Article Detail - JE Part A
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective November 6, 2025
Date Posted: November 6, 2025
The following Local Coverage Determinations (LCDs) and associated Billing and Coding Articles have been revised under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).
| Medicare Coverage Database Number | LCD Title and Revision Number |
|---|---|
| L40050 | Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) - R1 |
| L37547 | Chest X-Ray Policy - R6 |
| L34213 | Diagnostic and Therapeutic Colonoscopy - R15 |
| L34315 | Electrocardiograms - R12 |
| L36678 | Lab: Bladder/Urothelial Tumor Markers - R8 |
| L34215 | Lab: Flow Cytometry - R16 |
| L34228 | Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) - R12 |
| L34163 | Total Hip Arthroplasty - R8 |
| L36575 | Total Knee Arthroplasty - R4 |
| Medicare Coverage Database Number | Billing and Coding Article Title and Revision Number |
|---|---|
| A59976 | Billing and Coding: Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) - R1 |
| A57497 | Billing and Coding: Chest X-Ray Policy - R4 |
| A57342 | Billing and Coding: Diagnostic and Therapeutic Colonoscopy - R8 |
| A57326 | Billing and Coding: Electrocardiograms - R11 |
| A55028 | Billing and Coding: Lab: Bladder/Urothelial Tumor Markers - R11 |
| A57689 | Billing and Coding: Lab: Flow Cytometry - R13 |
| A56572 | Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) - R7 |
| A57683 | Billing and Coding: Total Hip Arthroplasty - R3 |
| A57685 | Billing and Coding: Total Knee Arthroplasty - R3 |
Effective Date: November 6, 2025
Summary of Changes:
CONTRACTOR INFORMATION:
Added: JF contractor information
This update is to consolidate JE and JF to have one unified document and policy number.
Visit the Noridian Active LCDs webpage or Noridian Billing and Coding Articles webpages to view the document or access it via the CMS Medicare Coverage Database (MCD).
Last Updated $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )
