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National Government Services, Inc.
Medicare Monthly Review Part A and B
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A Combined Part A and Part B Newsletter
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IssueMonthyear |
Policy Consolidation in National Government Services
As National Government Services evolves into an integrated company that serves beneficiaries and providers under Medicare Part A and Part B in many states, the local policies that guide payment criteria for Medicare services are being consolidated into uniform local coverage determinations (LCD).
To arrive at the goal of having one set of uniform LCDs within the National Government Services contracts, some LCDs from former local contractors will be retired, and many new LCDs will be created as National Government Services consolidated policies.
On March 31, 2008, the following LCDs will be retired for National Government Services. These will be replaced by the consolidated National Government Services LCDs listed next to them, where applicable.
LCD Being Retired |
Consolidated NGS LCD Replacing Retired Policy |
B-type Natriuretic Peptide (BNP) Testing
L20137 - Illinois
L20135 - Indiana
L20139 - Kentucky
L20141 - Ohio |
L26375 - B-type Natriuretic Peptide (BNP) Testing |
Colorectal Cancer Screening
L1782 - Illinois
L1583 – Indiana
L1327 - Kentucky
L1690 - Ohio |
L26402 - Colorectal Cancer Screening
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Diagnostic and Therapeutic Colonoscopy/ Sigmoidoscopy/Proctosigmoidoscopy
L11642 - Illinois
L1615 - Indiana
L11649 - Kentucky
L11650 - Ohio |
L26404 - Colonoscopy/Sigmoidoscopy/ Proctosigmoidoscopy |
Diagnostic and Therapeutic
Esophagogastroduodenoscopy (EGD)
L12314 - Illinois
L1621 - Indiana
L12315 - Kentucky
L12316 - Ohio |
L26394 - Esophagogastroduodenoscopy (EGD)
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High Sensitivity C-Reactive Protein (hsCRP)
L22920 - Illinois
L22918 - Indiana
L22922 - Kentucky
L22924 - Ohio |
L26445 - High Sensitivity C-Reactive Protein (hsCRP) Testing
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Intravenous Nesiritide Therapy in the Outpatient Setting
L15288 - Illinois
L15284 - Indiana
L15290 - Kentucky
L15292 - Ohio |
L26418 - Nesiritide Infusion for Heart Failure
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Long-term Electrocardiographic Monitoring (Holter Monitoring)
L12272 - Illinois
L1529 - Indiana
L12273 - Kentucky
L12274 - Ohio |
L26409 - Dynamic Electrocardiography (EKG, ECG)
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Luteinizing Hormone-Releasing Hormone (LHRH) Analogs (formerly Leuprolide acetate (Lupron) and Goserelin acetate (Zoladex)
L13435 - Illinois
L1741 - Indiana
L13436 - Kentucky
L13437 - Ohio |
L26369 - Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
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LCD Being Retired |
Consolidated NGS LCD Replacing Retired Policy |
Overnight Sleep Studies
L13594 - Illinois
L4823 - Indiana
L13595 - Kentucky
L13596 - Ohio |
L26428 - Polysomnography and Sleep Studies
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Percutaneous Vertebroplasty and Kyphoplasty (formerly Percutaneous Vertebroplasty)
L1801 - Illinois
L1809 - Indiana
L1448 - Kentucky
L1685 - Ohio |
L26439 - Vertebroplasty and Kyphoplasty Percutaneous |
Psychiatric Partial Hospitalization Programs
L12577 - Illinois
L1526 - Indiana
L12578 - Kentucky
L12579 - Ohio |
L26398 - Psychiatric Partial Hospitalization Programs
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