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Currently Active LCDs74
Draft LCDs17
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Currently Active Articles147
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Currently Active LCDs

All LCDs Laboratory LCDs Radiology LCDs
LCD
Effective
Date
Revision
Effective
Date
Title
CPT Codes Covered in LCD
L33392 10/01/2015 10/03/2019 Category III CPT® Codes
L33394 10/01/2015 11/07/2019 Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
L33396 10/01/2015 10/24/2019 Posterior Tibial Nerve Stimulation for Voiding Dysfunction
L33398 10/01/2015 08/01/2020 Transcranial Magnetic Stimulation
L33399 10/01/2015 01/01/2020 EEG – Ambulatory Monitoring
L33557 10/01/2015 10/01/2019 Cardiac Catheterization and Coronary Angiography
L33558 10/01/2015 09/19/2019 Cataract Extraction
L33559 10/01/2015 10/01/2019 Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
L33560 10/01/2015 10/01/2019 Cardiovascular Nuclear Medicine
L33562 10/01/2015 09/12/2019 Computed Tomographic (CT) Colonography for Diagnostic Uses
L33563 10/01/2015 09/12/2019 Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures
L33567 10/01/2015 10/01/2019 Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
L33569 10/01/2015 12/01/2019 Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)
L33573 10/01/2015 11/07/2019 B-type Natriuretic Peptide (BNP) Testing
L33574 10/01/2015 09/19/2019 Visual Fields Testing
L33575 10/01/2015 11/21/2019 Varicose Veins of the Lower Extremity, Treatment of
L33576 10/01/2015 10/24/2019 Urodynamics
L33577 10/01/2015 10/01/2019 Transthoracic Echocardiography (TTE)
L33578 10/01/2015 10/10/2019 Transrectal Ultrasound
L33579 10/01/2015 10/01/2019 Transesophageal Echocardiography (TEE)
L33580 10/01/2015 12/19/2019 Speech-Language Pathology
L33584 10/01/2015 10/10/2019 Implantable Miniature Telescope (IMT)
L33585 10/01/2015 10/24/2019 Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
L33591 10/01/2015 11/07/2019 RAST Type Tests
L33614 10/01/2015 11/07/2019 Debridement Services
L33616 10/01/2015 11/21/2019 Osteopathic Manipulative Treatment
L33619 10/01/2015 10/01/2019 Nonvascular Extremity Ultrasound
L33621 10/01/2015 09/19/2019 Ophthalmic Biometry for Intraocular Lens Power Calculation
L33622 10/01/2015 10/01/2019 Pain Management
L33623 10/01/2015 11/07/2019 Percutaneous Coronary Intervention
L33624 10/01/2015 11/14/2019 Psychiatric Inpatient Hospitalization
L33626 10/01/2015 11/14/2019 Psychiatric Partial Hospitalization Programs
L33627 10/01/2015 10/01/2019 Non-Invasive Vascular Studies
L33628 10/01/2015 09/19/2019 Panretinal (Scatter) Laser Photocoagulation
L33629 10/01/2015 11/28/2019 Non-covered Services
L33630 10/01/2015 09/12/2019 Corneal Pachymetry
L33631 10/01/2015 01/01/2020 Outpatient Physical and Occupational Therapy Services
L33632 10/01/2015 11/28/2019 Psychiatry and Psychology Services
L33633 10/01/2015 10/01/2019 Magnetic Resonance Angiography (MRA)
L33636 10/01/2015 12/26/2019 Routine Foot Care and Debridement of Nails
L33646 10/01/2015 10/31/2019 Botulinum Toxins
L34380 10/01/2015 09/19/2019 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
L35000 10/01/2015 07/01/2020 Molecular Pathology Procedures
L35001 10/01/2015 11/07/2019 Reduction Mammaplasty
L35028 10/01/2015 11/14/2019 Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency
L35074 10/01/2015 11/07/2019 Heavy Metal Testing
L35075 10/01/2015 11/07/2019 Proton Beam Therapy
L35076 10/01/2015 04/01/2020 Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
L35080 10/01/2015 04/01/2020 Select Minimally Invasive GERD Procedures
L35098 10/01/2015 11/21/2019 Nerve Conduction Studies and Electromyography
L35936 10/01/2015 12/05/2019 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy
L35937 10/01/2015 10/17/2019 Lumbar Epidural Injections
L36037 12/01/2015 10/01/2019 Urine Drug Testing
L36039 12/01/2015 10/10/2019 Total Joint Arthroplasty
L36236 10/01/2015 09/12/2019 Autonomic Function Testing
L36406 04/01/2016 10/10/2019 Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint
L36831 03/16/2017 10/17/2019 Visual Electrophysiology Testing
L36850 05/01/2017 11/21/2019 Peripheral Nerve Blocks
L37244 12/01/2017 12/01/2019 Micro-Invasive Glaucoma Surgery (MIGS)
L37421 04/01/2018 10/10/2019 Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Essential Tremor
L37475 03/01/2019 10/01/2019 Frequency of Hemodialysis
L37485 07/02/2018 08/01/2020 Prostate Rectal Spacers
L37535 04/01/2018 11/14/2019 Vitamin D Assay Testing
L37606 08/01/2018 10/03/2019 Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases
L37733 12/01/2018 12/01/2019 Biomarker Testing (Prior to Initial Biopsy) for Prostate Cancer Diagnosis
L37808 12/01/2018 12/01/2019 Water Vapor Thermal Therapy for LUTS/BPH
L37810 04/01/2019 10/03/2019 Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms
L37851 04/01/2019 10/17/2019 Biomarker Testing for Neuroendocrine Tumors/Neoplasms
L37929 04/01/2019 10/24/2019 Transvenous Phrenic Nerve Stimulation in the Treatment of Central Sleep Apnea
L38014 08/01/2019 09/19/2019 Corneal Hysteresis
L38262 04/01/2020 Salvage High-intensity Focused Ultrasound (HIFU) Treatment in Prostate Cancer (PCa)
L38367 04/01/2020 09/01/2020 Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH)
L38371 07/01/2020 Multimarker Serum Tests Related to Ovarian Cancer Testing
L38387 04/01/2020 04/01/2020 Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea



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