Medicare (CMS) September 23rd 2018 Local Coverage Determination (LCD) Updates

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

September 23rd 2018 Medicare (CMS) LCD Updates:

• L36408              Allergy Immunotherapy
• L36402              Allergy Testing
• DL37943           Anorectal Manometry and Electromyography (EMG) of the Urinary and Anal Sphincters
• A54923             Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity
• A52370             Bevacizumab – Related to LCD L33394
• DL37851           Biomarker Testing for Neuroendocrine Tumors/Neoplasms
• L33944              Blepharoplasty
• L34528              Blepharoplasty, Blepharoptosis and Brow Lift
• L34635              Botulinum Toxin Type A & Type B
• L33646              Botulinum Toxins
• L33949              Botulinum Toxins
• A52849             Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography – Supplemental Instructions Article
• L33959              Cardiac Catheterization and Coronary Angiography
• L33952              Cardiac Event Detection
• A55639             Chemotherapy Agents for Non-Oncologic Conditions
• L34093              Chemotherapy and Biologicals
• L34585              Chiropractic Services
• L34005              Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
• L33562              Computed Tomographic (CT) Colonography for Diagnostic Uses
• L36029              Controlled Substance Monitoring and Drugs of Abuse Testing
• L34032              Debridement Services
• L34645              Drug Testing
• L33667              Duplex Scan Of Lower Extremity Arteries
• A56131             Duplex scan of lower extremity arteries revision to the Part A and Part B LCD
• L34633              Erythropoiesis Stimulating Agents (ESAs)
• L34037              Flow Cytometry
• L34651              Flow Cytometry
• DL37810           Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasm
• L33431              HbA1c
• A52434             Health and Behavior Assessment/Intervention – Medical Policy Article
• L33785              High Frequency Chest Wall Oscillation Devices
• L34561              Home Health – Psychiatric Care
• L34699              Human Granulocyte/Macrophage Colony Stimulating Factors
• A52936 (retired) Humanitarian Use Devices and Exemptions (HUDs and HDEs)
• L33563              Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures
• L34623              Intraoperative Neurophysiological Testing
• A52447             Laparoscopic Sleeve Gastrectomy (LSG) – Medical Policy Article
• L33795              Mechanical In-exsufflation Devices
• L35494              Mohs Micrographic Surgery
• A54376             MolDX: Avise PG Assay Billing and Coding Guidelines
• A54378             MolDX: Avise PG Assay Billing and Coding Guidelines
• A55144             MolDX: Avise PG Assay Billing/Coding Update
• L36139              MolDX: Biomarkers in Cardiovascular Risk Assessment
• L36523              MolDX: Biomarkers in Cardiovascular Risk Assessment
• L36813              MolDX: BRCA1 and BRCA2 Genetic Testing
• L37787              MolDX: Corus® CAD Assay
• DL37891           MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
• A55161             MolDX: FDA-Approved BRAF Tests
• L36815              MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
• L36398              MolDX: Genetic Testing for CYP2C19, CYP2D6, CYP2C9, and VKORC1
• L36153              MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
• L36789              MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay
• L37671              MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC)
• DL37899           MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
• L36807              MolDX: Molecular Diagnostic Tests (MDT)
• L36795              MolDX: Molecular RBC Phenotyping
• L37713              MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
• A55224             MolDX: Myriad’s BRACAnalysis CDx® Coding and Billing Guidelines
• L36941              MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)
• L36947              MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)
• L37199              MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)
• L36787              MolDX: Prolaris™ Prostate Cancer Genomic Assay
• L35000              Molecular Pathology Procedures
• L34594              Nerve Conduction Studies and Electromyography
• A54862             Nivolumab – Related to LCD L33394
• L35998              Non-Coronary Vascular Stents
• L34555              Non-Covered Category III CPT Codes
• L35753              Non-Invasive Cerebrovascular Studies
• L35751              Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies
• L33627              Non-Invasive Vascular Studies
• L34045              Non-Invasive Vascular Studies
• A52479             Oral Anticancer Drugs – Policy Article
• A52480             Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) – Policy Article
• L34353              Outpatient Psychiatry and Psychology Services
• A52450             Paclitaxel (e.g., Taxol®/Abraxane ™) – Related to LCD L33394
• L33622              Pain Management
• L36850              Peripheral Nerve Blocks
• L35075              Proton Beam Therapy
• L36658              Proton Beam Therapy
• L33624              Psychiatric Inpatient Hospitalization
• L33626              Psychiatric Partial Hospitalization Programs
• L33632              Psychiatry and Psychology Services
• L34616              Psychiatry and Psychology Services
• L34200              Removal of Benign Skin Lesions
• L35498              Removal of Benign Skin Lesions
• A56142             Response to Comments: MolDX: Corus® CAD Assay
• A56140             Response to Comments: MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
• L34246              Routine Foot Care and Debridement of Nails
• L34061              Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
• L34624              Somatosensory Testing
• L35906              Somatosensory Testing
• L36805              Special Histochemical Stains and Immunohistochemical Stains
• A52879             Stem Cell Transplantation – Medical Policy Article
• L35076              Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
• L34084              Transcatheter Infusion Therapy
• L34337              Transesophageal Echocardiography (TEE)
• L33578              Transrectal Ultrasound
• DL37929           Transvenous Phrenic Nerve Stimulation in the Treatment of Central Sleep Apnea
• L34536              Treatment of Varicose Veins of the Lower Extremities
• L34588              Trigger Points, Local Injections
• L36037              Urine Drug Testing
• L33576              Urodynamics
• L34615              Visual Fields
• L33574              Visual Fields Testing
• L34658              Vitamin D Assay Testing
• L37535              Vitamin D Assay Testing
• L33312              Wheelchair Seating
• A55909             Wound Care Coding Companion for Wound Care

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

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