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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: 1/18/2018
Noncovered Services Sources of information and Basis for Decision updated to include published sources of information for CPT codes 0449T and 0450T.
Modified: 1/17/2018
LCD revisions made based on internal decision.
Modified: 1/11/2018
LCD was revised based on a reconsideration request.
Modified: 1/11/2018
LCD revisions made based on change request (CR) 10385.
Modified: 1/11/2018
LCD was revised to add additional ICD-10-CM diagnoses codes.
Modified: 1/11/2018
LCD revisions made based on change request (CR) 10236.
Modified: 1/11/2018
LCD revisions made based on change request (CR) 10385.
Modified: 1/11/2018
LCD revisions made based on annual review.
Modified: 1/11/2018
LCD revisions made based on annual review.
Modified: 1/11/2018
LCD revisions made based on annual review.
Modified: 1/11/2018
LCD revisions made based on annual review.
Modified: 1/11/2018
LCD revisions made based on annual review.
Modified: 1/11/2018
LCD revisions made based on annual review.
Modified: 1/11/2018
LCD revisions made based on annual review.
Modified: 1/11/2018
LCD revisions made based on annual review.
Modified: 1/11/2018
LCD was revised to remove Current Procedural Terminology (CPT) codes 0387T, 0389T-0391T under "CPT/HCPCS Codes" section under the subtitle “Procedures for Part A and Part B.”
Modified: 1/10/2018
Coding guidelines were revised to update diagnoses codes listed on NCD as allowable for CPT 87181 - 87190.
Modified: 1/10/2018
LCD was revised based on a change request 10385.
Modified: 1/4/2018
The Centers for Medicare & Medicaid Services (CMS) recently released instructions for Medicare administrative contractors regarding changes in the laboratory national coverage determinations (NCD). [MM10424]
Modified: 1/4/2018
2018 HCPCS updates effective on Jan 1, 2018 and list of affected LCDs.
Modified: 1/2/2018
The local coverage determination (LCD) for abatacept was revised based on a reconsideration request. The “Indications and Limitations of Coverage and/or Medical Necessity” section of the LCD was revised to add the Food and Drug Administration (FDA) approved indication for active psoriatic arthritis in adults.
Modified: 1/2/2018
LCD was revised based on a reconsideration request. Revisions included additions to diagnoses codes, and updates to Sources of Information and Basis for Decision section of the LCD.
Modified: 1/1/2018
Based on a change request, the LCDs for Colorectal Cancer Screening and Screening and Diagnostic Mammography were revised.
Modified: 12/14/2017
LCD was revised to remove a chart from the "Indications and Limitations of Coverage and/or Medical Necessity" section of the LCD.
Modified: 12/14/2017
New Part A and Part B LCD was developed based on data analysis by the Program Safeguards Communication Group (PSCG).
Modified: 12/14/2017
New Part A and Part B LCD, L37398 Electroretinography (ERG).
Modified: 12/14/2017
The LCD was revised based on a reconsideration request. Revisions were made to the CPT/HCPCs section of the LCD.
Modified: 12/14/2017
LCD was revised to add revenue codes to the "Revenue Codes" section of the LCD.
Modified: 12/7/2017
LCD was revised to assure consistency with the CMS sources.
Modified: 12/7/2017
The scanning computerized ophthalmic diagnostic imaging (SCODI) local coverage determination (LCD) was revised as a collaborative effort with Novitas to have standardized coverage amongst both Medicare administrative contractors (MACs) for jurisdictions JH, JL, and JN.
Modified: 12/7/2017
LCD was revised to assure consistency with the CMS sources.
Modified: 12/4/2017
LCD was revised to add 15 published sources from previous reconsideration requests for the CPT/HCPCS Codes C9737/43284/43285/43289 for magnetic band augmentation of the lower esophageal sphincter (LINX).
Modified: 11/27/2017
Change request 10220 releases information regarding coverage of topical oxygen for chronic wounds; effective April 3, 2017, coverage will be determined by the Medicare administrative contractor. [MM10220]
Modified: 11/27/2017
The Centers for Medicare & Medicaid Services (CMS) recently released instructions for Medicare administrative contractors regarding changes in the laboratory national coverage determinations (NCD). The article was revised November 21 to reflect a revised change request (CR) 10309 issued November 21. In the article, the CR release date, transmittal number, and the web address of the CR are revised. All other information remains the same. [MM10309]
Modified: 8/18/2017
Payment will be considered for unused and discarded portions of a single-use drug/biological product. The JW modifier is not permitted when the actual dose of the drug or biological administered is less than the billing unit.
Modified: 8/17/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 8/17/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 8/17/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 8/5/2017
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
Modified: 7/21/2017
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.
Modified: 7/21/2017
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]
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