Future LCDs
Future Local Coverage Determinations (LCDs) are available on the CMS Medicare Coverage Database website.
- California
- Contractor ID 01111
- Hawaii and Territories
- Nevada
- Former Mutual of Omaha (CA, HI and Territories)
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 ). 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 Database Number | LCD Title | CPT / HCPCS Codes Referenced |
|---|---|---|
| L34203 | Cataract Surgery In Adults | 66830, 66840, 66850, 66852, 66920, 66940, 66985, 66983, 66984 |
| L37066 | Coenzyme Q10 (CoQ10) | N/A |
| L36846 | Measurement of Salivary Hormones | 84999 |
| L37070 | MolDX: DecisionDX-UM (Uveal Melanoma) | 81599 |
| L37080 | MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease | 81479 |
| L37054 | MolDX: Xpresys Lung | 81599 |
| L35163 | Plastic Surgery | 15780, 15781, 15782, 15783, 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15539, 15847, 15876, 15877, 15878, 15879, 19316, 19318, 19324, 19325, 13928, 13990, 19340, 19342, 19350, 19355, 19357, 19361, 19364, 19366, 19367, 19368, 19369, 19370, 19371, 19380, 19396, 30400, 30410, 30420, 30430, 30435, 30450 |
Last Updated Aug 18, 2017