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Retirement of Noncovered Services and Category III CPT Codes LCDs and Articles

Effective 7/1/2020, National Government Services is retiring the Noncovered Services LCD (L33629) and Billing and Coding Article (A57812), and the Category III CPT® Codes LCD (L33392) and Billing and Coding Article (A56195), to reflect recent changes to the Internet-Only Manual Publication 100-08, Medicare Claims Processing Manual, Chapter 13.

For the noncovered services LCD, provisions for the following services will be moved to the LCDs listed:

  • Combined ovarian cancer biomarker tests – will move to L38371/A57020 (Multimarker Serum Tests Related to Ovarian Cancer Testing)
  • Quantitative calcium scoring will remain noncovered under LCD L33559/A56737 (Cardiac Computed Tomography [CCT] and Coronary Computed Tomography Angiography [CCTA])

For all services previously covered under these two LCDs, local policy rules, requirements and limitations will no longer be applied on a prepay basis, but as with any billed service, claims may be subject to postpay review. All CMS national policy rules, requirements and limitations remain in effect.

Posted 6/18/2020