Medical Director Articles

The term "article" is used to describe any bulletin article, web site article, educational handout or any other non-LCD document intended for public release that contains coverage/coding statements or medical review related billing or claims considerations.

Articles address local coverage, coding or medical review related billing and claims considerations, and may include any newly developed educational materials, coding instructions or clarification of existing medical review related billing or claims policy.

The article listing will continue to expand as additions are made.

Last Updated Jan 30 , 2024
Articles Source Posted
Billing and Coding: Cervical Fusion (A59624) - R5 - Effective April 9, 2026 Apr 09, 2026
Epidural Steroid Injections for Pain Management (L39240) - R4 - Effective April 9, 2026 Apr 09, 2026
Billing and Coding: Botulinum Toxin Injections (A57186) - R13 - Effective April 9, 2026 Apr 09, 2026
Botulinum Toxin Injections LCD - Published for Review and Comments Apr 02, 2026
Open Public Meeting Announcement Botulinum Toxin Injections - April 30, 2026 Apr 02, 2026
Billing and Coding: Implantable Automatic Defibrillators (A56340) Retirement - Effective April 6, 2026 Apr 02, 2026
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R25 - Effective April 1, 2026 Apr 02, 2026
Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma (A57079) - R4 - Effective October 1, 2019 Apr 02, 2026
2026 CPT/HCPCS Billing and Coding Article Updates - Effective April 1, 2026 Apr 02, 2026
Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) (A58223) - R7 - Effective January 1, 2026 Mar 26, 2026
Post Market Studies and Post Market Extension Studies - Percutaneous Transluminal Angioplasty (PTA) with Carotid Stenting and Embolic Protection Mar 25, 2026
Billing and Coding Nusinersen, (brand name SPINRAZA®) Mar 25, 2026
Healthcare Common Procedure Coding System (HCPCS) Level II Code Compliance Guidance Mar 25, 2026
Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing (A58720) - R34 - Effective March 19, 2026 Mar 19, 2026
Billing and Coding: Spinraza® (nusinersen) (A58578) Retirement - Effective January 2, 2025 Mar 19, 2026
Billing and Coding: Wound and Ulcer Care (A58565) - R13 - Effective October 1, 2025 Mar 19, 2026
Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) (L40176) - R1 - Effective March 1, 2026 Mar 19, 2026
Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) (A60181) - R1 - Effective March 1, 2026 Mar 12, 2026
Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy (A56034) - R11 - Effective March 5, 2026 Mar 12, 2026
Billing and Coding: MolDX: Minimal Residual Disease Testing for Solid Tumor Cancers (A58454) - R17 - Effective March 12, 2026 Mar 12, 2026