Proposed local coverage determinations (LCDs): Open meetings
There are currently no open meetings scheduled. Please watch this page for updates regarding our next open meeting, Please view...
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Update history: LCD and article updates
View the most recent updates for our LCDs and articles.
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
Inappropriate billing of anesthesia services for epidural steroid injections (ESI) and facet joint injections for pain management
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for...
Screening for hepatitis C virus National Coverage Determination
CMS clarified billing requirements for the screening for hepatitis C virus in adults.
Drugs and biologicals: Self-administered drug exclusions
View this information regarding excluded self-administered injectable drugs.
Patients purchasing their own drugs or biologicals (brown bagging)
Medicare provides limited benefits for outpatient drugs. Drugs and/or biologicals purchased by the patient and taken to their...
Transcatheter aortic valve replacement (TAVR)
Important information notifying users of the requirements for approval of transcatheter aortic valve replacement (TAVR) studies.
FastTrack to Medicare coverage policies
FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and...