JJ Open Meeting: November 1, 2021

A/B MAC LCDs

1. Treatment of Males with Low Testosterone DL39086
2. Treatment of Varicose Veins of the Lower Extremities DL39121

The Centers for Medicare & Medicaid Services (CMS) assigned Palmetto GBA the task of developing local coverage determinations (LCDs) for processing and reviewing Medicare claims for Jurisdictions J and M. These LCDs can be found utilizing the Proposed LCD by Contractor Report on the Medicare Coverage Database. The entire LCD and related billing and coding article should be completely reviewed prior to the preparation of comments.

Palmetto GBA is soliciting comments on these proposed LCDs from physicians, manufacturers, suppliers and other professionals involved in the ordering and/or provisioning of these items. Other stakeholder comments are also welcomed. For medical professionals, we ask that you distribute these proposed LCDs to selected members of your organization for review and comment. If you disagree with any aspect of an LCD, you should be very specific in your comment and, if possible, offer an alternative. You should provide a clinical rationale for your position, including references from published clinical literature (e.g., peer-reviewed journals, clinical society guidelines, etc.). Submission of full-text literature supporting your position is strongly encouraged. We ask for a written response, regardless of your agreement or disagreement.  

Please submit your comments electronically to Palmetto GBA at A.Policy@palmettogba.com no later than November 6, 2021.  

An open meeting will be held via teleconference only (due to COVID-19). This meeting will be recorded and will be published on the Palmetto GBA website. Interested parties from within the jurisdiction may attend this open meeting. This meeting is for oral presentations only. Palmetto GBA requires all presenters at the open meeting to also submit their oral comments through the formal comment process.

Conference Title: Palmetto GBA Open Meeting

Conference Date: November 1, 2021

Conference Time: Jurisdiction J (JJ), 2:30 – 2:55 p.m. ET

Conference Location: Teleconference Only

Conference Dial-In Number: 877-375-2583 or 803-264-0123

Passcode: 987225    

Advance registration is required for both participants and presenters. 

Registration must be completed prior to October 8, 2021. Register here. You will receive your confirmation email once you complete registration. Palmetto GBA reserves the right to limit the time for oral comments as determined by the number LCDs to be discussed and the number of requests for presentation.

Presenters must submit a copy of your presentation and signed Consent form (PDF) to A.Policy@palmettogba.com on or before October 8, 2021 (required).

Note: You may enter "n/a" if you do not have an NPI or PTAN.

A final agenda will be published two weeks prior to the open meeting.

Important reminder: Providers and/or suppliers are cautioned not to make any changes based upon the information contained in a proposed LCD. Proposed LCDs are often substantially revised based upon the comments received. Revisions will be considered once all comments have been reviewed. The final LCD will be published in the CMS Medicare Coverage Database and on individual contractors’ websites, allowing for a minimum of 45-days’ public notice before the LCD becomes effective.

Refer to each contractor’s web site for additional information about LCD development and for copies of the draft LCDs.

JJ Open Meeting Agenda  (PDF)

JJ Open Meeting Transcript (PDF)

JJ Open Meeting Videos:

• JJA
• JJB