LCDs, NCDs, Coverage Articles
Published 05/30/2024
Local Coverage Determinations (LCDs)
- Proposed LCDs
- Active LCDs
- Future Effective LCDs
- Retired LCDs
- MCD Archive
- Proposed LCDs one year after being released to the final LCD
- Retired LCDs and Articles one year after their retirement dates
- Superseded versions of active LCDs and Articles after one year
- All ICD-9 LCDs and articles now reside on the MCD archive
Articles
National Coverage Determinations (NCDs)
- NCDs
- The link to the Reconsideration Process must be used for any suggested changes to the Centers for Medicare & Medicaid Services (CMS). Only CMS can update NCDs.
The table below provides a current list of all active LCD and MCD articles.
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LCD Title
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LCD ID #
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Article Title
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Article ID #
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CPT® / HCPCS Codes
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|---|---|---|---|---|
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Home Health — Psychiatric Care
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Billing and Coding: Home Health — Psychiatric Care
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G0152, G0155, G0156, G0299, G0300
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Home Health Occupational Therapy
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Billing and Coding: CPT® Code 97755 — Assistive Technology Assessment
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29065, 29075, 29085, 29086, 29105, 29125, 29126, 29130, 29131, 29200, 29240, 29260, 29280, 29345, 29365, 29405, 29505, 29515, 29520, 29530, 29540, 29550, 29799, 90901, 90911, 92526, 92610, 95831, 95832, 95833, 95834, 95851, 95852, 96125, 97010, 97016, 97018, 97022, 97026, 97032, 97033, 97034, 97035, 97110, 97112, 97124, 97140, 97165, 97166, 97167, 97168, 97530, 97533, 97535, 97537, 97542, 97750, 97755, 97760, 97761, 97763, G0152, G0158, G0283, G0160, G0515
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Billing and Coding: Home Health Occupational Therapy
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G2169, 97550, 97551
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|
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Home Health Physical Therapy
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Billing and Coding: CPT® Code 97755 — Assistive Technology Assessment
|
29065, 29075, 29085, 29086, 29105, 29125, 29126, 29130, 29131, 29200, 29240, 29260, 29280, 29345, 29365, 29405, 29505, 29515, 29520, 29530, 29540, 29550, 29799, 90901, 90911, 92526, 92610, 95831, 95832, 95833, 95834, 95851, 95852, 96125, 97016, 97018, 97026, 97032, 97033, 97034, 97035, 97110, 97112, 97124, 97140, 97165, 97166, 97167, 97168, 97530, 97533, 97535, 97537, 97542, 97750, 97755, 97760, 97761, 97763, G0151, G0152, G0158, G0283, G0160, G0515
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Billing and Coding: Home Health Physical Therapy
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G2168, 97550, 97551
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Home Health Plans of Care: Monitoring Glucose in th Mediare Home Health Population with Type II Diabetes Mellitus
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Billing and Coding: Home Health Plans of Care: Monitoring Glucose Control in the Medicare Home Health Population with Type II Diabetes Mellitus
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G0299, G0300
|
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Home Health Skilled Nursing Care — Teaching and Training: Alzheimer's Disease and Behavioral Disturbances
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Case Scenario 1: Home Health Skilled Nursing Care Teaching and Training: Alzheimer's Disease
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G0299, G0300
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|
|
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Case Scenario 2: Home Health Skilled Nursing Care Teaching and Training: Alzheimer's Disease
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| Billing and Coding: Home Health Skilled Nursing Care — Teaching and Training: Alzheimer’s Disease and Behavioral Disturbances | A56641 | |||
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Home Health Speech Language Pathology
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Billing and Coding: Home Health Speech-Language Pathology
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92507, 92517, 92518, 92519, 92521, 92522, 92523, 92524, 92526, 92597, 92607, 92608, 92609, 92610, 92626, 92627, 92630, 92633, 92650, 92651, 92652, 92653, 96105, 96112, 96113, 96116, 96121, 96125, 97110, 97129, 97130, 97530, 97533, 97535, 97550, 97551 G0153, G0161
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Home Health — Surface Electrical Stimulation in the Treatment of Dysphagia
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Billing and Coding: Home Health — Surface Electrical Stimulation in the Treatment of Dysphagia
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N/A
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Home-Based Fall Evaluations and Interventions
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G0151, G0152, G0299, G0300
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|
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Hospice — Liver Disease
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Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
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G0299, G0300
|
||
| Billing and Coding: Hospice Liver Disease | A56669 | |||
| Hospice — Neurological Conditions | L34547 | Billing and Coding: Hospice – Neurological Conditions | A56502 |
G0299, G0300
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Hospice — Neurological Conditions
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Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
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G0299, G0300
|
||
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Hospice — Renal Care
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L34559 | Billing and Coding: Hospice — Renal Care | A56545 | G0299, G0300 |
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Hospice — Renal Care
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Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
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G0299, G0300
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Hospice Alzheimer's Disease & Related Disorders
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Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
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G0299, G0300
|
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| Billing and Coding: Hospice Alzheimer's Disease & Related Disorders | A56639 | |||
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Hospice Cardiopulmonary Conditions
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Going Beyond Diagnosis®: Hospice Cardiopulmonary Conditions
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G0299, G0300
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Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
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N/A
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| Billing and Coding: Hospice Cardiopulmonary Conditions | A56610 | N/A | ||
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Hospice The Adult Failure To Thrive Syndrome
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Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
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G0299, G0300
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| Billing and Coding: Hospice The Adult Failure To thrive Syndrome | A56679 |