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Posting Date: 01/04/2022
Thyroid Nodule Molecular Testing
Thyroid Nodule Molecular Testing N/A L38968 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38968 A58656 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58656 A58853 [...]
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Posting Date: 09/30/2021
Speech-Language Pathology
Speech-Language Pathology dysphagia, swallowing, communication L33580 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33580 A52866 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52866 31579, 92507, [...]
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Posting Date: 09/30/2021
RAST Type Tests
RAST Type Tests FAST, Radioallergosorbent, fluoroallergosorbent, antigen, allergen, IGE L33591 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33591 A56844 https://www.cms.gov/medicare-coverage-database/view/article.aspx?artic[...]
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Posting Date: 09/30/2021
Proton Beam Therapy
Proton Beam Therapy radiation, radiotherapy L35075 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=35075 A56827 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56827 A55124 [...]
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Posting Date: 09/30/2021
Heavy Metal Testing
Heavy Metal Testing metal toxicity, aluminum, arsenic, iron, lead, nickel, zinc, mercury L35074 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35074 A56767 https://www.cms.gov/medicare-coverage-database/view/article.aspx?arti[...]
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Posting Date: 04/19/2021
Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency
Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency CCSVI, multiple sclerosis, MS L35028 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35028 A56845 [...]
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Posting Date: 04/19/2021
Transrectal Ultrasound
Transrectal Ultrasound prostate, ultrasound, echography L33578 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33578 A57427 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57427 76872, 76873
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Posting Date: 04/19/2021
Total Joint Arthroplasty
Total Joint Arthroplasty Knee, TKA, Hip, THA L36039 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=36039 A57428 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57428 27130, 27132, 27134, 27137, [...]
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Posting Date: 09/06/2021
EEG - Ambulatory Monitoring
EEG – Ambulatory Monitoring electroencephalogram L33399 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33399 A57030 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57030 95700, 95705, 95706, 95707, [...]
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Posting Date: 09/06/2021
Debridement Services
Debridement Services N/A L33614 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33614 A56617 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56617 11000, 11001, 11042, 11043, 11044, 11045, 11046, [...]
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Posting Date: 09/06/2021
Corneal Pachymetry
Corneal Pachymetry cornea, ophthalmology, eyes L33630 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33630 A56548 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56548 76514, 92499
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Posting Date: 09/06/2021
Computed Tomography Cerebral Perfusion Analysis (CTP)
Computed Tomography Cerebral Perfusion Analysis (CTP) N/A L38667 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=38667 A58152 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58152 A58327 [...]
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Posting Date: 04/19/2021
Cataract Extraction
Cataract Extraction eyes, ophthalmology, complex, epinephrine L33558 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33558 A56544 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56544 A55257 [...]
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Posting Date: 09/06/2021
Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography ultrasound, non-palpable masses, palpable masses L33585 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33585 A52849 [...]
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Posting Date: 04/19/2021
Posterior Tibial Nerve Stimulation for Voiding Dysfunction
Posterior Tibial Nerve Stimulation for Voiding Dysfunction overactive bladder, urinary urgency, urinary frequency, urinary incontinence, percutaneous electrical stimulation L33396 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDI[...]
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Posting Date: 04/19/2021
Panretinal (Scatter) Laser Photocoagulation
Panretinal (Scatter) Laser Photocoagulation N/A L33628 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33628 A56550 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56550 67228
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Posting Date: 04/19/2021
Ophthalmic Biometry for Intraocular Lens Power Calculation
Ophthalmic Biometry for Intraocular Lens Power Calculation cataract, biometry, eyes L33621 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33621 A56549 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId[...]
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Posting Date: 04/19/2021
Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint iFuse L36406 https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=36406 A57431 https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57431 27279
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Posting Date: 04/06/2022
Tips to Find Local Coverage Determinations and Billing and Coding Instructions (REVISED 4/6/2022)
Tips to Find Local Coverage Determinations and Billing and Coding Instructions (REVISED 4/6/2022) We often receive suggestions through our website surveys to make it easier to find LCDs and the associated Billing and Coding articles. All [...]
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Posting Date: 04/30/2021
Tips to Find Local Coverage Determinations and Billing and Coding Instructions
Tips to Find Local Coverage Determinations and Billing and Coding Instructionssp We frequently receive suggestions through our website surveys to make it easier to find LCDs and the associated Billing and Coding articles. All LCDs and [...]
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Posting Date: 02/22/2023
New Local Coverage Determination for Sacroiliac Joint Injections and Procedures
New Local Coverage Determination for Sacroiliac Joint Injections and Procedures National Government Services, as your MAC, is bringing to your attention a newly created LCD policy change that will effect providers who render and bill for [...]
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Posting Date: 01/13/2021
Local Coverage Determination Open Meeting Announcement
Local Coverage Determination Open Meeting Announcement Jurisdiction 6/Jurisdiction K Part A/Part B MAC Open Meeting Date Meeting Time Meeting Location Wednesday, 2/24/2021 12:00‒4:00 p.m. CT 1:00‒5:00 p.m. ET [...]
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Posting Date: 02/10/2022
National Government Services Proposed LCDs for Comment
National Government Services Proposed LCDs for Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 2/10/2022 through 3/26/2022. These [...]
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Posting Date: 02/09/2023
National Government Services Proposed LCDs For Comment
National Government Services Proposed LCDs For Comment The proposed LCDs listed below are being presented for comment for the Jurisdiction 6 and Jurisdiction K MACs. The formal comment period extends from 2/2/2023 through 3/18/2023. These [...]
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Posting Date: 04/01/2021
Revised Coverage Policies for Facet Joint Interventions for Pain Management
Revised Coverage Policies for Facet Joint Interventions for Pain Management FUTURE Local Coverage Determination (LCD) Facet Joint Interventions for Pain Management (L35936) Billing and Coding: Facet Joint Interventions for Pain Management [...]
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Posting Date: 11/13/2023
The Great American Smokeout is Thursday 11/16/2023 - Let's Talk About Tobacco Counseling
The Great American Smokeout is Thursday 11/16/2023 - Let's Talk About Tobacco Counseling Do you treat Medicare beneficiaries/patients who are nicotine dependent? Did you know Medicare has a preventive service for tobacco cessation that allows [...]
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Posting Date: 11/14/2023
Announcement About Medicare Participation for Calendar Year 2024
Announcement About Medicare Participation for Calendar Year 2024 The Centers for Medicare & Medicaid Services has posted the Announcement About Medicare Participation for Calendar Year 2024. Posted 11/14/2023
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Posting Date: 08/02/2022
MLN Connects® Special Edition for Monday, August 1, 2022
MLN Connects® Special Edition for Monday, August 1, 2022 New CMS Rule Increases Payments for Acute Care Hospitals & Advances Health Equity, Maternal Health On August 1, CMS issued a final rule for inpatient and long-term care [...]
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Posting Date: 04/26/2023
EDI Enrollment Spotlights Packet Completion Times
EDI Enrollment Spotlights Packet Completion Times We ask that you allow seven – ten business days for processing of all requests. All requests are worked in the order in which they are received. Currently, our processing times are taking a [...]
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Posting Date: 04/27/2023
MLN Connects® Newsletter: April 27, 2023
MLN Connects® Newsletter: April 27, 2023 News Hospital Price Transparency Enforcement Updates For the First Time, HHS Is Making Ownership Data for All Medicare-Certified Hospice and Home Health Agencies Publicly Available [...]
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Posting Date: 04/26/2023
NGS Cost Report Submission Reminders
NGS Cost Report Submission Reminders We strongly encourage filing of the cost report via the Medicare Cost Report E‐Filing (MCReF) System. If the cost report is submitted via MCReF, it does not need to be mailed Cost Report submissions [...]
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Posting Date: 05/04/2023
MLN Connects® Newsletter: May 4, 2023
MLN Connects® Newsletter: May 4, 2023 News FAQs on CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency Guidance for the Expiration of the COVID-19 Public Health Emergency COVID-19 Over-the-Counter [...]
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Posting Date: 05/05/2023
New versus Established Patients
New versus Established Patients We’ve updated this frequently asked question based on recent clarification from CMS. Please clarify appropriate billing for outpatient/office services when a consulting provider has already performed a [...]
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Posting Date: 05/05/2023
Oxygen and Oxygen Equipment: A/B and DME Collaborative Presentation
Oxygen and Oxygen Equipment: A/B and DME Collaborative Presentation View the A/B and DME Oxygen and Oxygen Equipment YouTube video for information on oxygen. Posted 5/5/2023
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Posting Date: 05/08/2023
[URGENT] Part A DDE is Available!
[URGENT] Part A DDE is Available! Part A DDE is available and can be accessed by Part A, HHH and FQHC providers. The issue of providers not being able to sign is due to an unexpected change in the Data Center Menu options. Part A DDE [...]
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Posting Date: 05/09/2023
Urgent News: May 2023 Dark Days for Data Center Migration Postponed
Urgent News: May 2023 Dark Days for Data Center Migration Postponed The Medicare Part A CMS Data Center Migration scheduled for 5/12/2023 to 5/15/2023 has been postponed. All systems and IVR will be available on 5/15/2023. For FISS DDE users, [...]
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Posting Date: 05/04/2023
Provider Enrollment: Resumed Revalidation Activities
Provider Enrollment: Resumed Revalidation Activities Attention: Provider Enrollment and Credentialing Departments Activities have resumed with revalidation due dates starting with 1/31/2022. Don’t wait to revalidate if CMS assigned a current [...]
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Posting Date: 05/10/2023
Medicare Part A CMS Data Center Migration – Rescheduled May 2023 Dark Days for Data Center Migration
May 2023 Dark Days for CMS Data Center Migration – Rescheduled May 2023 Dark Days for Data Center Migration As we previously communicated, the Medicare Part A CMS Data Center Migration was postponed. The new date for the migration is [...]
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Posting Date: 05/11/2023
MLN Connects® Newsletter: May 11, 2023
MLN Connects® Newsletter: May 11, 2023 News CMS Roundup (May 5, 2023) Medicare Ground Ambulance Data Collection System: Report Information Compliance Bill Correctly: Power Mobility Devices Repairs MLN Matters® [...]
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