Palmetto GBA
Close Window [x]
  • Entire Site
  • J1 WPS Transition
  • J1 Part A
  • J1 Part B
  • LA & MS Part A EDI
  • NSC
  • Ohio Part B
  • Part A Intermediary
  • Railroad
  • RHHI
  • SC Part B
  • WV Part B
permaLink

South Carolina Part B Carrier
LCD Update: April 2010

The table below provides a summary of the April 2010 LCD revisions/updates. To view date specific policy revisions/updates, select the South Carolina policy from the 'Active' or 'Retired' menu, make your policy selection and scroll to the 'Revision History Explanation' section. To view a draft policy, select 'Draft' from the policy menu. To facilitate comments, a contact link has been provided near the bottom of the policy.

LCD Title & Revision #
Changes/Additions/Deletions
Effective Date
Trigger Point Tendon Sheath Injections
L6119, Rev. 13
Revision Effective Date: Services performed on or after 04/01/2010. The following text was added to the 'Limitations Section’ to allow for FDA approved new drug administration. First sentence, second paragraph:
Added after corticosteroids: "...and collagenase clostridium histolyticum for Dupuytren's”
4/1/10
Chemotherapy and Biologicals
L24827, Rev. 46
Revision Effective Date: Services performed on or after 04/01/2010.
Policy revised with the following NCCN compendia update:
Cisplatin; Platinol
HCPCS codes
J9060 Cisplatin, powder or solution, per 10 mg
J9062 Cisplatin, 50 mg
Add: 155.1, 156.0, 156.1
4/1/10
Chemotherapy and Biologicals
L24827, Rev. 47
Added the following text to indications for jurisdiction consistency:
 
For individual consideration of claims for off-label use of chemotherapy and biological drugs, please see attached coding articles titled "Chemotherapy & Biologicals" and "Off-Label Cancer Chemotherapy Use"
 
Corrected numeric typos identified in annual review.
Policy revised with the following NCCN compendia update effective 07/01/09:
Carboplatin; Paraplatin
HCPCS code
J9045 Carboplatin, 50 mg
Add: 154.2, 154.3
 
Carmustine; BCNU, BICNU
HCPCS code
J9050 Carmustine, 100 mg
Add: 154.2, 154.3
 
Cisplatin; Platinol
HCPCS codes
J9060 Cisplatin, powder or solution, per 10 mg
J9062 Cisplatin, 50 mg
Add: 154.2, 154.3
 
Floxuridine; FUDR
HCPCS code
J9200 Floxuridine, 500 mg
Add: 154.2, 154.3
 
Vincristine Sulfate; Oncovin, Vincasar, Vincrex
HCPCS codes
J9370 Vincristine sulfate, 1 mg
J9375 Vincristine sulfate, 2 mg
J9380 Vincristine sulfate, 5 mg
Add: 154.2, 154.3
 
Arsenic; Trisenox
HCPCS code
J9017 Arsenic trioxide, 1 mg
Add: 205.22
 
Vincristine Sulfate; Oncovin, Vincasar, Vincrex
HCPCS codes
J9370 Vincristine sulfate, 1 mg
J9375 Vincristine sulfate, 2 mg
J9380 Vincristine sulfate, 5 mg
corrected 209.30 to 209.00
4/1/10

We encourage providers and interested parties to comment on the draft LCDs by using one of the following paths:

e-mail:
B.Policy@PalmettoGBA.com

Mail:
Part B Medical Affairs, AG-300
Palmetto GBA
P.O. Box 100190
Columbia SC 29202-3190

 

last updated on 03/16/2010