-
Posting Date: 10/29/2021
Implantation of Spinal Neurostimulator
Implantation of Spinal Neurostimulator Table of Contents Implantation of Spinal Neurostimulator Coverage Documentation Requirements Best Practice/Documentation Feedback/Tips Related Content [Return to Top] Implantation of [...]
Read More -
Posting Date: 06/14/2023
Facet Joint Interventions for Pain Management Best Practices
Facet Joint Interventions for Pain Management Best Practices Table of Contents Indications and/or Medical Necessity Coverage Documentation Requirements Diagnostic Facet Joint Injections (IA or MBB) Therapeutic Facet Joint Injection [...]
Read More -
Posting Date: 01/03/2022
Respiratory Pathogen Panel Testing
Respiratory Pathogen Panel Testing N/A L39027 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39027 A58741 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58741 A58890 [...]
Read More -
Posting Date: 10/05/2023
Cardiovascular Nuclear Medicine
Cardiovascular Nuclear Medicine cardiac scan, stress test, heart, coronary, ejection, perfusion, blood pool L33560 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33560 A56743 [...]
Read More -
Posting Date: 10/05/2023
Epidural Steroid Injections for Pain Management
Epidural Steroid Injections for Pain Management spine, pain, transforaminal, sacral, steroid, spinal L39036 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39036 A58745 [...]
Read More -
Posting Date: 09/30/2021
Visual Fields Testing
Visual Fields Testing eyes, ophthalmology, vision L33574 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33574 A56551 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56551 92081, 92082, 92083
Read More -
Posting Date: 04/19/2021
Visual Electrophysiology Testing
Visual Electrophysiology Testing N/A L36831 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=36831 A57060 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57060 A55475 [...]
Read More -
Posting Date: 06/01/2023
Urodynamics
Urodynamics cystometrogram, uroflowmetry, urethral pressure profile, sphincter electromyogram, sphincter electromyogram, incontinence, voiding dysfunction L33576 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33576 A57455 [...]
Read More -
Posting Date: 10/12/2022
Transthoracic Echocardiography (TTE)
Transthoracic Echocardiography (TTE) cardiac, doppler, stress, cardovascular, myocardial, heart, contrast L33577 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33577 A56781 [...]
Read More -
Posting Date: 10/02/2022
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) OCT, eyes, cornea, glaucoma L34380 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34380 A56537 https://www.cms.gov/medicare-coverage-database/view/article.aspx?artic[...]
Read More -
Posting Date: 07/13/2023
Peripheral Nerve Blocks
Peripheral Nerve Blocks N/A L36850 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=36850 A57452 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57452 A55421 [...]
Read More -
Posting Date: 04/19/2021
Percutaneous Coronary Intervention
Percutaneous Coronary Intervention heart, angina, intracoronary L33623 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33623 A56823 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56823 92920, [...]
Read More -
Posting Date: 10/02/2022
Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) retinal, retinopathy, chorioretinitis, vitreous L33567 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33567 A56726 [...]
Read More -
Posting Date: 07/27/2023
Nonvascular Extremity Ultrasound
Nonvascular Extremity Ultrasound clot, plantar fasciitis L33619 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33619 A56787 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56787 76881, 76882
Read More -
Posting Date: 10/02/2022
Nerve Conduction Studies and Electromyography
Nerve Conduction Studies and Electromyography electrodiagnostic, neurologic, EMG, NCS, neuromuscular, motor, needle L35098 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35098 A57668 [...]
Read More -
Posting Date: 10/02/2022
Computed Tomographic (CT) Colonography for Diagnostic Uses
Computed Tomographic (CT) Colonography for Diagnostic Uses virtual colonoscopy L33562 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33562 A57026 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=5702[...]
Read More -
Posting Date: 02/14/2023
Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA) heart, calcium, congenital, bypass L33559 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33559 A56737 [...]
Read More -
Posting Date: 04/04/2023
Transcranial Magnetic Stimulation
Transcranial Magnetic Stimulation depression, major depressive disorder, magnetic field L33398 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33398 A57528 https://www.cms.gov/medicare-coverage-database/view/article.aspx?artic[...]
Read More -
Posting Date: 04/04/2023
Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures
Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures paronychia, skin, carbuncle, boil L33563 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33563 A56766 [...]
Read More -
Posting Date: 01/06/2023
Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases N/A L37606 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=37606 A56793 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56[...]
Read More -
Posting Date: 10/31/2022
Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
Drugs and Biologicals, Coverage of, for Label and Off-Label Uses administration, compendia, FDA L33394 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33394 A52855 [...]
Read More -
Posting Date: 10/26/2022
Osteopathic Manipulative Treatment
Osteopathic Manipulative Treatment somatic, skeletal, dysfunction L33616 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33616 A56954 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56954 A55318 [...]
Read More -
Posting Date: 10/02/2022
Psychiatric Inpatient Hospitalization
Psychiatric Inpatient Hospitalization active treatment L33624 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33624 A56865 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56865
Read More -
Posting Date: 10/02/2022
Frequency of Hemodialysis
Frequency of Hemodialysis dialysis, kidney disease, end stage renal disease L37475 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=37475 A55672 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55672 [...]
Read More -
Posting Date: 08/10/2022
Prostate Rectal Spacers
Prostate Rectal Spacers N/A L37485 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37485 A56539 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56539 A58100 [...]
Read More -
Posting Date: 07/31/2022
Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE)
Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE) L39226 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=39226 A58963 https://www.cms.gov/medicare-coverage-database/view/article.aspx?article[...]
Read More -
Posting Date: 04/19/2021
Multimarker Serum Tests Related to Ovarian Cancer Testing
Multimarker Serum Tests Related to Ovarian Cancer Testing N/A L38371 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38371 A57020 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57020 A58112 [...]
Read More -
Posting Date: 04/19/2021
Varicose Veins of the Lower Extremity, Treatment of
Varicose Veins of the Lower Extremity, Treatment of telangiectasia, spider veins, cosmetic, ligation and stripping, Endovenous radiofrequency ablation, EFRA, laser ablation L33575 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdi[...]
Read More -
Posting Date: 06/15/2022
Platelet Rich Plasma
Platelet Rich Plasma N/A L38937 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38937 A58609 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58609 A58693 [...]
Read More -
Posting Date: 09/06/2021
Corneal Hysteresis
Corneal Hysteresis N/A L38014 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38014 A56528 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56248 A56529 [...]
Read More -
Posting Date: 02/10/2022
Hospice - Determining Terminal Status
Hospice - Determining Terminal Status Decline, life expectancy L33393 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33393 A52830 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52830
Read More -
Posting Date: 02/10/2022
Biomarker Testing for Neuroendocrine Tumors/Neoplasms
Biomarker Testing for Neuroendocrine Tumors/Neoplasms N/A L37851 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=37851 A57059 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57059 A56247 [...]
Read More -
Posting Date: 02/10/2022
Select Minimally Invasive GERD Procedures
Select Minimally Invasive GERD Procedures N/A L35080 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35080 A56863 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56863 A58614 [...]
Read More -
Posting Date: 09/06/2021
B-type Natriuretic Peptide (BNP) Testing
B-type Natriuretic Peptide (BNP) Testing congestive heart failure, acute dyspnea L33573 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33573 A56826 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56[...]
Read More -
Posting Date: 01/04/2022
Colon Capsule Endoscopy (CCE)
Colon Capsule Endoscopy (CCE) N/A L38571 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=38571 A58294 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58294 A58630 [...]
Read More -
Posting Date: 01/04/2022
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea N/A L38387 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=38387 A57092 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=5709[...]
Read More -
Posting Date: 01/04/2022
Thyroid Nodule Molecular Testing
Thyroid Nodule Molecular Testing N/A L38968 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38968 A58656 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58656 A58853 [...]
Read More -
Posting Date: 09/30/2021
Speech-Language Pathology
Speech-Language Pathology dysphagia, swallowing, communication L33580 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33580 A52866 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52866 31579, 92507, [...]
Read More -
Posting Date: 09/30/2021
RAST Type Tests
RAST Type Tests FAST, Radioallergosorbent, fluoroallergosorbent, antigen, allergen, IGE L33591 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33591 A56844 https://www.cms.gov/medicare-coverage-database/view/article.aspx?artic[...]
Read More -
Posting Date: 09/30/2021
Proton Beam Therapy
Proton Beam Therapy radiation, radiotherapy L35075 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35075 A56827 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56827 A55124 [...]
Read More