The Jurisdiction E Part B Local Coverage Determination (LCDs) and Local Coverage Articles (LCAs) have been created and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), and 01312 (NV).

Change Request 10901, dated February 12, 2019, and the 21st Century Cures Act require all coding (procedure, diagnosis, modifier, revenue, and type of bill) to be removed from LCDs and placed into billing and coding articles. There is no change in coverage. See the LCD title, Medicare Coverage Database (MCD) LCD number and the MCD article number below.

All LCD LCAs will be titled "Billing and Coding: LCD Title."

Effective Date: December 1, 2019

MCD LCD Number	MCD LCA Number	LCD Title
L37628	A56071	In Vitro Chemosensitivity and Chemoresistance Assays
L34215	A57689	Lab: Flow Cytometry
L36351	A57611	Lab: Special Histochemical Stains and Immunohistochemical Stains
L35702	A56514	Mohs Micrographic Surgery
L36343	A57623	MolDX: Decipher® Prostate Cancer Classifier Assay
L37070	A57621	MolDX: DecisionDx-UM (Uveal Melanoma)
L36335	A57486	MolDX: NRAS Genetic Testing
L37746	A57601	MolDX: Oncotype DX AR-V7 Nucleus Detect for Men with Metastatic Castrate Resistant Prostate Cancer (MCRPC)
L36941	A57619	MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)
L36886	A57502	MolDX: Percepta© Bronchial Genomic Classifier
L36348	A57509	MolDX: Prolaris™ Prostate Cancer Genomic Assay
L37080	A57514	MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
L36704	A57516	MolDX: ProMark Risk Score
L37299	A57515	MolDX: Prometheus IBD sgi Diagnostic Policy
L38135	A57746	MolDX: TruGraf Blood Gene Expression Test
L35456	A56034	Nerve Blockade for Treatment of Chronic Pain and Neuropathy
L36524	A54969	Nerve Conduction Studies and Electromyography
L34228	A57694	Percutaneous Vertebral Augmentation
L34328	A55530	Peripheral Nerve Stimulation
L36861	A57697	Polysomnography and Other Sleep Studies
L37086	A57692	Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder
L35136	A55791	Spinal Cord Stimulators for Chronic pain
L34224	A57471	Stereotactic Body Radiation Therapy
L34223	A57485	Stereotactic Radiosurgeyr
L34163	A57683	Total Hip Arthroplasty
L36575	A57685	Total Knee Arthroplasty
L34209	A57706	Treatment of Varicose Veins of the Lower Extremities
L34211	A57701	Trigger Point Injections
L36692	A57718	Vitamin D Assay Testing

 

Visit the Active LCD webpage to view the locally hosted Active LCD or access it via the CMS MCD.

Visit the Noridian Medicare Coverage Articles webpage to view the complete listing of locally hosted coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD.