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

Retired Policies

The following are retired policies. Please access these policies in the CMS Medicare Coverage Database (MCD) external link. Be sure to note the effective date of the retired policy, as the policy will not appear as retired until the effective date. Prior to the effective date, the policy can be found by selecting the link "Display Future Effective Documents" within the CMS Medicare Coverage Database (MCD) external link.

To access previous retired policy updates, please visit the CMS Medicare Coverage Database (MCD) external link.

March 2010

POLICIES WILL BE AVAILABLE ON THE CMS WEBSITE 02/25/10 AND ON THE WPS MEDICARE WEBSITE 02/26/10.

Policy Title MCD Policy # WPS Policy # Effective Date
Allergy Immunotherapy L26618 ALRG-501 02/16/2010
Allergy Testing L26620 ALRG-502 02/16/2010
Allergy Immunotherapy L26618 ALRG-501 02/16/2010
The policies listed above were replaced with policy Allergy Testing and Allergy Immunotherapy L30471 on 02/16/2010
Endoscopic Treatment of GERD L26646 GI-510 04/14/2010
Injection of Spinal Canal L26711 NEURO-507 04/14/2010
This LCD is being retired and replaced with L30481

February 2010

Policy Title MCD Policy # WPS Policy # Effective Date
Cytogenetic Studies L26684 PATH-527 03/18/2010
Gonadotropin-Releasing Hormone Analogs L26657 INJ-539 03/17/2010
This LCD for MAC Part B is retired and replaced by L30479 entitled Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Pachymetry L26677 OPHTH-025 03/18/2010
This WPS Medicare MAC Part B LCD is retired effective 03/17/2010 and replaced by LCD L 30485 entitled Corneal Pachymetry.
Paravertebral Facet Joint Block and Facet Denervation L26665 NEURO-508 03/17/2010
This LCD is being replaced by L30483
This WPS Medicare MAC Part B LCD is retired effective 03/17/2010 and replaced by LCD L 30485 entitled Corneal Pachymetry.
Psychological and Neuropsychological Incident to L26690 PSYCH-513 03/18/2010
Psychiatric Pharmacotherapy L26691 PSYCH-516 03/18/2010

January 2010

Policy Title MCD Policy # WPS Policy # Effective Date
Low Vision Services L26679 OPHTH-526 01/01/2010
The policy entitled Low Vision Services is retired January 1, 2010. There is no replacement LCD.
Non-Invasive Pulse Oximetry for Oxygen Saturation L26692 PULM-501 02/01/2010
Policy being retired and is not replaced by a new policy. Policy retired after review of utilization data. Retire effective date 02/01/2010.

 

 

Page Last Updated: Wednesday, 24-Feb-2010 11:25:43 CST