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Medicare Monthly Review Part A and B
A Combined Part A and Part B Newsletter
July 2008

What’s New?
Medical Policy Unit Update

New York and New Jersey Part B

Retired Local Coverage Determinations (LCD), June 30, 2008

 

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 New York and New Jersey Part B. These will be replaced by the consolidated National Government Services LCDs listed next to them, effective July 1, 2008.

New York/New Jersey LCDs Being Retired –
Effective June 30, 2008
New York LCD Number New Jersey LCD Number National Government Services LCDs that Supersede New York and New Jersey LCDs - Effective 07/01/2008
Botulinum Toxin Type A and Type B L3454 L3699 Botulinum Toxins Type A and Type B (L26841)
Breast Imaging: Mammography/ Breast Echography (Sonography)/ Breast MRI/ Ductography L3500 L3477 Breast Imaging: Mammography/Breast Echography (Sonography)/Breast MRI/Ductography (L26890)
Cardiovascular Nuclear Medicine L3635 L3865 Cardiovascular Nuclear Medicine (L26859)
Diagnostic Cardiac Catheterization L24153 L24184 Cardiac Catheterization and Coronary Angiography (L26880)
Low Level Laser Therapy (LLLT)/Cold Laser Therapy L23612 L23617 Outpatient Physical and Occupational Therapy Services (L26884)
Mental Health Services L3671 L7850 Outpatient Psychiatry and Psychology Services (L26895)
Mental Health Services L3671 L7850 Psychological Services Coverage under the "Incident to" Provision for Physicians and Non-physicians (L26899)
Nasal Punctum/Nasolacrimal Duct Dilation and Probing with or without Irrigation L12096 L11584 Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation (L26872)
Nerve Conduction Studies (NCS)/Electromyography (EMG) L3737 L3535 Nerve Conduction Studies (NCS)/Electromyography (EMG) (L26869)
Physical Medicine and Rehabilitation L3041 L3502 Outpatient Physical and Occupational Therapy Services (L26884)
Post-Void Residual Urine and/or Bladder Capacity by Ultrasound L9233 L3755 Post-Void Residual Urine and/or Bladder Capacity by Ultrasound (L26882)
Transcatheter Therapy L6968 L4250 Transcatheter Infusion Therapy (L26849)
Transrectal ultrasound L6988 L4241 Transrectal Ultrasound (L26876)
Transtelephonic Spirometry L20450 L20452 Transtelephonic Spirometry (L26874)
Urodynamics L3469 L5288
Urodynamics (L26851)

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