Retired LCDs

Retired Local Coverage Determinations (LCDs) are available on the CMS Medicare Coverage Database (MCD). LCDs move to the MCD Archive one year after their retirement

Retired Within One Year Archived More Than One Year Ago
California - Contractor ID 01111 California - Contractor ID 01111
Hawaii and Territories - Contractor ID 01211 Hawaii and Territories - Contractor ID 01211
Nevada - Contractor ID 01311 Nevada - Contractor ID 01311
CA, HI and Territories - Contractor ID 01911 CA, HI and Territories - Contractor ID 01911

 

Medicare Database Number LCD Title Retirement Date CPT / HCPCS Codes Referenced
L34993 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy   64490, 64491, 64492, 64493, 64494, 64495, 64633, 64634, 64635, 64636, 0213T, 0214T, 0215T, 0216T, 0217T, 0218T

 

Last Updated Fri, 23 Apr 2021 15:46:50 +0000