Draft LCDs
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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.
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August 2009 Open Meeting Draft LCDs
August 2009 Open Meeting Draft LCDs
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.
Status of Draft LCDs
Draft LCD Title
ALRG-001 Allergy Testing and Allergy Immunotherapy (DL30471)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
GI-010 Endoscopic Treatment of GERD (DL30473)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
GSURG-036 Sentinel Lymph Node Biopsy (DL30475)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
INJ-039 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs (DL30479)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
NEURO-007 Epidural, Subarachnoid and Transforaminal Epidural Injections (DL30481)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
NEURO-008 Paravertebral Facet Joint Block and Facet Joint Denervation (DL30483)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
OPHTH-025 Corneal Pachymetry (DL30485)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
PATH-027 Cytogenetic Studies (DL30487)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
PULM-007 Electromagnetic Navigation Bronchoscopy (ENB) (DL30510)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
PSYCH-014 Psychiatry and Psychology Services (DL30489)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
PSYCH-015 Health and Behavior Assessment/Intervention (DL30514)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
PSYCH-016 Psychiatric Partial Hospitalization Program (PHP) (DL30491)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Olatokunbo.Awodele@wpsic.com
Dr. Ola Awodele
3333 Farnam Street
Omaha, Nebraska 68131
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
PSYCH-020 Psychiatric Inpatient Hospitalization (DL30441)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Olatokunbo.Awodele@wpsic.com
Dr. Ola Awodele
3333 Farnam Street
Omaha, Nebraska 68131
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
PSYCH-025 Electroconvulsive Therapy (ECT) (DL30493)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Olatokunbo.Awodele@wpsic.com
Dr. Ola Awodele
3333 Farnam Street
Omaha, Nebraska 68131
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
RAD-032 Vertebroplasty (Percutaneous) and Kyphoplasty (DL30516)
Date of Release of Draft LCD for Comment
10/08/2009
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
11/23/2009
Current Status*
C
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCDs
WPS Medicare draft Local Coverage Determinations (LCDs) are posted on the WPS Medicare Website as drafts for comment a minimum of 45 calendar days.
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
Status of Draft LCDs
*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.
Draft LCD Title
GI-009 Capsule Endoscopy DL30141
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
E
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
GSURG-041 Treatment of Varicose Veins of the Lower Extremities DL30143
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
E
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
INJ-004 Vitamin B 12 Injections DL30145
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
F
Actual Date of Release of Final LCD
08/01/2009
Web Link to Final LCD
INJ-004 - L30145
Link to Final Comments
Final Comments
Draft LCD Title
INJ-012 Immune Globulins DL30147
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
A
Actual Date of Release of Final LCD
10/01/2009
Web Link to Final LCD
INJ-012 - L30147
Link to Final Comments
Final Comments
Draft LCD Title
INJ-025 Bisphosphonate Drug Therapy DL30139
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
F
Actual Date of Release of Final LCD
08/19/2009
Web Link to Final LCD
INJ-025 - L30139
Link to Final Comments
Final Comments
Draft LCD Title
INJ-033 Intra-articular Injections of Hyaluronante DL30149
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
F
Actual Date of Release of Final LCD
08/19/2009
Web Link to Final LCD
INJ-033 - L30149
Link to Final Comments
Final Comments
Draft LCD Title
INJ-034 Thrombopoietic Growth factor DL30151
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
E
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
MS-007 Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma DL30153
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
F
Actual Date of Release of Final LCD
MS-007
Web Link to Final LCD
MS-007 - L30153
Link to Final Comments
Final Comments
Draft LCD Title
MS-008 Trigger Points, Local Injections DL30155
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
F
Actual Date of Release of Final LCD
08/19/2009
Web Link to Final LCD
MS-008 - L30155
Link to Final Comments
Final Comments
Draft LCD Title
OPHTH-020 Cataract Surgery and Complex Cataract Surgery DL30159
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
07/20/2009
Current Status*
E
Actual Date of Release of Final LCD
Not Yet Available
Web Link to Final LCD
Not Yet Available
Link to Final Comments
Not Yet Available
Draft LCD Title
OPHTH-003 Optometrist Services DL30157
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
07/20/2009
Current Status*
F
Actual Date of Release of Final LCD
12/01/2009
Web Link to Final LCD
OPHTH-003 - L30157
Link to Final Comments
Final Comments
Draft LCD Title
PATH-016 Flow Cytometry DL30161
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
A
Actual Date of Release of Final LCD
10/01/2009
Web Link to Final LCD
PATH-016 - L30161
Link to Final Comments
Final Comments
Draft LCD Title
PATH-026 Helicobacter Pylori Testing DL30163
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
07/20/2009
Current Status*
F
Actual Date of Release of Final LCD
08/01/2009
Web Link to Final LCD
PATH-026 - L30163
Link to Final Comments
Final Comments
Draft LCD Title
RAD-038 Selective Internal Radiation Therapy (SIRT) for Primary and Secondary Hepatic Malignancy (90Y-Microsphere Hepatic Brachytherapy) DL30137
Date of Release of Draft LCD for Comment
06/04/2009
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.bussan@wpsic.com
Dr. Kenneth Bussan
1751 W. Broadway
Madison, WI 53713
End Date for Comment Period
07/20/2009
Current Status*
F
Actual Date of Release of Final LCD
08/19/2009
Web Link to Final LCD
RAD-038 - L30137
Link to Final Comments
Final Comments
Draft LCD Title
GI-006 Diagnostic Sigmoidoscopy and Colonoscopy DL30304
Date of Release of Draft LCD for Comment
12/15/2008
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.Bussan@wpsic.com
Dr. Kenneth Bussan
WPS Medicare
1751 W Broadway
Madison, WI 53713
End Date for Comment Period
03/30/2009
Current Status*
F
Actual Date of Release of Final LCD
08/01/2009
Web Link to Final LCD
GI-006 - L30304
Link to Final Comments
Final Comments
Draft LCD Title
GSURG-033 Ablative Therapy DL30312
Date of Release of Draft LCD for Comment
12/15/2008
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.Bussan@wpsic.com
Dr. Kenneth Bussan
WPS Medicare
1751 W Broadway
Madison, WI 53713
End Date for Comment Period
03/30/2009
Current Status*
F
Actual Date of Release of Final LCD
08/01/2009
Web Link to Final LCD
GSURG-033 - L30312
Link to Final Comments
Final Comments
Draft LCD Title
INJ-019 Human Granulocyte/Macrophage Colony Stimulating Factor DL30306
Date of Release of Draft LCD for Comment
12/15/2008
Comments should be sent via e-mail/or written and sent to the following address
Kenneth.Bussan@wpsic.com
Dr. Kenneth Bussan
WPS Medicare
1751 W Broadway
Madison, WI 53713
End Date for Comment Period
03/30/2009
Current Status*
F
Actual Date of Release of Final LCD
08/01/2009
Web Link to Final LCD
INJ-019 - L30306
Link to Final Comments
Final Comments
Draft LCD Title
Date of Release of Draft LCD for Comment
08/06/2008
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
12/03/2008
Current Status*
F
Actual Date of Release of Final LCD
08/01/2009
Web Link to Final LCD
GSURG-051 - L28572
Link to Final Comments
Final Comments
Draft LCD Title
PHYSMED-009 Outpatient Rehabilitation Therapy Services billed to Medicare Part B
Date of Release of Draft LCD for Comment
08/06/2008
Comments should be sent via e-mail/or written and sent to the following address
Stephen.Boren@wpsic.com
Dr. Stephen Boren
WPS Medicare
111 E. Wacker Ste 950
Chicago, IL 60601
End Date for Comment Period
12/03/2008
Current Status*
F
Actual Date of Release of Final LCD
12/01/2009
Web Link to Final LCD
PHYSMED-009 - L28531
Link to Final Comments
Final Comments
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Page Last Updated: Tuesday, 29-Dec-2009 14:12:00 CST
