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 E states contain the same content/guidelines.

Medicare
Database
Number
LCD Title CPT / HCPCS Codes Referenced
L38659/A58138 Implantable Continuous Glucose Monitor (I-CGM) 0446T, 0447T, 0448T
L38121 MolDX: Next Generation Sequencing for Solid Tumors 81445, 81479
L38125 MolDX: Next Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies 81450, 81479
L38337 MolDX: Pharmacogenomics Testing N/A
L38153 MolDX: Pigmented Lesion Assay N/A
A58053 Billing and Coding: MolDX: Pigmented Lesion Assay 0089U
L38329 MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer 81479
A57330 Billing and Coding: MolDX: Predictive Classifiers for Early Stage Non-Small Cell Lung Cancer 81479
L38353 MolDX: Repeat Germline Testing 81105, 81106, 81107, 81108, 81109, 81110, 81111, 81112, 81161, 81162, 81163, 81164, 81165, 81166, 81167, 81171, 81172, 81173, 81174, 81177, 81178, 81179, 81180, 81181, 81182, 81183, 81184, 81185, 81186, 81187, 81188, 81189, 81190, 81200, 81201, 81202, 81203, 81204, 81205, 81209, 81212, 81215, 81246, 81217, 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, 81283, 81284, 81285, 81286, 81288, 81289, 81290, 81291, 81292, 81293, 81294, 81295, 81296. 81297, 81298, 81299, 81300, 81302, 81303, 81304, 81306, 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, 81350, 81355, 81361, 81362, 81363, 81364, 81401, 81402, 81403, 81404, 81405, 81406, 81407, 81408, 81410, 81411, 81412, 81413, 81432, 81433, 81434, 81435, 81436, 81437, 81438, 81439, 81440, 81442, 81443, 81448, 81460, 81465, 81470, 81471, 81479
L38137 MolDX: TruGraf Blood Gene Expression Test 81479

 

Last Updated Thu, 17 Sep 2020 16:03:30 +0000