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 the Listserv to receive the most current policy changes. Please check the education schedule for educational opportunities on a specific policy or topic.
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.
The official Local Coverage Determination (LCD) is the version on the Medicare Coverage Database at www.cms.gov/MCD 
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.
| 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 | A | 06/01/10 | L30729 | Final Comments |
| Allergy Testing and Allergy Immunotherapy (ALRG-001) | DL30471 | 10/08/09 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
11/23/09 | A | 01/01/10 | L30471 | Final Comments |
| Biofeedback (PHYS-066) | DL31070 | 06/24/10 Dr. Stephen Boren WPS Medicare 111 E. Wacker Ste 950 Chicago, IL 60601 |
08/08/10 | C | Not Yet Available | Not Yet Available | Not Yet Available |
| Cardiac Catheterization and Coronary Angiography (CV-006) | DL30719 | 02/19/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
04/05/10 | A | 06/01/10 | L30719 | Final Comments |
| 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 |
| Computerized Corneal Topography (OPHTH-014) | DL31064 | 06/24/10 Dr. Stephen Boren WPS Medicare 111 E. Wacker Ste 950 Chicago, IL 60601 |
08/08/10 | C | 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 | A | 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 | E | 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 | A | 02/01/10 | L30487 | Final Comments |
| Diagnostic Pap Tests (GU-020) | DL31080 | 06/24/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
08/08/10 | C | Not Yet Available | Not Yet Available | Not Yet Available |
| 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 | E | 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 | A | 06/01/10 | L30493 | Final Comments |
| Electromagnetic Navigation Bronoscopy (ENB) (PULM-007) | DL30510 | 10/08/2009 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
11/23/09 | A | 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 | A | 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 | A | 03/01/10 | L30481 | Final Comments |
| Erythropoiesis Stimulating Agents Epoetin alfa (EPO), Darbepoetin alfa (DPA) (INJ-023) | DL31074 | 06/24/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
08/08/10 | C | 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 | F | 09/01/10 | L30727 | Final Comments |
| 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 | A | 02/01/10 | L30514 | Final Comments |
| Heavy Metal Testing (PATH-028) | DL31067 | 06/24/10 Dr. Stephen Boren WPS Medicare 111 E. Wacker Ste 950 Chicago, IL 60601 |
08/08/10 | C | Not Yet Available | Not Yet Available | Not Yet Available |
| Hemophilia Clotting Factors (INJ-003) | DL31078 | 06/24/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
08/08/10 | C | Not Yet Available | Not Yet Available | Not Yet Available |
| Hyperbaric Oxygen (HBO) Therapy (PHYS-056) | DL31357 | 10/07/10 Dr. Stephen Boren WPS Medicare 111 E. Wacker Ste 950 Chicago, IL 60601 |
11/21/10 | D | Not Yet Available | Not Yet Available | Not Yet Available |
| Immunizations (ALRG-003) | DL31084 | 06/24/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
08/08/10 | C | Not Yet Available | Not Yet Available | Not Yet Available |
| 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 | E | 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 | A | 02/01/10 | L30479 | Final Comments |
| Magnetic Resonance Angiography (RAD-023) | DL31355 | 10/07/10 Dr. Stephen Boren WPS Medicare 111 E. Wacker Ste 950 Chicago, IL 60601 |
11/21/10 | D | Not Yet Available | Not Yet Available | Not Yet Available |
| MOHS Surgery (DERM-004) | DL30713 | 02/19/10 Dr. Stephen Boren WPS Medicare 111 E. Wacker Ste 950 Chicago, IL 60601 |
04/05/10 | A | 06/01/10 | L30713 | Final Comments |
| Myocardial Perfusion Imaging and Cardiac Blood Pool Studies (CV-017) | DL31072 | 06/24/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
08/08/10 | C | Not Yet Available | Not Yet Available | Not Yet Available |
| Nerve Conduction Studies and Electromyography (NEURO-005) | DL31346 | 10/07/10 Dr. Stephen Boren WPS Medicare 111 E. Wacker Ste 950 Chicago, IL 60601 |
01/11/11 | D | 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 | A | 06/01/10 | L30798 | Final Comments |
| 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 | A | 02/01/10 | L30483 | Final Comments |
| Polysomnography and Other Sleep Studies (NEURO-009) | DL31082 | 06/24/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
08/08/10 | C | Not Yet Available | Not Yet Available | Not Yet Available |
| 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 | A | 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 | A | 02/01/10 | PART A LCD | 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 | F | 09/01/10 | L30491 | Final Comments |
| 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 | F | 08/01/10 | L30715 | Final Comments |
| Radiopharmaceutical Agents (RAD-026) | DL31361 | 10/07/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
11/21/10 | D | Not Yet Available | Not Yet Available | Not Yet Available |
| Sacroiliac Joint Injections (MS-009) | DL31359 | 10/07/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
11/21/10 | D | 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 | A | 06/01/10 | L30475 | Final Comments |
| Surgical Treatment of Sleep Apnea (ENT-012) | DL30731 | 02/19/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
04/05/10 | A | 06/01/10 | L30731 | Final Comments |
| 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 | A | 06/01/10 | L30516 | Final Comments |
| Visual Fields (OPHTH-054) | DL31348 | 10/07/10 Dr. Stephen Boren WPS Medicare 111 E. Wacker Ste 950 Chicago, IL 60601 |
11/21/10 | D | Not Yet Available | Not Yet Available | Not Yet Available |
| Vitamin D Testing (PATH-032) | DL31076 | 06/24/10 Dr. Kenneth Bussan 1751 W. Broadway Madison, WI 53713 |
08/08/10 | C | Not Yet Available | Not Yet Available | Not Yet Available |
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Page Last Updated: Wednesday, 08-Sep-2010 09:02:07 CDT
