All LCDS are the same for each state within a Jurisdiction and are accessible from the table below.

1. To view locally hosted PDF, select applicable LCD Title OR
2. To access CMS HTML version within Medicare Coverage Database (MCD), select applicable LCD Number

View the ICD-9 to ICD-10 LCD number crosswalk.

Once you access the LCD, the "Coding Guidelines" can be found under the heading, "LCD Attachments" near the end of the document. Note: All CPT/HCPCS codes listed are mentioned in the LCD, but are not necessarily subject to diagnosis codes or coverage criteria.

LCD Title	LCD Number	Billing and Coding Companion Article	CPT / HCPCS Codes Referenced
B-type Natriuretic Peptide (BNP) Testing [PDF]	L35526	A57083	83880
Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) [PDF]	L34233	A57161	11200, 11201, 11300, 11301, 11302, 11303, 11305, 11306, 11307, 11308, 11310, 11311, 11312, 11313, 11400, 11401, 11402, 11403, 11404, 11406, 11420, 11421, 11422, 11423, 11424, 11426, 11440, 11441, 11442, 11443, 11444, 11446, 17110, 17111
Blepharoplasty, Eyelid Surgery and Brow Lift [PDF]	L34194	A57190	15822, 15823, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909,
Botulinum Toxin Types A and B Policy [PDF]	L35170	A57185	31513, 31570, , 43201, 43236, 43499, 46505, 52287, 64611, 64612, 64615, 64616, 64617, 64640, 64642, 64643, 64644, 64645, 64646, 64647, 64650, 64653, 64999, 67345, 95873, 95874, J0585, J0586, J0587, J0588
Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography [PDF]	L34324	A57183	93015, 93016, 93017, 93018, 93320, 93321, 93325, 93350, 93351, 93352, J0153, J0395, J1245, J1250, J3490
Cataract Surgery in Adults [PDF]	L34203	A57195	66830, 66840, 66850, 66852, 66920, 66940, 66982, 66983, 66984, 66987, 66988
Chest X-Ray Policy [PDF]	L37547	A57497	71045, 71046, 71047, 71048
Diagnostic and Therapeutic Colonoscopy [PDF]	L34213	A57342	44388,44389,44390, 44391, 44392, 44394, 44401, 44402, 44404, 44405, 44406, 44407, 45378, 45379, 45380, 45381, 45382, 45384, 45385, 45386, 45388, 45389, 45391, 45392, 45393
Electrocardiograms [PDF]	L34315	A57326	93000, 93005, 93010, 93040, 93041, 93042
Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy [PDF]	L34993	A57727	64490, 64491, 64492, 64493, 64494, 64495, 64633, 64634, 64635, 64636, 0213T, 0214T, 0215T, 0216T, 0217T, 0218T
Frequency of Hemodialysis [PDF]	L37502	A55675	90999
GlycoMark Testing for Glycemic Control [PDF]	L36864	A57237	84378,84999
Helicobacter Pylori Infection Testing [PDF]	L37624	A57226	78267, 78268, 83013, 83014, 87338
Immune Globulin Intravenous (IVIg) [PDF]	L34314	A57187	J1459, J1556, J1557, J1561, J1566, J1568, J1569, J1572, J1599
In Vitro Chemosensitivity & Chemoresistance Assays [PDF]	L37628	A56071	84999, 89240
Injections-Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma [PDF]	L34218	A57079	20526, 20527, 20550, 20551, 20612, 26341, 28899, 64455, 64632
Lab: Bladder/Urothelial Tumor Markers [PDF]	L36678	A55028	86294, 86316, 86386, 88120, 88121
Lab: Coenzyme Q10 (CoQ10) [PDF]	L37066	A55769	82542
Lab: Controlled Substance Monitoring and Drugs of Abuse Testing [PDF]	L36668	A55001	80305, 80306, 80307, G0480, G0481, G0482, G0483, G0659
Lab: Flow Cytometry [PDF]	L34215	A57689	88182, 88184, 88185, 88187, 88188, 88189, 86355, 86356, 86357, 86359, 86360, 86361,86367
Lab: Special Histochemical Stains and Immunohistochemical Stains [PDF]	L36351	A57611	88312, 88313, 88341, 88342, 88344, 88360, 88361
Lumbar Epidural Injections [PDF]	L34982	A57202	62322, 62323, 62326, 62327, 64483, 64484
Lumbar MRI [PDF]	L34220	A57206	72148, 72149, 72158, A9585, Q9953
Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor [PDF]	L37729	A57512	0398T
Measurement of Salivary Hormones [PDF]	L36846	A57612	84999
Mohs Micrographic Surgery [PDF]	L35702	A56514	17311, 17312, 17313, 17314, 17315, 88302, 88304, 88305, 88307, 88309, 88314, 88331, 88332
MolDX: 4Kscore Assay [PDF]	L37120	A57336	81539
MolDX: AlloSure® Donor-Derived Cell-Free DNA Test [PDF]	L37303	A57456	81479
MolDX: APC and MUTYH Gene Testing [PDF]	L36882	A57352	81201, 81202, 81203, 81401, 81403, 81406, 81435, 81436, 81479
MolDX: BDX-XL2 [PDF]	L37054	A57356	0080U
MolDX: Biomarkers in Cardiovascular Risk Assessment [PDF]	L36358	A57037	82172, 82610, 83090, 83695, 83698, 83700, 83701, 83704, 83719, 83721, 86141
MolDX: BRCA1 and BRCA2 Genetic Testing [PDF]	L36161	A57354	81162, 81163, 81164, 81165, 81166, 81167, 81212, 81215, 81216, 81217, 81432, 81445, 81455, 814790102U, 0103U, 0129U, 0131U, 0132U, 0133U, 0134U, 0135U, 0136U, 0137U, 0138U
MolDX: Breast Cancer Assay: Prosigna [PDF]	L36380	A57363	81520
MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test [PDF]	L37822	A57773	81518
MolDX: Circulating Tumor Cell Marker Assays [PDF]	L35710	A57815	86152, 86153
MolDX: ConfirmMDx Epigenetic Molecular Assay [PDF]	L36327	A57605	81551
MolDX: Corus® CAD Assay [PDF]	L37673	A57415	81493
MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing [PDF]	L36310	A57378	0070U, 81225, 81226, 81227, 81355, 81479
MolDX: Cystatin C Measurement [PDF]	L37616	A57643	82610
MolDX: Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Very Low and Low Risk Disease [PDF]	L37818	A57645	81479
MolDX: Decipher® Prostate Cancer Classifier Assay [PDF]	L36343	A57623	81479
MolDX: Decision Dx-UM (Uveal Melanoma) [PDF]	L37070	A57621	81552
MolDX: DecisionDx-Melanoma [PDF]	L37750	A57417	81599
MolDX: EndoPredict® Breast Cancer Gene Expression Test [PDF]	L37295	A57607	81599
MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test [PDF]	L37887	A57419	81479
MolDX: Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs) [PDF]	L37350	A56706	87505, 87506, 87507, 0097U
MolDX: GeneSight® Assay for Refractory Depression [PDF]	L36323	A57547	81479
MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease [PDF]	L36180	A57421	81206, 81207, 81208, 81219, 81270, 81402, 81403, 81445, 81450, 81455, 81479
MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR [PDF]	L36155	A57423	81240, 81241, 81291
MolDX: Genetic Testing for Lynch Syndrome [PDF]	L36370	A54995	81210, 81288, 81292, 81293, 81294, 81295, 81296, 81297, 81298, 81299,81300, 81301, 81317, 81318, 81319, 81403, 81435, 81436, 81445, 81455, 81479, 88341, 88342, 0101U, 0130U, 0134U
MolDX: Genomic Health™ Oncotype DX® Prostate Cancer Assay [PDF]	L36364	A56371	0047U
MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC) [PDF]	L37649	A57425	81479
MolDX: HLA-B*15:02 Genetic Testing [PDF]	L36145	A57466	81381
MolDX: HLA-DQB1*06:02 Testing for Narcolepsy [PDF]	L36551	A57441	81383
MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer [PDF]	L37897	A57664	81479
MolDX:MDS FISH [PDF]	L37620	A57661	88271, 88273, 88274, 88275, 88291
MolDX: MGMT Promoter Methylation Analysis [PDF]	L36188	A57432	81287
MolDX: Molecular Diagnostic Tests (MDT) [PDF]	L35160*		0002M, 0003M, 0004M, 0006M, 0007M, 0008M, 0009M, 0011M, 0012M, 0013M, 0001U, 0002U, 0003U, 0005U, 0006U, 0007U, 0008U, 0009U, 0010U, 0011U, 0012U, 0013U, 0014U, 0016U, 0017U, 0018U, 0019U, 0021U, 0022U, 0023U, 0024U, 0025U, 0026U, 0027U, 0029U, 0030U, 0031U, 0032U, 0033U, 0034U, 0035U, 0036U, 0037U, 0038U, 0039U, 0040U, 0041U, 0042U, 0043U, 0044U, 0070U, 0084U, 0085U, 0086U, 0087U, 0088U, 0089U, 0090U, 0091U, 0092U, 0093U, 0094U, 0095U, 0096U, 0097U, 0098U, 0099U, 0100U, 0101U, 0102U, 0103U, 0104U, 81105, 81106, 81107, 81107, 81108, 81109, 81110, 81111, 81112, 81120, 88121, 81161, 81162, 81163, 81164, 91165, 81166, 81167, 81170, 81171, 81172, 81173, 81174, 81175, 81176, 81177, 81178, 81179, 81180, 81181, 81182, 81183, 81184, 81185, 81186, 81187, 81188, 81189, 81190, 81200, 81201, 81202, 81203, 81204, 81205, 81206, 81207, 81208, 81209, 81210, 81212, 81215, 81216, 81217, 81218, 81219, 81220, 81221, 81222, 81223, 81224, 81225, 81226, 81227, 81228, 81229, 81230, 81231, 81232, 81233, 81234, 81235, 81236, 81235, 81237, 81238, 81239, 81240, 81241, 81242, 81243, 81244, 81245, 81246,  81247, 81248, 81249, 81250, 81251, 81252, 81253, 81254, 81255, 81256, 81257, 81258, 81259, 81260, 81261, 81262, 81263, 81264, 81265, 81266, 81267, 81268, 81269, 81270, 81271, 81272, 81273, 81274, 81275, 81276, 81283, 81284, 81285, 81286, 81287, 81288, 81289, 81290, 81291, 81292, 81293, 81294, 81295, 81296, 81297, 81298, 81299, 81300, 81301, 81302, 81303, 81304, 81305, 81306, 81310, 81311, 81312, 81314, 81315, 81316, 81317, 81318,81319,  81320, 81321, 81322, 81323, 81324, 81325, 81326, 81327, 81328, 81329, 81330, 81331,  81332, 81333, 81334, 81335, 81336, 81337, 81340, 81341, 81342, 81343, 81344, 81345, 81346, 81350, 81355, 81361, 81362, 81363, 81364, 81370, 81371, 81372, 81373, 81374, 81375, 81376, 81377, 81378, 81379, 81380, 81381, 81382, 81383, 81400, 81401, 81402, 81403, 81404, 81405, 81406, 81407, 81407, 81410, 81411, 81412, 81413, 81414, 81415, 81416, 81417, 81420, 81422, 81425, 81426, 81427, 81430, 81431, 81432, 81433, 81435, 81435, 81436, 81437, 81438, 81439, 81440, 81442, 81443, 81445, 81448, 81450, 81455, 81460, 81465, 81470, 81471, 81479, 81490, 81493, 81500, 81503, 81504, 81506, 81507, 81508, 81509, 81510, 81511, 81512, 81518, 81519, 81520, 81521, 81525, 81528, 81535, 81536, 81538, 81539, 81540, 81541, 81545, 81551, 81595, 81596, 81599, 84999, 85999, 86152, 86153, 86849, 88120, 88121
MolDX: Molecular RBC Phenotyping [PDF]	L36167	A57444	0001U
MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels [PDF]	L37301	A57338	87631, 87632, 87633, 0098U, 0099U, 0100U, 0115U
MolDX: myPath Melanoma Assay [PDF]	L37879	A57626	81479, 0090U
MolDX: NRAS Genetic Testing [PDF]	L36335	A57486	81311, 81479
MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC) [PDF]	L37746	A57601	81479
MolDX: Oncotype DX® Breast Cancer for (DCIS) Genomic Health™ [PDF]	L36941	A57619	0045U
MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer [PDF]	L37305	A56371	0047U
MolDX: Percepta© Bronchial Genomic Classifier [PDF]	L36886	A57502	81479
MolDX: Prolaris™ Prostate Cancer Genomic Assay [PDF]	L36348	A57509	81541
MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease [PDF]	L37080	A57514	81479
MolDX: ProMark Risk Score [PDF]	L36704	A57515	81479
MolDX: Prometheus IBD sgi Diagnostic Policy [PDF]	L37299	A57516	81479, 82397, 83520, 86140
MRI and CT Scans of the Head and Neck [PDF]	L37373	A57204	70336, 70450, 70460, 70470, 70480, 70481, 70482, 70486, 70487, 70488, 70490, 70491, 70492, 70540, 70542, 70543, 70551, 70552, 70553, 70557, 70558, 70559, 72125, 72126, 72127, 72141, 72142, 72156
Nerve Blockade for Treatment of Chronic Pain and Neuropathy [PDF]	L35456	A56034	62281, 62320, 62321, 62324, 62325, , 64405, 64408, 64415, 64417, 64418, 64420, 64421, 64425, 64430, 64435, 64445, 64446, 64447, 64448, 64449, 64450, 64451, 64461, 64462, 64463, 64479, 64480, 64505, 64510, 64517, 64520, 64530, 64620, 64640, 64450, 76881, 76882, 76942, 76999, 97032, 97139, G0282, G0283
Nerve Conduction Studies and Electromyography [PDF]	L36524	A54969	51785, 95873, 95905, 95907, 95908, 95909, 95910, 95911, 95912, 95913, 95933, 95937, 95999, G0255, 51785, 92265, 95860, 95861, 95863, 95864, 95865, 95866, 95867, 95868, 95869, 95870, 95872, 95874, 95885, 95886, 95887
Non-Covered Services [PDF]	L36219	A57641	22857, 22862, 28446, 43257, 43284, 43285, 46707, 62263, 62264, 62287, 83987, 84431, 86305, 91132, 91133, 92145, 93050, 93702, 97026, 97033, 97545, 97546, 99605, 99606, 99607, J2010, J7330, 0042T, 0054T, 0055T, 0071T, 0072T, 0098T, 0100T, 0101T, 0102T, 0106T, 0107T, 0108T, 0109T, 0110T, 0111T, 0126T, 0163T, 0165T, 0174T, 0175T, 0198T, 0202T, 0205T, 0206T, 0207T, 0208T, 0209T, 0210T, 0211T, 0212T, 0219T, 0220T, 0221T, 0222T, 0232T, 0234T, 0235T, 0236T, 0237T, 0238T, 0253T, 0263T, 0264T, 0265T, 0266T, 0267T, 0268T, 0272T, 0273T, 0274T, 0278T, 0290T, 0300T, 0312T, 0313T, 0316T, 0317T, 0329T, 0330T, 0331T, 0332T, 0333T, 0335T, 0338T, 0339T, 0340T, 0341T, 0342T, 0347T, 0348T, 0349T, 0350T, 0351T, 0352T, 0353T, 0354T, 0355T, 0356T, 0357T, 0358T, 0361T, 0373T, 0374T, 0375T, 0376T, 0378T, 0379T, 0380T, 0381T, 0382T, 0383T, 0384T, 0385T, 0386T, 0396T, 0397T, 0398T, 0399T, 0400T, 0401T, 0403T, 0405T, 0408T, 0409T, 0410T, 0411T, 0412T, 0413T, 0414T, 0415T, 0416T, 0417T, 0418T, 0419T, 0420T, 0421T, 0422T, 0423T, 0424T, 0425T, 0426T, 0427T, 0428T, 0429T, 0430T, 0431T, 0432T, 0433T, 0434T, 0435T, 0436T, 0437T, 0439T, 0440T, 0441T, 0442T, 0443T, 0444T, 0445T, 0446T, 0447T, 0448T, 0450T, 0451T, 0452T, 0453T, 0454T, 0455T, 0456T, 0457T, 0458T, 0459T, 0460T, 0461T, 0462T, 0463T, 0464T, 0465T, 0466T, 0467T, 0468T
Percutaneous Vertebral Augmentation [PDF]	L34228	A57694	22510, 22511, 22512, 22513, 22514, 22515, 0200T, 0201T
Peripheral Nerve Stimulation [PDF]	L34328	A55530	61885, 64553, 64555, 64561, 64569, 64570, 64575, 64581, 64585, 64590, 64595, 64999
Plastic Surgery [PDF]	L35163	A57221	15780, 15781, 15782, 15783, 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15839, 15847, 15876, 15877, 15878, 15879, 19316, 19318, 19324, 19325, 19328, 19330, 19340, 19342, 19350, 19355, 19357, 19361, 19364, 19366, 19367, 19368, 19369, 19370, 19371, 19380, 19396, 30400, 30410, 30420, 30430, 30435, 30450
Polysomnography and Other Sleep Studies [PDF]	L36861	A57697	G0398, G0399, G0400, 95782, 95783, 95800, 95801, 95803, 95805, 95806, 95807, 95808, 95810, 95811
Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder [PDF]	L37086	A57692	90867, 90868, 90869
Respiratory Care (Respiratory Therapy) [PDF]	L34149	A57224	G0237, G0238, G0239, 31502, 31720, 94002, 94003, 94004, 94010, 94011, 94012, 94013, 94060, 94070, 94150, 94200, 94250, 94375, 94400, 94450, 94617, 94618, 94621, 94640, 94642, 94660, 94662, 94664, 94667, 94668, 94669, 94726, 94727, 94728, 94729, 94750, 94772
Serum Magnesium [PDF]	L36702	A57189	83735
Spinal Cord Stimulators for Chronic Pain [PDF]	L35136	A57791	63650, 63655, 63663, 63664, 63685
Total Hip Arthroplasty [PDF]	L34163	A57683	27130, 27132, 27134, 27137, 27138
Total Knee Arthroplasty [PDF]	L36575	A57685	27445, 27447, 27486, 27487
Treatment of Males with Low Testosterone [PDF]	L36538	A57615	11980, 84410, 96372, J1071, J3121, J3145, J3490
Treatment of Ulcers & Symptomatic Hyperkeratoses [PDF]	L34243	A57459	11042, 11043, 11044, 11045, 11046, 11047, 11055, 11056, 11057, 97597, 97598
Treatment of Varicose Veins of the Lower Extremities [PDF]	L34209	A57706	36299, 36465, 36466, 36470, 36471, 36473, 36474, 36475, 36476, 36478, 36479, 36482, 36483, 37700, 37718, 37722, 37735, 37760, 37761, 37765, 37766, 37780, 37785, 37799, , 93970, 93971
Trigger Point Injections [PDF]	L34211	A57701	20552, 20553
Vitamin D Assay Testing [PDF]	L36692	A57718	82306, 82653