National Policies

Link to CMS NCDs on CMS' Coverage Database

What is a National Coverage Determination (NCD)?
WPS Medicare does not post all Part B Legacy National Coverage Determinations (NCDs) on our Website. We post NCDs that providers most frequently request clarification on. To access all NCDs, please visit the Centers for Medicare & Medicaid Services (CMS) Medicare Coverage Database.
What is a National Coverage Provision (NCP)?

Title	WPS ID	NCP/NCD
Ambulatory Blood Pressure Monitoring	PHYS-072	NCD
Audiology Services	ENT-006	NCP
Automatic Implantable Cardioverter Defibrillator	CV-014	NCD
Bariatric Surgery for Morbid Obesity	GSURG-042	NCD
Biofeedback Therapy for the Treatment of Urinary Incontinence	PHYS-076	NCD
Bone Marrow or Stem Cell Transplantation	HONC-009	NCD
Certified Nurse Midwife	PHYS-050	NCP
Chemotherapy and Drug Administration	HONC-002	NCP
Clinical Psychologists Services	PSYCH-002	NCP
Clinical Trials	PHYS-077	NCD
Clinical Social Worker Services	PSYCH-009	NCP
Colorectal Cancer Screening Benefit	GI-008	NCD
Critical Care	PHYS-022	NCP
Deep Brain Stimulation for Essential Tremor and Parkinsons' Disease	NEURO-003	NCD
Dental Services	DENT-002	NCP
Drugs and Biologicals - Coverage and Payment	PHYS-042	NCP
Electrical Stimulation (ES) and Electromagnetic Therapy for the Treatment of Wounds	PHYSMED-012	NCD
Emergency Department Services	PHYS-021	NCP
Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions	INJ-040	NCD
Heart and/or Lung Transplants	GSURG-031	NCD
Hemophilia Clotting Factors	INJ-003	NCP
Hyperbaric Oxygen Therapy	PHYS-056	NCD
Incident To a Physician's Professional Service in the Office or Clinic	PHYS-004	NCP
Intestinal and Multi-Visceral Transplantation	GSURG-038	NCD
Intravenous immune globulin for the treatment of autoimmune mucocutaneous blistering diseases	INJ-038	NCD
Intravenous Iron Therapy	INJ-035	NCD
Levocarnitine for Use in the Treatment of Carnitine Deficiency in ESRD Patients	INJ-036	NCD
Liver Transplantation	GSURG-021	NCD
Magnetic Resonance Angiography (MRA)	RAD-023	NCD
Medical Devices	PHYS-067	NCP
No Cost Items	PHYS-080	NCP
Nurse Practitioners/Clinical Nurse Specialists	PHYS-034	NCP
Nursing Facility Services (Codes 99304 - 99318)	PHYS-079	NCP
Nutrition Training Benefits	PHYS-041	NCD
Pancreas Transplants with Kidney Transplant and Pancreas Transplant Alone	GSURG-035	NCD
Percutaneous Image-Guided Breast Biopsy	RAD-028	NCD
Percutaneous Transluminal Angioplasty (PTA) (Carotid Stents)	CV-039	NCD
Physician Assistants	PHYS-026	NCP
Physician Supervision of Diagnostic Tests	PHYS-075	NCP
Sacral Nerve Stimulation for Urinary Incontinence	GSURG-039	NCD
Screening Mammography	RAD-016	NCP
Screening Pap Smears and Pelvic Examinations for Early Detection of Cervical or Vaginal Cancer	GU-003	NCD
Sleep Disorder Clinics and Diagnostic Tests	PULM-003	NCP
Surgery	GSURG-001	NCP
Transmyocardial Revascularization (TMR)	CV-029	NCD
Treatment of Actinic Keratosis (AK)	DERM-009	NCD
Ultrasound Screening for Abdominal Aortic Aneurysms (AAA)	CV-041	NCD
Vagus Nerve Stimulation	NEURO-004	NCD
Verteporfin (Visudyne TM) and Ocular Photodynamic Therapy (OPT)	Retired 03/01/10 Refer to the CMS on-line manual 100-3, 80.2.

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Page Last Updated: Friday, 26-Feb-2010 10:05:16 CST