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 (LCDs).
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 LCDs.
On March 31, 2008, the following LCDs will be retired for New Jersey and New York Medicare Part B. These will be replaced by the consolidated National Government Services LCDs listed next to them, effective April 1, 2008.
LCD Being Retired |
Consolidated NGS LCD Replacing Retired LCD |
Ambulatory Electrocardiographic Monitoring (Holter Monitor)
L5321 - New Jersey
L3029 - New York |
L26409 - Dynamic Electrocardiography (EKG, ECG) |
Blepharoplasty
L24215 - New Jersey
L24014 - New York |
L26448 - Blepharoplasty
|
Bone Mass Measurement
L3792 - New Jersey
L3141 - New York |
L26385 - Bone Mass Measurement |
B-Type Natriuretic Peptide (BNP)
L13054 - New Jersey
L13097 - New York |
L26375 - B-type Natriuretic Peptide (BNP) |
LCD Being Retired |
Consolidated NGS LCD Replacing Retired LCD |
Cardiac Event Detection
L3848 - New Jersey
L3629 - New York - |
L26415 - Cardiac Event Detection |
Colonoscopy
L4017 - New Jersey
L8257 - New York |
L26404 - Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy |
Debridement of Mycotic Nails
L3509 - New Jersey
L9009 - New York |
L26426 - Routine Foot Care and Debridement of Mycotic Nails |
High Sensitivity C-Reactive Protein (hsCRP)
L20464 - New Jersey
L20503 - New York |
L26445 - High Sensitivity C-Reactive Protein (hsCRP) Testing |
Kyphoplasty
L3779 - New Jersey
L3101 - New York |
L26439 - Vertebroplasty and Kyphoplasty (Percutaneous) |
Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
L3751 - New Jersey
L3602 - New York |
L26369 - Luteinizing Hormone-Releasing Hormone (LHRH) Analogs |
Mohs’ Micrographic Surgery
L3521 - New Jersey
L9424 - New York |
L26371 - MOHS Micrographic Surgery |
Nesiritide Infusion for Heart Failure
L16971 - New Jersey
L16974 - New York |
L26418 - Nesiritide Infusion for Heart Failure |
Ocular Blood Flow Tests
L15640 - New Jersey
L15635 - New York |
L26422 - Ocular Blood Flow Tests |
Ophthalmic Biometry for Intraocular Lens (IOL) Power Calculation
L19519 - New Jersey
L3756 - New York - |
L26441 - Ophthalmic Biometry for Intraocular Lens Power Calculation |
Percutaneous Vertebroplasty
L3552 - New Jersey
L3819 - New York |
L26439 - Vertebroplasty and Kyphoplasty (Percutaneous) |
Polysomnography / Sleep Testing
L4067 - New Jersey
L8201 - New York - |
L26428 - Polysomnography and Sleep Studies |
Routine Foot Care
L3854 - New Jersey
L3107 - New York - |
L26426 - Routine Foot Care and Debridement of Mycotic Nails |
Surgical Treatment of Nails
L5291 - New Jersey
L18645 - New York - |
L26424 - Surgical Treatment of Nails |
Visual Field Testing
L5305 - New Jersey
L6986 - New York - |
L26367 - Visual Fields Testing |