Active LCDs - JF Part B
Medicare Coverage Database (MCD)
The official LCD version is in CMS Medicare Coverage Database .
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All LCDS are the same for each state within a Jurisdiction and are accessible from the table below.
Access LCD or Article: Select the LCD or Article number in the table below to view the policy or article on the Medicare Coverage Database (MCD).
Print the LCD or Article: Select the LCD or Article number in the table below to view the policy or article on the Medicare Coverage Database (MCD).
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View the ICD-9 to ICD-10 LCD number crosswalk.
The Coding Guidelines are indicated by an asterisk (*) after the LCD Number.
Once you access the LCD, the "Coding Guidelines" can be found under the heading, "LCD Attachments" near the end of the document. Note: All CPT/HCPCS codes listed are mentioned in the LCD, but are not necessarily subject to diagnosis codes or coverage criteria.
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| LCD Title | LCD Number | Billing and Coding Companion Article | CPT / HCPCS Codes Referenced |
|---|---|---|---|
| Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin | L39398 | A59177 | 38240 |
| Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound | L39118 | A58867 | Q4112, Q4139, Q4145, Q4149, Q4155, Q4162, Q4168, Q4171, Q4174, Q4177, Q4185, Q4189, Q4192, Q4206, Q4212, Q4213, Q4215, Q4230, Q4231, Q4233, Q4240, Q4241, Q4242, Q4244, Q4245, Q4246 |
| B-type Natriuretic Peptide (BNP) Testing | L34038 | A57084 | 83880 |
| BDX-XL2 | L37062 | A57357 | 0080U |
| Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) | L33979* | A57162 | 11200, 11201, 11300, 11301, 11302, 11303, 11305, 11306, 11307, 11308, 11310, 11311, 11312, 11313, 11400, 11401, 11402, 11403, 11404, 11406, 11420, 11421, 11422, 11423, 11424, 11426, 11440, 11441, 11442, 11443, 11444, 11446, 17110, 17111 |
| Blepharoplasty Eyelid Surgery, and Brow Lift | L36286 | A57191 | 15822, 15823, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909, |
| Botulinum Toxin Types A and B | L35172 | A57186 | J0585, J0586, J0587, J0588, 31513, 31570, 43201, 43236, 43499, 46505, 52287, 64611, 64612, 64615, 64616, 64617, 64640, 64642, 64643, 64644, 64645, 64646, 64647, 64650, 64653, 64999, 67345, 95873, 95874 |
| Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography | L36889 | A57184 | 93015, 93016, 93017, 93018, 93320, 93321, 93325, 93350, 93351, 93352, J0153, J0395, J1245, J1250, J3490 |
| Cataract Surgery in Adults | L37027 | A57196 | 66830, 66840, 66850, 66852, 66920, 66940, 66982, 66983, 66984, 66987, 66988 |
| Chest X-Ray Policy | L37549 | A57498 | 71045, 71046, 71047, 71048 |
| Colon Capsule Endoscopy | L38826 | A58438 | 91113 |
| Computed Tomography Cerebral Perfusion Analysis (CTP) | L38700 | A58225 | 0042T |
| Diagnostic and Therapeutic Colonoscopy | L36868 | A57343 | 44388, 44389, 44390, 44391, 44392, 44394, 44401, 44402, 44404, 44405, 44406, 44407, 45378, 45379, 45380, 45381, 45382, 45384, 45385, 45386, 45388, 45389, 45391, 45392, 45393 |
| Electrocardiograms | L37283 | A57327 | 93000, 93005, 93010, 93040, 93041, 93042, 93319, 93593, 93594, 93595, 93596, 93597, 93598 |
| Epidural Steroid Joint Injections for Pain Management | L39242 | A58995 | 62320, 62321, 62322, 62323, 64479, 64480, 64483, 64484 |
| Facet Joint Interventions for Pain Management | L38803 | A58405 | 64490, 64491, 64492, 64493, 64494, 64495, 64633, 64634, 64635, 64636, 0213T. 0214T, 0215T, 0216T, 0217T, 0218T, 0219T, 0220T, 0221T, 0222T |
| Frequency of Hemodialysis | L37504 | A55676 | 90999 |
| GlycoMark Testing for Glycemic Control | L36866 | A57238 | 84378, 84999 |
| Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea | L38312 | A57949 | 64582, 64583, 64584 |
| Immune Globulin Intravenous (IVIg) | L34074 | A57194 | J1459, J1556, J1557, J1561, J1566, J1568, J1569, J1572, J1599 |
| Implantable Continuous Glucose Monitor (I-CGM) | L38659 | A58138 | 0446T, 0447T, 0448T |
| In Vitro Chemosensitivity & Chemoresistance Assays | L37630 | A56073 | 84999, 89240, 0564T, 0083U |
| Injections – Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma | L34076 | A57201 | 20526, 20527, 20550, 20551, 20612, 26341, 28899, 64455, 64632 |
| Lab: Bladder/Urothelial Tumor Markers | L36680 | A55029 | 86294, 86316, 86386, 88120, 88121 |
| Lab: Coenzyme Q10 (CoQ10) | L37068 | A55770 | 82542 |
| Lab: Controlled Substance Monitoring and Drugs of Abuse Testing | L36707 | A55030 | 0227U, 80305, 80306, 80307, G0480, G0481, G0482, G0483, G0659 |
| Lab: Cystatin C Measurement | L37618 | A57644 | 82610 |
| Lab: Flow Cytometry | L36094 | A57690 | 88182, 88184, 88185, 88187, 88188, 88189, 86053, 86355, 86356, 86357, 86359, 86360, 86361, 86363, 86367 |
| Lab: Special Histochemical Stains and Immunohistochemical Stains | L36353 | A57614 | 88312, 88313, 88341, 88342, 88344, 88360, 88361 |
| Lumbar MRI | L37281 | A57207 | 72148, 72149, 72158, A9585, Q9953 |
| Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor | L37738 | A57513 | 0398T |
| MDS FISH | L37622 | A57662 | 88271, 88273, 88274, 88275, 88291 |
| Measurement of Salivary Hormones | L36857 | A57613 | 84999 |
| Micro-Invasive Glaucoma Surgery (MIGS) | L38301 | A57864 | 66989, 66991, 0449T, 0450T, 0474T, 0671T |
| Mohs Micrographic Surgery | L35704 | A56515 | 17311, 17312, 17313, 17314, 17315, 88302, 88304, 88305, 88307, 88309, 88314, 88331, 88332 |
| MolDX: AlloSure® or Equivalent Cell-Free DNA Testing for Kidney and Heart Allografts | L38380 | A57233 | 81479 |
| MolDX: Biomarkers in Cardiovascular Risk Assessment | L36362 | A57055 | 82172, 82610, 83090, 83695, 83698, 83700, 83701, 83704, 83719, 83721, 86141 |
| MolDX: Blood Product Molecular Antigen Typing | L38333 | A57376 | 81105, 81106, 81107, 81108, 81109, 81110, 81111, 81112, 81403, 0001U, 0084U, 0180U, 0181U, 0182U, 0183U, 0814U, 0185U, 0186U, 0187U, 0188U, 0189U, 0190U, 0191U, 0192U, 0193U, 0194U, 0195U, 0196U, 0197U, 0198U, 0199U, 0200U, 0201U, 0221U, 0222U |
| MolDX: Breast Cancer Assay: Prosigna | L36386 | A57364 | 81520 |
| MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test | L37824 | A57774 | 81518 |
| MolDX: Decision Dx-UM (Uveal Melanoma) | L37072 | A57622 | 81552 |
| MolDX: EndoPredict® Breast Cancer Gene Expression Test | L37311 | A57608 | 81522 |
| MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test | L37891 | A57420 | 81554 |
| MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease | L36186 | A57422 | 81206, 81207, 81208, 81219, 81270, 81279, 81338, 81339, 81450, 81479, 81599, 0027U, 0040U |
| MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR | L36159 | A57424 | 81240, 81241, 81291 |
| MolDX: HLA-DQB1*06:02 Testing for Narcolepsy | L36544 | A57465 | 81383 |
| MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer | L37899 | A57665 | 81479 |
| MolDX: Melanoma risk Stratification Molecular Testing | L37748 | A57290 | 81529 |
| MolDX: MGMT Promoter Methylation Analysis | L36192 | A57433 | 81287 |
| MolDX: Minimal Residual Disease Testing for Cancer | L38816 | A58456 | 81445, 81479 |
| MolDX: Molecular Biomarkers to Risk-Stratify Patients at Increased Risk for Prostate Cancer | L39007 | A58724 | 81313, 81479, 81551, 0340U |
| MolDX: Molecular Diagnostic Tests (MDT) | L36256* | A57527 | 81105, 81106, 81107, 81108, 81109, 81110, 81111, 81112, 81120, 81121, 81161, 81162, 81163, 81164, 81165, 81166, 81167, 81170, 81171, 81172, 81173, 81174, 81175, 81176, 81177, 81178, 81179, 81180, 81181, 81182, 81183, 81184, 81185, 81186, 81187, 81188, 81189, 81190, 81200, 81201, 81202, 81203, 81204, 81205, 81206, 81207, 81208, 81209, 81210, 81212, 81215, 81216, 81217, 81218, 81219, 81220, 81221, 81222, 81223, 81224, 81225, 81226, 81227, 81228, 81229, 81230, 81231, 81232, 81233, 81234, 81235, 81236, 81237, 81238, 81239, 81240, 81241, 81242, 81243, 81244, 81245, 81246, 81247, 81248, 81249, 81250, 81251, 81252, 81253, 81254, 81255, 81256, 81257, 81258, 81259, 81260, 81261, 81262, 81263, 81264, 81265, 81266, 81267, 81268, 81269, 81270, 81271, 81272, 81273, 81274, 81275, 81276, 81277, 81283, 81284, 81285, 81286, 81287, 81288, 81289, 81290, 81291, 81292, 81293, 81294, 81295, 81296, 81297, 81298, 81299, 81300, 81301, 81302, 81303, 81304, 81305, 81306, 81307, 81308, 81309, 81310, 81311, 81312, 81313, 81314, 81315, 81316, 81317, 81318, 81319, 81320, 81321, 81322, 81323, 81324, 81325, 81326, 81327, 81328, 81329, 81330, 81331, 81332, 81333, 81334, 81335, 81336, 81337, 81338, 81339, 81343, 81344, 81345, 81346, 81349, 81350, 81355, 81361, 81362, 81363, 81364, 81374, 81377, 81381, 81383, 81400, 81401, 81402, 81403, 81404, 81405, 81406, 81407, 81408, 81410, 81411, 81412, 81413, 81414, 81415, 81416, 81417, 81419, 81420, 81422, 81425, 81426, 81427, 81430, 81431, 81432, 81433, 81434, 81435, 81436, 81437, 81438, 81439, 81440, 81441, 81442, 81443, 81445, 81448, 81449, 81450, 81451, 81455, 81456, 81460, 81465, 81470, 81471, 81479, 81493, 81504, 81507, 81518, 81519, 81520, 81521, 81522, 81523, 81525, 81528, 81529, 81540, 81541, 81542, 81546, 81551, 81552, 81554, 81595, 0004M, 0006M, 0007M, 0011M, 0012M, 0013M, 0016M, 0017M, 0001U, 0005U, 0016U, 0017U, 0018U, 0019U, 0022U, 0023U, 0026U, 0027U, 0029U, 0030U, 0031U, 0032U, 0033U, 0034U, 0036U, 0037U, 0040U, 0045U, 0046U, 0047U, 0048U, 0049U, 0050U, 0055U, 0060U, 0069U, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, 0076U, 0078U, 0079U, 0084U, 0087U, 0088U, 0089U, 0090U, 0091U, 0094U, 0101U, 0102U, 0103U, 0111U, 0113U, 0114U, 0118U, 0120U, 0129U, 0130U, 0131U, 0132U, 0133U, 0134U, 0135U, 0136U, 0137U, 0138U, 0153U, 0154U, 0155U, 0156U, 0157U, 0158U, 0159U, 0160U, 0161U, 0162U, 0169U, 0170U, 0171U, 0172U, 0173U, 0175U, 0177U, 0179U, 0180U, 0181U, 0182U, 0183U, 0184U, 0185U, 0186U, 0187U, 0188U, 0189U, 0190U, 0191U, 0192U, 0193U, 0194U, 0195U, 0196U, 0197U, 0198U, 0199U, 0200U, 0201U, 0203U, 0204U, 0205U, 0209U, 0211U, 0212U, 0213U, 0214U, 0215U, 0216U, 0217U, 0218U, 0221U, 0222U, 0228U, 0229U, 0230U, 0231U, 0232U, 0233U, 0234U, 0235U, 0236U, 0237U, 0238U, 0239U, 0242U, 0244U, 0245U, 0246U, 0250U, 0258U, 0260U, 0262U, 0264U, 0265U, 0266U, 0267U, 0268U, 0269U, 0270U, 0271U, 0272U, 0273U, 0274U, 0276U, 0277U, 0278U, 0282U, 0285U, 0286U, 0287U, 0288U, 0289U, 0290U, 0291U, 0292U, 0293U, 0294U, 0296U, 0297U, 0298U, 0299U, 0300U, 0306U, 0307U, 0313U, 0314U, 0315U, 0318U, 0319U, 0320U, 0323U, 0326U, 0327U, 0329U, 0330U, 0331U, 0332U, 0333U, 0335U, 0336U, 0339U, 0340U, 0341U, 0347U, 0348U, 0349U, 0350U, 0355U, 0356U, 0362U, 0363U |
| MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing | L39003 | A58726 | 87631, 87636, 87637,87801,0240U, 0241U, 87505, 87483, 87154, 8151381514, 87800, 87999, 0352U, 0353U, 87632, 87633, 0115U, 0202U, 0223U, 0225U, 87506, 87507, 87468, 87469, 87471, 87472, 87475, 87476, 87478, 87480, 87481, 87482, 87484, 87485, 87486, 87487, 87490, 87491, 87492, 87493, 87495, 87496, 87497, 87498, 87501, 87502, 87503, 87510, 87511, 87512, 87516, 87517, 87520, 87521, 87522, 87525, 87526, 87527, 87528, 87529, 87530, 87531, 87532, 87533, 87534, 87535, 87536, 87537, 87538, 87539, 87540, 87541, 87542, 87550, 87551, 87552, 87555, 87556, 87557, 87560, 87561, 87562, 87563, 87580, 87581, 87582, 87590, 87591, 87592, 87593, 87623, 87624, 87625, 87634, 87635, 87640, 87641, 87650, 87651, 87652, 87653, 87660, 87661, 87662, 87797, 87798, 87799, U0001, U0002, U0003, U0004, U0005 |
| MolDX: Molecular Testing for Solid Organ Allograft Rejection | L38671 | A58170 | 81479, 81595, 81599, 0118U |
| MolDX: myPath Melanoma Assay | L37881 | A57627 | 81479, 0090U |
| MolDX: Next-Generation Sequencing for Solid Tumors | L38121 | A57905 | 81445, 81449, 81479, 0244U, 0250U, 0329U, 0334U |
| MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies | L38125 | A57892 | 81450, 81451, 81479 |
| MolDX: NRAS Genetic Testing | L36339 | A57487 | 81311, 81479 |
| MolDX: Oncotype DX® Breast Cancer for (DCIS) Genomic Health™ | L36947 | A57620 | 0045U |
| MolDX: Percepta© Bronchial Genomic Classifier | L36891 | A57504 | 81479 |
| MolDX: Pharmacogenomics Testing | L38337 | A57385 | 81220, 81225, 81226, 81227, 81231, 81232, 81247, 81283, 81306, 81328, 81335, 81350, 81355, 81374, 81377, 81381, 81383, 81418, 81479, 81406, 0029U, 0030U, 0034U, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, 0076U, 0286U, 0345U |
| MolDX: Phenotypic Biomarker Detection in Circulating Tumor Cells | L38645 | A58185 | 81479 |
| MolDX: Pigmented Lesion Assay | L38153 | A58053 | 0089U |
| MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer | L38329 | A57330 | 81479, 0288U |
| MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer | L38649 | A58187 | 81401, 81403, 81404, 81445, 81479, 0016M |
| MolDX: Prometheus IBD sgi Diagnostic Policy | L37313 | A57517 | 81479, 82397, 83520, 86140 |
| MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease | L38341 | A57236 | 81541, 81542, 0047U |
| MolDX: Repeat Germline Testing | L38353 | A57332 | 81105, 81106, 81107, 81108, 81109, 81110, 81111, 81112, 81161, 81162, 81163, 81164, 81165, 81166, 81167, 81168, 81171, 81172, 81173, 81174, 81177, 81178, 81179, 81180, 81181, 81182, 81183, 81184, 81185, 81186, 81187, 81188, 81189, 81190, 81191, 81192, 81193, 81194, 81200, 81201, 81202, 81203, 81204, 81205, 81209, 81212, 81215, 81216, 81217, 81220, 81221, 81222, 81223, 81224, 81225, 81226, 81227, 81228, 81229, 81230, 81231, 81232, 81233, 81234, 81238, 81239, 81240, 81241, 81242, 81243, 81244, 81247, 81248, 81249, 81250, 81251, 81252, 81253, 81254, 81255, 81256, 81257, 81258, 81259, 81260, 81269, 81271, 81274, 81278, 81279, 81283, 81284, 81285, 81286, 81288, 81289, 81290, 81291, 81292, 81293, 81294, 81295, 81296, 81297, 81298, 81299, 81300, 81302, 81303, 81304, 81306, 81307, 81309, 81312, 81317, 81318, 81319, 81321, 81322, 81323, 81324, 81325, 81326, 81328, 81329, 81330, 81331, 81332, 81333, 81335, 81336, 81337, 81340, 81341, 81342, 81343, 81344, 81345, 81346, 81347, 81348, 81350, 81351, 81352, 81353, 81355, 81357, 81360, 81361, 81362, 81363, 81364, 81401, 81402, 81403, 81404, 81405, 81406, 81407, 81408, 81410, 81411, 81412, 81413, 81414, 81415, 81416, 81417, 81419, 81420, 81422, 81425, 81426, 81427, 81430, 81431, 81432, 81433, 81434, 81435, 81436, 81437, 81438, 81439, 81440, 81442, 81443, 81448, 81460, 81465, 81470, 81471, 81479, 81493, 81554, 004M, 0001U, 0029U, 0030U, 0031U, 0032U, 0033U, 0034U, 0070U, 0071U, 0072U, 0073U, 0074U, 0075U, 0076U, 0078U, 0079U, 0084U, 0094U, 0101U, 0102U, 0103U, 01129U, 0130U, 0131U, 0132U, 0133U, 0134U, 0135U, 0136U, 0137U, 0138U, 0156U, 0157U, 0158U, 0159U, 0160U, 0160U, 0161U, 0162U, 0169U, 0170U, 0173U, 0175U, 0180U, 0181U, 0182U, 0183U, 0184U, 0185U, 0186U, 0187U, 0188U, 0189U, 0190U, 0191U, 0192U, 0193U, 0194U, 0195U, 0196U, 0197U, 0198U, 0199U, 0200U, 0201U, 0203U, 0205U, 0209U, 0212U, 0213U, 0214U, 0215U, 0216U, 0217U, 0218U, 0221U, 0222U, 0230U, 0231U, 0232U, 0233U, 0234U, 0235U, 0236U, 0237U, 0238U, 0246U, 0258U, 0260U, 0264U, 0265U, 0266U, 0267U, 0268U, 0269U, 0270U, 0271U, 0272U, 0273U, 02744U, 0276U, 0277U, 0278U, 0282U, 0286U, 0289U, 0290U, 0291U, 0292U, 0293U, 0294U, 0318U, 0345U, 0347U, 0348U, 0349U, 0350U, 0355U |
| MRI and CT Scans of the Head and Neck | L35175 | A57215 | 70336, 70450, 70460, 70470, 70480, 70481, 70482, 70486, 70487, 70488, 70490, 70491, 70492, 70540, 70542, 70543, 70551, 70552, 70553, 70557, 70558, 70559, 72125, 72126, 72127, 72141, 72142, 72156 |
| Nerve Blockade for Treatment of Chronic Pain and Neuropathy | L35457 | A52725 | 62281, 62324, 62325, 64405, 64408, 64415, 64417, 64418, 64420, 64421, 64425, 64430, 64435, 64445, 64446, 64447, 64448, 64449, 64450, 64451, 64461, 64462, 64463, 64505, 64510, 64517, 64520, 64530, 64620, 64640, 64999, 64450, 76881, 76882, 76942, 76999, 97032, 97139, G0282, G0283 |
| Nerve Conduction Studies and Electromyography | L36526 | A54992 | 95873, 95905, 95907, 95908, 95909, 95910, 95911, 95912, 95913, 95933, 95937, 95999, G0255, 51785, 92265, 95860, 95861, 95863, 95864, 95865, 95866, 95867, 95868, 95869, 95870, 95872, 95874, 95885, 95886, 95887 |
| Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease | L38615 | A58097 | 0501T, 0502T, 0503T, 0504T |
| Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) | L34106 | A56573 | 22510, 22511, 22512, 22513, 22514, 22515 |
| Peripheral Nerve Stimulation | L37360 | A55531 | 61885, 64553, 64555, 64561, 64569, 64570, 64575, 64581, 64585, 64590, 64595, 64999 |
| Plastic Surgery | L37020 | A57222 | 15780, 15781, 15782, 15783, 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15839, 15847, 15876, 15877, 15878, 15879, 19316, 19318, 19325, 19328, 19330, 19340, 19342, 19350, 19355, 19357, 19361, 19364, 19367, 19368, 19369, 19370, 19371, 19380, 19396, 30400, 30410, 30420, 30430, 30435, 30450 |
| Platelet Rich Plasma Injections for Non-Wound Injections | L39060 | A58790 | 86965, G0460, G0465, M0076, P9020, 0232T |
| Polysomnography and Other Sleep Studies | L34040 | A57698 | G0398, G0399, G0400, 95782, 95783, 95800, 95801, 95803, 95805, 95806, 95807, 95808, 95810, 95811 |
| ProMark Risk Score | L36706 | A57609 | 81479 |
| Respiratory Care (Respiratory Therapy) | L37293 | A57225 | G0237, G0238, G0239, 31502, 31720, 94002, 94003, 94004, 94010, 94011, 94012, 94013, 94060, 94070, 94150, 94200, 94375, 94450, 94617, 94618, 94619, 94621, 94640, 94642, 94660, 94662, 94664, 94667, 94668, 94669, 94726, 94727, 94728, 94729, 94772 |
| Sacroiliac Joint Injections and Procedures | L39464 | A59246 | 27096, 64451, 64625, 77002, 77012, G0260 |
| Serum Magnesium | L36700 | A57198 | 83735 |
| Spinal Cord Stimulators for Chronic Pain | L36204 | A57792 | 63650, 63655, 63663, 63664, 63685 |
| Total Hip Arthroplasty | L36573 | A57684 | 27130, 27132, 27134, 27137, 27138 |
| Total Knee Arthroplasty | L36577 | A57686 | 27445, 27447, 27486, 27487 |
| Transcranial Magnetic Stimulation (TMS) | L37088 | A57693 | 90867, 90868, 90869 |
| Transurethral Waterjet Ablation of the Prostate | L38707 | A58229 | C2596, 0421T |
| Treatment of Males with Low Testosterone | L36569 | A57616 | 11980, 84410, 96372, J1071, J3121, J3145, J3490 |
| Treatment of Varicose Veins of the Lower Extremities | L34010 | A57707 | 36299, 36465, 36466, 36470, 36471, 36473, 36474, 36475, 36476, 36478, 36479, 36482, 36483, 37700, 37718, 37722, 37735, 37760, 37761, 37765, 37766, 37780, 37785, 37799, 93970, 93971 |
| Trigger Point Injections | L36859 | A57702 | 20552, 20553 |
| Urine Drug Testing | L36707 | A55030 | 80305, 80306, 80307, G0480, G0481, G0482, G0483, G0659 |
| Vitamin D Assay Testing | L34051 | A57719 | 82306, 82652 |
| Wound and Ulcer Care | L38904 | A58567 | 11000, 11001, 11004, 11005, 11006, 11008, 11010, 11011, 11012, 11042, 11043, 11044, 11045, 11046, 11047, 11055, 11056, 11057, 29445, 29580, 29581, 97597, 97598, 97602, 97605, 97606, 97607, 97608, 97610 |
Last Updated Thu, 28 Sep 2023 20:04:17 +0000