Powered by Oracle® RightNow

Local Coverage Determinations (LCD)

General Information

CMS Internet-Only Manuals (IOMs)

LCD Reconsideration Process

J5 MAC B Local Coverage Determinations (LCDs)

This table is sortable by LCD Title, CMS ID#, or WPS ID #. In order to sort the table, you will need to actually select the table titles.

Title CMS ID# WPS ID# Original Effective Date Status Last Revision Date
Ablative Therapy
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30312
 

L34527
GSURG-033 09/15/09
 

10/01/15
Active 04/01/14
Allergy Testing and Allergy Immunotherapy
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30471
 

L34597
ALRG-001 02/16/10
 

10/01/15
Active 06/01/14
Application of Bioengineered Skin Substitutes
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30135
 

L34593
GSURG-052 08/16/09
 

10/01/15
Active 10/01/14
Autonomic Function Testing
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L35174
 

L35124
NEURO-015 09/15/14
 

10/01/15
Active NA
Bisphosphonate Drug Therapy
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30139
 

L34648
INJ-025 10/16/09
 

10/01/15
Active 12/01/14
Blepharoplasty, Blepharoptosis and Brow Lift
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L29973
 

L34528
OPHTH-022 07/16/09
 

10/01/15
Active 05/01/14
Bone Mass Measurement
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31620
 

L34639
MS-004 08/15/11
 

10/01/15
Active 06/01/14
Botulinum Toxin Type A & Type B
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L28555
 

L34635
INJ-018 05/16/09
 

10/01/15
Active 12/01/14
Brachytherapy
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30320
 

L34529
RAD-036 08/16/09
 

10/01/15
Active 09/15/14
Capsule Endoscopy
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30141
 

L34613
GI-009 12/16/09
 

10/01/15
Active 10/01/14
Cardiac Catheterization and Coronary Angiography
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30719
 

L34530
CV-006 07/16/10
 

10/01/15
Active 11/01/14
Cardiovascular Stress Testing
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L28563
 

L34598
CV-004 02/16/09
 

10/01/15
Active 11/01/14
Category III Codes
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L32569
 

L34661
PHYS-082 11/16/12
 

10/01/15
Active 08/01/14
Chemotherapy Drugs and their Adjuncts
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L28576
 

L35053
HONC-010 05/16/09
 

10/01/15
Active 12/01/14
Chiropractic Services
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30328
 

L34585
CHIRO-001 09/15/09
 

10/01/15
Active 11/01/14
Circulating Tumor Cell Marker Assays
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L32218
 

L34531
PATH-033 02/15/12
 

10/01/15
Active 10/01/14
Colonoscopy and Sigmoidoscopy-Diagnostic
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30304
 

L34614
GI-006 09/15/09
 

10/01/15
Active 11/01/14
Coronary Computed Tomography Angiography (CCTA)
ICD-9:  Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L35169
 

L35121
RAD-043 10/16/14
 

10/01/15
Active NA
Cosmetic and Reconstructive Surgery
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30733
 

L34698
GSURG-032 11/15/10
 

10/01/15
Active 11/01/14
Cranial Stereotactic Radiosurgery (SRS) and Cranial Stereotactic Radiotherapy (SRT)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30318
 


L34656
RAD-018 08/16/09
 


10/01/15
Active 12/01/14
CT Colonography (Virtual Colonoscopy [VC])
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30300
 

L34697
RAD-035 11/15/09
 

10/01/15
Active 11/01/14
Cytogenetic Studies
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30487
 

L34655
PATH-027 03/18/10
 

10/01/15
Active 10/01/14
Drugs and Biologics (Non-chemotherapy)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L32013
 

L34741
INJ-041 11/15/11
 

10/01/15
Active 01/15/15
Dysphagia
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L33065
 

L34438
PHYSMED-017 07/16/13
 

10/01/15
Active 08/01/14
Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L29584
 


L34636
CV-016 10/16/09
 


10/01/15
Active 04/01/14
Electroconvulsive Therapy (ECT)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30493
 

L34595
PSYCH-025 07/15/10
 

10/01/15
Active 09/07/13
Endoscopic Treatment of GERD
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30473
 

L34659
GI-010 04/15/10
 

10/01/15
Active 01/01/14
Epidural and Transforaminal Epidural Injections
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30481
 

L34622
NEURO-007 04/15/10
 

10/01/15
Active 02/01/14
Erythropoiesis Stimulating Agents - Epoetin alfa, Darbepoetin alfa, Peginesatide
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31074
 


L34633
INJ-023 12/15/10
 


10/01/15
Active 11/01/14
Flow Cytometry
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30161
 

L34651
PATH-016 11/16/09
 

10/01/15
Active 01/15/15
Health and Behavior Assessment/Intervention
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30514
 

L34603
PSYCH-015 03/18/10
 

10/01/15
Active 11/01/14
Hemophilia Clotting Factors
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31078
 

L34439
INJ-003 11/15/10
 

10/01/15
Active 10/01/14
Home and Domiciliary Services
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31613
 

L34643
PHYS-081 06/15/11
 

10/01/15
Active 11/15/14
Human Granulocyte/Macrophage Colony Stimulating Factors
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30306
 


L34699
INJ-019 09/15/09
 


10/01/15
Active 03/01/14
Immune Globulins
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30147
 

L34771
INJ-012 11/15/09
 

10/01/15
Active 04/01/14
Immunizations
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31084
 

L34596
ALRG-003 11/15/10
 

10/01/15
Active 03/17/14
Independent Diagnostic Testing Facilities (IDTF)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31626
 

L34763
PHYS-078 09/15/11
 

10/01/15
Active 01/01/14
Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30153
 


L34589
MS-007 10/16/09
 


10/01/15
Active 12/01/14
Intra-articular Injections of Hyaluronan
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30149
 

L34525
INJ-033 10/16/09
 

10/01/15
Active 09/01/14
Intraoperative Neurophysiological Testing
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30721
 

L34623
GSURG-034 02/15/11
 

10/01/15
Active 10/01/13
Low Vision Services
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L32007
 

L34532
OPHTH-026 02/15/12
 

10/01/15
Active 09/07/13
Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30479
 


L34590
INJ-039 03/18/10
 


10/01/15
Active 07/01/14
Mohs Micrographic Surgery
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30713
 

L34533
DERM-004 07/16/10
 

10/01/15
Active 04/01/14
Molecular Diagnostic Testing
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L33219
 

L34762
PATH-037 02/15/14
 

10/01/15
Active 11/01/14
Myocardial Perfusion Imaging and Cardiac Blood Pool Studies
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31072
 


L34625
CV-017 11/15/10
 


10/01/15
Active 02/01/14
Nerve Blocks for Peripheral Neuropathy
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L34673
 

L35222
NEURO-014 06/15/14
 

10/01/15
Active NA
Nerve Conduction Studies and Electromyography
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31346
 

L34594
NEURO-005 04/15/11
 

10/01/15
Active 04/01/14
Non-coronary Vascular Stents
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30798
 

L34640
CV-028 07/16/10
 

10/01/15
Active 04/01/14
Non-Invasive Vascular Testing (N.I.V.T)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L28586
 

L34721
CV-033 05/18/09
 

10/01/15
Active 12/01/14
Paravertebral Facet Joint Block and Facet Joint Denervation
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30483
 


L34534
NEURO-008 03/18/10
 


10/01/15
Active 10/01/13
Percutaneous Coronary Interventions (PCI)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L34139
 

L34761
CV-044 02/15/14
 

10/01/15
Active NA
Polysomnography and Other Sleep Studies
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31082
 

L34535
NEURO-009 12/16/10
 

10/01/15
Active 11/01/14
Posterior Tibial Nerve Stimulation PTNS
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L28457
 

L34436
GSURG-043 02/16/09
 

10/01/15
Active 05/01/14
Proton Beam Therapy
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31617
 

L34634
RAD-040 03/17/12
 

10/01/15
Active 11/01/14
Psychiatric Inpatient Hospitalization
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L34679
 

L35223
PSYCH-022 06/15/14
 

10/01/15
Active NA
Psychiatric Partial Hospitalization Program (PHP)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30491
 

L34601
PSYCH-016 10/16/10
 

10/01/15
Active 02/01/14
Psychiatry and Psychology Services
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30489
 

L34616
PSYCH-014 03/18/10
 

10/01/15
Active 04/01/14
Psychological and Neuropsychological Testing
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31990
 

L34646
PSYCH-017 05/15/12
 

10/01/15
Active 02/01/14
Psychological Services under the "Incident to" Provision
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30715
 

L34591
PSYCH-013 09/16/10
 

10/01/15
Active 12/01/14
Qualitative Drug Testing
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L32450
 

L34645
PATH-035 07/16/12
 

10/01/15
Active 05/01/14
Radiation Oncology Including Intensity Modulated Radiation Therapy (IMRT)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30316
 


L34652
RAD-014 08/16/09
 


10/01/15
Active 11/01/14
Radiofrequency Treatment for Urinary Incontinence
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31615
 

L34642
GU-021 06/15/11
 

10/01/15
Active 04/01/14
Radiopharmaceutical Agents
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31361
 

L34657
RAD-026 07/16/11
 

10/01/15
Active 11/01/14
Removal of Benign Skin Lesions
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30330
 

L34437
DERM-008 08/16/09
 

10/01/15
Active 02/01/14
Routine Foot Care
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30322
 

L34586
FT-001 08/16/09
 

10/01/15
Active 06/01/14
Sacroiliac Joint Injections
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31359
 

L34443
MS-009 02/15/11
 

10/01/15
Active 10/01/13
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L34143
 


L34760
OPHTH-015 02/15/14
 


10/01/15
Active 03/01/14
Selective Internal Radiation Therapy (SIRT) for Primary and Secondary Hepatic Malignancy (90YMicrosphere Hepatic Brachytherapy)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30137
 



L34524
RAD-038 10/16/09
 



10/01/15
Active 10/01/14
Somatosensory Testing
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L32902
 

L34624
NEURO-013 02/15/13
 

10/01/15
Active 10/01/13
Stereotactic Body Radiation Therapy
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L28366
 

L34647
RAD-039 07/16/08
 

10/01/15
Active 10/01/14
Stereotactic Computer Assisted Volumetric and/or Navigational Procedure
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L29586
 


L34599
GSURG-050 08/16/09
 


10/01/15
Active 12/01/13
Surgical Treatment of Obstructive Sleep Apnea (OSA)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30731
 

L34526
ENT-012 07/16/10
 

10/01/15
Active 11/01/13
Thrombopoietic Growth factor - Oprelvekin
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30151
 

L34602
INJ-034 11/15/09
 

10/01/15
Active 04/01/14
Transcranial Magnetic Stimulation (TMS)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L32220
 

L34641
NEURO-010 04/16/12
 

10/01/15
Active 09/07/13
Transesophageal Echocardiography (Including Intraoperative TEE)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L28574
 


L34584
CV-007 03/18/09
 


10/01/15
Active 04/01/14
Transthoracic Echocardiography (TTE)
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L28565
 

L34637
CV-026 03/25/09
 

10/01/15
Active 08/01/14
Treatment of Varicose Veins of the Lower Extremities
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30143
 

L34536
GSURG-041 11/15/09
 

10/01/15
Active 12/01/14
Trigger Points, Local Injections
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30155
 

L34588
MS-008 10/16/09
 

10/01/15
Active 05/01/14
Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L32452
 



L34523
CV-042 06/15/12
 



10/01/15
Active 09/01/14
Vertebroplasty (Percutaneous) and Vertebral Augmentation including cavity creation
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30516
 


L34592
RAD-032 07/16/10
 


10/01/15
Active 11/01/14
Visual Fields
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31348
 

L34615
OPHTH-054 04/15/11
 

10/01/15
Active 09/07/13
Vitamin B 12 Injections
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L30145
 

L34444
INJ-004 09/15/09
 

10/01/15
Active 02/01/14
Vitamin D Assay Testing
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L31076
 

L34658
PATH-032 12/15/10
 

10/01/15
Active 10/01/14
Wound Care
ICD-9:   Iowa ¦ Kansas ¦ Missouri ¦ Nebraska

ICD-10: Iowa ¦ Kansas ¦ Missouri ¦ Nebraska
L28572
 

L34587
GSURG-051 09/15/09
 

10/01/15
Active 08/01/14

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: Wednesday, 26-Nov-2014 12:30:15 CST