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Medical policy news

LCD search tools

The LCD search tools offer a fast, direct way for providers to search for LCDs.
Modified: 8/16/2018
Based on data analysis review of the LCD, it was determined that the coding guidelines for this LCD is no longer required, and is being retired.
Modified: 8/16/2018
Based on a reconsideration request, the Bibliography section of the LCD was updated to add multiple published sources. The content of the LCD has not been changed in response to the reconsideration request.
Modified: 8/16/2018
Based on change requests and quarterly updates, this LCD was revised to add HCPCS codes Q5105 and Q5106. Also, the sources of information section of the LCD was updated.
Modified: 8/16/2018
Based on data analysis review of the LCD, it was determined that some of the italicized language did not represent direct quotation from CMS listed sources on the LCD. The LCD was revised to assure consistency with the CMS source.
Modified: 8/16/2018
Based on data analysis review of the LCD, it was determined that some of the italicized language in the LCD did not represent direct quotation from the CMS sources. The LCD was revised to assure consistency with the CMS manual language.
Modified: 8/9/2018
Based on data analysis review of the LCD, it was determined that the LCD is no longer required, and is being retired.
Modified: 8/5/2018
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
Modified: 7/26/2018
Due to a change in the scope of practice for nonphysician practitioners (NPPs), the LCD was revised to remove language from the Training and Qualifications section of the LCD.
Modified: 7/26/2018
Based on change request (CR) 10550 the LCD was revised to add the bulleted statement “From a SNF to the nearest supplier of medically necessary services not available at the SNF where the beneficiary is a resident and not in a covered Part A stay, including the return trip;” in “The Destination” section of the LCD.
Modified: 7/23/2018
The Centers for Medicare & Medicaid Services (CMS) recently released instructions for Medicare administrative contractors regarding changes in the laboratory national coverage determinations (NCD). [MM10873]
Modified: 7/19/2018
The Centers for Medicare & Medicaid Services (CMS) requires that any Medicare service provided or ordered must be authenticated by the author -- the one who provided or ordered that service. This article outlines acceptable forms of authentication.
Modified: 7/19/2018
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or signature log within the following 20 calendar days. [CR 6698]
Modified: 7/19/2018
The LCD was revised to include the FDA approved indications for the treatment of glucocorticoid-induced osteoporosis in men and women at high risk of fracture to the “FDA indications for ProliaŽ” section of the LCD.
Modified: 7/5/2018
The LCD was revised to update CPT code 93799 to indicate that this service is covered if a beneficiary is enrolled in an approved category B IDE study.
Modified: 7/5/2018
The language in the LCD coding guidelines was revised to assure consistency with the CMS manual language.
Modified: 7/5/2018
The LCD was revised to assure consistency with the CMS sources.
Modified: 7/5/2018
The LCD was revised in the “Sources of Information” section of the LCD to include multiple published sources.
Modified: 6/28/2018
The LCD was revised in the “Bibliography” section of the LCD to include multiple published sources.
Modified: 6/28/2018
The LCD was revised to assure consistency with the CMS manual language.
Modified: 6/28/2018
The local coverage determination (LCD) for non-emergency ground ambulance services is being retired based on the development of the new LCD for emergency and non-emergency ground ambulance services (L37697).
Modified: 6/28/2018
The LCD was revised to assure consistency with the CMS manual language.
Modified: 6/21/2018
The LCD was revised to add the Food and Drug Administration (FDA) approved indication “prevention of skeletal-related events in patients with multiple myeloma” to the “FDA indication for XGEVAŽ” and “Documentation Requirements” sections of the LCD
Modified: 6/21/2018
The “Coverage Indications, Limitations, and/or Medical Necessity” section of the LCD was revised to add the indication for bone cancer - osteosarcoma.
Modified: 6/21/2018
The LCD was revised was revised in the “Coverage Indications, Limitations, and/or Medical Necessity” section of the LCD to remove the requirement for direct supervision of a maximum of five (5) minute response time to the chamber, as direct physician supervision is not defined in terms of time or distance by the Centers for Medicare & Medicaid Services (CMS).
Modified: 6/21/2018
This proposed LCD is being retired.
Modified: 5/4/2018
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 3/27/2018
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Part A