Final LCD Colon Capsule Endoscopy (CCE); Billing and Coding: Colon Capsule Endoscopy - Effective March 28, 2021

This Local Coverage Determination (LCD) has completed the Open Public Meeting comment period and is now finalized under contractor numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, and NMI), and 01312 (NV). Responses to comments received may be found as a link at the bottom of the final LCD.

Medicare Coverage Database Number LCD Title
L38824 Colon Capsule Endoscopy (CCE)


Medicare Coverage Database Number Billing and Coding Article Title
A58436 Billing and Coding Article: Colon Capsule Endoscopy (CCE)


Effective Date: March 28, 2021
Summary: Colon Capsule Endoscopy (CCE) is a noninvasive procedure that does not require air inflation or sedation and allows for minimally invasive and painless colonic evaluation. For diagnostic and/or surveillance purposes, Colon Capsule Endoscopy (CCE) is medically necessary when certain criteria are met.

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            Last Updated Thu, 11 Feb 2021 22:15:14 +0000