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Current Active NH/VT LCD |
CV-I-002-R12 - Cardiac Rehabilitation CV-I-0004-R9 - Holter Monitors - Long Term ECG/EKG Monitoring CV-I-0021-R7 - LDL Pheresis CV-I-0022-R12- Echocardiography (Transthoracic, Transesophageal, and Doppler)* CV-I-0023 - Multislice or Multidetector Computed Tomographic Angiography of the Heart and great Vessels DIG-I-0005-R1 - Virtual Colonoscopy (CT COLONOGRAPHY) DRUG-I-0008-R6 - Pamidronate Disodium for Injection (Aredia) DRUG-I-0010-R15 - Erythropoietin Analogues, Epoetin Alfa and Darbepoetin Alfa * DRUG-I-0011-R19 - Intravenous Immunoglobulin (IVIG) DRUG-I-0030-R4 - Algucerase (ceredase)and Imiglucerase (cerezyme L20387 - Stretta Procedure * L25507 - Psychiatric Inpatient Hospitalization * L25650 - Homocycteine Level Serum L4333 - Diagnostic Mammography * L4336 - Audiology Services * L4339 - Outpatient Physical Therapy* L4340 - Chronic Pulmonary Disease Treatment Services * L4342 - Removal of Skin Lesions * L553 - Botulinum Toxin Type A L663 - Cardiovascular Imaging Studies * LAB-I-0020-R12 - Flow Cytometry LAB-I-0022-R7 - Reticulocyte Counts MED-I-0002-R4 - Diabetic Outpatient Self-management Training Services MED-I-0021-R6 - Debridement of the Toenails MED-I-0023-R3 - Visual Rehabilitation Services * MED-I-0025-R3 - Avulsion or Excision of Toenail Plate * MUS-I-0001-R10 - Bone Mass Measurement * NERU-I-0010 - Vagal Nerve Stimulation (VNS) for Depression PMR-I-0003-R2 Inpatient Rehabilitation * PMR-I-0011 - Skilled Nursing Facilities (Including Swing Beds)* PSYCH -I-0001-R7- Partial Hospitalization Program * RAD-I-0003-R15 - Magnetic Resonance Angiography (MRA) RAD-I-0020-R10 - Transrectal Prostatic Ultrasound and Prostatic Needle Biospy RAD-I-0021-R1 - Radiation Oncology Part I * RAD-I-0021-R9 - Breast Ultrasound/Echography RAD-I-0022 - Radiation Oncology Part II * RAD-I-0023 - Radiation Oncology Part III * RAD-I-0024 - Radiation Oncology Part IV * RAD-I-0025-R4 - Proton Beam Radiation Therapy * RAD-I-0026-R17 - Computerized Axial Tomography (CT scan), Head or Brain RAD-I-0027-R14 - Computerized Axial Tomography (CT scan): Pelvis,Abdomen RAD-I-0028-R11 - Magnetic Resonance (e.g. Proton) Imaging of the Spine RAD-I-0029-R12 - Magnetic Resonance (e.g. Proton) Imaging of the Brain RAD-I-0030-R9 - Magnetic Resonance (e.g. Proton) Imaging, Abdomen RAD-I-0031-R15 - Magnetic Resonance (e.g. Proton) Imaging of the Orbit, Face, and Neck RAD-I-0032 - PillCam TM ESO RAD-I-0034 - Wireless Capsule Endoscopy * = Not-All-Inclusive Policies |
190.12 Culture, Bacterial, Urine 190.13 Human Immunodeficiency Virus Testing (Prognosis including Monitoring) 190.14 Human Immunodeficiency Virus Testing (Diagnosis) 190.15 Blood Counts 190.16 Partial Thromboplastin Time 190.17 Prothrombin Time 190.18 Serum Iron Studies 190.19 Collagen Crosslinks, Any Method 190.20 Blood Glucose Testing 190.21 Glycated Hemoglobin / Glycated Protein 190.22 Thyroid Testing 190.23 Lipids 190.24 Digoxin Therapeutic Drug Assay 190.25 Alpha-fetoprotein 190.26 Carcinoembryonic Antigen 190.27 Human Chorionic Gonadotropin 190.28 Tumor Antigen by Immunoassay -CA125 190.29Tumor Antigen by Immunoassay CA15-3/CA27.29 190.30 Tumor Antigen by Immunoassay CA19-9 190.31 Prostate Specific Antigen 190.32 Gamma Glutamyl Transferase 190.33 Hepatitis Panel 190.34 Fecal Occult Blood |
Medicare National Coverage Decisions (NCD) |