tci E/M Coding Alert - 2015 Issue 12

Reader Question: Consult NCDs and LCDs Both

Question: Can you help me understand the difference between NCDs and LCDS? Do we have to follow both? Washington Subscriber Answer: Local coverage determinations (LCDs) and national coverage determinations (NCDs) can have different information on them, and you will probably have to check both for a particular service before you bill. “The vast majority of coverage is provided on a local level and developed by clinicians at the contractors that pay Medicare claims in the form of local coverage determinations, or LCDs,” said CMS’s Lauren Robbins during CMS’s webinar, “Medicare Basics, Part Two.&rdquo...

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