Future LCDs

Future Local Coverage Determinations (LCDs) are available on the CMS Medicare Coverage Database website.

If an 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 (http://go.cms.gov/1tOP9VN This link takes you to an external website.). 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.

Below is a listing of the Future LCDs. All LCDs for Jurisdiction E states contain the same content/guidelines.

Medicare Database Number LCD Title CPT / HCPCS Codes Referenced
L35170 Botulinum Toxin Types A and B This link will take you to an external website. 31513, 31570, 31599, 43201, 43236, 52287, 64611, 64612, 64615, 64616, 64617, 64642, 64643, 64644, 64645, 64646, 64647, 64650, 64653, 67345, 95873, 95874, J0585, J0586, J0587, J0588
L34218 Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma This link takes you to an external website. 20526, 20527, 20550, 20551, 20612, 26341, 28899, 64455, 64632
L36846 Measurement of Salivary Hormones This link takes you to an external website. 84999
L36882 MolDX: APC and MUTYH Gene Testing This link takes you to an external website. 81201, 81202, 81203, 81403, 81406, 81435, 81479
L36886 MolDX-CDD: Percepta Bronchial Genomic Classifier This link takes you to an external website. 81479
L36704 MolDX-CDD: ProMark Risk Score This link will take you to an external website. 81479
L36861 Polysomnography and Other Sleep Studies This link takes you to an external website. 95782, 95783, 95800, 95801, 95805, 95806, 95807, 95808, 95810, 95811, G0398, G0399, G0400
L34211 Trigger Point Injection This link will take you to an external website. 20552, 20553

 

Last Updated May 22, 2017