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Printed Date: 9/22/2015
Below is a list of Local Coverage Determinations (LCDs) and associated coverage articles. Search within this current listing by LCD or article number or title by using the CTRL+F function. The CMS Medicare Coverage Database: Advanced Search feature allows you to search by additional filters.
*Note: Scroll to the bottom of the Future Effective Policy under "Associated Links" and select the previous version to see an Active Policy.
Note: Part B of A LCDs and articles should be submitted by the Part A entity. These services should not be submitted as Part B claims.
G0105, G0121, 44388, 44389, 44390, 44391, 44392, 44394, 44401, 44402, 45300, 45303, 45305, 45307, 45308, 45309, 45315, 45317, 45320, 45321, 45327, 45330, 45331, 45332, 45333, 45334, 45335, 45337, 45338, 45340, 45341, 45342, 45346, 45347, 45349, 45378, 45379, 45380, 45380, 45381, 45381, 45382, 45382, 45384, 45384, 45385, 45385, 45386, 45388, 45389, 45390, 45391, 45392, 45393, 45398
A9513, J0202, J9019, J9022, J9023, J9032, J9034, J9036, J9039, J9042, J9047, J9057, J9145, J9153, J9173, J9176, J9179, J9203, J9205, J9207, J9228, J9229, J9271, J9285, J9295, J9299, J9301, J9302, J9306, J9308, J9315, J9330, J9352, J9354, J9355, J9400, Q2017, Q2049, Q2050, Q5112, Q5113, Q5114
J7170, J7175, J7179, J7180, J7181, J7183, J7182, J7185, J7186, J7187, J7188, J7189, J7190, J7191, J7192, J7193, J7194, J7195, J7196, J7197, J7198, J7200, J7201, J7202, J7203, J7205, J7207, J7208, J7209, J7210, J7211
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Last Updated: 9/01/2019