J5 MAC Part A Providers serving beneficiaries in Iowa, Kansas, Missouri and Nebraska

Local Policies (LCD)

General Information

What Is a Local Coverage Determination (LCD)? adobe portable format
LCD Reconsideration Process

J5 MAC A Local Coverage Determinations (LCDs)

Title CMS ID# Original Effective Date Status Last Revision Date
Ablative Therapy L30312 09/15/09 Active 03/01/10
Allergy Testing and Allergy Immunotherapy L30471 02/16/10 Active NA
Application of Bioengineered Skin Substitutes L30135 08/16/09 Active 11/01/09
Bariatric Surgery L26558 02/01/08 Active 06/01/09
Bisphosphonate Drug Therapy L30139 10/16/09 Active 11/01/09
Blepharoplasty, Blepharoptosis and Brow Lift L29973 07/16/09 Active 08/01/09
Bone Mass Measurement L28527 03/18/09 Active 11/01/09
Botulinum Toxin Type A & Type B L28555 05/16/09 Active 02/01/10
Brachytherapy L30320 08/16/09 Active 01/01/10
B-type Natriuretic Peptide (BNP) Testing L26603 02/01/08 Retire
04/30/10		 NA
Capsule Endoscopy L30141 12/16/09 Active NA
Cardiovascular Stress Testing L28563 02/16/09 Active 10/01/09
Cataract Surgery and Complex Cataract Surgery L30159 12/16/09 Active NA
Chemotherapy Drugs and their Adjuncts L28576 05/16/09 Active 02/01/10
Colonoscopy and Sigmoidoscopy-Diagnostic L30304 09/15/09 Active 10/01/09
Computed Coronary Tomography Angiography L30288 08/16/09 Active 01/01/10
Computerized Tomography (CAT Scans) L28544 03/25/09 Active 03/01/10
Corneal Pachymetry L30485 03/18/10 Active 03/18/10
Cranial Stereotactic Radiosurgery (SRS) and Cranial Stereotactic Radiotherapy (SRT) L30318 08/16/09 Active 01/01/10
CT Colonography (Virtual Colonoscopy [VC]) L30300 11/15/09 Active 01/01/10
Cytogenetic Studies L30487 03/18/10 Active 03/18/10
Dysphagia/Swallowing Therapy L26565 02/01/08 Active NA
Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring) L29584 10/16/09 Active NA
Electromagnetic Navigation Bronchoscopy (ENB) L30510 02/15/10 Active NA
Endoscopic Treatment of GERD L30473 04/15/10 Final NA
Erythropoiesis Stimulating Agents L26655 02/01/08 Active 10/01/09
Flow Cytometry L30161 11/16/09 Active 03/01/10
Free Prostate Specific Antigen (Free PSA) L26612 02/01/08 Retire
04/30/10		 NA
Health and Behavior Assessment/Intervention L30514 03/18/10 Active 03/18/10
Helicobacter Pylori Testing L30163 10/16/09 Active 02/01/10
Human Granulocyte/Macrophage Colony Stimulating Factors L30306 09/15/09 Active 08/01/09
Hyperbaric Oxygen (HBO) Therapy L26567 02/01/08 Active NA
Immune Globulins L30147 11/15/09 Active 03/01/10
Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma L30153 10/16/09 Active NA
Interventional Cardiology L26608 02/01/08 Active 11/15/09
Intra-articular Injections of Hyaluronan L30149 10/16/09 Active 01/01/10
Luteinizing Hormone-Releasing Hormone (LHRH) Analogs L30479 03/18/10 Active 03/18/10
Magnetic Resonance Imaging L28723 03/25/09 Active 12/01/09
Medicare Part B Coverage of Services and Procedures in Nursing Facilities L26570 02/01/08 Retire
03/01/10		 NA
Mini Mental Status Examination (MMSE) L26571 02/01/08 Active NA
Moderate (Conscious) Sedation L29582 07/16/09 Active 08/01/09
Mohs' Micrographic Surgery L26572 02/01/08 Active 08/01/09
Noninvasive Vascular Testing (N.I.V.T.) L28586 05/18/09 Active 05/01/10
Optical Coherence Tomography (OCT) L29971 10/16/09 Active 10/01/09
Optometrist Services L30157 01/16/10 Active NA
Outpatient Hospital Psychiatric Services L26575 02/01/08 Active 08/08/09
Outpatient Intermittent Intravenous Positive Inotropic Therapy: Milrinone Iactacte (Primacor) and Dobutamine hydrochloride (Dobutrex) for Treatment of Heart Failure L26576 02/01/08 Retire
04/30/10		 NA
Paravertebral Facet Joint Block and Facet Joint Denervation L30483 03/18/10 Active 03/18/10
Percutaneous Coronary Interventions (PCI) L28478 02/16/09 Active 08/01/09
Polysomnography Sleep Testing L26556 02/01/08 Active 01/01/10
Posterior Tibial Nerve Stimulation PTNS L28457 02/16/09 Active 08/01/09
Psychiatry and Psychological Services L30489 03/18/10 Active 03/18/10
Psychiatric Inpatient Hospitalization L30441 03/18/10 Active 03/18/10
Psychiatric Partial Hospitalization Program (PHP) L26611 02/01/08 Active 06/16/09
Psychological and Neuropsychological Testing L26581 02/01/08 Active NA
Radiation Oncology Including Intensity Modulated Radiation Therapy (IMRT) L30316 08/16/09 Active 01/01/10
Removal of Benign Skin Lesions L30330 08/16/09 Active 03/01/10
Routine Foot Care And Debridement Of Nails L30322 08/16/09 Active 01/01/10
Selective Internal Radiation Therapy (SIRT) for Primary and Secondary Hepatic Malignancy (90YMicrosphere Hepatic Brachytherapy) L30137 10/16/09 Active NA
Stereotactic Computer Assisted Volumetric and/or Navigational Procedure L29586 08/16/09 Active NA
Thrombopoietic Growth factor - Oprelvekin L30151 11/15/09 Active 02/01/10
Transesophageal Echocardiography (Including Intraoperative TEE) L28574 03/18/09 Active 10/01/09
Transthoracic Echocardiography (TTE) L28565 03/25/09 Active 10/01/09
Treatment of Varicose Veins of the Lower Extremities L30143 11/15/09 Active 01/01/10
Trigger Points, Local Injections L30155 10/16/09 Active NA
Vitamin B 12 Injections L30145 09/15/09 Active 02/01/10
Wound Care L28572 09/15/09 Active 04/01/10

Search the CMS Coverage Database


Enter the LCD ID, CPT/HCPCs code or keyword(s)
 

(Opens in a new window)

Please note: Due to heavy traffic, the Coverage Database may run slowly at times. If you are unable to make a connection, please try again later. We apologize for any inconvenience this may cause.

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement. Read the copyright statement now.

 

 

Page Last Updated: Thursday, 18-Mar-2010 10:05:52 CDT