molecular Assay
• L36329              MolDX: ConfirmMDx Epigenetic Molecular Assay
• A55234              MolDX: CYP2B6 Test Coding and Billing Guidelines
• A54687              MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response Coding and Billing Guidelines
• L36656              MolDX: Decipher® Prostate Cancer Classifier Assay
• A54262              MolDX: ENG and ACVRL1 Gene Tests Coding and Billing Guidelines
• A54265              MolDX: GBA Genetic Testing Coding and Billing Guidelines
• L36799              MolDX: GeneSight® Assay for Refractory Depression
• A55166              MolDX: HBB Gene Tests Coding and Billing Guidelines
• A55168              MolDX: HEXA Gene Analysis Coding and Billing Guidelines
• A55169              MolDX: HTTLPR Gene Testing Coding and Billing Guidelines
• A55170              MolDX: IKBKAP Genetic Testing Coding and Billing Guidelines
• A55171              MolDX: KIF6 Genotype Billing and Coding Guidelines
• A55172              MolDX: know error® Billing and Coding Guidelines Update
• A55192              MolDX: L1CAM Gene Sequencing Coding and Billing Guidelines
• A55173              MolDX: LPA-Aspirin Genotype Coding and Billing Guidelines
• A55174              MolDX: LPA-Intron 25 Genotype Coding and Billing Guidelines
• A55189              MolDX: MECP2 Genetic Testing Coding and Billing Guidelines
• A54338              MolDX: Myriad’s BRACAnalysis CDx™ Coding and Billing Guidelines
• L36803              MolDX: NSCLC, Comprehensive Genomic Profile Testing
• A54223 (retired) MolDX: Response to Comments for Molecular RBC Phenotyping
• A55205              MolDX: RPS19 Gene Tests Coding and Billing Guidelines
• A55621              MolDX: Short Tandem Repeat (STR) Markers and Chimerism (codes 81265-81268) Coding and Billing Guidelines
• A54283              MolDX: SULT4A1 Genetic Testing Coding and Billing Guidelines
• L34518              Molecular Pathology Procedures for Human Leukocyte Antigen (HLA) Typing
• L35755              Non-Invasive Abdominal / Visceral Vascular Studies
• L35753              Non-Invasive Cerebrovascular Studies
• L35761              Non-Invasive Peripheral Arterial Vascular Studies
• L35751              Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
• A55640              Not Otherwise Classified Chemotherapy Agents (NOC)
• L36775              Prostatic Urethral Lift (PUL)
• A55990              Prostatic urethral lift (PUL) revision to the Part A and Part B LCD
• A54567 (retired) Response to Comments for MolDX: BRCA1 and BRCA2 Genetic Testing
• A54565 (retired) Response to Comments for MolDX: Breast Cancer Assay: Prosigna
• A55537 (retired) Response to Comments: Coenzyme Q10 (CoQ10)
• A54755 (retired) Response to Comments: MolDX: Breast Cancer Assay: Prosigna LCD L36125
• A52452              Rituximab (Rituxan®) – Related to LCD L33394
• A52800              Self-Administered Drug Exclusion List (SAD List)
• L33447              Special Electroencephalography
• L33762              Treatment of varicose veins of the lower extremity
• L37015              Visual Electrophysiology Testing
• L33771              Vitamin D; 25 hydroxy, includes fraction(s), if performed
• A55991              Vitamin D; 25 hydroxy, includes fraction(s), if performed revision to the Part A and Part B LCD
• L36690              Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities

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

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