Preventive services -- LCDs/NCDs

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Home ► Preventive services -- LCDs/NCDs

Last Modified: 6/4/2019 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	190.20
Bone (Mineral) Density Studies	150.3
Colorectal Cancer Screening Tests	210.3
Diabetes Outpatient Self-Management Training	40.1
Lipid Testing	190.23
Medical Nutrition Therapy	180.1
Prostate Cancer Screening Tests	210.1
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse	210.8
Screening for Cervical Cancer with human papillomavirus (HPV)	210.2.1
Screening for Depression in Adults	210.9
Screening for Hepatitis C virus (HCV) in Adults	210.13
Screening for Sexually Transmitted Infections (STIs) and High-Intensity Behavioral Counseling (HIBC) to Prevent STIs	210.10
Screening for the Human Immunodeficiency Virus (HIV) Infection	210.7
Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cancer	210.2
Smoking and Tobacco-Use Cessation Counseling	210.4

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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