Medical Director Articles

The term "article" is used to describe any bulletin article, web site article, educational handout or any other non-LCD document intended for public release that contains coverage/coding statements or medical review related billing or claims considerations.

Articles address local coverage, coding or medical review related billing and claims considerations, and may include any newly developed educational materials, coding instructions or clarification of existing medical review related billing or claims policy.

The article listing will continue to expand as additions are made.

Last Updated Jan 30 , 2024
Articles Source Posted
Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Ischemic Heart Disease (A58095) - R4 - Effective January 01, 2024 Nov 06, 2025
Intraosseous Basivertebral Nerve Ablation (L39642) - R1 - Effective January 28, 2024 Nov 06, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R31 - Effective October 1, 2025 Nov 06, 2025
Policy Revision(s) for Multiple Billing and Coding Articles - Effective November 6, 2025 Nov 06, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective November 6, 2025 Nov 06, 2025
LCD Transurethral Waterjet Ablation of the Prostate - Effective December 14, 2025 Oct 30, 2025
Chest X-Ray L37547 - R5 - Effective November 01, 2019 Oct 30, 2025
Billing and Coding: Routine Foot Care (A57954) - R18 - Effective October 1, 2025 Oct 30, 2025
Botulinum Toxins Type A and B Policy (L35170) - R15 - Effective October 1, 2019 Oct 30, 2025
Billing and Coding: Botulinum Toxins Type A and B Policy (A57185) - R10 - Effective October 1, 2025 Oct 30, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R30 - Effective October 1, 2025 Oct 30, 2025
Billing and Coding: Total Knee Arthroplasty (A57685)- R2 - Effective December 1, 2019 Oct 23, 2025
ICD-10 Billing and Coding Article Updates - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: Cataract Surgery in Adults (A57195) - R9 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Melanoma Risk Stratification Molecular Testing (A57268) - R4 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Proteomics Testing (A59641) - R11 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Repeat Germline Testing (A57331) - R18 - Effective October 1, 2025 Oct 23, 2025
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R25 - Effective October 1, 2025 Oct 23, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective October 23, 2025 Oct 23, 2025
Billing and Coding: Wound Care and Debridement - Provided by a Therapist, Physician, NPP or as Incident-to Services (A53296) - R7 - Effective October 01, 2015 Oct 16, 2025
MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma (L39373) - R1 - Effective August 6, 2023 Oct 16, 2025
MolDX: Pharmacogenomics Testing (L38335) - R4 - Effective October 2, 2025 Oct 16, 2025
Billing and Coding: Lab: Bladder/Urothelial Tumor Markers (A55028) - R10 - Effective October 1, 2025 Oct 16, 2025
MolDX: Melanoma Risk Stratification Molecular Testing (L37750) - R8 - Effective June 26, 2025 Oct 16, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective October 16, 2025 Oct 16, 2025
Billing and Coding: Routine Foot Care (A57954) - R17 - Effective October 1, 2025 Oct 16, 2025
Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) (L39810) - R2 - Effective April 17, 2025 Oct 09, 2025
MolDX: Pigmented Lesion Assay (L38151) - R2 - Effective June 20, 2024 Oct 09, 2025
MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer (L37897) - R4 - Effective October 14, 2021 Oct 09, 2025
ProMark Risk Score (L36704) - R6 - Effective December 30, 2021 Oct 09, 2025