Jurisdiction J (JJ) Articles Unrelated to Local Coverage Determinations (LCDs) Notification

Published 01/15/2019

This table describes the Articles unrelated to Local Coverage Determinations (LCDs) for Jurisdiction J (JJ) and serves as notification to the JJ provider community of the additional Articles that will be in effect on February 26, 2018 following the final transition from Cahaba to Palmetto GBA. These Articles will be viewable on the Medicare Coverage Database on February 8, 2018.

NOTE: Please refer to the LCD Crosswalk located at the bottom of the Jurisdiction J (JJ) Local Coverage Determination (LCD) Notification article for the list of LCD Related Articles previously published for notification.

Part A/ Part B
Article Title
Article ID #
A
Billing Requirements for PET Scan Claims to Identify Bone Metastasis of Cancer
A54735
A
Antibacterial Drugs
A54812
A
Infusion, Injection and Hydration Services
A53778
A
Percutaneous Ventricular Assist Device
A53988
A
The Routine Costs of Investigational Chemotherapy Drugs Studied in a Qualifying Clinical Trial
A53784
A/B
Additional Claim Documentation Requirements for Not Otherwise Classified (NOC) Drugs and Biological Products with Specific FDA Label Indications
A54880
A/B
Billing and Coding Instructions for Lemtrada® (alemtuzumab) When Used in the Treatment of Relapsing Multiple Sclerosis
A55310
A/B
Billing and Coding of Drug and Biological Infusions
A55297
A/B
Billing Requirements for Onivyde® (Irinotecan liposome) J9205
A55804
A/B
CDH1 Genetic Testing Coding and Billing Guidelines
A54835
A/B
Coenzyme Q10 (Q10) Coding and Billing Guideline
A55709
A/B
Gender Reassignment Services for Gender Dysphoria
A53793
A/B
Herceptin (trastuzumab): Coverage and Billing
A53777
A/B
IDTFs and Low Dose CT Scan for Lung Cancer Screening for HCPCS Code G0297
A55816
A/B
Influenza Diagnostic Tests
A54769
A/B
Kyprolis® (Carfilzomib) Coding and Billing Guidelines and Indications
A53779
A/B
MolDX: 4q25-AF Risk Genotype Coding and Billing Guidelines
A53457
A/B
MolDX: 9p21 Genotype Test Coding and Billing Guideline
A53657
A/B
MolDX: ApoE Genotype Coding and Billing Guidelines
A53652
A/B
MolDX: Aspartoacyclase 2 Deficiency(ASPA) Testing Coding and Billing Guidelines
A53602
A/B
MolDX: ATP7B Gene Tests Coding and Billing Guidelines
A53550
A/B
MolDX: BCKDHB Gene Test Coding and Billing Guidelines
A53600
A/B
MolDX: BLM Gene Analysis Coding and Billing Guidelines
A53540
A/B
MolDX: BluePrint® Coding and Billing Guidelines
A53484
A/B
MolDX: CFTR Gene Analysis Coding and Billing Guidelines
A53615
A/B
MolDX: CHD7 Gene Analysis Coding and Billing Guidelines
A53565
A/B
MolDX: CYP2B6 Test Coding and Billing Guidelines
A53556
A/B
MolDX: CYP2C9 and/or VKORC1 Gene Testing for Warfarin Response Coding and Billing Guidelines
A53524
A/B
MolDX: ENG and ACVRL1 Gene Tests Coding and Billing Guidelines
A53536
A/B
MolDX: FANCC Genetic Testing Coding and Billing Guidelines
A53628
A/B
MolDX: Fragile X Coding and Billing Guidelines Update
A53638
A/B
MolDX: GBA Genetic Testing Coding and Billing Guidelines
A53542
A/B
MolDX: HAX1 Gene Sequencing Coding and Billing Guidelines
A53619
A/B
MolDX: HBB Gene Tests Coding and Billing Guidelines
A53493
A/B
MolDX: HEXA Gene Analysis Coding and Billing Guidelines
A53598
A/B
MolDX: HTTLPR Gene Testing Coding and Billing Guidelines
A53480
A/B
MolDX: IKBKAP Genetic Testing Coding and Billing Guidelines
A53596
A/B
MolDX: KIF6 Genotype Billing and Coding Guidelines
A53576
A/B
MolDX: know error® Billing and Coding Guidelines Update
A53554
A/B
MolDX: L1CAM Gene Sequencing Coding and Billing Guidelines
A53659
A/B
MolDX: LPA-Aspirin Genotype Coding and Billing Guidelines
A53467
A/B
MolDX: LPA-Intron 25 Genotype Coding and Billing Guidelines
A53468
A/B
MolDX: MCOLN1 Genetic Testing Coding and Billing Guidelines
A53630
A/B
MolDX: MECP2 Genetic Testing Coding and Billing Guidelines
A53574
A/B
MolDX: Mitochondrial Nuclear Gene Tests Coding and Billing Guidelines
A53669
A/B
MolDX: MMACHC Test Coding and Billing Guidelines
A54035
A/B
MolDX: myPap™ Coding and Billing Guidelines
A53544
A/B
MolDX: Next Generation Sequencing Coding and Billing Guidelines
A54795
A/B
MolDX: NSD1 Gene Tests Coding and Billing Guidelines
A53585
A/B
MolDX: PAX6 Gene Sequencing Coding and Billing Guidelines
A53664
A/B
MolDX: PIK3CA Gene Tests Coding and Billing Guidelines
A53558
A/B
MolDX: PreDx® Coding and Billing Guidelines
A53489
A/B
MolDX: PTCH1 Gene Testing Coding and Billing Guidelines
A53567
A/B
MolDX: RPS19 Gene Tests Coding and Billing Guidelines
A53587
A/B
MolDX: SEPT9 Gene Test Coding and Billing Guidelines
A53702
A/B
MolDX: SLCO1B1 Genotype Coding and Billing Guidelines
A53698
A/B
MolDX: SMPD1 Genetic Testing Coding and Billing Guidelines
A53624
A/B
MolDX: STAT3 Gene Testing Coding and Billing Guidelines
A53562
A/B
MolDX: SULT4A1 Genetic Testing Coding and Billing Guidelines
A53538
A/B
MolDX: TERC Gene Tests Coding and Billing Guidelines
A53589
A/B
MolDX: ThermoFisher Oncomine Dx Target Test For Non-Small Cell Lung Cancer, Coding and Billing Guidelines
A55822
A/B
MolDX: TP53 Gene Test Coding and Billing Guidelines
A53591
A/B
MolDX: UGT1A1 Gene Analysis Coding and Billing Guidelines
A53593
A/B
MolDX: VEGFR2 Tests Coding and Billing Guidelines
A53548
A/B
Once in a Lifetime Abdominal Aortic Aneurysm (AAA) Screening Article
A55071
A/B
Short Tandem Repeat (STR) Markers and Chimerism (codes 81265-81268) Coding and Billing Guidelines
A54832
A/B
Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
A54831
A/B
Spiracur SNaP® Wound Care System
A53781
B
Aflibercept (Eylea) Coding and Billing Guidelines
A53387
B
Amniotic Membrane Billing Guidelines for HCPCS Code V2790
A53441
B
Anesthetic 'Caine Drugs'
A53432
B
ArgusM II Retinal Prosthesis System
A53044
B
Coding and Billing External Components for Cochlear Implants
A53708
B
Coverage for High Resolution Anoscopy
A53408
B
CPT Modifier 59: Gastroenterology
A53399
B
Endometrial Hyperplasia Treatment
A53043
B
FDA Approved Ramucirumab (Cyramza)®
A53426
B
FDA approves Iluvien for Diabetic Macular Edema
A54750
B
Fracture of Ribs with Internal Fixation
A53931
B
Glaucoma Screening
A53495
B
Hemorrhoid Artery Ligation CPT Code 0249T Article
A53006
B
Implantable Miniature Telescope (IMT) for Macular Degeneration
A53501
B
Intraoperative Radiation Therapy (IOERT)
A53414
B
Low frequency, non-contact, non-thermal ultrasound (CPT code 97610)
A54555
B
Medicare Preventive Coverage for Certain Vaccines
A54767
B
Neuromodulation for Fecal Incontinence
A53419
B
Oral Surgery and Maxillofacial Surgery Specialty Codes
A53446
B
Percutaneous Ventricular Assist Device
A53986
B
Periodic Adjustment of Gastric Restrictive Device after the Global Period: Coding and Billing Instructions
A53444
B
Pre/Postoperative Care: Date of Service
A53472
B
Radiology Services: Multiple, Identical Services on Same Day
A53488
B
Repeat or Duplicate Services on the Same Day
A53482
B
Repeat X-ray or EKG Interpretations by Same or Different Physician
A53423
B
Sacroiliac-Bone Implant System
A53452
B
Thermal Capsulorrhaphy
A53435
B
Videostroboscopy and Nasopharyngoscopy Procedures Performed by Speech-Language Pathologists (SLPs)
A53430
B
Xofigo Billing Instructions
A54559