LCDs, NCDs, Coverage Articles


Local Coverage Determinations (LCDs)

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.

LCD Title
LCD ID #
Article Title
Article ID #
CPT / HCPCS Codes
Home Health — Psychiatric Care
Billing and Coding: Home Health - Psychiatric Care

A56756

G0152, G0155, G0156, G0299, G0300
Home Health Occupational Therapy 
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, 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
 
 
Billing and Coding: Home Health Occupational Therapy
G2169
Home Health Physical Therapy
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
 
 
Billing and Coding: Home Health Physical Therapy
G2168
Home Health Plans of Care: Monitoring Glucose in th Mediare Home Health Population with Type II Diabetes Mellitus
Billing and Coding: Home Health Plans of Care: Monitoring Glucose Control in the Medicare Home Health Population with Type II Diabetes Mellitus
G0299, G0300
Home Health Skilled Nursing Care — Teaching and Training: Alzheimer's Disease and Behavioral Disturbances
Case Scenario 1-Home Health Skilled Nursing Care Teaching and Training: Alzheimer's Disease
G0299, G0300
 
 
Case Scenario 2-Home Health Skilled Nursing Care Teaching and Training: Alzheimer's Disease
 
    Billing and Coding: Home Health Skilled Nursing Care- Teaching and Training: Alzheimer’s Disease and Behavioral Disturbances A56641  
Home Health Speech Language Pathology
Billing and Coding: Home Health Speech-Language Pathology
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, G0153, G0161
Home Health-Surface Electrical Stimulation in the Treatment of Dysphagia
Billing and Coding: Home Health- Surface Electrical Stimulation in the Treatment of Dysphagia
N/A
 
 
Home-Based Fall Evaluations and Interventions
G0151, G0152, G0299, G0300
Hospice — HIV Disease
Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
G0299, G0300
    Billing and Coding: Hospice HIV Disease A56677  
Hospice — Liver Disease
Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
G0299, G0300
    Billing and Coding: Hospice Liver Disease A56669  
Hospice — Neurological Conditions L34547 Billing and Coding: Hospice – Neurological Conditions A56502
G0299, G0300
Hospice — Neurological Conditions
Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
G0299, G0300
Hospice — Renal Care
L34559 Billing and Coding: Hospice - Renal Care A56545 G0299, G0300
Hospice - Renal Care
Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
G0299, G0300
Hospice Alzheimer's Disease & Related Disorders
Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
G0299, G0300
    Billing and Coding: Hospice Alzheimer's Disease & Related Disorders A56639  
Hospice Cardiopulmonary Conditions
Going Beyond Diagnosis®: Hospice Cardiopulmonary Conditions
G0299, G0300
 
 
Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
N/A
    Billing and Coding: Hospice Cardiopulmonary Conditions A56610  N/A
Hospice The Adult Failure To Thrive Syndrome
Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions
G0299, G0300
    Billing and Coding: Hospice The Adult Failure To thrive Syndrome A56679  




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