National Government Services, Inc.

Active LCDs:

ICD-10 L33392: Category III CPT® Codes
ICD-10 L33394: Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
ICD-10 L33396: Posterior Tibial Nerve Stimulation for Voiding Dysfunction
ICD-10 L33398: Transcranial Magnetic Stimulation
ICD-10 L33399: EEG – Ambulatory Monitoring
ICD-10 L33557: Cardiac Catheterization and Coronary Angiography
ICD-10 L33558: Cataract Extraction
ICD-10 L33559: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
ICD-10 L33560: Cardiovascular Nuclear Medicine
ICD-10 L33562: Computed Tomographic (CT) Colonography for Diagnostic Uses
ICD-10 L33563: Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures
ICD-10 L33567: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
ICD-10 L33573: B-type Natriuretic Peptide (BNP) Testing
ICD-10 L33574: Visual Fields Testing
ICD-10 L33575: Varicose Veins of the Lower Extremity, Treatment of
ICD-10 L33576: Urodynamics
ICD-10 L33577: Transthoracic Echocardiography (TTE)
ICD-10 L33578: Transrectal Ultrasound
ICD-10 L33579: Transesophageal Echocardiography (TEE)
ICD-10 L33580: Speech-Language Pathology
ICD-10 L33584: Implantable Miniature Telescope (IMT)
ICD-10 L33585: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
ICD-10 L33591: RAST Type Tests
ICD-10 L33614: Debridement Services
ICD-10 L33616: Osteopathic Manipulative Treatment
ICD-10 L33619: Nonvascular Extremity Ultrasound
ICD-10 L33621: Ophthalmic Biometry for Intraocular Lens Power Calculation
ICD-10 L33622: Pain Management
ICD-10 L33623: Percutaneous Coronary Intervention
ICD-10 L33624: Psychiatric Inpatient Hospitalization
ICD-10 L33626: Psychiatric Partial Hospitalization Programs
ICD-10 L33627: Non-Invasive Vascular Studies
ICD-10 L33628: Panretinal (Scatter) Laser Photocoagulation
ICD-10 L33629: Non-covered Services
ICD-10 L33630: Corneal Pachymetry
ICD-10 L33631: Outpatient Physical and Occupational Therapy Services
ICD-10 L33632: Psychiatry and Psychology Services
ICD-10 L33633: Magnetic Resonance Angiography (MRA)
ICD-10 L33636: Routine Foot Care and Debridement of Nails
ICD-10 L34380: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
ICD-10 L35000: Molecular Pathology Procedures
ICD-10 L35001: Reduction Mammaplasty
ICD-10 L35028: Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency
ICD-10 L35074: Heavy Metal Testing
ICD-10 L35075: Proton Beam Therapy
ICD-10 L35076: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
ICD-10 L35080: Select Minimally Invasive GERD Procedures
ICD-10 L35098: Nerve Conduction Studies and Electromyography
ICD-10 L35936: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
ICD-10 L35937: Lumbar Epidural Injections
ICD-10 L36037: Urine Drug Testing
ICD-10 L36039: Total Joint Arthroplasty
ICD-10 L36236: Autonomic Function Testing
ICD-10 L36831: Visual Electrophysiology Testing
ICD-10 L36850: Peripheral Nerve Blocks
ICD-10 L37244: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 L37421: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
ICD-10 L37475: Frequency of Hemodialysis
ICD-10 L37485: Prostate Rectal Spacers
ICD-10 L37535: Vitamin D Assay Testing
ICD-10 L37606: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
ICD-10 L37733: Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis
ICD-10 L37808: Water Vapor Thermal Therapy for LUTS/BPH
ICD-10 L37810: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms
ICD-10 L37851: Biomarker Testing for Neuroendocrine Tumors/Neoplasms
ICD-10 L37929: Transvenous Phrenic Nerve Stimulation in the Treatment of Central Sleep Apnea
ICD-10 L38014: Corneal Hysteresis

Retired LCDs:

None to display.

Draft LCDs:

L35435: Molecular Pathology Procedures
L35505: Draft LCD for Left Atrial Appendage Closure or Occlusion
L35663: Draft LCD for Non-covered Services
L35910: Draft LCD for Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
ICD-10 L36036: Drugs of Abuse Testing
ICD-10 L36038: Total Joint Arthroplasty
ICD-10 L36042: Chiropractic Services
ICD-10 L36140: Bioimpedance Spectroscopy (BIS) Devices for the Detection and Management of Lymphedema
ICD-10 L36257: Molecular Pathology Procedures
ICD-10 L36375: Genomic Sequence Analysis Panels in the Treatment of Non-Small Cell Lung Cancer
ICD-10 L36405: Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
ICD-10 L36477: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
ICD-10 L36481: Debridement Services
ICD-10 L36490: Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
ICD-10 L36505: Melissa's testing LCD for 4Q15
ICD-10 L36600: Prostatic Urethral Lift (PUL)
ICD-10 L36606: Heavy Metal Testing
ICD-10 L36609: Proton Beam Therapy
ICD-10 L36654: Cataract Extraction
ICD-10 L36660: Molecular Pathology Procedures
ICD-10 L36661: Implantable Miniature Telescope (IMT)
ICD-10 L36748: Air Ambulance Services
ICD-10 L36750: Osteopathic Manipulative Treatment
ICD-10 L36830: Visual Electrophysiology Testing
ICD-10 L36849: Peripheral Nerve Blocks
ICD-10 L36903: Cognitive Rehabilitation
ICD-10 L36925: Genomic Sequence Analysis Panels in the Treatment of Acute Myelogenous Leukemia (AML)
ICD-10 L37077: Genomic Sequence Analysis Panels in the Treatment of Myelodysplastic Syndromes (MDS)
ICD-10 L37123: Endoscopic Treatment of GERD
ICD-10 L37243: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 L37245: Varicose Veins of the Lower Extremity, Treatment of
ICD-10 L37420: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
ICD-10 L37474: Frequency of Hemodialysis
ICD-10 L37484: Prostate Rectal Spacers
ICD-10 L37534: Vitamin D Assay Testing
ICD-10 L37599: Administrative Multianalyte Assays with Algorithmic Analyses (MAAA) and Proprietary Laboratory Analyses (PLA) Services
ICD-10 L37605: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
ICD-10 L37678: Outpatient Physical and Occupational Therapy Services
ICD-10 L37683: Speech-Language Pathology
ICD-10 L37685: Molecular Pathology Procedures
ICD-10 L37732: Biomarker Testing for Prostate Cancer Diagnosis
ICD-10 L37807: Water Vapor Energy Ablation (WAVE) for LUTS/BPH
ICD-10 L37809: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasm
ICD-10 L37850: Biomarker Testing for Neuroendocrine Tumors/Neoplasms
ICD-10 L37928: Transvenous Phrenic Nerve Stimulation in the Treatment of Central Sleep Apnea
ICD-10 L37976: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
ICD-10 L38013: Corneal Hysteresis
ICD-10 L38092: Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis
ICD-10 L38093: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 L38094: Water Vapor Thermal Therapy for LUTS/BPH
ICD-10 L38261: Salvage High-intensity Focused Ultrasound (HIFU) Treatment in Prostate Cancer (PCa)
ICD-10 L38366: Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)
ICD-10 L38370: Multimarker Serum Tests Related to Ovarian Cancer Testing
ICD-10 L38383: Select Minimally Invasive GERD Procedures
ICD-10 L38386: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
ICD-10 L38399: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)

Active Articles:

ICD-10 A52369: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee – Medical Policy Article
ICD-10 A52370: Billing and Coding: Bevacizumab and biosimilars
ICD-10 A52371: Billing and Coding: Bortezomib
ICD-10 A52378: Colorectal Cancer Screening – Medical Policy Article
ICD-10 A52379: CPT Code 87641 (Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique) - Medical Policy Article
ICD-10 A52399: Billing and Coding: Denosumab (Prolia ™, Xgeva ™)
ICD-10 A52408: Billing and Coding: Filgrastim, Pegfilgrastim, Tbo-filgrastim and biosimilars
ICD-10 A52420: Billing and Coding: Hyaluronans Intra-articular Injections of
ICD-10 A52421: Billing and Coding: Ibandronate Sodium
ICD-10 A52423: Billing and Coding: Infliximab and biosimilars
ICD-10 A52434: Health and Behavior Assessment/Intervention – Medical Policy Article
ICD-10 A52446: Billing and Coding: Intravenous Immune Globulin (IVIG)
ICD-10 A52447: Laparoscopic Sleeve Gastrectomy (LSG) – Medical Policy Article
ICD-10 A52448: Billing and Coding: Omalizumab
ICD-10 A52450: Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
ICD-10 A52451: Billing and Coding: Ranibizumab, Aflibercept and Brolucizumab-dbll
ICD-10 A52452: Billing and Coding: Rituximab, Rituximab-abbs and Rituximab and hyaluronidase human (Rituxan Hycela™)
ICD-10 A52453: Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
ICD-10 A52825: Psychological Services Coverage under the Incident to Provision for Physicians and Non-physicians – Medical Policy Article
ICD-10 A52837: Blepharoplasty - Medical Policy Article
ICD-10 A52840: Clinical Trials – Medical Policy Article
ICD-10 A52842: Local Coverage Determination (LCD) Reconsideration Process - Medical Policy Article
ICD-10 A52848: Billing and Coding: Botulinum Toxins
ICD-10 A52849: Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
ICD-10 A52866: Billing and Coding: Speech-Language Pathology
ICD-10 A52868: Billing and Coding: Transesophageal Echocardiography (TEE)
ICD-10 A52870: Billing and Coding: Treatment of Varicose Veins of the Lower Extremity
ICD-10 A52879: Stem Cell Transplantation – Medical Policy Article
ICD-10 A53018: Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based – Medical Policy Article
ICD-10 A53019: Polysomnography and Sleep Studies – Medical Policy Article
ICD-10 A53020: Process for Determining Self-Administered Drug Exclusions – Medical Policy Article
ICD-10 A53021: Self-Administered Drug Exclusion List: Medical Policy Article
ICD-10 A54403: Response to Comments: Autonomic Function Testing LCD
ICD-10 A54548: Billing and Coding: Eculizumab
ICD-10 A54602: Removal of Benign Skin Lesions
ICD-10 A54862: Billing and Coding: Nivolumab
ICD-10 A54909: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers – Coding and Billing
ICD-10 A55124: Response to Comments: Proton Beam Therapy
ICD-10 A55257: Response to Comments: Cataract Extraction
ICD-10 A55261: Response to Comments: Implantable Miniature Telescope (IMT)
ICD-10 A55318: Response to Comments: Osteopathic Manipulative Treatment
ICD-10 A55334: Response to Comments: Molecular Pathology Procedures
ICD-10 A55378: Response to Comments: Genomic Sequence Analysis Panels in the Treatment of Acute Myelogenous Leukemia (AML)
ICD-10 A55421: Response to Comments: Peripheral Nerve Blocks
ICD-10 A55475: Response to Comments: Visual Electrophysiology Testing
ICD-10 A55672: Billing and Coding: Frequency of Hemodialysis
ICD-10 A55701: Response to Comments: Genomic Sequence Analysis Panels in the Treatment of Myelodysplastic Syndromes
ICD-10 A55704: Response to Comments: Varicose Veins of Lower Extremity, Treatment of
ICD-10 A55707: Response to Comments: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 A55749: Response to Comments: Select Minimally Invasive GERD Procedures
ICD-10 A55848: Response to Comments: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
ICD-10 A55852: Response to Comments: Vitamin D Assay Testing
ICD-10 A55948: Response to Comments: Prostate Rectal Spacers
ICD-10 A55974: Response to Comments: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
ICD-10 A55982: Response to Comments: Molecular Pathology Procedures
ICD-10 A56109: Response to Comments: Water Vapor Thermal Therapy for LUTS/BPH
ICD-10 A56115: Response to Comments: Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis
ICD-10 A56195: Billing and Coding: Category III CPT® Codes
ICD-10 A56198: New Local Coverage Determination (LCD) Request Process
ICD-10 A56199: Billing and Coding: Molecular Pathology Procedures
ICD-10 A56216: Response to Comments: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms- Related to Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms (L37810)
ICD-10 A56247: Response to Comments: Biomarker Testing for Neuroendocrine Tumors LCD L37851
ICD-10 A56248: Billing and Coding: Corneal Hysteresis
ICD-10 A56252: Response to Comments: Frequency of Hemodialysis
ICD-10 A56326: Implantable Automatic Defibrillators – Coding and Billing
ICD-10 A56529: Response to Comments: Corneal Hysteresis
ICD-10 A56537: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
ICD-10 A56539: Billing and Coding: Prostate Rectal Spacers
ICD-10 A56544: Billing and Coding: Cataract Extraction
ICD-10 A56548: Billing and Coding: Corneal Pachymetry
ICD-10 A56549: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
ICD-10 A56550: Billing and Coding: Panretinal (Scatter) Laser Photocoagulation
ICD-10 A56551: Billing and Coding: Visual Fields Testing
ICD-10 A56617: Billing and Coding: Debridement Services
ICD-10 A56726: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
ICD-10 A56736: Response to Comments: Water Vapor Thermal Therapy for LUTS/BPH
ICD-10 A56737: Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
ICD-10 A56742: Response to Comments: Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis
ICD-10 A56743: Billing and Coding: Cardiovascular Nuclear Medicine
ICD-10 A56747: Billing and Coding: Magnetic Resonance Angiography (MRA)
ICD-10 A56758: Billing and Coding: Non-Invasive Vascular Studies
ICD-10 A56761: Billing and Coding: Urine Drug Testing
ICD-10 A56766: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
ICD-10 A56767: Billing and Coding: Heavy Metal Testing
ICD-10 A56781: Billing and Coding: Transthoracic Echocardiography (TTE)
ICD-10 A56783: Response to Comments: Micro-Invasive Glaucoma Surgery (MIGS)
ICD-10 A56787: Billing and Coding: Nonvascular Extremity Ultrasound
ICD-10 A56793: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
ICD-10 A56823: Billing and Coding: Percutaneous Coronary Intervention
ICD-10 A56826: Billing and Coding: B-type Natriuretic Peptide (BNP) Testing
ICD-10 A56827: Billing and Coding: Proton Beam Therapy
ICD-10 A56837: Billing and Coding: Reduction Mammaplasty
ICD-10 A56844: Billing and Coding: RAST Type Tests
ICD-10 A56845: Billing and Coding: Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency
ICD-10 A56850: Billing and Coding: Psychiatric Partial Hospitalization Programs
ICD-10 A56863: Billing and Coding: Select Minimally Invasive GERD Procedures
ICD-10 A56865: Billing and Coding: Psychiatric Inpatient Hospitalization
ICD-10 A56867: Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms
ICD-10 A56874: Billing and Coding: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
ICD-10 A56954: Billing and Coding: Osteopathic Manipulative Treatment
ICD-10 A57024: Billing and Coding: Autonomic Function Testing
ICD-10 A57026: Billing and Coding: Computed Tomographic (CT) Colonography for Diagnostic Uses
ICD-10 A57030: Billing and Coding: EEG – Ambulatory Monitoring
ICD-10 A57059: Billing and Coding: Biomarker Testing for Neuroendocrine Tumors/Neoplasms
ICD-10 A57060: Billing and Coding: Visual Electrophysiology Testing
ICD-10 A57411: Billing and Coding: Implantable Miniature Telescope (IMT)
ICD-10 A57427: Billing and Coding: Transrectal Ultrasound
ICD-10 A57428: Billing and Coding: Total Joint Arthroplasty
ICD-10 A57431: Billing and Coding: Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
ICD-10 A57435: Billing and Coding: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
ICD-10 A57436: Response to Comments: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
ICD-10 A57452: Billing and Coding: Peripheral Nerve Blocks
ICD-10 A57453: Billing and Coding: Posterior Tibial Nerve Stimulation for Voiding Dysfunction
ICD-10 A57455: Billing and Coding: Urodynamics
ICD-10 A57494: Billing and Coding: Lumbar Epidural Injections
ICD-10 A57528: Billing and Coding: Transcranial Magnetic Stimulation
ICD-10 A57548: Billing and Coding: Transvenous Phrenic Nerve Stimulation in the Treatment of Central Sleep Apnea
ICD-10 A57668: Billing and Coding: Nerve Conduction Studies and Electromyography
ICD-10 A57736: Billing and Coding: Vitamin D Assay Testing
ICD-10 A57759: Billing and Coding: Routine Foot Care and Debridement of Nails
ICD-10 A57812: Billing and Coding: Non-Covered Services
ICD-10 A57826: Billing and Coding: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
ICD-10 A57889: Chiropractic Services – Medical Policy Article

Retired Articles:

A48211: Thyrotropin Alfa (Thyrogen®) - Related to LCD L25820
A49710: Tetanus Immunization - Medical Policy Article
ICD-10 A55456: Response to Comments: Visual Electrophysiology Testing