LCDs, NCDs, Coverage Articles

Published 12/09/2022

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

Contract

Advance Care Planning L38970 Billing and Coding: Advance Care Planning A58664 G0438, G0439, 99201–99215, 99217–99226, 99231–99236, 99238, 99239, 99241–99245, 99251–99255, 99281–99285, 99291, 99292, 99304–99310, 99315, 99316, 99318, 99324–99328, 99334–99337, 99341–99345, 99347–99350, 99381–99397, 99468, 99469, 99471, 99472, 99475–99480, 99483, 99495, 99496, 99497, 99498 A/B
Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin L39270 Billing and Coding: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin A59042 38240 A/B

Ambulance Services

L34549

Billing and Coding: Ambulance Services

A56468

A0425, A0426, A0427, A0428, A0429, A0430, A0431, A0432, A0433, A0434, A0435, A0436

A
Bladder/Urothelial Tumor Markers L33420 Billing and Coding: Lab: Bladder/Urothelial Tumor Markers A53095 86294, 86316, 86386, 88120, 88121 A/B

Blepharoplasty, Eyelid Surgery,
and Brow Lift

L34411

Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift

A56503

15820, 15821, 15822, 15823, 67192, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909, 67911, 67914, 67915, 67916, 67917, 67921, 67922, 67923, 67924

A/B

B-type Natriuretic Peptide (BNP)
Testing

L34410

Billing and Coding: B-Type Natriuretic Peptide (BNP) Testing

A56605

83880

A
Bone Mass Measurement L39268 Billing and Coding: Bone Mass Measurement A59040 76977, 77078, 77080, 77081, 77085, 78350, 78351, G0130, 0508T, 0554T, 0555T, 0556T, 0557T, 0558T A/B

Cardiac Computed Tomography
and Angiography (CCTA)

L33423

Billing and Coding: Cardiac Computed Tomography and Angiography (CCTA)

A56691

75571, 75572, 75573, 75574

A/B

Cardiac Radionuclide Imaging

L33457

Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy

A54768

78451, 78452, 78453, 78454, 78472, 78473, 78481, 78483, 78491, 78492, 78494, 78496, A4641, A9500, A9501, A9502, A9505, A9526, A9555

A/B

N/A

 

Billing and Coding: Cardiac Radionuclide Imaging A56476

 

A/B
Cardiac Resynchronization Therapy (CRT) L39080 Billing and Coding: Cardiac Resynchronization Therapy (CRT) A58821 33224, 33225 A/B

Cardiac Event Detection

L34573

Billing and Coding: Cardiac Event Detection

A56606

93228, 93229, 93241–93248, 93268, 93270, 93271, 93272, 93799

A

Cataract Surgery

L34413

Complex Cataract Surgery: Appropriate Use and Documentation

A53047

66830, 66840, 66850, 66852, 66920, 66940, 66982, 66983, 66984

A/B
N/A   Billing and Coding: Cataract Surgery A56613 66989, 66991 A/B
Cervical Disc Replacement L38033 Billing and Coding: Cervical Disc Replacement A57021 22856, 22858, 22861, 0098T, 0375T, 97010–97039, 97110–97546 A/B
Cognitive Assessment and Care Plan Service L39266 Billing and Coding: Cognitive Assessment and Care Plan Service A59036 90785, 90791, 90792, 96127, 96146, 96160, 96161, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99366, 99367, 99368, 99483, 99497, 99498, 99605, 99606, 99607 A/B
Colon Capsule Endoscopy(CCE) L38755 Billing and Coding: Colon Capsule Endoscopy (CCE) A58321 91113 A/B

Colonoscopy/
Sigmoidoscopy/
Proctosigmoidoscopy

L34454

Billing and Coding: Incomplete Colonoscopy / Failed Colonoscopy

A55227

G0105, G0121, 44388, 44389, 44390, 44391, 44392, 44394, 44401, 44402, 45300, 45303, 45305, 45307, 45308, 45309, 45315, 45317, 45320, 45321, 45327, 45330, 45331, 45332, 45333, 45334, 45335, 45337, 45338, 45340, 45341, 45342, 45346, 45347, 45349, 45378, 45379, 45380, 45380, 45381, 45381, 45382, 45382, 45384, 45384, 45385, 45385, 45386, 45388, 45389, 45390, 45391, 45392, 45393, 45398

A/B

N/A

 

Billing and Coding: Screening Colonoscopy Converted to a Diagnostic and/or Therapeutic Colonoscopy

A55069

G2204

A/B
N/A   Billing and Coding: Colonoscopy / Sigmoidoscopy / Proctosigmoidoscopy A56632 G0105,G9998, G9999 A/B
Computed Tomography Cerebral Perfusion Analysis (CTP) L38769 Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) A58354 0042T A/B

Computerized Axial Tomography (CT), Thorax

L33459

Billing and Coding: Computerized Axial Tomography (CT), Thorax

A56580

71250, 71260, 71270

A/B

Continuous Peripheral Nerve
Blocks (CPNB)

L37641

Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)

A56607

64416, 64446, 64448, 64449

A/B

Corneal Pachymetry

L34512

Billing and Coding: Corneal Pachymetry

A56611

76514

A/B

Cosmetic and Reconstructive Surgery

L33428

Oral Maxillofacial Prosthesis

A53497

E0485, E0486, 15780, 15781, 15782, 15783, 15830, 15847, 19316, 19325, 19328, 19330, 19340, 19342, 19350, 19355, 19357, 19361, 19364, 19367, 19368, 19369, 19370, 19371, 19380, 19396, 19318, 30400, 30410, 30420, 30430, 30435, 30450, 30460, 30462, 15730, 15733, 21076, 21077, 21079, 21080, 21081, 21082, 21083, 21084, 21086, 21087, 21088, 21089, 21120, 21121, 21122, 21123, 21125, 21127, 21137, 21138, 21139, 21141, 21142, 21143, 21145, 21146, 21147, 21150, 21151, 21154, 21155, 21159, 21160, 21172, 21175, 21179, 21180, 21181, 21182, 21183, 21184, 21188, 21193, 21194, 21195, 21196, 21198, 21199, 21206, 21208, 21209, 21210, 21215, 21230, 21240, 21242, 21243, 21244, 21245, 21246, 21247, 21248, 21249, 21255, 21256, 21260, 21261, 21263, 21267, 21268, 21270, 21275, 21280, 21282, 21295, 21296, 21299

A/B
N/A   Billing and Coding: Cosmetic and Reconstructive Surgery A56658    

CT of the Abdomen and Pelvis

L34415

Billing and Coding: CT of the Abdomen and Pelvis

A56421

72192, 72193, 72194, 74150, 74160, 74170, 74176, 74177, 74178

A/B

CT of the Head

L34417

Billing and Coding: CT of the Head

A56612

G2187, G2188, G2189, G2190, G2191, G2192, G2193, G2194, G2195, 70450, 70460, 70470

A/B

Dental Services

L34574

Billing and Coding: Dental Services

A56663

41820, 41821, 41822, 41823, 41828, 41830, 41850, 41870, 41872, 41874, 41899

A
Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza®) L38792 Billing and Coding: Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza®) A58392 65800, 65810, 65815, 65820, 65850, 65855, 65860, 65865, 65870, 65875, 65880, 66170, 66172, 66180, 66183, 66184, 66185, 66820, 66821, 66825, 66982, 66984, 67005, 67010, 67015, 67025, 67027, 67028, 67030, 67031, 67036, 67039, 67040, 67041, 67042, 67043, 68841 A/B

Echocardiography

L37379

Billing and Coding: Echocardiography

A56625

91139, 93303, 93304, 93306, 93307, 93308, 93312, 93313, 93314, 93315, 93316, 93317, 93318, 93320, 93321, 93325, 93350, 93351, 93352, 93355, A9700, J0153, J0280, J0461, J1245, J1250

A/B
Echocardiography for Myocardial Perfusion L38786 Billing and Coding: Echocardiography for Myocardial Perfusion A58503 0439T, 93306, 93307, 93308, 93350, 93351, 93352, A9700, Q9950, Q9955, Q9956 A/B
Epidural Steroid Injections for Pain Management L38994 Billing and Coding: Epidural Steroid Injections for Pain Management A58695 62320, 62321, 62322, 62323, 62324, 62325, 62326, 62327, 64479, 64480, 64483, 64484, 78630 A/B
Erythropoiesis Stimulating Agents L39237 Billing and Coding: Erythropoiesis Stimulating Agents A58982 J0881, J0882, J0885, J0887, J0888, J0890, Q4081, Q5105, Q5106 A/B
Extracorporeal Shock Wave Therapy (ESWT) L38775 Billing and Coding: Extracorporeal Shock Wave Therapy (ESWT) A58367 0101T, 0102T A/B
Facet Joint Interventions for Pain Management L38765 Billing and Coding: Facet Joint Interventions for Pain Management A58350

64490, 64491, 64492, 64493, 64494, 64495, 64633, 64634, 64635, 64636, 0213T, 0214T, 0215T, 0216T, 0217T, 0218T, 0219T, 0220T, 0221T, 0222T

A/B

Frequency of Hemodialysis

L34575

Billing and Coding: Frequency of Hemodialysis

A55354

90999

A/B

Health and Behavior Assessment/
Intervention

L37638

Billing and Coding: Health and Behavior Assessment / Intervention

A56562

G2214, 96150, 96151, 96152, 96153, 96154, 96155

A/B

Homocysteine Level, Serum

L34419

Billing and Coding: Homocysteine Level, Serum

A56675

83090

A
Hyaluronic Acid Injections for Knee Osteoarthritis L39260 Billing and Coding: Hyaluronic Acid Injections for Knee Osteoarthritis A59030 J7318, J7320, J7321, J7322, J7324, J7325, J7326, J7327, J7328, J7329, J7331, J7332, 20610, 20611 A/B
Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea L38276 Billing and Coding: Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea A58075 61886, 61888, 64582, 64583, 64584 A/B

Infliximab

L35677

Billing and Coding: Infliximab

A56432

J1745, Q5103, Q5104, Q5109, Q5121

A/B
Implantable Continuous Glucose Monitors (I-CGM) L38743 Billing and Coding: Implantable Continuous Glucose Monitors (I-CGM) A58277 0446T, 0447T, 0448T A/B

Infrared Coagulation (IRC) of Hemorrhoids

L34422

Billing and Coding: Infrared Coagulation (IRC) of Hemorrhoids

A54038

46930

A
Intraoperative Radiation Therapy L37779

Billing and Coding: Intraoperative Radiation Therapy

A56684

19294, 77424, 77425, 77469, 76145, C9726 A/B

Intravenous Immunoglobulin (IVIG)

L34580

Billing and Coding: Intravenous Immunoglobulin (IVIG)

A56718

J1459, J1554, J1556, J1557, J1561, J1566, J1568, J1569, J1572, J1599, J2791, J2792

A/B
In Vitro Chemosensitivity & Chemoresistance Assays L34554 Billing and Coding: In Vitro Chemosensitivity & Chemoresistance Assays  A56871 84999, 89240, 0564T, 0083U, 0248U, 0324U, 0325U A/B
Lab: Controlled Substance Monitoring and Drugs of Abuse Testing L35724 Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing A54799 80305, 80306, 80307, G0480, G0481, G0482, G0483, G0659, 0143U, 0144U, 0145U, 0146U, 0147U, 0148U, 0149U, 0150U, 0227U, 0328U A/B
Lab: Flow Cytometry L34513 Billing and Coding: Lab: Flow Cytometry A55717 86355, 86356, 86357, 86359, 86360, 86361, 86367, 88182, 88184, 88185, 88187, 88188, 88189 A/B

Laparoscopic Sleeve Gastrectomy for Severe Obesity

L34576

Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity

A56852

43775

A/B
Lumbar Artificial Disc Replacement L37826 Billing and Coding: Lumbar Artificial Disc Replacement A56390 22857, 22862, 0163T, 0165T A/B
Lumbar Spinal Fusion L37848 Billing and Coding: Lumbar Spinal Fusion A56396 22533, 22558, 22612, 22630, 22633 A/B
Magnesium L39400 Billing and Coding: Magnesium A59186 83735 A/B

Magnetic Resonance Angiography

L34424

Billing and Coding: Magnetic Resonance Angiography

A56775

70544, 70545, 70546, 70547, 70548, 70549, C8900, C8901, C8902, C8909, C8910, C8911, C8912, C8913, C8914, C8918, C8919, C8920, C8934, C8935, C8936

A
Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor L37761

Billing and Coding: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor

A56690

0398T A/B

Magnetic Resonance Imaging
of the Orbit, Face, and/or Neck

L34425

Billing and Coding: Magnetic Resonance Imaging of the Orbit, Face, and/or Neck

A56729

70540, 70542, 70543

A
MDS FISH L37602 Billing and Coding: MDS FISH A56913 88271, 88273, 88274, 88275, 88291 A/B
Micro-Invasive Glaucoma Surgery(MIGS) L37531 Billing and Coding: Micro-Invasive Glaucoma Surgery (MIGS) A56866 66989, 66991, 66999, 0253T, 0449T, 0450T, 0474T, 0671T A/B
Minimally Invasive Surgical (MIS) Fusion of the Sacroiliac Joint (SIJ) L39025 Billing and Coding: Minimally Invasive Surgical (MIS) Fusion of the Sacroiliac Joint (SIJ) A58739 27279 A/B

Nerve Blocks and Electrostimulation
for Peripheral Neuropathy

L37642

Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathy

A56731

64450, 97032, 97139, G0282, G0283

A/B

Nerve Conduction Studies and
Electromyography

L35048

Billing and Coding: Nerve Conduction Studies and Electromyography

A56619

51785, 92265, 95860, 95861, 95863, 95864, 95865, 95866, 95867, 95868, 95869, 95870, 95872, 95885, 95886, 95887, 95905, 95907, 95908, 95909, 95910, 95911, 95912, 95913, 95933, 95937, 95999, G0255

A/B
Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease L38278 Billing and Coding: Non- Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease A58406 0501T, 0502T, 0503T, 0504T A/B

Ophthalmic Angiography
(Fluorescein and Indocyanine
Green)

L34426

Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)

A56774

92235, 92240, 92242

A/B

Ophthalmology: Extended
Ophthalmoscopy and Fundus
Photography

L33467

Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography

A53060

92201, 92202, 92227, 92228, 92250

A/B

Outpatient Observation Bed/
Room Services

L34552

Billing and Coding: Outpatient Observation Bed/Room Services

A56673

99217, 99218, 99219, 99220, 99234, 99235, 99236, G0378, G0379

A

Outpatient Occupational
Therapy

L34427

Billing and Coding: CPT® Code 97755 — Assistive Technology Assessment

A53053

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, 92548, 92610, 95851, 95852, 96112, 96113, 96125, 97010, 97012, 97016, 97018, 97022, 97024, 97026, 97032, 97033, 97034, 97035, 97036, 97110, 97112, 97113, 97124, 97140, 97150, 97165, 97166, 97167, 97168, 97530, 97533, 97535, 97537, 97542, 97545, 97546, 97597, 97598, 97602, 97605, 97606, 97610, 97750, 97755, 97760, 97761, 97763, 97799, G0281, G0283, G0329, G0515

A

N/A

 

Low frequency, non-contact, non-thermal ultrasound (CPT® Code 97610)

A53773

 

 

N/A

 

Billing and Coding: Outpatient Occupational Therapy

A53064

90912, 90913, 97129, 97130

 

Outpatient Physical Therapy

L34428

CPT® Code 97755 — Assistive Technology Assessment

A53053

29065, 29075, 29085, 29105, 29125, 29126, 29130, 29131, 29200, 29240, 29260, 29280, 29345, 29365, 29405, 29445, 29505, 29515, 29520, 29530, 29540, 29550, 29580, 29799, 90901, 92548, 95851, 95852, 95992, 97010, 97012, 97016, 97018, 97022, 97024, 97026, 97028, 97032, 97033, 97034, 97035, 97036, 97110, 97112, 97113, 97116, 97124, 97140, 97150, 97161, 97162, 97163, 97164, 97530, 97533, 97535, 97537, 97542, 97545, 97546, 97597, 97598, 97602, 97605, 97606, 97610, 97750, 97755, 97760, 97761, 97763, 97799, G0281, G0283, G0329

A

N/A

 

Low frequency, non-contact, non-thermal ultrasound (CPT® Code 97610)

A53773

 

 

N/A

 

Billing and Coding: Outpatient Physical Therapy

A53065

90912, 90913

 

Outpatient Speech Language
Pathology

L34429

Billing and Coding: Outpatient Speech Language Pathology

A56868

31579, 92507, 92508, 92511, 92512, 92517, 92518, 92519, 92520, 92521, 92522, 92523, 92524, 92526, 92597, 92605, 92606, 92607, 92608, 92609, 92610, 92611, 92612, 92613, 92614, 92615, 92616, 92617, 92618, 92626, 92627, 92630, 92633, 92650, 92651, 92652, 92653, 95857, 96105, 96112, 96113, 96116, 96121, 96125, 97129, 97130, 97150, 97533, 97535

A

Partial Hospitalization Programs

L37633

Billing and Coding: Partial Hospitalization Programs

A56685

90785, 90791, 90792, 90832, 90833, 90834, 90836, 90837, 90838, 90846, 90847, 90875, 90876, 90899, 96116, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, G0129, G0176, G0177, G0410, G0411

A
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) L38737 Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) A58275 22510, 22511, 22512, 22513, 22514, 22515 A/B
Peroral Endoscopic Myotomy (POEM) L38747 Billing and Coding: Peroral Endoscopic Myotomy (POEM) A58287 43497 A/B
Platelet Rich Plasma L38745 Billing and Coding: Platelet Rich Plasma A58282 G0465, M0076, P9020, S9055, 0232T, A/B

Polysomnography

L36593

Accreditation and Credentialing Requirements for Polysomnography

A55958

95782, 95783, 95800, 95801, 95803, 95805, 95806, 95807, 95808, 95810, 95811, G0398, G0399, G0400

A/B
N/A   Billing and Coding: Polysomnography A56995    

Removal of Benign and Malignant
Skin Lesions

L33445

Billing and Coding for Removal of Benign and Malignant Skin Lesions

A56346

11300, 11301, 11302, 11303, 11305, 11306, 11307, 11308, 11310, 11311, 11312, 11313, 11400, 11401, 11402, 11403, 11404, 11406, 11420, 11421, 11422, 11423, 11424, 11426, 11440, 11441, 11442, 11443, 11444, 11446, 11600, 11601, 11602, 11603, 11604, 11606, 11620, 11621, 11622, 11623, 11624, 11626, 11640, 11641, 11642, 17000, 17003, 17004, 17110, 17111, 17260, 17261, 17262, 17263, 17264, 17266, 17270, 17271, 17272, 17273, 17274, 17276, 17280, 17281, 17282, 17283, 17284, 17286

A/B

Respiratory Therapy
(Respiratory Care)

L34430

Billing and Coding: Respiratory Therapy (Respiratory Care)

A56717

31500, 31502, 31720, 92950, 94002, 94003, 94004, 94010, 94011, 94012, 94013, 94060, 94070, 94150, 94200, 94375, 94450, 94621, 94640, 94642, 94660, 94662, 94664, 94667, 94668, 94669, 94726, 94727, 94728, 94729, 94772, G0237, G0238, G0239

A

Retroperitoneal Ultrasound

L34577

Billing and Coding: Retroperitoneal Ultrasound

A55336

76770, 76775, 76776

A/B

Rituximab

L35026

Billing and Coding: Rituximab

A56380

J3590, J9311, J9312, Q5123, Q5115

A/B

Routine Foot Care

L37643

Billing and Coding: Routine Foot Care

A56680

11055, 11056, 11057, 11719, 11720, 11721, G0127

A/B

Scanning Computerized Ophthalmic
Diagnostic Imaging (SCODI)

L34431

Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

A56825

92132, 92133, 92134

A/B

Somatosensory Testing

L34433

Billing and Coding: Somatosensory Testing

A56769

95925, 95926, 95927

A/B

Spinal Cord Stimulators for
Chronic Pain

L37632

Billing and Coding: Spinal Cord Stimulators for Chronic Pain

A56876

63650, 63655, 63661, 63662, 63663, 63664, 63685, 63688, 95970, 95971, 95972, L8680

A/B

Stretta Procedure

L34553

Billing and Coding: Stretta Procedure

A56703

43257

A
Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication L37774

Billing and Coding: Supervised Exercise Therapy for the Treatment of Peripheral Arterial Disease with Symptomatic Lower Extremity Intermittent Claudication

A56384

93668 A/B
Topical Oxygen Therapy L37873 Billing and Coding: Topical Oxygen Therapy A56431 A4575 A/B

Total Joint Arthroplasty

L33456

Billing and Coding: Total Joint Arthroplasty

A56777

27130, 27132, 27134, 27137, 27138, 27445, 27447, 27486, 27487

A/B
Transanal Endoscopic Surgery (TES) L38551 Billing and Coding: Transanal Endoscopic Surgery (TES) A58000 0184T A/B
Transurethral Waterjet Ablation of the Prostate L38549 Billing and Coding: Transurethral Waterjet Ablation of the Prostate A58008 C2596, K1006, K1010, K1011, K1012, 0421T A/B
Treatment of Males with Low Testosterone L39086 Billing and Coding: Treatment of Males with Low Testosterone A58828 11980, 84410, 96372, J1071, J3121, J3145, J3490 A/B
Treatment of Varicose Veins of the Lower Extremities L39121 Billing and Coding: Treatment of Varicose Veins of the Lower Extremities A58876 36465,36466, 36468, 36470, 36471, 36473, 36474, 36475, 36476, 36478, 36479, 36482, 36483, 37500, 37700, 37718, 37722, 37735, 37760, 37761, 37765, 37766, 37780, 37785 A/B

Upper Gastrointestinal Endoscopy
and Visualization

L34434

Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization

A56389

43191, 43192, 43193, 43194, 43195, 43196, 43197, 43198, 43200, 43201, 43202, 43204, 43205, 43206, 43210, 43211, 43212, 43213, 43214, 43215, 43216, 43217, 43220, 43226, 43227, 43229, 43231, 43232, 43233, 43235, 43236, 43237, 43238, 43239, 43240, 43241, 43242, 43243, 43244, 43245, 43246, 43247, 43248, 43249, 43250, 43251, 43252, 43253, 43254, 43255, 43259, 43260, 43261, 43262, 43263, 43264, 43265, 43266, 43270, 43274, 43275, 43276, 43277, 43278, 43499, 74235, J0585, 0652T, 0653T, 0654T

A/B
Voretigene Neparvovec-rzyl (Luxturna®) L37863 Billing and Coding: Voretigene Neparvovecrzyl (Luxturna®) A56419 J3398, 67036, 67299 A/B

White Cell Colony Stimulating Factors

L37176

Billing and Coding: Neulasta®(pegfilgrastim)

A54682

96372, 96377, J1442, J1447, J2506, J2820, Q5101, Q5108, Q5110, Q5111

A/B
N/A   Billing and Coding: White Cell Colony Stimulating Factors A56748 Q5120, Q5122, Q5125 A/B

Wireless Capsule Endoscopy

L36427

Billing and Coding: Wireless Capsule Endoscopy

A56727

91110, 91111

A/B

YAG Capsulotomy

L37644

Billing and Coding: YAG Capsulotomy

A56792

66821

A/B

N/A

N/A

Billing and Coding: Additional Claim Documentation Requirements for Not Otherwise Classified (NOC) Drugs and Biological Products with Specific FDA Label Indications

A54880

A4641, A9699, J3490, J3590, J9999

A/B

N/A

N/A

Billing and Coding: Chemotherapy A56141

 

A/B
N/A N/A Billing and Coding: Complex Drug Administration Coding A58527

96365, 96366, 96367, 96368, 96372, 96374, 96375, 96376, 96377, 96379, J0129, J0222, J0248, J0485, J0491, J0517, J0565, J0638, J0717, J0896, J0897, J1300, J1301, J1442, J1442, J1602, J2182, J2323, J2353, J2354, J2357, J2506, J2786, J2793, J3245, J3358, J3380, J3590, Q5101, Q5101, Q5108, Q5110, Q5110, Q5111, Q5120, Q5122

A/B
N/A N/A Billing and Coding: FDA Approved CLL Companion Diagnostic Test A56008 88271, 88275, 88291, 88374, 88377 A/B

N/A

N/A

Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation

A53775

93797, 93798, G0422, G0423

A/B

N/A

N/A

Billing and Coding: Gender Reassignment Services for Gender Dysphoria

A53793

11950, 11951, 11952, 11954, 15775, 15776, 15820, 15821, 15822, 15823, 15824, 15825, 15826, 15828, 15829, 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15839, 15876, 15877, 15878, 15879, 17380, 19303, 19304, 19316, 19325, 19350, 21120, 21121, 21122, 21123, 21125, 21127, 21208, 21209, 30400, 30410, 30420, 30430, 30435, 30450, 53420, 53425, 53430, 54660, 54125, 54520, 54690, 55175, 55180, 55866, 55970, 55980, 56625, 56800, 56805, 57106, 57110, 57291, 57292, 57295, 57296, 57335, 57426, 58150, 58180, 58260, 58262, 58275, 58290, 58291, 58541, 58542, 58543, 58544, 58550, 58552, 58553, 58554, 58570, 58571, 58572, 58573, 58720

A/B
N/A N/A Billing and Coding: Hospital Outpatient Drugs and Biologicals Under the Outpatient Prospective Payment System (OPPS) A55913 C9399, J3490, J3590 A
N/A N/A Billing and Coding: IDTFs and Low Dose CT Scan for Lung Cancer Screening for CPT® Code 71271 A58641 71271, G0296 A/B
N/A N/A Billing and Coding: Implantable Automatic Defibrillators A56343 33202, 33203, 33215, 33216, 33217, 33218, 33220, 33223, 33224, 33225, 33230, 33231, 33240, 33241, 33243, 33244, 33249, 33262, 33263, 33264, 33270, 33271, 33272, 33273, G0448 A/B
N/A N/A Billing and Coding: Intravesical Instillation of Bacillus Calmette-Guérin (BCG) A56754   A/B
N/A N/A Billing and Coding: Percutaneous Ventricular Assist Device

A53988

33990, 33991, 33992, 33993 33995, 33997 A
N/A N/A

Billing and Coding: Medicare Preventive Coverage for Certain Vaccines

A54767

90630, 90653, 90654, 90655, 90656, 90657, 90660, 90661, 90662, 90670, 93671, 90672, 90673, 90674, 90675, 90676, 90677, 90682, 90685, 90686, 90687, 90688, 90689, 90694, 90702, 90714, 90732, 90739, 90740, 90743, 90744, 90746, 90747, 90756, 90759, G0008, G0009, G0010, Q2034, Q2035, Q2036, Q2037, Q2038, Q2039 A/B
N/A N/A Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker

A54831

33206, 33207, 33208, 33274, 33275 A/B
N/A N/A Billing and Coding: Spiracur SNaP® Wound Care System A53781 33206, 33207, 33208 A/B
N/A N/A Billing and Coding: Use of Laterality Modifiers A56869 15820, 15821, 15822, 15823, 20610, 20611, 66940, 66982, 66983, 66984, 66987, 66988, 66989, 66991, 67027, 67028, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67917, 67921, 67922, 67923, 68841, 0671T, 0699T, 0449T A/B

N/A

N/A

Billing and Coding Instructions for Lemtrada® (alemtuzumab) When Used in the Treatment of Relapsing Multiple Sclerosis

A55310

J0202

A/B

N/A

N/A

Billing and Coding: PET Scan Claims to Identify Bone Metastasis of Cancer

A54735

78811, 78812, 78813, 78814, 78815, 78816

A
N/A N/A Billing and Coding for Hospital Outpatient Drugs and Biologicals Under the Outpatient Prospective Payment System (OPPS) A55913 C9399, J3490, J3590 A
N/A N/A Billing and Coding: Use of Laterality Modifiers A56869 15820, 15821, 15822, 15823, 20610, 20611, 66940, 66982, 66983, 66984, 67027, 67028, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67917, 67921, 67922, 67923, 0191T, 0449T A/B

N/A

N/A

Once in a Lifetime Abdominal Aortic Aneurysm (AAA) Screening Article

A55071

76706

A/B

Consent FormView the Consent to Public Disclosure of Participation