Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective Multiple Dates

Date Posted: October 2, 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 Number LCD Title and Revision Number Summary of Changes
L38659 Implantable Continuous Glucose Monitors (I-CGM) - R5 Added the word "Background" to the summary of evidence section.
L36094 Lab: Flow Cytometry

nder coverage indications, Lymphomas - 1st paragraph added the work lymphomas to NHLs

3rd paragraph - added lymphomas to first sentence.

Under Chronic Lymphocytic Leukemia.. - added lymphomas to 1st paragraph.

Bibliography added the word infected to #2.
Medicare Coverage Database Number Billing and Coding Article Title and Revision Number Summary of Changes
A57683 Billing and Coding: Total Hip Arthroplasty - R2 In the Article Text, under Medical Record Documentation, changed TKR/THA to only THA. Added the Utilization Guidelines to the end of the article text to be consistent with the JF B/C article.

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).

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