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Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). You are forbidden to download the files unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now (you will be linked back to here).
New York and Connecticut Retired Local Coverage Determinations (LCDs) - November 14, 2008
The National Government Services, Inc. local coverage determinations (LCDs) listed below are being retired effective November 14, 2008 for the states of New York and Connecticut, (MAC Jurisdiction-13)
The retired LCDs listed in the first table below will be replaced by new National Government Services-wide policies that are effective November 15, 2008 and are also listed in the table.
|
Audiological/Vestibular Function Tests |
L28190
|
L27390
|
|
Chiropractic Services
|
L28144
|
L27350
|
|
Debridement Services
|
L28205
|
L27373
|
|
Electrocardiogram
(ECG or EKG)
|
L28189
|
L27427
|
|
Erectile
Dysfunction, Evaluation and Treatment
|
L28127
|
L27371
|
|
Flow Cytometry
|
L28123
|
L27386
|
|
Immunocytochemistry
|
L28143
|
L27348
(Immunohistochemistry)
|
|
Laser
Ablation of the Prostate
|
L28128
|
L27369
|
|
Lipid
Profile/Cholesterol Testing
|
L28125
|
L27352
|
|
Noninvasive
Vascular Diagnostic Studies
|
L28166
|
L27355
|
|
Ocular
Photography – External
|
L28177
|
L27383
|
|
Prostate
Specific Antigen (PSA)
|
L28146
|
L27357
|
|
Removal
of Benign Skin Lesions
|
L28140
|
L27362
|
|
Serum
Magnesium
|
L703
(Part A)
|
L27375
|
|
Serum
Magnesium
|
L28136
|
L27375
|
|
Stress
Echocardiography
|
L28139
|
L27360
(Transthoracic Echocardiography TTE)
|
|
Swallow
Evaluation
|
L686
(Part A)
|
L27364
(Swallow Evaluation and Dysphagia)
|
|
Swallow
Evaluation/Dysphagia
|
L28208
|
L27364
(Swallow Evaluation and Dysphagia)
|
|
Transesophageal Echocardiography (TEE)
|
L28162
|
L27381
|
|
Transthoracic Echocardiography (TTE)
|
L28169
|
L27360
|
The second group of LCDs is being retired effective November 14, 2008, and will not be replaced by new LCDs at this time. For all services, whether included in an LCD or not, CMS national policy rules, requirements and limitations remain in effect.
|
Cardiac Electrophysiology Services (EPS)
|
L28171 |
|
Chelation Therapy
|
L28172 |
|
Endothelial Cell Photography
|
L28175
|
|
General Ophthalmologic Services
|
L28184
|
|
Gonioscopy
|
L28185
|
|
Helicobacter Pylori (H. Pylori) Tests
|
L28141
|
|
Morphometric Analysis
|
L28132
|
|
Pulmonary
Function Testing
|
L622 (Part A)
|
|
Pulse
Oximetry
|
L2205 (Part A)
|
|
Pulse
Oximetry
|
L28180
|
|
Rehabilitation
for Patients with Visual Impairment
|
L28181
|
|
Respiratory
Therapy Services
|
L28124
|
|
Troponin Testing
|
L672 (Part A)
|
|
Troponin Testing
|
L28173
|
|
Unna Boot
|
L28182
|
Posted 11/03/08
CPT codes, descriptions, and other data only are copyright 2007 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.
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