Noridian's new urodynamics LMRP has some nice surprises

Why This Topic Matters

Coverage policies for urodynamics can affect whether testing is payable, what documentation should support the claim, and how practices handle repeat testing. The article helps readers identify where the policy applies and what broad categories of issues changed in the final version.

Article Sections

1. Policy update and effective date

   Introduces the Noridian local medical review policy update for urodynamics and identifies the jurisdictions and effective date discussed in the article.

2. Changes from the draft policy

   Summarizes the broad areas where the final policy differs from the draft version, including testing prerequisites and the sequence of studies.

3. Covered diagnosis categories and symptom groups

   Describes the general diagnosis groupings and urinary symptom categories discussed as part of the covered indications for urodynamics.

4. Frequency of testing and repeat claims

   Addresses the article’s discussion of repeat testing, documentation concerns, and the general caution around using these services for screening or follow-up.