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: Implantable Infusion Pumps for Chronic Pain (A55239) - R16 - Effective January 1, 2024 Jan 04, 2024
2024 CPT/HCPCS Local Coverage Article (LCA) Updates Dec 28, 2023
Micro-Invasive Glaucoma Surgery (MIGS) Dec 28, 2023
Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (A58865) - R2 - Effective November 12, 2023 Dec 28, 2023
Billing and Coding: Cataract Surgery in Adults (A57195) - R7 - Effective January 1, 2024 Dec 28, 2023
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R14 - Effective October 1, 2023 Dec 21, 2023
Billing and Coding: Dental Services (A59447) Retirement - Effective December 19, 2023 Dec 20, 2023
Multiple Local Coverage Determinations (LCDs) Finalized - Effective January 28, 2024 Dec 15, 2023
Billing and Coding: Intensity Modulated Radiation Therapy (IMRT) Article A58236 - Effective November 1, 2023 Dec 07, 2023
Pegfilgrastim (Neulasta) J2505 and Q5122 - (Injection, pegfilgrastim-apgf, biosimilar, (Nyvepria))Article A52889 Retirement - Effective November 1, 2023 Dec 04, 2023
Billing and Coding: Positron Emission Tomography Scans Coverage (A54666) Retirement - Effective October 1, 2023 Dec 04, 2023
Proteomics Nov 28, 2023
2023 ICD-10 Local Coverage Article (LCA) Updates Nov 27, 2023
Parenteral Iron Administration Coverage in Non-Dialysis Usage (A55653) Retirement - Effective November 1, 2023 Nov 27, 2023
Respiratory Care (L34149) - R14 - Effective November 5, 2023 Nov 16, 2023
Micro-Invasive Glaucoma Surgery (MIGS) (LCDs) Finalized - Effective December 24, 2023 Nov 09, 2023
Billing and Coding: MolDX: Molecular Assays for the Diagnosis of Cutaneous Melanoma (A59179) - R2 - Effective August 06, 2023 Nov 07, 2023
Billing and Coding: MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer (A58718) - R1 - Effective November 02, 2023 Nov 07, 2023
Billing and Coding: Treatment with Yttrium-90 Microspheres (A54072) Retirement - Effective November 1, 2023 Nov 06, 2023
Billing and Coding: Posterior Tibial Nerve Stimulation Coverage (A55104) Retirement - Effective November 1, 2023 Nov 06, 2023