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Future LCDs

Future Local Coverage Determinations (LCDs) are available on the CMS Medicare Coverage Database website.

View All Future LCDs in MCD by State

State This link will take you to an external website. Alaska Arizona Idaho Montana North Dakota Oregon South Dakota Utah Washington Wyoming


If an LCD contains "Coding Guidelines," they are indicated by an asterisk (*) after the MCD 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.

Looking for LCDs Converted to ICD-10?

A list of Local Coverage Determinations (LCDs) converted to ICD-10 is available on the LCDs by Contractor Index This link takes you to an external website.. Use the scroll box on the index to select your Medicare Administrative Contractor (MAC) and select the "Submit" button to view a list of states that the specified MAC services. You can then select your MAC name from the table to view the future translated LCDs.

Below is a listing of the Future LCDs This link takes you to an external website.. All LCDs for Jurisdiction F states contain the same content/guidelines.

Medicare Database Number LCD Title CPT / HCPCS Codes Referenced
L36680 Bladder/Urothelial Tumor Markers This link will take you to an external website. 86294, 86316, 86386, 88120, 88121
L35172 Botulinum Toxin Types A and B This link will take you to an external website. 31513, 31570, 31599, 43201, 43236, 52287, 64611, 64612, 64615, 64616, 64617, 64642, 64643, 64644, 64645, 64646, 64647, 64650, 64653, 67345, 95873, 95874, J0585, J0586, J0587, J0588
L36884 MolDX: APC and MUTYH Gene Testing This link takes you to an external website. 81201, 81202, 81203, 81403, 81406, 81435, 81479
L36891 MolDX-CDD: Percepta Bronchial Genomic Classifier This link takes you to an external website. 81479
L36706 MolDX-CDD: ProMark Risk Score This link takes you to an external website. 81479
L36859 Trigger Point Injections This link takes you to an external website. 20552, 20553

 

Last Updated Apr 11, 2017