Draft LCDs

Access Draft Local Coverage Determinations (LCDs) that are in the comment period and view a summary of comments received and Noridian's response.

Status Indicators

D = Draft under development, not yet released for comment
C = Draft LCD released for comment
E = Formal comment period has ended; comments now being considered
F = Final new/revised LCD has been issued for notice
A = Active policy: notice period complete and the policy is in effect

Draft LCD Title Release Date of Draft LCD for Comment End Date for Comment Period Current Status Date of Release for Notice
At this time, there are no Draft LCDs        


Timelines for Draft to Active

CMS has determined and published applicable LCD timelines.

Four Stages of Process

  1. Comment Period - Minimum of 45 Days - Noridian considers all comments from the public, and the medical community. The comment period begins when the policy is distributed to medical providers, and organizations. Noridian responds to comments via comment/response notations within the LCD under the section Advisory Committee Meeting Notes.
  2. Comment Review Period, with Development of Responses - This timeframe begins after the 45 day Comment Period ends. During this period the Contractor Medical Directors (CMD) review all comments, develop responses, update the LCD, and prepare for the Notice Period.
  3. Notice Period - Once the LCD is edited in accordance with the responses to the comments, the LCD is posted to the CMS website in the Medicare Coverage Database (MCD) as a Final LCD, however; it is not yet active. Providers do have 45 days from the date of posting notice to implement billing changes and educate staff before the LCD implementation.
  4. Active Period (LCD is in Effect) - The actual LCD implementation date is the effective date and occurs on the 46th day from the first date of the Notice Period. Located in the body of the LCD under the, "Original Determination Effective Date," or "Revision Effective Date" depending on whether the LCD is new or revised.


Last Updated Aug 16, 2018