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First Coast Service Options, Inc.
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Currently Active LCDs84
Draft LCDs9
Retired LCDs15
Currently Active Articles132
Retired Articles16

Currently Active LCDs

LCD
Effective
Date
Revision
Effective
Date
Title
CPT Codes Covered in LCD
L33252 10/01/2015 07/01/2020 Psychiatric Diagnostic Evaluation and Psychotherapy Services
L33261 10/01/2015 07/11/2021 Allergy Testing
L33267 10/01/2015 01/08/2019 B-Type Natriuretic Peptide (BNP)
L33274 10/01/2015 03/21/2021 Botulinum Toxins
L33405 10/01/2015 07/01/2020 Polysomnography and Sleep Testing
L33411 10/01/2015 10/01/2019 Surgical Management of Morbid Obesity
L33583 10/01/2015 10/01/2019 Diagnostic and Therapeutic Esophagogastroduodenoscopy
L33609 10/01/2015 01/07/2021 Autonomic Function Tests
L33618 10/01/2015 01/08/2019 Major Joint Replacement (Hip and Knee)
L33667 10/01/2015 10/01/2019 Duplex Scan Of Lower Extremity Arteries
L33669 10/01/2015 10/01/2019 Electrocardiography
L33671 10/01/2015 03/21/2021 Diagnostic Colonoscopy
L33674 10/01/2015 01/08/2019 Duplex Scanning
L33689 10/01/2015 01/08/2019 Mohs Micrographic Surgery (MMS)
L33693 10/01/2015 01/28/2024 Peripheral Venous Ultrasound
L33695 10/01/2015 01/08/2019 Non-invasive Extracranial Arterial Studies
L33751 10/01/2015 11/28/2019 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
L33756 10/01/2015 10/01/2019 Transesophageal Echocardiogram
L33766 10/01/2015 01/08/2019 Visual Field Examination
L33771 10/01/2015 10/29/2020 Vitamin D; 25 hydroxy, includes fraction(s), if performed
L33774 10/01/2015 07/11/2019 Wireless Capsule Endoscopy
L33810 10/01/2015 01/08/2019 Computerized Corneal Topography
L33813 10/01/2015 01/08/2019 Destruction of Malignant Skin Lesions
L33818 10/01/2015 01/08/2019 Excision of Malignant Skin Lesions
L33833 10/01/2015 01/30/2022 Surgical Treatment of Nails
L33906 10/01/2015 12/12/2021 Epidural Steroid Injections for Pain Management
L33907 10/01/2015 09/07/2021 Hepatic (Liver) Function Panel
L33908 10/01/2015 01/08/2019 High Sensitivity C-Reactive Protein (hsCRP)
L33910 10/01/2015 05/13/2021 Independent Diagnostic Testing Facility (IDTF)
L33912 10/01/2015 10/01/2019 Injection of Trigger Points
L33922 10/01/2015 11/28/2019 Nail Debridement
L33923 10/01/2015 10/01/2019 Noninvasive Ear or Pulse Oximetry For Oxygen Saturation
L33930 10/01/2015 04/25/2021 Facet Joint Interventions for Pain Management
L33933 10/01/2015 01/08/2019 Peripheral Nerve Blocks
L33937 10/01/2015 12/16/2019 Proton Beam Radiotherapy
L33941 10/01/2015 10/01/2019 Routine Foot Care
L33958 10/01/2015 01/08/2019 Somatosensory Testing
L33966 10/01/2015 10/01/2019 Vestibular Function Tests
L33967 10/01/2015 01/01/2021 Vitamin B12 Injections
L33977 10/01/2015 10/29/2019 Transcranial Doppler Studies
L34007 10/01/2015 02/05/2023 Immune Globulin
L34011 10/01/2015 10/01/2019 Ionized Calcium
L34018 10/01/2015 09/07/2021 Parathormone (Parathyroid Hormone)
L34021 10/01/2015 01/08/2019 Sedimentation Rate, Erythrocyte
L34026 10/01/2015 10/01/2019 Trastuzumab – Trastuzumab Biologics
L34027 10/01/2015 01/08/2019 Ultrasound, Soft Tissues of Head and Neck
L34028 10/01/2015 03/21/2021 Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
L34372 10/01/2015 07/01/2020 Magnetic Resonance Angiography (MRA)
L34519 10/01/2015 12/12/2021 Molecular Pathology Procedures
L34520 10/01/2015 07/01/2020 Psychological and Neuropsychological Tests
L34521 10/01/2015 01/08/2019 Special EEG Tests
L34522 10/01/2015 12/11/2022 Transcranial Magnetic Stimulation (TMS) in the Treatment of Adults with Major Depressive Disorder
L34859 10/01/2015 12/10/2023 Nerve Conduction Studies and Electromyography
L34912 10/01/2015 10/01/2019 Genetic Testing for Lynch Syndrome
L34976 10/01/2015 07/11/2021 Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
L36377 10/01/2015 01/08/2019 Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities
L36393 10/11/2015 10/01/2019 Controlled Substance Monitoring and Drugs of Abuse Testing
L36499 04/11/2016 12/10/2020 BRCA1 and BRCA2 Genetic Testing
L36767 10/31/2016 10/01/2019 Aortography and peripheral angiography
L36773 11/07/2016 07/31/2019 Intensity Modulated Radiation Therapy (IMRT)
L37166 12/07/2017 07/23/2020 Wound Care
L37398 02/02/2018 11/28/2019 Electroretinography (ERG)
L37561 02/02/2018 11/28/2019 Cystatin C Measurement
L37564 03/01/2019 07/01/2019 Frequency of Hemodialysis
L37798 03/18/2019 01/06/2020 4Kscore Test Algorithm
L37800 10/18/2018 03/31/2024 Allergen Immunotherapy
L38227 12/30/2019 10/26/2023 Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs)
L38231 12/30/2019 12/27/2020 Endovenous Stenting
L38233 12/30/2019 Micro-Invasive Glaucoma Surgery (MIGS)
L38396 03/15/2020 04/25/2021 Cardiology Non-emergent Outpatient Stress Testing
L38398 03/15/2020 Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
L38506 07/12/2020 Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor
L38664 10/11/2020 04/21/2022 Implantable Continuous Glucose Monitors (I-CGM)
L38720 12/27/2020 Treatment of Chronic Venous Insufficiency of the Lower Extremities
L38726 12/27/2020 Transurethral Waterjet Ablation of the Prostate
L38805 03/28/2021 Colon Capsule Endoscopy (CCE)
L38914 07/11/2021 07/11/2021 Cosmetic and Reconstructive Surgery
L38918 07/11/2021 Respiratory Pathogen Panel Testing
L38926 07/11/2021 07/11/2021 Cataract Extraction (including Complex Cataract Surgery)
L39071 12/12/2021 12/12/2021 Platelet Rich Plasma
L39073 12/12/2021 Pharmacogenomics Testing
L39084 01/30/2022 01/30/2022 Genetic Testing for Cardiovascular Disease
L39367 07/17/2023 Genetic Testing for Oncology
L39492 06/11/2023 Ambulatory Electrocardiograph (AECG) Monitoring



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