Jurisdiction E Part B LCDs and LCAs - Effective December 1, 2019

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.

 

Last Updated Dec 10, 2019