2024 CPT/HCPCS Local Coverage Article (LCA) Updates

These Local Coverage Articles (LCA) have been revised under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Effective Date: January 01, 2024

Summary of Changes: The following Billing and Coding Articles have been updated to include and/or remove CPT/HCPCS codes as well as update descriptions. For description changes, either the short and/or long code description was changed. Please Note: Depending on which descriptor was used, there may not be any changes to the code display in the article.

MCD Number LCA Title New CPT/HCPCS Codes Deleted CPT/HCPCS Codes CPT/HCPCS Codes Descriptors changes
A58097 Billing and Coding: Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease 75580 0501T, 0502T, 0503T, 0504T N/A
A55531 Billing and Coding: Peripheral Nerve Stimulation 64596, 64597, 64598 N/A 64585, 64590, 64595
A57162 Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) N/A N/A 11200, 11201
A57957 Billing and Coding: Routine Foot Care N/A N/A 11055, 11056, 11057
A57614 Billing and Coding: Lab: Special Histochemical Stains and Immunohistochemical Stains N/A N/A 88341, 88342, 88344
A56515 Billing and Coding: MOHS Micrographic Surgery N/A N/A 88331, 88332
A52725 Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy N/A N/A 97032
A53046 Billing and Coding: Wound Care and Debridement - Provided by a Therapist, Physician, NPP, or as Incident-to Services N/A N/A 97597, 97598
A54992 Billing and Coding: Nerve Conduction Studies and Electromyography N/A N/A 92265
A58567 Billing and Coding: Wound and Ulcer Care N/A N/A 11000, 11001, 11004, 11005, 11006, 11008, 11042, 11043, 11044, 11045, 11046, 11047, 11055, 11056, 11057, 97597, 97598, 97605, 97606, 97607, 97608
A53017 Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence N/A N/A 64585, 64590, 64595
A57792 Billing and Coding: Spinal Cord Stimulators for Chronic Pain N/A N/A 63685

Visit the Medicare Coverage Articles webpage to view the Active LCA or access it via the CMS MCD.

Last Updated Dec 28 , 2023