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Last Modified: 11/27/2018 Location: FL, PR, USVI Business: Part A, Part B

Preventive Services

Local coverage determination (LCD) / national coverage determination (NCD)

The following local coverage determinations (LCDs) apply to preventive service benefits processed by First Coast for dates of service on and after October 1, 2015:

Title
Medicare benefit
Florida / Puerto Rico / U. S. Virgin Islands
LCD number
Bone Mineral Density Studies
Part A and Part B
L36356
Colorectal Cancer Screening
Part A and Part B
L36355
Hepatitis B Surface Antibody and Surface Antigen
Part A and Part B
L34003
Screening and Diagnostic Mammography
Part A and Part B
L36342
Syphilis Test
Part A and Part B
L33754
To view a policy, click here to access the First Coast LCD lookup tool and search by the L-number from the list above.
The following national coverage determinations (NCDs) concern preventive service benefits and apply to all geographic areas within JN:

Title
NCD number
Blood Glucose Testing
Bone (Mineral) Density Studies
Colorectal Cancer Screening Tests
Diabetes Outpatient Self-Management Training
Lipid Testing
Medical Nutrition Therapy
Prostate Cancer Screening Tests
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
Screening for Cervical Cancer with human papillomavirus (HPV)
Screening for Depression in Adults
Screening for Hepatitis C virus (HCV) in Adults
Screening for Sexually Transmitted Infections (STIs) and High-Intensity Behavioral Counseling (HIBC) to Prevent STIs
Screening for the Human Immunodeficiency Virus (HIV) Infection
Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cancer
Smoking and Tobacco-Use Cessation Counseling
Source: CMS internet-only manual (IOM) Publication 100-03, sections 40.1; 150.3; 180.1; 190.20; 190.23; 210.1-.4; 210.7-.10
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