Medicare Coverage Database (MCD)

Future LCDs are available on the CMS MCD website:

Future LCDs

If a local coverage determination (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. 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. All LCDs for Jurisdiction F states contain the same content/guidelines.

Medicare
Database
Number
LCD Title CPT / HCPCS Codes Referenced
L33979 Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) 11200, 11201, 11300, 11301, 11302, 11303, 11305, 11306, 11307, 11308, 11310, 11311, 11312, 11313, 11400, 11401, 11402, 11403, 11401, 11406, 11420, 11421, 11422, 11423, 11424, 11440, 11441, 11442, 11443, 11444, 11446, 17110, 17111
L36286 Blepharoplasty, Eyelid Surgery, and Brow Lift 15822, 15823, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909
L35172 Botulinum Toxin Types A and B 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
L36889 Cardiovascular, Stress, Testing, Exercise, Pharmacological, Stress, Echocardiography 93015, 93016, 93017,93018, 93350, 93351, 93352, J0153, J0395, J1245, J1250, J3490, 93320, 93321,93325
L34009 Chiropractic Services 98940, 98941, 98942, 98943
L36707 Controlled Substance Drugs of Abuse Testing G0659, G0480, G048, G0482, G0483,80305,80306,80307
L37283 Electrocardiograms 93000, 93005, 93010, 93040, 93041, 93042
L36094 Flow Cytometry 88182, 88184, 88185, 88187, 88188, 88189, 86355, 86356, 86357, 86359, 86360, 86361, 86367
L34080 Intensity Modulated Radiation Therapy (IMRT) 77301, 77338
L37360 In Vitro Chemosensitivity & Chemoresistance Assays 84999, 89240
L37281 Lumbar MRI 72148, 72149, 72158, A9585, Q9953
L35704 Mohs Micrographic Surgery 17311, 17312, 17313, 17314, 17315
L37351 MolDX: Guardant360® Plasma-Based Comprehensive Genomic Profiling in Non-Small Cell Lung Cancer (NSCLC) 81479
L35175 MRI and CT Scans of the Head and Neck 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
L37360 Peripheral Nerve Stimulation 61885, 64550, 64553, 64555, 64561, 64569, 64570, 64575, 64581, 64585, 64590, 64595, 64999
L34072 Sensory Evoked Potentials & Intraoperative Neurophysiology Monitoring 92585, 92586, 95925, 95926, 95927, 95928, 95929, 95930, 95938, 95939, 95940, G0453
L37281 Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT) 77371, 77372, 77373, 77432, 77435, G0339, G0340
L36859 Trigger Point Injections 20552, 20553

 

Last Updated Sep 18, 2018