Additional Information Required for Coverage and Pricing for Category III CPT Codes - R7

The Additional Information Required for Coverage and Pricing for Category III CPT® Codes Local Coverage Article (LCA), has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI) and 01312 (NV).

Summary of Changes: This LCA has been updated to remove Category III CPT code 0402T from Group 1 and added into Group 4.
Effective Date: January 1, 2019

View the locally hosted Medicare coverage article.

  • Go to Noridian Medicare Coverage Articles webpage
    • The End User Agreement for Providers will appear if you have not recently visited the website. Select "Accept" (if necessary)
  • View locally hosted Medicare coverage article

View a complete list of Noridian coverage articles.

  • Go to Noridian Medicare Coverage Articles webpage
  • Scroll to bottom of page
  • Select state/contract link of interest from applicable Active, Future, or Retired Articles column
    • Link will redirect you to CMS MCD
  • In CMS MCD, select corresponding article title to view a comprehensive revision history for this article

Last Updated Feb 04, 2019