If a local coverage determination (LCD) contains "Coding Guidelines," they are indicated by an asterisk (*) after the MCD Number.
- 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.
Looking for LCDs Converted to ICD-10?
A list of Local Coverage Determinations (LCDs) converted to ICD-10 is available on the LCDs by Contractor Index. Use the scroll box on the index to select your Medicare Administrative Contractor (MAC) and select the "Submit" button to view a list of states that the specified MAC services. You can then select your MAC name from the table to view the future translated LCDs.
- How to Access Updates to ICD-10 Local Coverage Determinations in the CMS Medicare Coverage Database (CMS Special Edition (SE)1421)
Below is a listing of the Future LCDs. All LCDs for Jurisdiction E states contain the same content/guidelines.
| Medicare |
|LCD Title||CPT / HCPCS Codes Referenced|
|L38147||Decipher® Biopsy Prostate Cancer Classifier Assay for Men with Intermediate Risk Disease||81542|
|L38299||Micro-Invasive Glaucoma Surgery (MIGS)||0191T, 0449T, 0376T, 0450T, 0474T|
|L38119||MolDX: Next Generation Sequencing for Solid Tumors||81445, 81479|
|L38123||MolDX: Next Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies||81450, 81479|
|L38135||MolDX: TruGraf Blood Gene Expression Test||81479|
Last Updated Apr 06, 2020