Local Coverage Determination (LCD) and Medical Coverage Database (MCD) Article Updates: Parts A and Part B

Published 10/14/2019

The following A/B MAC LCDs were revised:

  • Blepharoplasty, Eyelid Surgery, and Brow Lift L34411
  • Continuous Peripheral Nerve Blocks (CPNB) L37641
  • Cardiac Radionuclide Imaging L33457
  • Cataract Surgery L34413
  • Colonoscopy/ Sigmoidoscopy/ Proctosigmoidoscopy L34454
  • Computerized Axial Tomography (CT) Thorax L33459
  • Corneal Pachymetry L34512
  • CT of the Abdomen and Pelvis L34415
  • CT of the Head L34417
  • Echocardiography L37379
  • Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radio Frequency Neurotomy L36471
  • Health and Behavior Assessment/ Intervention L37638
  • Intraoperative Radiation Therapy L37779
  • Intravenous Immunoglobulin (IVIG) L34580
  • Laparoscopic Sleeve Gastrectomy for Severe Obesity L34576
  • Minimally Invasive Treatment for Benign Prostatic Hyperplasia Involving Prostatic Urethral Lift (Urolift) L36109
  • Nerve Blocks and Electrostimulation for Peripheral Neuropathy L37642
  • Nerve Conduction Studies and Electromyography L35048
  • Non-Covered Category III CPT Codes L34555
  • White Cell Colony Stimulating Factors L37176

The following A/B MAC MCD Articles were revised:

  • Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift A56503
  • Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy A54768
  • Billing and Coding: Cardiac Radionuclide Imaging A56476
  • Billing and Coding: Cataract Surgery A56613
  • Billing and Coding: Colonoscopy/ Sigmoidoscopy/ Proctosigmoidoscopy A56632
  • Billing and Coding: Computerized  Axial Tomography (CT) Thorax A56580
  • Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB) A56607
  • Billing and Coding: Corneal Pachymetry A56611
  • Billing and Coding: CT of the Abdomen and Pelvis A56421
  • Billing and Coding: CT of the Head A56612
  • Billing and Coding: Echocardiography A56625
  • Billing and Coding: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radio Frequency Neurotomy A56687
  • Billing and Coding: Health and Behavior Assessment/ Intervention A56562
  • Billing and Coding: IDTFs and Low Dose CT Scan for Lung Cancer Screening for HCPCS Code G0297 A55816
  • Billing and Coding: Incomplete Colonoscopy/Failed Colonoscopy A55227
  • Billing and Coding: Intraoperative Radiation Therapy A56684
  • Billing and Coding: Intravenous Immunoglobulin (IVIG) A56718
  • Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity A56852
  • Billing and Coding: Minimally Invasive Treatment for Benign Prostatic Hyperplasia Involving Prostatic Urethral Lift (Urolift) A56723
  • Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathy A56731
  • Billing and Coding: Nerve Conduction Studies and Electromyography A56619
  • Billing and Coding: Non-Covered Category III CPT Codes A56480
  • Billing and Coding: Non-covered Services other than CPT Category III Non-covered Services A56506
  • Billing and Coding: Screening Colonoscopy Converted to a Diagnostic and/or Therapeutic Colonoscopy A55069
  • Billing and Coding: White Cell Colony Stimulating Factors A54682