Multiple LCDs and Billing and Coding Articles Retirement - Effective October 16, 2025

Date Posted: October 16, 2025

The following Local Coverage Determinations (LCDs) and Billing and Coding Articles have been retired under contractor numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Medicare Coverage Database NumberLCD TitleNew Medicare Coverage Database Number
L39883Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)L39881
L36286Blepharoplasty, Eyelid Surgery, and Brow LiftL34194
L36889Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress EchocardiographyL34324
L37504Frequency of HemodialysisL37502
L36866GlycoMark® Testing for Glycemic ControlL36864
L38312Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep ApneaL38310
L37630In Vitro Chemosensitivity & Chemoresistance AssaysL37628
L37068Lab: Coenzyme Q10 (CoQ10)L37066
L36857Measurement of Salivary HormonesL36846
L37020Plastic SurgeryL35163
L37293Respiratory CareL34149
L36700Serum MagnesiumL36702
L36204Spinal Cord Stimulators for Chronic PainL35136
L36569Treatment of Males with Low TestosteroneL36538
L34010Treatment of Varicose Veins of the Lower ExtremitiesL34209
Medicare Coverage Database NumberBilling and Coding Article TitleNew Medicare Coverage Database Number
A59771Billing and Coding: Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA)A59769
A57191Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow LiftA57190
A57184Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress EchocardiographyA57183
A55676Billing and Coding: Frequency of HemodialysisA55675
A57238Billing and Coding: GlycoMark® Testing for Glycemic ControlA57237
A57949Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep ApneaA57948
A56073Billing and Coding: In Vitro Chemosensitivity & Chemoresistance AssaysA56071
A55770Billing and Coding: Lab: Coenzyme Q10 (CoQ10)A55769
A57613Billing and Coding: Measurement of Salivary HormonesA57612
A57222Billing and Coding: Plastic SurgeryA57221
A57225Billing and Coding: Respiratory CareA57224
A57198Billing and Coding: Serum MagnesiumA57189
A57792Billing and Coding: Spinal Cord Stimulators for Chronic PainA57791
A57616Billing and Coding: Treatment of Males with Low TestosteroneA57615
A57707Billing and Coding: Treatment of Varicose Veins of the Lower ExtremitiesA57706

Effective Date: October 16, 2025

Rationale: The above-mentioned LCDs and Billing and Coding Articles were retired to consolidate JF policies with JE policies to have one unified document and policy number. Per the Centers for Medicare & Medicaid Services (CMS), this update is considered non-substantive and does not alter the intent of coverage or non-coverage outlined in any LCD.

Visit the Retired LCDs webpage to access the retired LCDs.

Last Updated $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )