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 E states contain the same content/guidelines.
| Medicare |
|LCD Title||CPT / HCPCS Codes Referenced|
|L37626||Helicobacter Pylori Infection Testing||78267, 78268, 83013, 83014, 87338|
|L37824||MolDX: Breast Cancer IndexTM (BCI) Gene Expression Test||81518|
|L37891||MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test||81479|
|L36374||MolDX: Genetic Testing for Lynch Syndrome||81210, 8881288, 81292, 81293, 81294, 81295, 81296, 81297, 81298, 81299, 81300, 81301, 81317, 81318, 81319, 81403, 81435, 81479, 81445, 81455|
|L37899||MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer||81479|
|L37622||MolDX: MDS FISH||88271; 88273; 88274; 88275; 88291|
|L37315||MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels||87631, 87632, 87633|
|L37881||MolDX: myPath Melanoma Assay||81479|
Last Updated Apr 23, 2019