| As
National Government Services, Inc. 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 reach 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 June 30, 2008, the following LCDs will be retired
for Illinois, Indiana, Kentucky, and Ohio Part A. These
will be replaced by the consolidated National Government
Services LCDs listed next to them, effective July 1,
2008.
| LCD
being retired |
Consolidated
National Government Services LCD replacing retired
policy (if applicable) |
| Apheresis – Low-Density Lipoprotein
(LDL) |
L26865, A46186 |
L21117 (IL)
L21119 (KY) |
L21115 (IN)
L21121 (OH) |
|
| |
|
| Apheresis – Non Low-Density
Lipoprotein (Non LDL) |
L26865, A46186 |
L21125 (IL)
L21127 (KY)
|
L21123 (IN)
L21129 (OH) |
|
| |
|
| Blood Glucose
Monitoring |
L26861, A46184 |
L13274 (IL)
L13275 (KY)
|
L1818 (IN)
L13276 (OH) |
|
| |
|
| Botulinum Toxin,
Type A and Type B |
L26841; A46164 |
L1757 (IL)
L1345 (KY)
|
L1546 (IN)
L1633 (OH) |
|
| |
|
| Cardiac Catheterization
and Coronary Angiography |
L26880; A46193 |
L11633 (IL)
L11634 (KY)
|
L1556 (IN)
L11635 (OH) |
|
| |
|
| Chronic Wound
Care |
L26884; A46198 |
| L16448 (IL) L16449 (KY) |
L16438 (IN)
L16450 (OH) |
|
| |
|
| Diagnostic Mammography |
L26890; A46197 |
L12828 (IL)
L12826 (KY)
|
L1624 (IN) L12827 (OH) |
|
| |
|
| Intravenous Inotropic
Therapy Administered in the Outpatient Setting |
L26867, A46187 |
L13720 (IL)
L13721 (KY)
|
L13719 (IN)
L13722 (OH) |
|
| |
|
| Myocardial Perfusion
Imaging |
L26859; A46181 |
L13010 (IL)
L13011 (KY)
|
L1840 (IN)
L13012 (OH) |
|
| |
|
| Outpatient Physical
Therapy |
L26884; A46198 |
L12686 (IL)
L12687 (KY)
|
L1825 (IN)
L12688 (OH) |
|
| |
|
| Psychiatry and
Psychology Services |
L26895, A6199 |
L12574 (IL)
L12575 (KY)
|
L4828 (IN)
L12576 (OH) |
|
| |
|
| Radiologic Examination
of the Chest |
L26901; A46201 |
L13503 (IL)
L13504 (KY)
|
L1867 (IN)
L13505 (OH) |
|
| |
|
| Transrectal Ultrasound |
L26876, A46192 |
L1870 (IL)
L1561 (KY)
|
L1731 (IN)
L1661 (OH) |
|
|