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Last Modified: 9/23/2022 Location: FL, PR, USVI Business: Part A, Part B

MCD (Medical Coverage Database) quick reference guide

While First Coast Service Options (First Coast) allows you to search the website for Local Coverage Determinations (LCDs), further research using the MCD is sometimes needed.
The following reference guide should be used to assist you in finding LCDs/NCDs (Local Coverage Database/National Coverage Database) and related coverage details online using the Centers for Medicare and Medicaid Services (CMS) MCD.
To use this guide, find your scenario in the first column and use the supporting details in the next two columns to lead you to the appropriate online location.

If you:

Best way to search for LCDs/NCDs and related coverage information:

Where to go:

What to expect:

Have an LCD ID (L number), title, keyword or CPT/HCPCS/ICD-10 code
Perform a search by using keyword(s) (procedure name or codes) or CPT/HCPCS/ICD-10 to search within the title or entire document.
The quick search option is another simple option to search for an LCD or NCD.
Step 1: Enter the LCD ID (L number) and click “Search by ID” or select local /national coverage.
Step 2: (Skip this step if you did not search by L number)
Step 3: (Skip this step for NCDs) If you selected LCD, select the appropriate geographic area.
Next enter keyword(s) (title only) and/or CPT/HCPCS/ICD10 code.
Want to search the medical coverage database for specific content
Search by document id or perform a basic or advanced search.
A variety of search options are presented to search the MCD
Document ID search using specific id formats.
Basic search using keywords and geographic area.
Advanced search option with a variety of search criteria options.
Want to download data sets
Download articles, LCDs, NCDs, and public comments for NCAs/CALs from CMS’ MCD downloads page.
Download LCDs, NCDs/Public Comments for NCAs/CALs, and Local Coverage Articles.
Select the database you would like to download from the menu.
Want to browse lists of coverage documents
Browse through CMS’ indexes of NCDs and LCDs.
All available indexes:
Pre-defined lists of national and local coverage, such as:
Alphabetical index of NCDs, LCDs, and articles.
List by chapter/section of NCDs.
LCDs and articles by contractor or by state.
Local coverage contacts such as FFS Contractor Medical Directors and links to FFS Contractor websites.
Open or closed coverage or coding analyses for labs.
Want to find recently updated NCDs, LCDs or view annual reports
Use CMS’ reports page to access information about recently updated NCDs LCDs.
Provides reports of NCD and LCD data.
If you need further assistance on how to find LCDs/NCDs or related coverage details, visit any of the following:
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