Anesthesia

Local Coverage Determinations

General

An LCD is a decision by Medicare, whether to cover, and under what circumstances to cover, a particular item or service in our jurisdiction in accordance with Section 1862(a) (1) (A) of the Social Security Act (i.e., a determination as to whether the item or service is reasonable and necessary).

National Government Services develops and publishes LCDs to provide guidance to the public and medical community within the J6 and JK jurisdictions.

Mediare billing and coding policy articles are developed by NGS to provide guidance and instructions regarding billing and coding information to providers and usually relate to specific LCDs. Medical policy articles provide guidance for specific services.

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Reviewed 11/16/2023