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Novitas Solutions, Inc.
Colorado
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Currently Active LCDs99
Draft LCDs12
Retired LCDs1
Currently Active Articles140
Retired Articles2

Currently Active LCDs

All LCDs Laboratory LCDs Radiology LCDs
LCD
Effective
Date
Revision
Effective
Date
Title
CPT Codes Covered in LCD
L34822 10/01/2015 11/14/2019 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
L34833 10/01/2015 10/17/2019 Cardiac Rhythm Device Evaluation
L34834 10/01/2015 11/07/2019 Blood Glucose Monitoring in a Skilled Nursing Facility (SNF)
L34856 10/01/2015 11/07/2019 C-Reactive Protein High Sensitivity Testing (hsCRP)
L34862 10/01/2015 11/07/2019 Co-Management of Surgical Procedures
L34864 10/01/2015 11/14/2019 Loss-of-Heterozygosity Based Topographic Genotyping with PathfinderTG ®
L34865 10/01/2015 07/01/2020 Magnetic Resonance Angiography (MRA)
L34887 10/01/2015 09/26/2019 Surgical Treatment of Nails
L34891 10/01/2015 10/31/2019 Speech-Language Pathology (SLP) Services: Dysphagia; Includes VitalStim® Therapy
L34892 10/01/2015 11/21/2019 Facet Joint Interventions for Pain Management
L34914 10/01/2015 07/01/2020 Assays for Vitamins and Metabolic Function
L34924 10/01/2015 11/14/2019 Treatment of Varicose Veins and Venous Stasis Disease of the Lower Extremities
L34938 10/01/2015 09/26/2019 Removal of Benign Skin Lesions
L34953 10/01/2015 10/17/2019 Cardiac Event Detection Monitoring
L34960 10/01/2015 10/17/2019 Hydration Therapy
L34961 10/01/2015 11/14/2019 Mohs Micrographic Surgery (MMS)
L34975 10/01/2015 10/17/2019 Neurophysiology Evoked Potentials (NEPs)
L34977 10/01/2015 04/30/2020 Anorectal Manometry, Anal Electromyography, and Biofeedback Training for Perineal Muscles and Anorectal or Urethral Sphincters
L34996 10/01/2015 11/14/2019 Neuromuscular Junction Testing
L34997 10/01/2015 10/17/2019 Real-Time, Outpatient Cardiac Telemetry
L34998 10/01/2015 09/26/2019 Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder
L35003 10/01/2015 11/14/2019 Intraoperative Neurophysiological Testing
L35004 10/01/2015 10/31/2019 Surgery: Blepharoplasty
L35006 10/01/2015 10/17/2019 Controlled Substance Monitoring and Drugs of Abuse Testing
L35007 10/01/2015 10/17/2019 Vestibular and Audiologic Function Studies
L35009 10/01/2015 09/26/2019 Prostate Mapping Biopsy
L35010 10/01/2015 11/21/2019 Trigger Point Injections
L35011 10/01/2015 11/14/2019 Surgery: Posterior Tibial Nerve Stimulation (PTNS) for Urinary Control
L35013 10/01/2015 09/12/2019 Debridement of Mycotic Nails
L35014 10/01/2015 09/26/2019 Frequency of Hemodialysis
L35015 10/01/2015 10/17/2019 Molecular Diagnostics: Genitourinary Infectious Disease Testing
L35016 10/01/2015 10/17/2019 Transesophageal Echocardiography (TEE)
L35021 10/01/2015 01/01/2020 Hyperbaric Oxygen (HBO) Therapy
L35022 10/01/2015 10/17/2019 Bariatric Surgical Management of Morbid Obesity
L35032 10/01/2015 11/14/2019 Flow Cytometry
L35035 10/01/2015 11/21/2019 Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
L35036 10/01/2015 11/14/2019 Therapy and Rehabilitation Services (PT, OT)
L35038 10/01/2015 10/31/2019 Scanning Computerized Ophthalmic Diagnostic Imaging
L35041 10/01/2015 09/26/2019 Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds
L35049 10/01/2015 10/17/2019 Monitored Anesthesia Care
L35050 10/01/2015 09/12/2019 Outpatient Sleep Studies
L35062 10/01/2015 07/01/2020 Biomarkers Overview
L35068 10/01/2015 11/21/2019 Evaluation and Management Services Provided in a Nursing Facility
L35070 10/01/2015 10/31/2019 Speech - Language Pathology (SLP) Services: Communication Disorders
L35081 10/01/2015 10/31/2019 Nerve Conduction Studies and Electromyography
L35083 10/01/2015 10/17/2019 Cardiovascular Nuclear Medicine
L35084 10/01/2015 10/17/2019 Non-Coronary Vascular Stents
L35089 10/01/2015 11/21/2019 Wireless Capsule Endoscopy
L35090 10/01/2015 11/07/2019 Cosmetic and Reconstructive Surgery
L35091 10/01/2015 11/07/2019 Cataract Extraction (including Complex Cataract Surgery)
L35092 10/01/2015 11/07/2019 Diagnostic Abdominal Aortography and Renal Angiography
L35093 10/01/2015 11/14/2019 Intravenous Immune Globulin (IVIG)
L35094 10/01/2015 03/15/2020 Services That Are Not Reasonable and Necessary
L35095 10/01/2015 11/14/2019 Lacrimal Punctum Plugs
L35099 10/01/2015 11/07/2019 Frequency of Laboratory Tests
L35101 10/01/2015 07/01/2020 Psychiatric Codes
L35111 10/01/2015 02/13/2020 Hemophilia Factor Products
L35112 10/01/2015 11/14/2019 Implantable Infusion Pump
L35125 10/01/2015 01/16/2020 Wound Care
L35130 10/01/2015 07/12/2020 Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
L35138 10/01/2015 10/17/2019 Routine Foot Care
L35162 10/01/2015 01/01/2020 Ambulance Services (Ground Ambulance)
L35350 10/01/2015 10/17/2019 Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
L35360 10/01/2015 07/01/2020 Pulmonary Function Testing
L35391 10/01/2015 11/14/2019 Multiple Imaging in Oncology
L35395 10/01/2015 11/14/2019 Autonomic Function Tests
L35396 10/01/2015 07/01/2020 Biomarkers for Oncology
L35397 10/01/2015 10/17/2019 Non-Invasive Cerebrovascular Arterial Studies
L35408 10/01/2015 10/31/2019 3D Interpretation and Reporting of Imaging Studies
L35409 10/01/2015 10/17/2019 Non-Vascular Extremity Ultrasound
L35424 10/01/2015 11/07/2019 Chiropractic Services
L35427 10/01/2015 10/01/2019 Hyaluronan Acid Therapies for Osteoarthritis of the Knee
L35428 10/01/2015 05/24/2020 Thrombolytic Agents
L35433 10/01/2015 11/14/2019 Barium Swallow Studies, Modified
L35434 10/01/2015 10/17/2019 Oximetry Services
L35448 10/01/2015 09/26/2019 Independent Diagnostic Testing Facility (IDTF)
L35449 10/01/2015 10/31/2019 Sacral Nerve Stimulation
L35450 10/01/2015 09/26/2019 Spinal Cord Stimulation (Dorsal Column Stimulation)
L35451 10/01/2015 10/17/2019 Non-Invasive Peripheral Venous Studies
L36007 10/01/2015 11/14/2019 Lower Extremity Major Joint Replacement (Hip and Knee)
L36240 10/01/2015 11/14/2019 Allergen Immunotherapy
L36241 10/01/2015 07/01/2020 Allergy Testing
L36419 04/07/2016 11/14/2019 Outpatient Wireless Pulmonary Artery Pressure Monitoring for Heart Failure
L36423 04/07/2016 10/17/2019 Strapping
L36434 04/07/2016 11/14/2019 Microvascular Therapy
L36634 04/11/2016 11/14/2019 In Vitro Chemosensitivity & Chemoresistance Assays
L36711 12/01/2016 11/14/2019 Intensity Modulated Radiation Therapy (IMRT)
L36713 12/01/2016 11/07/2019 Corus® CAD Test
L36715 12/01/2016 11/07/2019 BRCA1 and BRCA2 Genetic Testing
L36920 05/04/2017 07/01/2020 Epidural Injections for Pain Management
L37371 01/25/2018 11/21/2019 Electroretinography (ERG)
L37375 01/25/2018 09/12/2019 Reflectance Confocal Microscopy
L37682 09/14/2018 11/21/2019 Nusinersen (Spinraza)
L37792 03/21/2019 12/30/2019 4Kscore Test Algorithm
L37893 05/20/2019 11/21/2019 Endovenous Stenting
L38223 12/30/2019 Micro-Invasive Glaucoma Surgery (MIGS)
L38229 12/30/2019 12/30/2019 Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs)
L38385 03/15/2020 Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
L38495 07/12/2020 Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor



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