Article Detail - JE Part A

Date Posted: October 30, 2025

This Local Coverage Determination (LCD) has been revised under contractor numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: October 1, 2019

Summary of Changes:

Update made to the Title of the policy to remove the word 'Policy.'

At this time 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. This revision is not a restriction to the coverage determination; and, therefore, not all the fields included on the LCD are applicable as noted in this policy.

Visit the Noridian Active LCDs webpage to view the Active LCD or access it via the CMS MCD.