LCD and Billing and Coding Article Updates for February/March 2024
Local Coverage Determinations
Biomarker Testing for Prostate Cancer Diagnosis (L37733)
This LCD has been retired and will no longer be in effect for services performed after 2/15/2024. All local policy rules, requirements, and limitations within this article will no longer be applied on a prepay basis, but as with any billed service, claims may be subject to post-pay review. All CMS national policy rules, requirements and limitations remain in effect.
Reduction Mammaplasty (L35001)
Updated only to correct the spelling of intertriginous.
Water Vapor Thermal Therapy for LUTS/BPH (L37808)
This LCD has been retired and will no longer be in effect for services performed after 2/15/2024. All local policy rules, requirements, and limitations within this article will no longer be applied on a prepay basis, but as with any billed service, claims may be subject to post-pay review. All CMS national policy rules, requirements and limitations remain in effect.
Billing and Coding Articles
Billing and Coding: Biomarker Testing for Prostate Cancer Diagnosis (A56609)
This article is designed to aid in correct billing and coding and is no longer an LCD Reference Article due to the retirement of L37733 Biomarker Testing for Prostate Cancer Diagnosis, effective for services rendered on or after 3/1/2024.
Billing and Coding: Routine Foot Care and Debridement of Nails (A57759)
This statement has been added to Coding Information, related to RNs performing routine foot care services: Providers should be aware that this may not be allowed, based on their state scope of practice laws.
Billing and Coding: Water Vapor Thermal Therapy for LUTs/BPH (L37808)
This Billing and Coding Article has been retired and will no longer be in effect for services performed after 2/15/2024. All local policy rules, requirements, and limitations within this article will no longer be applied on a prepay basis, but as with any billed service, claims may be subject to post-pay review. All CMS national policy rules, requirements and limitations remain in effect.
Posted 2/27/2024