Wiki Active LCDs no longer appearing?

lburns23

Guest
Messages
39
Location
Tucson, Arizona
Best answers
0
Our local CMS carrier - Noridian - used to have a link for active LCDs where you could type in the CPT code and then open the corresponding PDF, and in it were the coding and billing guidelines as well as the list of diagnosis codes that support medical necessity. They made an update on 10/11/2019 and now the revision section says this information has been moved to the companion article. I have searched their website and haven't been able to find this. Has anyone else been able to find these? Thank you!
 
Carriers did have to move diagnosis and procedure codes to the local coverage articles. You can find a list of LCAs for each carrier/jurisdiction here https://www.cms.gov/medicare-coverage-database/indexes/article-contractor-index.aspx. You may be able to search LCAs by code through CMS' advanced search function, but it isn't the most reliable thing https://www.cms.gov/medicare-coverage-database/search/advanced-search.aspx?kq=true.

If you have a specific code I can check it through a tool I use.
 
Thank you for your help! I was able to locate the one for the code I was searching in the MCAs. This new method seems a bit more tedious (surprise!) but should be manageable. Thanks!
 
Top