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Local Coverage Determination and Article Revisions August‒September 2019

The medical policies and related articles can be found in our Medical Policy Center.

Please note that consistent with Change Request 10901, all coding information, national coverage provisions and Associated Information (Documentation Requirements, Utilization Guidelines) have been removed from the LCDs listed below and placed in related Billing and Coding Articles. These articles have been created or updated to accompany each LCD. The article numbers are included in the information below.

LCD Revisions

Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases (L37606)

Consistent with Change Request 10901, all coding information, national coverage provisions and Associated Information (Documentation Requirements, Utilization Guidelines) have been removed from the LCD and placed in the related Billing and Coding Article, A56793. There has been no change in coverage with this LCD revision.

Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms (L37810)

Consistent with Change Request 10901, all coding information, national coverage provisions, and Associated Information (Documentation Requirements, Utilization Guidelines) have been removed from the LCD and placed in the related Billing and Coding Article, A56867. There has been no change in coverage with this LCD revision.

Select Minimally Invasive GERD Procedures (L35080)

Consistent with Change Request 10901, all coding information, national coverage provisions, and Associated Information (Documentation Requirements, Utilization Guidelines) have been removed from the LCD and placed in the related Billing and Coding Article, A56863. There has been no change in coverage with this LCD revision.

Stereotactic Radiation Therapy: SRS and SBRT ( L35076)

Consistent with Change Request 10901, all coding information, national coverage provisions, and Associated Information (Documentation Requirements, Utilization Guidelines) have been removed from the LCD and placed in the related Billing and Coding Article, A56874. There has been no change in coverage with this LCD revision.

New Billing and Coding Articles

  • Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases (A56793)
  • Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms (A56867)
  • Select Minimally Invasive GERD Procedures (A56863)
  • Stereotactic Radiation Therapy: SRS and SBRT (A56874)

Article Revisions

Billing and Coding: Visual Fields Testing (A56551)

Added bill type 077X which was inadvertently omitted (typographical error).

Billing and Coding: Category III CPT® Codes (A56195)

The CPT code 0402T descriptor was changed in Group 1, effective 7/1/2019.

Billing and Coding: Molecular Pathology Procedures (A56199)

The title has been changed from “Molecular Pathology Procedures - Related to Molecular Policy Procedures LCD (L35000)” to “Billing and Coding: Molecular Pathology Procedures.”

[Return to Medicare Monthly Review Index]

09/19 MMR: Local Coverage Determination and Article Revisions August‒September 2019
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