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Currently Active LCDs126
Draft LCDs25
Retired LCDs14
Currently Active Articles321
Retired Articles17

Currently Active LCDs

LCD
Effective
Date
Revision
Effective
Date
Title
CPT Codes Covered in LCD
L32553 10/01/2015 11/07/2019 Allergy Immunotherapy
L33943 10/01/2015 11/28/2019 B-type Natriuretic Peptide (BNP) Testing
L33944 10/01/2015 11/07/2019 Blepharoplasty
L33945 10/01/2015 02/04/2021 Cerumen (Earwax) Removal
L33946 10/01/2015 11/07/2019 Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy
L33947 10/01/2015 09/19/2019 Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
L33949 10/01/2015 11/28/2019 Botulinum Toxins
L33950 10/01/2015 11/28/2019 Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
L33952 10/01/2015 09/19/2019 Cardiac Event Detection
L33954 10/01/2015 12/24/2020 Cataract Extraction
L33959 10/01/2015 11/07/2019 Cardiac Catheterization and Coronary Angiography
L33960 10/01/2015 02/04/2021 Cardiovascular Nuclear Medicine
L33996 10/01/2015 07/29/2021 Vitamin D Assay Testing
L33999 10/01/2015 01/28/2021 Corneal Pachymetry
L34005 10/01/2015 02/04/2021 Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
L34008 10/01/2015 02/04/2021 Computerized Corneal Topography
L34032 10/01/2015 09/12/2019 Debridement Services
L34037 10/01/2015 03/04/2021 Flow Cytometry
L34045 10/01/2015 11/28/2019 Non-Invasive Vascular Studies
L34046 10/01/2015 07/29/2021 Speech-Language Pathology
L34049 10/01/2015 05/27/2021 Outpatient Physical and Occupational Therapy Services
L34055 10/01/2015 09/26/2019 Virtual Colonoscopy (CT Colonography)
L34056 10/01/2015 09/26/2019 Urodynamics
L34061 10/01/2015 07/29/2021 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
L34062 10/01/2015 01/28/2021 Dialysis Access Maintenance
L34063 10/01/2015 07/29/2021 RAST Type Tests
L34064 10/01/2015 03/04/2021 Panretinal (Scatter) Laser Photocoagulation
L34081 10/01/2015 03/04/2021 Endoscopy by Capsule
L34082 10/01/2015 09/26/2019 Varicose Veins of the Lower Extremity, Treatment of
L34084 10/01/2015 08/19/2021 Transcatheter Infusion Therapy
L34085 10/01/2015 03/04/2021 Post-Void Residual Urine and/or Bladder Capacity by Ultrasound
L34087 10/01/2015 08/19/2021 Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based
L34090 10/01/2015 04/01/2021 Laser Ablation of the Prostate
L34171 10/01/2015 05/27/2021 Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation
L34175 10/01/2015 05/27/2021 Ophthalmic Angiography (Fluorescein and Indocyanine Green)
L34181 10/01/2015 05/27/2021 Ophthalmic Biometry for Intraocular Lens Power Calculation
L34183 10/01/2015 03/04/2021 Psychiatric Inpatient Hospitalization
L34195 10/01/2015 04/29/2021 Mohs Micrographic Surgery
L34196 10/01/2015 03/04/2021 Psychiatric Partial Hospitalization Programs
L34200 10/01/2015 07/29/2021 Removal of Benign Skin Lesions
L34246 10/01/2015 07/29/2021 Routine Foot Care and Debridement of Nails
L34337 10/01/2015 08/19/2021 Transesophageal Echocardiography (TEE)
L34338 10/01/2015 09/26/2019 Transthoracic Echocardiography (TTE)
L34353 10/01/2015 05/27/2021 Outpatient Psychiatry and Psychology Services
L34356 10/01/2015 03/04/2021 Erythropoiesis Stimulating Agents (ESA)
L34393 10/01/2015 04/29/2021 Ocular Photography - External
L34394 10/01/2015 09/26/2019 Visual Fields Testing
L34399 10/01/2015 05/27/2021 Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
L34539 10/01/2015 03/04/2021 Psychological Services Coverage under the Incident to Provision for Physicians and Non-physicians
L34540 10/01/2015 08/19/2021 Stretta Procedure
L34541 10/01/2015 09/16/2021 Transtelephonic Spirometry
L34807 10/01/2015 12/31/2020 Lumbar Epidural Steroid Injections (ESI)
L35249 10/01/2015 04/29/2021 Nerve Blocks for Peripheral Neuropathy
L35349 10/01/2015 07/08/2021 MolDX: Genetic Testing for Lynch Syndrome
L35442 10/01/2015 11/28/2019 MolDX: NRAS Genetic Testing
L35891 10/01/2015 04/01/2021 Intravenous Immune Globulin
L35897 10/01/2015 04/29/2021 Nerve Conduction Studies and Electromyography
L35906 10/01/2015 04/01/2021 Somatosensory Testing
L35984 10/01/2015 08/12/2021 MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)
L35986 10/01/2015 07/08/2021 Special Histochemical Stains and Immunohistochemical Stains
L36002 10/05/2015 11/07/2019 MolDX: Prolaris™ Prostate Cancer Genomic Assay
L36006 10/05/2015 04/22/2021 MolDX: ConfirmMDx Epigenetic Molecular Assay
L36021 10/01/2015 12/19/2019 MolDX: Molecular Diagnostic Tests (MDT)
L36029 10/05/2015 06/17/2021 Controlled Substance Monitoring and Drugs of Abuse Testing
L36113 10/05/2015 06/04/2020 MolDX: MGMT Promoter Methylation Analysis
L36117 10/05/2015 07/01/2021 MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease
L36139 10/05/2015 04/22/2021 MolDX: Biomarkers in Cardiovascular Risk Assessment
L36425 02/01/2016 04/22/2021 MolDX: Breast Cancer Assay: Prosigna®
L36456 02/15/2016 04/29/2021 MolDX: BRCA1 and BRCA2 Genetic Testing
L36460 02/01/2016 12/24/2020 Bone Mass Measurement
L36469 02/08/2016 01/07/2021 Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder
L36485 02/15/2016 07/08/2021 MolDX: HLA-DQB1*06:02 Testing for Narcolepsy
L36494 02/01/2016 12/24/2020 Minimally-Invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
L36658 10/24/2016 09/26/2019 Proton Beam Therapy
L36675 10/10/2016 11/28/2019 MolDX- CDD: ProMark Risk Score
L36690 10/10/2016 10/31/2019 Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities
L36902 03/06/2017 01/28/2021 Polysomnography and Other Sleep Studies
L36906 03/06/2017 03/25/2021 GlycoMark® Testing for Glycemic Control
L36908 03/13/2017 11/28/2019 MolDX: Percepta® Bronchial Genomic Classifier
L36910 03/13/2017 04/01/2021 MolDX: APC and MUTYH Gene Testing
L36951 03/06/2017 11/28/2019 MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)
L36975 03/06/2017 03/04/2021 Bladder/Urothelial Tumor Markers
L36979 03/13/2017 04/01/2021 4Kscore® Assay
L37126 07/10/2017 05/27/2021 Coenzyme Q10 (CoQ10)
L37130 07/10/2017 07/08/2021 MolDX: DecisionDx-UM (Uveal Melanoma)
L37134 07/10/2017 04/22/2021 MolDX: BDX-XL2
L37142 07/10/2017 06/04/2020 MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease
L37254 11/06/2017 02/04/2021 Chiropractic Services
L37348 12/03/2018 11/30/2020 MolDX: Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels
L37352 11/06/2017 02/25/2021 MolDX: Prometheus IBD sgi Diagnostic® Policy
L37356 03/06/2018 07/04/2021 MolDX: EndoPredict Breast Cancer Gene Expression Test
L37364 01/07/2019 08/05/2021 Foodborne Gastrointestinal Panels Identified by Multiplex Nucleic Acid Amplification Tests (NAATs)
L37575 04/01/2019 01/28/2021 Frequency of Hemodialysis
L37578 03/19/2018 04/01/2021 Micro-Invasive Glaucoma Surgery (MIGS)
L37598 12/17/2018 05/27/2021 MolDX: Cystatin C Measurement
L37608 05/06/2019 07/22/2021 MDS FISH
L37787 11/12/2018 06/03/2021 MolDX: Corus® CAD Assay
L37790 10/01/2018 08/19/2021 Magnetic Resonance Guided Focused Ultrasound Surgery System (MRgFUS) for the treatment of neurologic conditions
L37832 04/01/2019 05/02/2021 MolDX: Breast Cancer Index® (BCI) Gene Expression Test
L37903 05/13/2019 03/05/2020 MolDX: Inivata, InVisionFirst, Liquid Biopsy for Patients with Lung Cancer
L37905 05/20/2019 06/24/2021 MolDX: Envisia™, Veracyte™, Idiopathic Pulmonary Fibrosis Diagnostic Test
L37907 06/03/2019 10/31/2019 MolDX: myPath Melanoma Assay
L38016 06/24/2019 12/21/2020 MolDX: Melanoma Risk Stratification Molecular Testing
L38065 07/27/2020 MolDX: Plasma-Based Genomic Profiling in Solid Tumors
L38067 02/10/2020 06/24/2021 MolDX: Next-Generation Sequencing for Solid Tumors
L38070 02/10/2020 07/08/2021 MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies
L38111 03/30/2020 MolDX: Pigmented Lesion Assay
L38201 11/18/2019 04/25/2021 Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
L38249 11/01/2020 12/10/2020 MolDX: Blood Product Molecular Antigen Typing
L38268 04/01/2020 03/04/2021 Immune Thrombocytopenia (ITP) Therapy
L38284 07/27/2020 MolDX: Predictive Classifiers for Early Stage Non-small Cell Lung Cancer
L38288 06/07/2020 MolDX: Repeat Germline Testing
L38303 11/09/2020 MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease
L38305 10/19/2020 MolDX: Minimal Residual Disease Testing for Colorectal Cancer
L38307 04/01/2020 03/25/2021 Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
L38378 04/01/2020 03/25/2021 Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)
L38394 08/03/2020 MolDX: Pharmacogenomics Testing
L38582 06/06/2021 MolDX: Molecular Testing for Solid Organ Allograft Rejection
L38584 07/25/2021 MolDX: Phenotypic Biomarker Detection from Circulating Tumor Cells
L38586 07/18/2021 MolDX: Prognostic and Predictive Molecular Classifiers for Bladder Cancer
L38662 11/02/2020 Implantable Continuous Glucose Monitors (I-CGM)
L38694 11/02/2020 Computed Tomography Cerebral Perfusion Analysis (CTP)
L38771 04/25/2021 Non-Invasive Fractional Flow Reserve (FFR) for Stable Ischemic Heart Disease
L38773 05/02/2021 Facet Joint Interventions for Pain Management
L38777 03/29/2021 Colon Capsule Endoscopy (CCE)
L38920 08/08/2021 Off-label Use of Rituximab and Rituximab Biosimilars



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