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
Self-Administered Drugs - Process to Determine Which Drugs Are Not Usually Self-administered By the Patient (A53893) - R3 - Effective October 1, 2015 Sep 18, 2025
Local Coverage Determination (LCD) Finalized - Effective November 2, 2025 Sep 18, 2025
Micro Invasive Glaucoma Surgery L38299 - R6 - Effective November 17, 2024 Sep 18, 2025
Billing and Coding: Billing Limitations for Pharmacies (A56119) Retirement - Effective September 18, 2025 Sep 18, 2025
Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) Final LCD - Effective October 26, 2025 Sep 11, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R29 - Effective October 1, 2025 Sep 11, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective September 11, 2025 Sep 11, 2025
Billing and Coding: MolDX: Germline testing for use of PARP inhibitors (A55294) - R12 - Effective October 1, 2025 Sep 04, 2025
Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer (A58679) - R9 - Effective October 1, 2025 Sep 04, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R13 - Effective October 1, 2025 Sep 04, 2025
Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment (A57037) - R7 - Effective October 1, 2025 Aug 28, 2025
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R27 - Effective October 1, 2025 Aug 28, 2025
MolDX Open Public Meeting Announcement Multiple LCDs - October 8, 2025 Aug 28, 2025
Proposed LCDs - Published for Review and Comments Aug 28, 2025
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy (L36551) - R5 - August 24, 2023 Aug 21, 2025
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease (L36180) - Retirement - Effective August 17, 2025 Aug 21, 2025
Policy Revision(s) for Local Coverage Determinations and Associated Billing and Coding Articles - Effective August 14, 2025 Aug 14, 2025
Billing and Coding: MolDX: Molecular Diagnostic Tests (MDT) (A57526) - R24 - Effective August 14, 2025 Aug 14, 2025
Billing and Coding: MolDX: Proteomics Testing (A59641) - R10 - Effective August 14, 2025 Aug 14, 2025
MolDX: MGMT Promoter Methylation Analysis (L36188) - R6 - Effective August 7, 2025 Aug 07, 2025
MolDX: Molecular Biomarker Testing to Guide Targeted Therapy Selection in Rheumatoid Arthritis (L39467) - R2 - Effective August 7, 2025 Aug 07, 2025
Billing and Coding: Micro-Invasive Glaucoma Surgery (MIGS) (A57863) - R8 - Effective November 17, 2024 Jul 31, 2025
Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices (A59657) - R2 - September 30, 2024 Jul 31, 2025
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R12 - Effective July 31, 2025 Jul 31, 2025
Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea (A57948) - R6 - Effective January 1, 2025 Jul 24, 2025
Billing and Coding: MolDX: Molecular Testing for Solid Organ Allograft Rejection (A58168) - R11 - Effective July 24, 2025 Jul 24, 2025
Multi-Jurisdictional CAC Meeting Announcement - Cardiac Percutaneous Lithotripsy - August 20, 2025, 2:30 pm - 4:30 pm CT Jul 24, 2025
Multi-Jurisdictional Contractor Advisory Committee (CAC) Coronary Intravascular Lithotripsy (IVL) - Key Questions Jul 24, 2025
Multi-Jurisdictional Contractor Advisory Committee (CAC) Coronary Intravascular Lithotripsy (IVL) - Bibliography Jul 24, 2025
Multi-Jurisdictional Contractor Advisory Committee (CAC) Coronary Intravascular Lithotripsy (IVL) - Agenda Jul 24, 2025