Article Detail - JE Part B
Helicobacter Pylori Infection Testing LCD and Billing and Coding: Helicobacter Pylori Infection Testing Retirement - Effective August 01, 2020
This Local Coverage Determination (LCD) has been retired under contractor numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), and 01312 (NV).
Medicare Coverage Database (MCD) Numbers: L37624/A57226
LCD Title: Helicobacter Pylori Infection Testing
Article Title: Billing and Coding: Helicobacter Pylori Infection Testing
Effective Date: August 01, 2020
Rationale: LCDs and coverage articles are retired due to lack of evidence of current need(s) for the education and/or edits or in some cases because the material is addressed by a National Coverage Determination (NCD), a coverage provision in a CMS interpretative manual, another LCD or an article.
The Noridian guidance in the retired article may still be helpful in assessing medical necessity. Where providers have adjusted their billing and coding practices to correspond to the guidance in a coverage article, they will want to be very careful in departing from these practices just because the article is retired. Provider offices remain responsible for correct performance, coding, billing, and medical necessity under Medicare.
Retirement does not mean that medical necessity has changed or that the LCD no longer reflects appropriate criteria. The guidance in the retired LCD and coverage article may be helpful in assessing medical necessity.
This responsibility for correct claims submission is unchanged whether or not there is a coverage article in place.
Visit the Retired LCDs webpage to access the retired LCDs.
Visit the Noridian Medicare Coverage Articles webpage to access the Retired articles in the CMS MCD.
Last Updated Mon, 03 Aug 2020 14:27:01 +0000