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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: 4/19/2018
The local coverage determination (LCD) for biofeedback has been updated to revise language in the “Limitations of Coverage” section of the LCD.
Modified: 4/19/2018
The italicized language in the “Indications and Limitations of Coverage and/or Medical Necessity” section of the LCD does not represent a quotation from a Centers for Medicare & Medicaid Services (CMS) source. Therefore, this LCD has been revised to remove the italics from the language.
Modified: 4/19/2018
The LCD was revised in the “CPT®/HCPCS Codes” section of the LCD to remove language referring to hospital outpatient prospective payment system (OPPS) and ambulatory surgical centers (ASCs). All the “C” procedure codes listed in the LCD are billable to hospital OPPS and ASCs. Therefore, the “CPT®/HCPCS Codes” section of the LCD was revised to consolidate the Part A and Part B groups that support medical necessity and groups that do not support medical necessity.
Modified: 4/19/2018
The noncovered services local coverage determination (LCD) “coding guidelines” article is revised to remove deleted Current Procedural Terminology (CPT®) code 35452 from the “Procedures for Part B” section of the coding guidelines.
Modified: 3/29/2018
LCD revisions made based on CR 10473 and CR 8691.
Modified: 3/25/2018
LCD was revised to remove ICD-10-CM diagnoses codes from the ICD-10 Codes that Support Medical Necessity section of the LCD.
Modified: 3/15/2018
LCD was revised to assure consistency with the CMS sources.
Modified: 3/15/2018
LCD was revised to update the dosage information for Healthcare Common Procedure Coding System (HCPCS) code J3315 (triptorelin pamoate).
Modified: 3/15/2018
LCD was revised to assure consistency with the CMS sources.
Modified: 3/15/2018
LCD was revised to assure consistency with the CMS sources.
Modified: 3/15/2018
LCD was revised to assure consistency with the CMS sources.
Modified: 3/8/2018
Based on a reconsideration request, the LCD was revised to remove CPT code 55874, and HCPCS code L8699.
Modified: 3/8/2018
Per Section 50202 of the Bipartisan Budget Act, the LCD was revised to remove language concerning outpatient therapy caps.
Modified: 3/8/2018
Per Section 50202 of the Bipartisan Budget Act, the LCD was revised to remove language concerning outpatient therapy caps.
Modified: 3/7/2018
Special article requested by CMS regarding clarification of implementation of CR 10318 concerning NCDs 110.21. and 80.11
Modified: 3/2/2018
Change request (CR) 10318 makes coding and clarifying adjustments to NCDs 20.5, 110.18, 110.21, 150.3, 190.1, 190.11, 210.3, 210.4.1, 210.6, 220.4, 220.6.17, and 250.4. This article was revised on March 1, 2018, to reflect an updated CR, which corrected instructions in business requirement 7 (NCD 210.3). [MM10473]
Modified: 3/1/2018
LCD was revised to assure consistency with the CMS manual language.
Modified: 3/1/2018
LCD was revised to assure consistency with the CMS manual language.
Modified: 3/1/2018
Italicized language in the LCD was revised to assure consistency with the CMS sources.
Modified: 3/1/2018
Italicized language in the coding guidelines article A54846 was revised to assure consistency with the CMS sources.
Modified: 2/23/2018
LCD was revised to clarify the administration of drugs per course of treatment.
Modified: 2/7/2018
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 2/7/2018
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 2/7/2018
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 2/2/2018
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
Modified: 12/22/2017
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: 11/28/2017
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.
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 B