CMS LCD Lookup

Compliant coding and billing require adherence to CMS payment policies. The LCD Lookup tool quickly delivers the ICD-10-CM codes based on contractor type(s) 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 to bill your patient.

This easy to use tool allows you to enter the CPT® or HCPCS Level II code, contractor type, and locality of the medical practice. 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.

* Available with: Basic Coder, Pro Fee Coder and Complete Coder