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
L37303 MolDX: AlloSure® Donor-Derived Cell-Free DNA Test This link takes you to an external website. 81479
L37295 MolDX: EndoPredict Breast Cancer Gene Expression Test This link takes you to an external website. 81599
L37299 MolDX: Prometheus IBD sgi Diagnostic Policy This link takes you to an external website. 81479, 82397, 83520, 86140

 

Last Updated Dec 12, 2017