|
|
Current Active NH/VT LCD
L15275 Accelerated Partial Breast Irradiation (APBI) 10/16/2004 06/07/2010 N/A 08/01/2010
L29875 Apheresis 05/15/2009 06/07/2010 N/A 09/03/2010
L23475 Balloon Sinuplasty 02/05/2007 06/07/2010 N/A 08/01/2010
L29867 Biologic Products for Wound Treatment and Surgical Interventions 05/15/2009 06/07/2010 N/A 09/03/2010
L30260 Blepharoplasty 10/05/2009 10/05/2009 N/A 08/01/2010
L29871 Breast Imaging: Mammography/Breast Echography (Sonography)/Breast MRI/Ductography 05/15/2009 06/07/2010 N/A 08/01/2010
L30247 Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy 10/05/2009 10/05/2009 N/A 09/03/2010
L29873 Cardiac Catheterization and Coronary Angiography 05/15/2009 09/03/2010 N/A 08/23/2010
L3169 Cardiovascular EKG Stress Testing and Stress Echocardiography 02/28/1995 02/01/2010 N/A 08/01/2010
L29791 Cardiovascular Nuclear Medicine 05/15/2009 03/25/2010 N/A 09/03/2010
L18917 Category III CPT Codes 05/31/2005 06/07/2010 N/A 09/03/2010
L30269 Chiropractic Service (Manual Spinal Manipulations) 10/05/2009 10/01/2010 N/A 09/13/2010
L3160 Colonoscopy and Flexible Sigmoidoscopy 10/31/1992 02/01/2010 N/A 08/01/2010
L29796 Colorectal Cancer Screening 05/15/2009 06/07/2010 N/A 09/03/2010
L21002 Computed Tomographic Angiography of the Heart and Great Vessels 09/23/2006 02/01/2010 N/A 08/01/2010
L30241 Computerized Axial Tomography/ Magnetic Resonance Imaging 10/05/2009 01/01/2010 N/A 08/01/2010
L3176 Debridement of Toenails 11/30/1994 06/07/2010 N/A 08/01/2010
L3178 Debridement Services 02/28/1995 06/07/2010 N/A 08/01/2010
L29878 EEG – 24 Hour Monitoring 05/15/2009 06/07/2010 N/A 08/01/2010
L29802 Electrocardiography 05/15/2009 10/01/2010 N/A 09/13/2010
L20861 Endovascular Repair for Descending Thoracic Aneurysm (DTA) 02/15/2006 06/07/2010 N/A 08/01/2010
L30258 Erythropoiesis Stimulating Agents (ESA) Unrelated To ESRD or Cancer 10/05/2009 10/05/2009 N/A 08/01/2010
L3207 Foot Care - Routine 11/30/1994 06/07/2010 N/A 08/01/2010
L17602 Gonadotropin-Releasing Hormone Analogs 09/01/2004 06/07/2010 N/A 08/01/2010
L13492 Health and Behavior Assessment/Intervention 01/15/2004 02/01/2010 N/A 08/01/2010
L29881 Hospice - Determining Terminal Status 05/15/2009 06/07/2010 N/A 08/01/2010
L29813 Immunohistochemistry 05/15/2009 10/01/2010 N/A 09/13/2010
L3244 Intensity Modulated Radiation Therapy (IMRT) 10/15/2002 06/07/2010 N/A 08/01/2010
L3145 Interventional Cardiology 07/31/1996 02/01/2010 N/A 08/01/2010
L3147 Intravenous Immunoglobulin (IVIg) 11/30/1993 06/07/2010 N/A 08/01/2010
L30237 Magnetic Resonance Angiography (MRA) 10/05/2009 10/01/2010 N/A 09/13/2010
L29826 Neuromuscular Junction Testing 05/15/2009 10/01/2010 N/A 09/13/2010
L3202 Neuropsychological Testing 04/30/1996 02/01/2010 N/A 11/24/2009
L30249 Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) 10/05/2009 01/01/2010 N/A 08/01/2010
L3206 Osteopathic Manipulative Treatment 09/30/1994 06/07/2010 N/A 08/01/2010
L29833 Outpatient Physical and Occupational Therapy Services 05/15/2009 06/07/2010 N/A 08/01/2010
L29834 Outpatient Psychiatry and Psychology Services 05/15/2009 04/01/2010 N/A 09/03/2010
L30264 Pachymetry of the Cornea 10/05/2009 10/05/2009 N/A 08/01/2010
L26591 Paravertebral Facet Joint/Nerve Blocks - Diagnostic and Therapeutic 05/16/2008 07/15/2010 N/A 08/01/2010
L26593 Paravertebral Facet Joint/Nerve Denervation 05/16/2008 06/07/2010 N/A 08/01/2010
L11417 Percutaneous Vertebroplasty/Percutaneous Augmentation 11/01/2000 02/01/2010 N/A 09/03/2010
L29836 Post-Void Residual Urine and/or Bladder Capacity by Ultrasound 05/15/2009 06/07/2010 N/A 08/01/2010
L29838 Psychiatric Inpatient Hospitalization 05/15/2009 02/01/2010 N/A 09/06/2010
L29839 Psychiatric Partial Hospitalization Programs 05/15/2009 02/01/2010 N/A 08/01/2010
L29840 Psychological Services Coverage under the Incident to Provision for Physicians and Non-physicians 05/15/2009 02/01/2010 N/A 09/03/2010
L3243 Reduction Mammaplasty 01/01/1991 06/07/2010 N/A 08/01/2010
L3186 Removal of Skin Lesions 04/30/1996 07/01/2010 N/A 09/03/2010
L30266 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) 10/05/2009 10/05/2009 N/A 09/17/2010
L3221 Single Photon Emission Tomography (SPECT) 06/30/1992 02/01/2010 N/A 08/01/2010
L29845 Skilled Nursing Facilities (Including Swing Beds) 05/15/2009 06/07/2010 N/A 08/01/2010
L29846 Speech-Language Pathology 05/15/2009 10/01/2010 N/A 09/13/2010
L19860 Stretta Procedure 10/01/2005 02/01/2010 N/A 09/17/2010
L29849 Surgical Treatment of Nails 05/15/2009 09/15/2010 N/A 08/01/2010
L30519 Swallow Evaluation 02/01/2010 07/17/2010 N/A 09/03/2010
L29852 Transesophageal Echocardiography (TEE) 05/15/2009 02/01/2010 N/A 08/01/2010
L17259 Virtual Colonoscopy (CT Colonography) 01/15/2005 02/01/2010 N/A 08/01/2010
L30245 Visual Fields Testing 10/05/2009 10/05/2009 N/A 08/01/2010
L22531 Wireless Capsule Endoscopy 10/16/2006 02/01/2010 N/A 09/03/2010
L29875 Apheresis 05/15/2009 06/07/2010 N/A 09/03/2010
L23475 Balloon Sinuplasty 02/05/2007 06/07/2010 N/A 08/01/2010
L29867 Biologic Products for Wound Treatment and Surgical Interventions 05/15/2009 06/07/2010 N/A 09/03/2010
L30260 Blepharoplasty 10/05/2009 10/05/2009 N/A 08/01/2010
L29871 Breast Imaging: Mammography/Breast Echography (Sonography)/Breast MRI/Ductography 05/15/2009 06/07/2010 N/A 08/01/2010
L30247 Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy 10/05/2009 10/05/2009 N/A 09/03/2010
L29873 Cardiac Catheterization and Coronary Angiography 05/15/2009 09/03/2010 N/A 08/23/2010
L3169 Cardiovascular EKG Stress Testing and Stress Echocardiography 02/28/1995 02/01/2010 N/A 08/01/2010
L29791 Cardiovascular Nuclear Medicine 05/15/2009 03/25/2010 N/A 09/03/2010
L18917 Category III CPT Codes 05/31/2005 06/07/2010 N/A 09/03/2010
L30269 Chiropractic Service (Manual Spinal Manipulations) 10/05/2009 10/01/2010 N/A 09/13/2010
L3160 Colonoscopy and Flexible Sigmoidoscopy 10/31/1992 02/01/2010 N/A 08/01/2010
L29796 Colorectal Cancer Screening 05/15/2009 06/07/2010 N/A 09/03/2010
L21002 Computed Tomographic Angiography of the Heart and Great Vessels 09/23/2006 02/01/2010 N/A 08/01/2010
L30241 Computerized Axial Tomography/ Magnetic Resonance Imaging 10/05/2009 01/01/2010 N/A 08/01/2010
L3176 Debridement of Toenails 11/30/1994 06/07/2010 N/A 08/01/2010
L3178 Debridement Services 02/28/1995 06/07/2010 N/A 08/01/2010
L29878 EEG – 24 Hour Monitoring 05/15/2009 06/07/2010 N/A 08/01/2010
L29802 Electrocardiography 05/15/2009 10/01/2010 N/A 09/13/2010
L20861 Endovascular Repair for Descending Thoracic Aneurysm (DTA) 02/15/2006 06/07/2010 N/A 08/01/2010
L30258 Erythropoiesis Stimulating Agents (ESA) Unrelated To ESRD or Cancer 10/05/2009 10/05/2009 N/A 08/01/2010
L3207 Foot Care - Routine 11/30/1994 06/07/2010 N/A 08/01/2010
L17602 Gonadotropin-Releasing Hormone Analogs 09/01/2004 06/07/2010 N/A 08/01/2010
L13492 Health and Behavior Assessment/Intervention 01/15/2004 02/01/2010 N/A 08/01/2010
L29881 Hospice - Determining Terminal Status 05/15/2009 06/07/2010 N/A 08/01/2010
L29813 Immunohistochemistry 05/15/2009 10/01/2010 N/A 09/13/2010
L3244 Intensity Modulated Radiation Therapy (IMRT) 10/15/2002 06/07/2010 N/A 08/01/2010
L3145 Interventional Cardiology 07/31/1996 02/01/2010 N/A 08/01/2010
L3147 Intravenous Immunoglobulin (IVIg) 11/30/1993 06/07/2010 N/A 08/01/2010
L30237 Magnetic Resonance Angiography (MRA) 10/05/2009 10/01/2010 N/A 09/13/2010
L29826 Neuromuscular Junction Testing 05/15/2009 10/01/2010 N/A 09/13/2010
L3202 Neuropsychological Testing 04/30/1996 02/01/2010 N/A 11/24/2009
L30249 Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) 10/05/2009 01/01/2010 N/A 08/01/2010
L3206 Osteopathic Manipulative Treatment 09/30/1994 06/07/2010 N/A 08/01/2010
L29833 Outpatient Physical and Occupational Therapy Services 05/15/2009 06/07/2010 N/A 08/01/2010
L29834 Outpatient Psychiatry and Psychology Services 05/15/2009 04/01/2010 N/A 09/03/2010
L30264 Pachymetry of the Cornea 10/05/2009 10/05/2009 N/A 08/01/2010
L26591 Paravertebral Facet Joint/Nerve Blocks - Diagnostic and Therapeutic 05/16/2008 07/15/2010 N/A 08/01/2010
L26593 Paravertebral Facet Joint/Nerve Denervation 05/16/2008 06/07/2010 N/A 08/01/2010
L11417 Percutaneous Vertebroplasty/Percutaneous Augmentation 11/01/2000 02/01/2010 N/A 09/03/2010
L29836 Post-Void Residual Urine and/or Bladder Capacity by Ultrasound 05/15/2009 06/07/2010 N/A 08/01/2010
L29838 Psychiatric Inpatient Hospitalization 05/15/2009 02/01/2010 N/A 09/06/2010
L29839 Psychiatric Partial Hospitalization Programs 05/15/2009 02/01/2010 N/A 08/01/2010
L29840 Psychological Services Coverage under the Incident to Provision for Physicians and Non-physicians 05/15/2009 02/01/2010 N/A 09/03/2010
L3243 Reduction Mammaplasty 01/01/1991 06/07/2010 N/A 08/01/2010
L3186 Removal of Skin Lesions 04/30/1996 07/01/2010 N/A 09/03/2010
L30266 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) 10/05/2009 10/05/2009 N/A 09/17/2010
L3221 Single Photon Emission Tomography (SPECT) 06/30/1992 02/01/2010 N/A 08/01/2010
L29845 Skilled Nursing Facilities (Including Swing Beds) 05/15/2009 06/07/2010 N/A 08/01/2010
L29846 Speech-Language Pathology 05/15/2009 10/01/2010 N/A 09/13/2010
L19860 Stretta Procedure 10/01/2005 02/01/2010 N/A 09/17/2010
L29849 Surgical Treatment of Nails 05/15/2009 09/15/2010 N/A 08/01/2010
L30519 Swallow Evaluation 02/01/2010 07/17/2010 N/A 09/03/2010
L29852 Transesophageal Echocardiography (TEE) 05/15/2009 02/01/2010 N/A 08/01/2010
L17259 Virtual Colonoscopy (CT Colonography) 01/15/2005 02/01/2010 N/A 08/01/2010
L30245 Visual Fields Testing 10/05/2009 10/05/2009 N/A 08/01/2010
L22531 Wireless Capsule Endoscopy 10/16/2006 02/01/2010 N/A 09/03/2010
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
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)
LCD ID *LCD Title * Effective Date * Revision Effective Date * LCD End Date *Last Updated On