CMS LCD Lookup

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Compliant coding and billing requires adherence to CMS payment policies. The LCD Lookup tool quickly delivers the ICD-9-CM codes your contractor type(s) allows for a given CPT® or HCPCS Level II code. Quickly determine if the diagnosis for the procedure is considered medically necessary. If not, you know an Advanced Beneficiary Notice (ABN) is required in order to bill your patient.

This easy to use tool allows you to enter the CPT® or HCPCS Level II code, the contractor type, and the state your medical practice is in. Quickly view the allowed diagnosis codes. You can also download the entire LCD policy to review documentation requirements and other requirements under the LCD for proper payment.

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