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