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

Draft Policies

CMS and WPS Medicare develop policies to help ensure proper Medicare payments. Providers use the policies to verify coverage of a procedure or service.

WPS Medicare has a staff of physicians and registered nurses responsible for developing, monitoring, and updating policies. The policy staff is dedicated to helping Medicare beneficiaries as well as providing Medicare providers medical necessity reimbursement guidance.

The policy staff works closely with Provider Outreach and Education (POE) to ensure timely and accurate policy education is provided. Sign up for our eNews to receive the most current policy changes. Also, please check our Training Schedule section for educational opportunities on a specific policy or topic.

decorative bullet Comment on Draft LCDs

decorative bullet J5 MAC Draft LCD Status

Comment on the Draft LCDs

Your input is important to Local Coverage Determination (LCD) development. To comment electronically on the policies listed above, please send an email to the following address:
policycomments@wpsic.com.

J5 MAC Draft LCD Status

*Current Status Indicators are as follows:
D = draft under development; not yet released for comment
C = draft LCD released for comment
E = formal comment period has ended; comments now being considered
F = final LCD has been issued (this is not the local coverage determination effective date)
A = active policy; notice period complete and the policy is in effect
Actual date of release of the final LCD is the date the policy is published in our newsletter/Website.

The effective date is 45 days after the release/publication of the final LCD.

Title CMS ID# Date of Release for Comment Comment Period End Date Current Status* Release to Final Date Final LCD Final Comments
3D Interpretation and Reporting of Imaging Studies (RAD-037) DL30729 02/19/10

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Allergy Testing and Allergy Immunotherapy (ALRG-001) DL30471 10/08/09

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
11/23/09 F 01/01/10 L30471 Final Comments
Cardiac Catheterization and Coronary Angiography (CV-006) DL30719 02/19/10

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Cataract Surgery and Complex Cataract Surgery (OPHTH-020) DL30159 06/04/2009

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
07/20/09 F Not Yet Available Not Yet Available Not Yet Available
Corneal Pachymetry (OPHTH-025) DL30485 10/08/2009

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
11/23/09 F 02/01/10 L30485 Final Comments
Cosmetic and Reconstructive Surgery (GSURG-032) DL30733 02/19/10

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Cytogenetic Studies (PATH-027) DL30487 10/08/2009

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
11/23/09 F 02/01/10 L30487 Final Comments
Dysphasia/Swallowing Therapy (PHYSMED-015) DL30717 02/19/10

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Electronconvulsive Therapy (ECT) (PSYCH-025) DL30493 10/08/2009

Dr. Ola Awodele
3333 Farnam Street
Omaha, Nebraska 68131
11/23/09 E Not Yet Available Not Yet Available Not Yet Available
Electromagnetic Navigation Bronoscopy (ENB) (PULM-007) DL30510 10/08/2009

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
11/23/09 F 01/01/10 L30510 Final Comments
Endoscopic Treatment of GERD (GI-010) DL30473 10/08/2009

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
11/23/09 F 03/01/10 L30473 Final Comments
Epidural, Subarachnoid and Transforminal Epidural Injections (NEURO-007) DL30481 10/08/2009

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
11/23/09 E Not Yet Available Not Yet Available Not Yet Available
Fluorescein or Indocyanine Green Angiography (OPHTH-016) DL30727 02/19/10

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Health and Behavior Assessment/Intervention (PSYCH-015) DL30514 10/08/2009

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
11/23/09 F 02/01/10 L30514 Final Comments
Intraoperative Neurophysiological Testing (GSURG-034) DL30721 02/19/10

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Luteninizing Hormone-Releasing Hormone (LHRH) Analogs (INJ-039) DL30479 10/08/2009

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
11/23/09 F 02/01/10 L30479 Final Comments
MOHS Surgery (DERM-004) DL30713 02/19/10

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Non Coronary Vascular Stents (CV-028) DL30798 02/19/10

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Paravertebral Facet Joint Block Facet Joint Denervation (NEURO-008) DL30483 10/08/09

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
11/23/09 F 02/01/10 L30483 Final Comments
Psychiatry and Psychology Services (PSYCH-014) DL30489 10/08/2009

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
11/23/09 F 02/01/10 L30489 Final Comments
Psychiatric Inpatient Hospitalization (PSYCH-020) DL30441 10/08/2009

Dr. Ola Awodele
3333 Farnam Street
Omaha, Nebraska 68131
11/23/09 F 02/01/10 L30441 Final Comments
Psychiatric Partial Hospitalization Program (PHP) (PSYCH-016) DL30491 10/08/2009

Dr. Ola Awodele
3333 Farnam Street
Omaha, Nebraska 68131
11/23/09 E Not Yet Available Not Yet Available Not Yet Available
Psychological Services under the Incident to Provision (PSYCH-013) DL30715 02/19/10

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Sentinel Lymph Node Biopsy (GSURG-036) DL30475 10/08/2009

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
11/23/09 E Not Yet Available Not Yet Available Not Yet Available
Surgical Treatment of Sleep Apnea (ENT-012) DL30731 02/19/10

Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
04/05/10 C Not Yet Available Not Yet Available Not Yet Available
Vertebroplasty (Percutaneous) and Kyphoplasty (RAD-032) DL30516 10/08/2009

Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
11/23/09 E Not Yet Available Not Yet Available Not Yet Available

 

 

Page Last Updated: Friday, 26-Feb-2010 13:16:58 CST