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.

• How to Access Updates to ICD-10 Local Coverage Determinations in the CMS Medicare Coverage Database (CMS Special Edition (SE)1421)

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