CodeMap-New / Future Effective LCD Report
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2017 ICD-10 Diagnosis Code Set Loaded     


7/3/2017 NCD Edits Loaded     


2017 Lab Fee Schedule     


2017-C DME Fee Schedule     


2017-A PEN Fee Schedule-no changes for Q2/2017     


2017 July ASC Fee Schedule Updated     


2017 July APC Fee Schedule Updated     


July 2017 ASP Drug Pricing Updated     


Q3 2017 CCI Edits Loaded     


Q3 2017 MUE Edits Loaded     


LCD Database Current Through 09/18/2017     

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Click here for the report of all New Future Effective LCD's.

LCDTitle Revision Effective Date
L34998 Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder -Novitas Solutions, Inc. 11/09/2017
L35125 Wound Care-Novitas Solutions, Inc. 11/09/2017
L37166 Wound Care-First Coast Service Options, Inc. 11/09/2017
L33318 Knee Orthoses-Noridian Administrative Services 10/16/2017
L33445 Removal of Benign and Malignant Skin Lesions-Palmetto GBA 10/16/2017
L33814 Destruction of Paravertebral Facet Joint Nerve(s)-First Coast Service Options, Inc. 10/16/2017
L34203 Cataract Surgery in Adults-Noridian Healthcare Solutions, LLC 10/10/2017
L35163 Plastic Surgery-Noridian Healthcare Solutions, LLC 10/10/2017
L37020 Plastic Surgery-Noridian Healthcare Solutions, LLC 10/10/2017
L37262 MolDX: Oncotype DX® Genomic Prostate Score for Men with Favorable Intermediate Risk Prostate Cancer-Palmetto GBA 10/09/2017
L37266 MolDX: AlloSure® Donor-Derived Cell-Free DNA Test-Palmetto GBA 10/09/2017
L34555 Non-Covered Category III CPT Codes-Palmetto GBA 10/02/2017
L33413 Therapy and Rehabilitation Services-First Coast Service Options, Inc. 10/01/2017
L33418 Assays for Vitamins and Metabolic Function-Palmetto GBA 10/01/2017
L33422 Brain Natriuretic Peptide (BNP) Level-Palmetto GBA 10/01/2017
L33423 Cardiac Computed Tomography & Angiography (CCTA)-Palmetto GBA 10/01/2017
L33431 HbA1c-Palmetto GBA 10/01/2017
L33433 Infectious Disease Molecular Diagnostic Testing-Palmetto GBA 10/01/2017
L33444 Pulmonary Stress Testing-Palmetto GBA 10/01/2017
L33446 Respiratory Therapy and Oximetry Services-Palmetto GBA 10/01/2017
L33447 Special Electroencephalography-Palmetto GBA 10/01/2017
L33449 Swallowing Studies for Dysphagia-Palmetto GBA 10/01/2017
L33452 Virtual Colonoscopy (CT Colonography)-Palmetto GBA 10/01/2017
L33454 Varicose Veins of the Lower Extremities-Palmetto GBA 10/01/2017
L33455 Wireless Gastrointestinal Motility Monitoring Systems-Palmetto GBA 10/01/2017
L33457 Cardiac Radionuclide Imaging-Palmetto GBA 10/01/2017
L33458 Chemodenervation-Palmetto GBA 10/01/2017
L33459 Computerized Axial Tomography (CT), Thorax-Palmetto GBA 10/01/2017
L33461 Implantable Infusion Pump-Palmetto GBA 10/01/2017
L33467 Ophthalmology: Extended Ophthalmoscopy and Fundus Photography-Palmetto GBA 10/01/2017
L33950 Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography-CGS Administrators, LLC 10/01/2017
L33959 Cardiac Catheterization and Coronary Angiography-CGS Administrators, LLC 10/01/2017
L34005 Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy-CGS Administrators, LLC 10/01/2017
L34009 Chiropractic Services-Noridian Healthcare Solutions, LLC 10/01/2017
L34010 Treatment of Varicose Veins of the Lower Extremities-Noridian Healthcare Solutions, LLC 10/01/2017
L34023 Strapping-First Coast Service Options, Inc. 10/01/2017
L34037 Flow Cytometry-CGS Administrators, LLC 10/01/2017
L34038 B-type Natriuretic Peptide (BNP) Testing-Noridian Healthcare Solutions, LLC 10/01/2017
L34040 Polysomnography and Other Sleep Studies-Noridian Healthcare Solutions, LLC 10/01/2017
L34052 Chest X-Ray Policy-Noridian Healthcare Solutions, LLC 10/01/2017
L34055 Virtual Colonoscopy (CT Colonography)-CGS Administrators, LLC 10/01/2017
L34072 Sensory Evoked Potentials & Intraoperative Neurophysiology Monitoring-Noridian Healthcare Solutions, LLC 10/01/2017
L34080 Intensity Modulated Radiation Therapy (IMRT)-Noridian Healthcare Solutions, LLC 10/01/2017
L34081 Endoscopy by Capsule-CGS Administrators, LLC 10/01/2017
L34093 Chemotherapy and Biologicals-CGS Administrators, LLC 10/01/2017
L34097 Chest X-Ray Policy-Noridian Healthcare Solutions, LLC 10/01/2017
L34100 Monitored Anesthesia Care (MAC)-Noridian Healthcare Solutions, LLC 10/01/2017
L34133 Cranial Computerized Tomography (CCT) Scans-Noridian Healthcare Solutions, LLC 10/01/2017
L34149 Respiratory Care (Respiratory Therapy )-Noridian Healthcare Solutions, LLC 10/01/2017
L34199 Treatment of Ulcers & Symptomatic Hyperkeratoses-Noridian Healthcare Solutions, LLC 10/01/2017
L34200 Removal of Benign Skin Lesions-CGS Administrators, LLC 10/01/2017
L34209 Treatment of Varicose Veins of the Lower Extremities-Noridian Healthcare Solutions, LLC 10/01/2017
L34211 Trigger Point Injections-Noridian Healthcare Solutions, LLC 10/01/2017
L34213 Diagnostic and Therapeutic Colonoscopy -Noridian Healthcare Solutions, LLC 10/01/2017
L34215 Flow Cytometry-Noridian Healthcare Solutions, LLC 10/01/2017
L34217 Intensity Modulated Radiation Therapy (IMRT)-Noridian Healthcare Solutions, LLC 10/01/2017
L34219 Noninvasive Peripheral Arterial Studies-Noridian Healthcare Solutions, LLC 10/01/2017
L34220 Lumbar MRI-Noridian Healthcare Solutions, LLC 10/01/2017
L34221 Noninvasive Cerebrovascular Studies-Noridian Healthcare Solutions, LLC 10/01/2017
L34229 Noninvasive Peripheral Venous Studies-Noridian Healthcare Solutions, LLC 10/01/2017
L34242 Chiropractic Services-Noridian Healthcare Solutions, LLC 10/01/2017
L34243 Treatment of Ulcers & Symptomatic Hyperkeratoses-Noridian Healthcare Solutions, LLC 10/01/2017
L34246 Routine Foot Care and Debridement of Nails-CGS Administrators, LLC 10/01/2017
L34247 Pulmonary Function Testing-Noridian Healthcare Solutions, LLC 10/01/2017
L34265 Medicine: Nerve Conduction Studies (NCS) and Electromyography (EMG)-Cahaba Government Benefit Administrators®, LLC 10/01/2017
L34277 Radiology: Computed Tomography of the Abdomen and Pelvis-Cahaba Government Benefit Administrators®, LLC 10/01/2017
L34288 Surgery: Colonoscopy (Diagnostic)-Cahaba Government Benefit Administrators®, LLC 10/01/2017
L34289 Surgery: Continuous Peripheral Nerve Blocks (CPNB)-Cahaba Government Benefit Administrators®, LLC 10/01/2017
L34315 Electrocardiograms-Noridian Healthcare Solutions, LLC 10/01/2017
L34317 Radiologic Examination, Chest-Noridian Healthcare Solutions, LLC 10/01/2017
L34338 Transthoracic Echocardiography (TTE)-CGS Administrators, LLC 10/01/2017
L34356 Erythropoiesis Stimulating Agents (ESA)-CGS Administrators, LLC 10/01/2017
L34394 Visual Fields Testing-CGS Administrators, LLC 10/01/2017
L34410 B-type Natriuretic Peptide (BNP) Testing-Palmetto GBA 10/01/2017
L34411 Blepharoplasty, Eyelid Surgery, and Brow Lift-Palmetto GBA 10/01/2017
L34412 Cardiac Rehabilitation-Palmetto GBA 10/01/2017
L34415 CT of the Abdomen and Pelvis-Palmetto GBA 10/01/2017
L34416 Computerized Axial Tomography of the Chest/Thorax-Palmetto GBA 10/01/2017
L34417 CT of the Head-Palmetto GBA 10/01/2017
L34419 Homocysteine Level, Serum-Palmetto GBA 10/01/2017
L34424 Magnetic Resonance Angiography-Palmetto GBA 10/01/2017
L34426 Ophthalmic Angiography (Fluorescein and Indocyanine Green)-Palmetto GBA 10/01/2017
L34427 Outpatient Occupational Therapy-Palmetto GBA 10/01/2017
L34428 Outpatient Physical Therapy-Palmetto GBA 10/01/2017
L34430 Respiratory Therapy (Respiratory Care)-Palmetto GBA 10/01/2017
L34431 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)-Palmetto GBA 10/01/2017
L34433 Somatosensory Testing-Palmetto GBA 10/01/2017
L34434 Upper Gastrointestinal Endoscopy and Visualization-Palmetto GBA 10/01/2017
L34454 Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy-Palmetto GBA 10/01/2017
L34513 Flow Cytometry-Palmetto GBA 10/01/2017
L34560 Home Health Occupational Therapy-Palmetto GBA 10/01/2017
L34561 Home Health - Psychiatric Care-Palmetto GBA 10/01/2017
L34564 Home Health Physical Therapy-Palmetto GBA 10/01/2017
L34570 Psychiatric Inpatient Hospitalization-Palmetto GBA 10/01/2017
L34575 Frequency of Dialysis-Palmetto GBA 10/01/2017
L34576 Laparoscopic Sleeve Gastrectomy for Severe Obesity-Palmetto GBA 10/01/2017
L34577 Retroperitoneal Ultrasound-Palmetto GBA 10/01/2017
L34580 Intravenous Immunoglobulin (IVIG)-Palmetto GBA 10/01/2017
L34807 Lumbar Epidural Steroid Injections (ESI)-CGS Administrators, LLC 10/01/2017
L34980 Lumbar Epidural Injections-Noridian Healthcare Solutions, LLC 10/01/2017
L34982 Lumbar Epidural Injections-Noridian Healthcare Solutions, LLC 10/01/2017
L35026 Rituximab (Rituxan®)-Palmetto GBA 10/01/2017
L35048 Nerve Conduction Studies and Electromyography-Palmetto GBA 10/01/2017
L35072 MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-Palmetto GBA 10/01/2017
L35136 Spinal Cord Stimulators for Chronic Pain-Noridian Healthcare Solutions, LLC 10/01/2017
L35148 Lumbar Epidural Steroid Injections-Palmetto GBA 10/01/2017
L35170 Botulinum Toxin Types A and B Policy-Noridian Healthcare Solutions, LLC 10/01/2017
L35172 Botulinum Toxin Types A and B-Noridian Healthcare Solutions, LLC 10/01/2017
L35175 MRI and CT Scans of the Head, Brain, and Neck-Noridian Healthcare Solutions, LLC 10/01/2017
L35456 Nerve Blockade for Treatment of Chronic Pain and Neuropathy-Noridian Healthcare Solutions, LLC 10/01/2017
L35457 Nerve Blockade for Treatment of Chronic Pain and Neuropathy-Noridian Healthcare Solutions, LLC 10/01/2017
L35526 B-type Natriuretic Peptide (BNP) Testing-Noridian Healthcare Solutions, LLC 10/01/2017
L35724 Controlled Substance Monitoring and Drugs of Abuse Testing-Palmetto GBA 10/01/2017
L35897 Nerve Conduction Studies and Electromyography-CGS Administrators, LLC 10/01/2017
L35906 Somatosensory Testing-CGS Administrators, LLC 10/01/2017
L36044 MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-Palmetto GBA 10/01/2017
L36094 Flow Cytometry-Noridian Healthcare Solutions, LLC 10/01/2017
L36204 Spinal Cord Stimulators for Chronic Pain-Noridian Healthcare Solutions, LLC 10/01/2017
L36310 MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-Noridian Healthcare Solutions, LLC 10/01/2017
L36312 MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-Noridian Healthcare Solutions, LLC 10/01/2017
L36427 Wireless Capsule Endoscopy-Palmetto GBA 10/01/2017
L36466 Application of Skin Substitutes-Palmetto GBA 10/01/2017
L36524 Nerve Conduction Studies and Electromyography-Noridian Healthcare Solutions, LLC 10/01/2017
L36526 Nerve Conduction Studies and Electromyography-Noridian Healthcare Solutions, LLC 10/01/2017
L36538 Treatment of Males with Low Testosterone-Noridian Healthcare Solutions, LLC 10/01/2017
L36569 Treatment of Males with Low Testosterone-Noridian Healthcare Solutions, LLC 10/01/2017
L36668 Controlled Substance Monitoring and Drugs of Abuse Testing-Noridian Healthcare Solutions, LLC 10/01/2017
L36700 Serum Magnesium-Noridian Healthcare Solutions, LLC 10/01/2017
L36702 Serum Magnesium-Noridian Healthcare Solutions, LLC 10/01/2017
L36707 Controlled Substance Monitoring and Drugs of Abuse Testing-Noridian Healthcare Solutions, LLC 10/01/2017
L36743 Radiology: Intensity Modulated Radiation Therapy (IMRT)-Cahaba Government Benefit Administrators®, LLC 10/01/2017
L36846 Measurement of Salivary Hormones-Noridian Healthcare Solutions, LLC 10/01/2017
L36857 Measurement of Salivary Hormones-Noridian Healthcare Solutions, LLC 10/01/2017
L36859 Trigger Point Injections-Noridian Healthcare Solutions, LLC 10/01/2017
L36861 Polysomnography and Other Sleep Studies-Noridian Healthcare Solutions, LLC 10/01/2017
L36868 Diagnostic and Therapeutic Colonoscopy -Noridian Healthcare Solutions, LLC 10/01/2017
L37176 White Cell Colony Stimulating Factors-Palmetto GBA 10/01/2017
L37379 Echocardiography -Palmetto GBA 10/01/2017
L34425 Magnetic Resonance Imaging of the Orbit, Face, and/or Neck -Palmetto GBA 09/21/2017
L35073 MolDX: NRAS Genetic Testing-Palmetto GBA 09/21/2017
L35677 Infliximab (Remicade®)-Palmetto GBA 09/21/2017
L36074 MolDX: Molecular RBC Phenotyping-Palmetto GBA 09/21/2017
L33428 Cosmetic and Reconstructive Surgery-Palmetto GBA 09/18/2017
L33473 Vertebroplasty/Kyphoplasty-Palmetto GBA 09/18/2017
L34549 Ambulance Services-Palmetto GBA 09/18/2017
L37195 MolDX: Percepta© Bronchial Genomic Classifier-Wisconsin Physicians Service Insurance Corporation 09/16/2017
L37216 MolDX: Xpresys Lung-Wisconsin Physicians Service Insurance Corporation 09/16/2017
L35449 Sacral Nerve Stimulation-Novitas Solutions, Inc. 09/14/2017
L34869 Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder-Palmetto GBA 09/07/2017
L33392 Category III CPT® Codes-National Government Services, Inc. 09/01/2017
L34285 Surgery: Bioengineered Skin Substitutes (BSS) for the Treatment of Diabetic and Venous Stasis Ulcers of the Lower Extremities-Cahaba Government Benefit Administrators®, LLC 09/01/2017
L34296 Surgery: Posterior Tibial Nerve Stimulation (PTNS) for Urinary Control-Cahaba Government Benefit Administrators®, LLC 09/01/2017
L34635 Botulinum Toxin Type A & Type B-Wisconsin Physicians Service Insurance Corporation 09/01/2017
L34651 Flow Cytometry-Wisconsin Physicians Service Insurance Corporation 09/01/2017
L34658 Vitamin D Assay Testing-Wisconsin Physicians Service Insurance Corporation 09/01/2017
L34760 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)-Wisconsin Physicians Service Insurance Corporation 09/01/2017
L35076 Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)-National Government Services, Inc. 09/01/2017
L35121 Coronary Computed Tomography Angiography (CCTA)-Wisconsin Physicians Service Insurance Corporation 09/01/2017
L35124 Autonomic Function Testing-Wisconsin Physicians Service Insurance Corporation 09/01/2017
L35486 Pelvic Floor Dysfunction: Anorectal Manometry and EMG-Wisconsin Physicians Service Insurance Corporation 09/01/2017
L35490 Category III Codes-Wisconsin Physicians Service Insurance Corporation 09/01/2017
L36000 Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain-Wisconsin Physicians Service Insurance Corporation 09/01/2017
L33972 Psychiatric Partial Hospitalization Program-First Coast Service Options, Inc. 08/31/2017
L34512 Corneal Pachymetry-Palmetto GBA 08/31/2017
L35922 Special Histochemical Stains and Immunohistochemical Stains-Palmetto GBA 08/31/2017
L35986 Special Histochemical Stains and Immunohistochemical Stains-CGS Administrators, LLC 08/31/2017
L36082 MolDX: BRCA1 and BRCA2 Genetic Testing-Palmetto GBA 08/31/2017
L36456 MolDX: BRCA1 and BRCA2 Genetic Testing-CGS Administrators, LLC 08/31/2017
L36658 Proton Beam Therapy-CGS Administrators, LLC 08/28/2017
L36886 MolDX: Percepta© Bronchial Genomic Classifier-Noridian Healthcare Solutions, LLC 08/25/2017
L36891 MolDX: Percepta© Bronchial Genomic Classifier-Noridian Healthcare Solutions, LLC 08/25/2017
L35094 Services That Are Not Reasonable and Necessary-Novitas Solutions, Inc. 08/24/2017
L36827 MolDX: APC and MUTYH Gene Testing -Palmetto GBA 08/24/2017
L36910 MolDX: APC and MUTYH Gene Testing -CGS Administrators, LLC 08/24/2017
L36941 MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)-Noridian Healthcare Solutions, LLC 08/18/2017
L36947 MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)-Noridian Healthcare Solutions, LLC 08/18/2017
L36029 Controlled Substance Monitoring and Drugs of Abuse Testing-CGS Administrators, LLC 08/17/2017
L36954 Noncovered Services other than CPT® Category III Noncovered Services-Palmetto GBA 08/17/2017
L33636 Routine Foot Care and Debridement of Nails-National Government Services, Inc. 08/15/2017
L34865 Magnetic Resonance Angiography (MRA)-Novitas Solutions, Inc. 08/10/2017
L35091 Cataract Extraction (including Complex Cataract Surgery)-Novitas Solutions, Inc. 08/10/2017
L35396 Biomarkers for Oncology-Novitas Solutions, Inc. 08/10/2017
L36241 Allergy Testing-Novitas Solutions, Inc. 08/10/2017
L36711 Intensity Modulated Radiation Therapy (IMRT)-Novitas Solutions, Inc. 08/10/2017
L37043 MolDX: Prolaris™ Prostate Cancer Genomic Assay for Men with Favorable Intermediate Risk Disease-Palmetto GBA 08/10/2017
L34537 Vestibular Function Testing-Palmetto GBA 08/03/2017
L35633 MolDX: GeneSight® Assay for Refractory Depression-Palmetto GBA 08/03/2017
L33630 Corneal Pachymetry-National Government Services, Inc. 08/01/2017
L33632 Psychiatry and Psychology Services-National Government Services, Inc. 08/01/2017
L34645 Drug Testing-Wisconsin Physicians Service Insurance Corporation 08/01/2017
L35000 Molecular Pathology Procedures-National Government Services, Inc. 08/01/2017
L37015 Visual Electrophysiology Testing-Wisconsin Physicians Service Insurance Corporation 08/01/2017
L33438 Octreotide Acetate for Injectable Suspension (Sandostatin LAR depot)-Palmetto GBA 07/27/2017
L36109 Minimally Invasive Treatment for Benign Prostatic Hyperplasia Involving Prostatic Urethral Lift (Urolift®)-Palmetto GBA 07/27/2017
L33777 Noncovered Services-First Coast Service Options, Inc. 07/24/2017
L33831 Surgical Dressings-Noridian Administrative Services 07/24/2017
L35071 MolDX: Circulating Tumor Cell Marker Assays-Palmetto GBA 07/20/2017
L35632 MolDX-CDD: ConfirmMDx Epigenetic Molecular Assay-Palmetto GBA 07/20/2017
L36006 MolDX-CDD: ConfirmMDx Epigenetic Molecular Assay-CGS Administrators, LLC 07/20/2017
L36854 MolDX: Percepta© Bronchial Genomic Classifier-Palmetto GBA 07/20/2017
L36908 MolDX: Percepta© Bronchial Genomic Classifier-CGS Administrators, LLC 07/20/2017
L36912 MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™)-Palmetto GBA 07/20/2017
L36951 MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Health™) -CGS Administrators, LLC 07/20/2017
L36973 MolDX: Circulating Tumor Cell Marker Assays-CGS Administrators, LLC 07/20/2017
L37033 MolDX: DecisionDx-UM (Uveal Melanoma)-Palmetto GBA 07/20/2017
L37130 MolDX: DecisionDx-UM (Uveal Melanoma)-CGS Administrators, LLC 07/20/2017
L35889 Surgery: Left Atrial Appendage-Cahaba Government Benefit Administrators®, LLC 07/18/2017
L34324 Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography-Noridian Healthcare Solutions, LLC 07/17/2017
L36889 Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography-Noridian Healthcare Solutions, LLC 07/17/2017
L34026 Trastuzumab (Herceptin®)-First Coast Service Options, Inc. 07/14/2017
L35101 Psychiatric Codes-Novitas Solutions, Inc. 07/13/2017
L35869 MolDX-CDD: Prolaris™ Prostate Cancer Genomic Assay-Palmetto GBA 07/13/2017
L37022 Coenzyme Q10 (CoQ10)-Palmetto GBA 07/13/2017
L37031 MolDX: Xpresys Lung -Palmetto GBA 07/13/2017
L34413 Cataract Surgery-Palmetto GBA 07/10/2017
L33268 Bendamustine hydrochloride (Treanda®, Bendeka™)-First Coast Service Options, Inc. 07/06/2017
L36342 Screening and Diagnostic Mammography-First Coast Service Options, Inc. 07/03/2017
L33577 Transthoracic Echocardiography (TTE)-National Government Services, Inc. 07/01/2017
L34223 Stereotactic Radiosurgery-Noridian Healthcare Solutions, LLC 07/01/2017
L34370 Category III CPT® Codes-CGS Administrators, LLC 07/01/2017
L34741 Drugs and Biologics (Non-chemotherapy)-Wisconsin Physicians Service Insurance Corporation 07/01/2017
L34771 Immune Globulins-Wisconsin Physicians Service Insurance Corporation 07/01/2017
L35448 Independent Diagnostic Testing Facility (IDTF)-Novitas Solutions, Inc. 07/01/2017
L35996 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Wisconsin Physicians Service Insurance Corporation 07/01/2017
L36398 MolDX: Genetic Testing for CYP2C19, CYP2D6, CYP2C9, and VKORC1 -Wisconsin Physicians Service Insurance Corporation 07/01/2017
L36839 Polysomnography and Other Sleep Studies-Wisconsin Physicians Service Insurance Corporation 07/01/2017
L33771 Vitamin D; 25 hydroxy, includes fraction(s), if performed-First Coast Service Options, Inc. 06/22/2017
L34306 Drugs and Biologicals: Rituximab (Rituxan ®)-Cahaba Government Benefit Administrators®, LLC 06/22/2017
L33646 Botulinum Toxins-National Government Services, Inc. 06/16/2017
L33615 Biofeedback-First Coast Service Options, Inc. 06/15/2017
L36795 MolDX: Molecular RBC Phenotyping-Wisconsin Physicians Service Insurance Corporation 06/15/2017
L33906 Epidural-First Coast Service Options, Inc. 06/13/2017
L34554 In Vitro Chemosensitivity & Chemoresistance Assays-Palmetto GBA 06/08/2017
L36419 Outpatient Wireless Pulmonary Artery Pressure Monitoring for Heart Failure -Novitas Solutions, Inc. 06/08/2017
L36920 Epidural Injections for Pain Management -Novitas Solutions, Inc. 06/08/2017
L33407 Ranibizumab (Lucentis ®)-First Coast Service Options, Inc. 06/01/2017
L34636 Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)-Wisconsin Physicians Service Insurance Corporation 06/01/2017
L35053 Chemotherapy Drugs and their Adjuncts-Wisconsin Physicians Service Insurance Corporation 06/01/2017
L35751 Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies-Wisconsin Physicians Service Insurance Corporation 06/01/2017
L35753 Non-Invasive Cerebrovascular Studies-Wisconsin Physicians Service Insurance Corporation 06/01/2017
L35755 Non-Invasive Abdominal / Visceral Vascular Studies-Wisconsin Physicians Service Insurance Corporation 06/01/2017
L35761 Non-Invasive Peripheral Arterial Vascular Studies-Wisconsin Physicians Service Insurance Corporation 06/01/2017
L35878 Infectious Disease Molecular Diagnostic Testing-CGS Administrators, LLC 06/01/2017
L36084 Surgery: Leadless Cardiac Pacemaker-Cahaba Government Benefit Administrators®, LLC 06/01/2017
L34501 Pathology and Laboratory: Qualitative Drug Testing-Cahaba Government Benefit Administrators®, LLC 05/31/2017
L33417 Allergy Skin Testing-Palmetto GBA 05/29/2017
L33471 Transesophageal Echocardiography (TEE)-Palmetto GBA 05/29/2017
L33642 Pressure Reducing Support Surfaces - Group 2-Noridian Administrative Services 05/25/2017
L33821 Negative Pressure Wound Therapy Pumps-Noridian Administrative Services 05/25/2017
L34076 Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma-Noridian Healthcare Solutions, LLC 05/22/2017
L34218 Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma-Noridian Healthcare Solutions, LLC 05/22/2017
L33726 Gemcitabine (Gemzar)-First Coast Service Options, Inc. 05/16/2017
L36807 MolDX: Molecular Diagnostic Tests (MDT)-Wisconsin Physicians Service Insurance Corporation 05/16/2017
L33563 Incision and Drainage (I & D) of Abscess of Skin, Subcutaneous and Accessory Structures-National Government Services, Inc. 05/15/2017
L33613 Chiropractic Services-National Government Services, Inc. 05/15/2017
L36882 MolDX: APC and MUTYH Gene Testing -Noridian Healthcare Solutions, LLC 05/15/2017
L36884 MolDX: APC and MUTYH Gene Testing -Noridian Healthcare Solutions, LLC 05/15/2017
L33261 Allergy Testing-First Coast Service Options, Inc. 05/12/2017
L33267 B-Type Natriuretic Peptide (BNP)-First Coast Service Options, Inc. 05/12/2017
L33279 Circulating Tumor Cell Testing-First Coast Service Options, Inc. 05/12/2017
L33661 Flow Cytometry-First Coast Service Options, Inc. 05/12/2017
L33754 Syphilis Test-First Coast Service Options, Inc. 05/12/2017
L33755 Susceptibility Studies-First Coast Service Options, Inc. 05/12/2017
L33974 Troponin-First Coast Service Options, Inc. 05/12/2017
L33985 Transplantation Immune Cell Function Assay (ImmuKnow®)-First Coast Service Options, Inc. 05/12/2017
L34003 Hepatitis B Surface Antibody and Surface Antigen-First Coast Service Options, Inc. 05/12/2017
L34011 Ionized Calcium-First Coast Service Options, Inc. 05/12/2017
L34014 Magnesium-First Coast Service Options, Inc. 05/12/2017
L34018 Parathormone (Parathyroid Hormone)-First Coast Service Options, Inc. 05/12/2017
L34021 Sedimentation Rate, Erythrocyte-First Coast Service Options, Inc. 05/12/2017
L34022 Serum Phosphorus-First Coast Service Options, Inc. 05/12/2017
L34029 Urinalysis-First Coast Service Options, Inc. 05/12/2017
L34031 Total Calcium-First Coast Service Options, Inc. 05/12/2017
L34042 Creatine Kinase (CK), (CPK)-First Coast Service Options, Inc. 05/12/2017
L34833 Cardiac Rhythm Device Evaluation-Novitas Solutions, Inc. 05/11/2017
L34834 Blood Glucose Monitoring in a Skilled Nursing Facility (SNF)-Novitas Solutions, Inc. 05/11/2017
L35041 Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds-Novitas Solutions, Inc. 05/05/2017
L33434 K-ras Testing Required before Epidermal Growth Factor Receptor Antibody Use in Colorectal Cancer-Palmetto GBA 05/04/2017
L33443 Posterior Tibial Nerve Stimulation (PTNS) for Urinary Control-Palmetto GBA 05/04/2017
L34558 Hospice The Adult Failure To Thrive Syndrome-Palmetto GBA 05/04/2017
L34559 Hospice - Renal Care-Palmetto GBA 05/04/2017
L34892 Paravertebral Facet and Sacroiliac Joint Injections-Novitas Solutions, Inc. 05/04/2017
L35130 Vertebroplasty, Vertebral Augmentation (Kyphoplasty) Percutaneous-Novitas Solutions, Inc. 05/04/2017
L33996 Vitamin D Assay Testing-CGS Administrators, LLC 05/01/2017
L34528 Blepharoplasty, Blepharoptosis and Brow Lift-Wisconsin Physicians Service Insurance Corporation 05/01/2017
L34596 Immunizations-Wisconsin Physicians Service Insurance Corporation 05/01/2017
L34614 Colonoscopy and Sigmoidoscopy-Diagnostic-Wisconsin Physicians Service Insurance Corporation 05/01/2017
L35222 Nerve Blocks for Peripheral Neuropathy-Wisconsin Physicians Service Insurance Corporation 05/01/2017
L36402 Allergy Testing -Wisconsin Physicians Service Insurance Corporation 05/01/2017
L36521 Lumbar Epidural Injections-Wisconsin Physicians Service Insurance Corporation 05/01/2017
L36523 MolDX: Biomarkers in Cardiovascular Risk Assessment-Wisconsin Physicians Service Insurance Corporation 05/01/2017
L36593 Polysomnography-Palmetto GBA 04/27/2017
L35025 MolDX: Molecular Diagnostic Tests (MDT)-Palmetto GBA 04/20/2017
L35090 Cosmetic and Reconstructive Surgery-Novitas Solutions, Inc. 04/14/2017
L33456 Total Joint Arthroplasty-Palmetto GBA 04/13/2017
L34553 Stretta Procedure-Palmetto GBA 04/13/2017
L35093 Intravenous Immune Globulin (IVIG)-Novitas Solutions, Inc. 04/13/2017
L35395 Autonomic Function Tests-Novitas Solutions, Inc. 04/13/2017
L33432 Hyaluronate Polymers-Palmetto GBA 04/06/2017
L33573 B-type Natriuretic Peptide (BNP) Testing-National Government Services, Inc. 04/01/2017
L33579 Transesophageal Echocardiography (TEE)-National Government Services, Inc. 04/01/2017
L33767 Viscosupplementation Therapy For Knee-First Coast Service Options, Inc. 04/01/2017
L34436 Posterior Tibial Nerve Stimulation (PTNS)-Wisconsin Physicians Service Insurance Corporation 04/01/2017
L34525 Intra-articular Injections of Hyaluronan-Wisconsin Physicians Service Insurance Corporation 04/01/2017
L34615 Visual Fields-Wisconsin Physicians Service Insurance Corporation 04/01/2017
L35998 Non-Coronary Vascular Stents-Wisconsin Physicians Service Insurance Corporation 04/01/2017
L36408 Allergy Immunotherapy-Wisconsin Physicians Service Insurance Corporation 04/01/2017
L35332 MolDX: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-CGS Administrators, LLC 03/30/2017
L33282 Computed Tomographic Angiography of the Chest, Heart and Coronary Arteries-First Coast Service Options, Inc. 03/23/2017
L33420 Bladder/Urothelial Tumor Markers-Palmetto GBA 03/23/2017
L33670 Fundus Photography-First Coast Service Options, Inc. 03/23/2017
L33904 B-Scan-First Coast Service Options, Inc. 03/23/2017
L34017 Ophthalmoscopy-First Coast Service Options, Inc. 03/23/2017
L36209 Cardiology – non-emergent outpatient testing: exercise stress test, stress echo, MPI SPECT, and cardiac PET-First Coast Service Options, Inc. 03/23/2017
L36975 Bladder/Urothelial Tumor Markers-CGS Administrators, LLC 03/23/2017
L33629 Non-covered Services-National Government Services, Inc. 03/16/2017
L33633 Magnetic Resonance Angiography (MRA)-National Government Services, Inc. 03/16/2017
L34422 Infrared Coagulation (IRC) of Hemorrhoids-Palmetto GBA 03/16/2017
L34429 Outpatient Speech Language Pathology-Palmetto GBA 03/16/2017
L34546 Home-Based Fall Evaluations and Interventions-Palmetto GBA 03/16/2017
L34563 Home Health Speech-Language Pathology-Palmetto GBA 03/16/2017
L34573 Cardiac Event Detection-Palmetto GBA 03/16/2017
L35045 Cardiac Computed Tomography & Angiography (CCTA)-Palmetto GBA 03/16/2017
L35162 Ambulance Services (Ground Ambulance)-Novitas Solutions, Inc. 03/16/2017
L36831 Visual Electrophysiology Testing -National Government Services, Inc. 03/16/2017
L33730 Paclitaxel (Taxol®)-First Coast Service Options, Inc. 03/09/2017
L36393 Controlled Substance Monitoring and Drugs of Abuse Testing-First Coast Service Options, Inc. 03/09/2017
L36464 MolDX: HLA-DQB1*06:02 Testing for Narcolepsy-Palmetto GBA 03/06/2017
L36485 MolDX: HLA-DQB1*06:02 Testing for Narcolepsy-CGS Administrators, LLC 03/06/2017
L35409 Non-Vascular Extremity Ultrasound-Novitas Solutions, Inc. 03/03/2017
L34195 Mohs Micrographic Surgery-CGS Administrators, LLC 03/01/2017
L34585 Chiropractic Services-Wisconsin Physicians Service Insurance Corporation 03/01/2017
L34588 Trigger Points, Local Injections-Wisconsin Physicians Service Insurance Corporation 03/01/2017
L34761 Percutaneous Coronary Interventions-Wisconsin Physicians Service Insurance Corporation 03/01/2017
L35498 Removal of Benign Skin Lesions-Wisconsin Physicians Service Insurance Corporation 03/01/2017
L36400 MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)-Wisconsin Physicians Service Insurance Corporation 03/01/2017
L36797 MolDX: NRAS Genetic Testing-Wisconsin Physicians Service Insurance Corporation 03/01/2017
L36815 MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-Wisconsin Physicians Service Insurance Corporation 03/01/2017
L36879 Surgery: Spinal Cord Stimulators for Chronic Pain-Cahaba Government Benefit Administrators®, LLC 03/01/2017
L36945 Medicine: Bioimpedance Spectroscopy (BIS) Devices for the Detection and Management of Lymphedema-Cahaba Government Benefit Administrators®, LLC 03/01/2017
L35038 Scanning Computerized Ophthalmic Diagnostic Imaging-Novitas Solutions, Inc. 02/27/2017
L34268 Medicine: Noninvasive Vascular Studies of Abdominal, Pelvic, Scrotal Contents and/or Retroperitoneal Organs-Cahaba Government Benefit Administrators®, LLC 02/17/2017
L34279 Radiology: Myocardial Perfusion Imaging (MPI)-Cahaba Government Benefit Administrators®, LLC 02/17/2017
L34291 Surgery: Injections of the Spinal Canal-Cahaba Government Benefit Administrators®, LLC 02/17/2017
L34310 Medicine: Physical Therapy - Outpatient-Cahaba Government Benefit Administrators®, LLC 02/17/2017
L34311 Medicine: Speech Language Pathology - Outpatient-Cahaba Government Benefit Administrators®, LLC 02/17/2017
L35942 Surgery: Fusion for Degenerative Joint Disease of the Lumbar Spine-Cahaba Government Benefit Administrators®, LLC 02/17/2017
L36793 MolDX: Genetic Testing for Lynch Syndrome-Wisconsin Physicians Service Insurance Corporation 02/16/2017
L36803 MolDX-CDD: NSCLC, Comprehensive Genomic Profile Testing-Wisconsin Physicians Service Insurance Corporation 02/16/2017
L33751 Scanning Computerized Ophthalmic Diagnostic Imaging-First Coast Service Options, Inc. 02/14/2017
L34051 Vitamin D Assay Testing-Noridian Healthcare Solutions, LLC 02/03/2017
L34914 Assays for Vitamins and Metabolic Function-Novitas Solutions, Inc. 02/03/2017
L35092 Diagnostic Abdominal Aortography and Renal Angiography-Novitas Solutions, Inc. 02/03/2017
L36692 Vitamin D Assay Testing-Noridian Healthcare Solutions, LLC 02/03/2017
L36117 MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-CGS Administrators, LLC 02/02/2017
L34300 Surgery: Vertebral Augmentation Procedures (VAPs)-Cahaba Government Benefit Administrators®, LLC 02/01/2017
L34592 Vertebroplasty (Percutaneous) and Vertebral Augmentation including cavity creation-Wisconsin Physicians Service Insurance Corporation 02/01/2017
L34633 Erythropoiesis Stimulating Agents (ESAs)-Wisconsin Physicians Service Insurance Corporation 02/01/2017
L34646 Psychological and Neuropsychological Testing-Wisconsin Physicians Service Insurance Corporation 02/01/2017
L34938 Removal of Benign Skin Lesions-Novitas Solutions, Inc. 02/01/2017
L35062 Biomarkers Overview-Novitas Solutions, Inc. 02/01/2017
L34574 Dental Services-Palmetto GBA 01/26/2017
L35070 Speech - Language Pathology (SLP) Services: Communication Disorders-Novitas Solutions, Inc. 01/25/2017
L35442 MolDX: NRAS Genetic Testing-CGS Administrators, LLC 01/19/2017
L36335 MolDX: NRAS Genetic Testing-Noridian Healthcare Solutions, LLC 01/19/2017
L36339 MolDX: NRAS Genetic Testing-Noridian Healthcare Solutions, LLC 01/19/2017
L35008 Non-Covered Services-Noridian Healthcare Solutions, LLC 01/18/2017
L36219 Non Covered Services-Noridian Healthcare Solutions, LLC 01/18/2017
L33746 Rituximab (Rituxan®)-First Coast Service Options, Inc. 01/17/2017
L34007 Intravenous Immune Globulin-First Coast Service Options, Inc. 01/17/2017
L36230 Evaluation and Management Services in a Nursing Facility -First Coast Service Options, Inc. 01/17/2017
L33822 Glucose Monitors-Noridian Administrative Services 01/12/2017
L35011 Surgery: Posterior Tibial Nerve Stimulation (PTNS) for Urinary Control-Novitas Solutions, Inc. 01/12/2017
L34566 Hospice - HIV Disease-Palmetto GBA 01/05/2017
L34257 Drugs and Biologicals: Infliximab (REMICADE ®)-Cahaba Government Benefit Administrators®, LLC 01/03/2017
L34267 Medicine: Noninvasive Peripheral Arterial and Venous Studies-Cahaba Government Benefit Administrators®, LLC 01/03/2017
L34290 Surgery: Debridement Services-Cahaba Government Benefit Administrators®, LLC 01/03/2017
L34307 Medicine: Dysphagia/Swallowing Therapy-Cahaba Government Benefit Administrators®, LLC 01/03/2017
L34309 Medicine: Partial Hospitalization Programs-Cahaba Government Benefit Administrators®, LLC 01/03/2017
L35941 Medicine: Psychotherapy Services-Cahaba Government Benefit Administrators®, LLC 01/03/2017
L33252 Psychiatric Diagnostic Evaluation and Psychotherapy Services-First Coast Service Options, Inc. 01/01/2017
L33312 Wheelchair Seating-Noridian Administrative Services 01/01/2017
L33317 External Breast Prostheses-Noridian Administrative Services 01/01/2017
L33369 Therapeutic Shoes for Persons with Diabetes-Noridian Administrative Services 01/01/2017
L33370 Nebulizers-Noridian Administrative Services 01/01/2017
L33382 Lumbar Spinal Fusion for Instability and Degenerative Disc Conditions-First Coast Service Options, Inc. 01/01/2017
L33538 Radiation Therapy for T1 Basal Cell and Squamous Cell Carcinomas of the Skin-First Coast Service Options, Inc. 01/01/2017
L33557 Cardiac Catheterization and Coronary Angiography-National Government Services, Inc. 01/01/2017
L33574 Visual Fields Testing-National Government Services, Inc. 01/01/2017
L33575 Varicose Veins of the Lower Extremity, Treatment of-National Government Services, Inc. 01/01/2017
L33580 Speech-Language Pathology-National Government Services, Inc. 01/01/2017
L33594 Manipulation Under Anesthesia (MUA)-First Coast Service Options, Inc. 01/01/2017
L33595 Monitored Anesthesia Care (MAC) for Certain Interventional Pain Management Services-First Coast Service Options, Inc. 01/01/2017
L33610 Intravenous Immune Globulin-Noridian Administrative Services 01/01/2017
L33611 Oral Appliances for Obstructive Sleep Apnea-Noridian Administrative Services 01/01/2017
L33612 Suction Pumps-Noridian Administrative Services 01/01/2017
L33623 Percutaneous Coronary Intervention-National Government Services, Inc. 01/01/2017
L33626 Psychiatric Partial Hospitalization Programs-National Government Services, Inc. 01/01/2017
L33627 Non-Invasive Vascular Studies-National Government Services, Inc. 01/01/2017
L33631 Outpatient Physical and Occupational Therapy Services-National Government Services, Inc. 01/01/2017
L33641 Orthopedic Footwear-Noridian Administrative Services 01/01/2017
L33684 Hemophilia Clotting Factors-First Coast Service Options, Inc. 01/01/2017
L33686 Ankle-Foot/Knee-Ankle-Foot Orthosis-Noridian Administrative Services 01/01/2017
L33690 Automatic External Defibrillators-Noridian Administrative Services 01/01/2017
L33692 Pressure Reducing Support Surfaces - Group 3-Noridian Administrative Services 01/01/2017
L33693 Non-Invasive Evaluation of Extremity Veins-First Coast Service Options, Inc. 01/01/2017
L33695 Non-invasive Extracranial Arterial Studies-First Coast Service Options, Inc. 01/01/2017
L33704 Infliximab (Remicade TM )-First Coast Service Options, Inc. 01/01/2017
L33718 Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea-Noridian Administrative Services 01/01/2017
L33727 Irinotecan-First Coast Service Options, Inc. 01/01/2017
L33733 Canes and Crutches-Noridian Administrative Services 01/01/2017
L33735 Cold Therapy-Noridian Administrative Services 01/01/2017
L33736 Commodes-Noridian Administrative Services 01/01/2017
L33737 Eye Prostheses-Noridian Administrative Services 01/01/2017
L33738 Facial Prostheses-Noridian Administrative Services 01/01/2017
L33739 Speech Generating Devices (SGD)-Noridian Administrative Services 01/01/2017
L33762 Treatment of varicose veins of the lower extremity-First Coast Service Options, Inc. 01/01/2017
L33766 Visual Field Examination-First Coast Service Options, Inc. 01/01/2017
L33783 Enteral Nutrition-Noridian Administrative Services 01/01/2017
L33784 Heating Pads and Heat Lamps-Noridian Administrative Services 01/01/2017
L33785 High Frequency Chest Wall Oscillation Devices-Noridian Administrative Services 01/01/2017
L33786 Intrapulmonary Percussive Ventilation System-Noridian Administrative Services 01/01/2017
L33787 Lower Limb Prostheses-Noridian Administrative Services 01/01/2017
L33788 Manual Wheelchair Bases-Noridian Administrative Services 01/01/2017
L33789 Power Mobility Devices-Noridian Administrative Services 01/01/2017
L33790 Spinal Orthoses: TLSO and LSO-Noridian Administrative Services 01/01/2017
L33791 Walkers-Noridian Administrative Services 01/01/2017
L33792 Wheelchair Options/Accessories-Noridian Administrative Services 01/01/2017
L33793 Refractive Lenses-Noridian Administrative Services 01/01/2017
L33794 External Infusion Pumps-Noridian Administrative Services 01/01/2017
L33795 Mechanical In-exsufflation Devices-Noridian Administrative Services 01/01/2017
L33796 Osteogenesis Stimulators-Noridian Administrative Services 01/01/2017
L33797 Oxygen and Oxygen Equipment-Noridian Administrative Services 01/01/2017
L33798 Parenteral Nutrition-Noridian Administrative Services 01/01/2017
L33799 Patient Lifts-Noridian Administrative Services 01/01/2017
L33800 Respiratory Assist Devices-Noridian Administrative Services 01/01/2017
L33801 Seat Lift Mechanisms-Noridian Administrative Services 01/01/2017
L33802 Transcutaneous Electrical Nerve Stimulators (TENS)-Noridian Administrative Services 01/01/2017
L33803 Urological Supplies-Noridian Administrative Services 01/01/2017
L33820 Hospital Beds And Accessories-Noridian Administrative Services 01/01/2017
L33823 Cervical Traction Devices-Noridian Administrative Services 01/01/2017
L33824 Immunosuppressive Drugs-Noridian Administrative Services 01/01/2017
L33825 Infrared Heating Pad Systems-Noridian Administrative Services 01/01/2017
L33826 Oral Anticancer Drugs-Noridian Administrative Services 01/01/2017
L33827 Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics)-Noridian Administrative Services 01/01/2017
L33828 Ostomy Supplies-Noridian Administrative Services 01/01/2017
L33829 Pneumatic Compression Devices-Noridian Administrative Services 01/01/2017
L33830 Pressure Reducing Support Surfaces - Group 1-Noridian Administrative Services 01/01/2017
L33832 Tracheostomy Care Supplies-Noridian Administrative Services 01/01/2017
L33833 Surgical Treatment of Nails-First Coast Service Options, Inc. 01/01/2017
L33834 Health and Behavior Assessment/Intervention-First Coast Service Options, Inc. 01/01/2017
L33903 Diagnostic Laryngoscopy-First Coast Service Options, Inc. 01/01/2017
L33910 Independent Diagnostic Testing Facility (IDTF)-First Coast Service Options, Inc. 01/01/2017
L33911 Indocyanine-Green Angiography-First Coast Service Options, Inc. 01/01/2017
L33919 Macugen (pegaptanib sodium injection)-First Coast Service Options, Inc. 01/01/2017
L33942 Physical Therapy - Home Health-CGS Administrators, LLC 01/01/2017
L33997 Fluorescein Angiography-First Coast Service Options, Inc. 01/01/2017
L34006 Interspinous Process Decompression-First Coast Service Options, Inc. 01/01/2017
L34045 Non-Invasive Vascular Studies-CGS Administrators, LLC 01/01/2017
L34049 Outpatient Physical and Occupational Therapy Services-CGS Administrators, LLC 01/01/2017
L34062 Dialysis Access Maintenance-CGS Administrators, LLC 01/01/2017
L34082 Varicose Veins of the Lower Extremity, Treatment of-CGS Administrators, LLC 01/01/2017
L34308 Medicine: Occupational Therapy - Outpatient-Cahaba Government Benefit Administrators®, LLC 01/01/2017
L34328 Peripheral Nerve and Peripheral Nerve Field Stimulation-Noridian Healthcare Solutions, LLC 01/01/2017
L34519 Molecular Pathology Procedures-First Coast Service Options, Inc. 01/01/2017
L34526 Surgical Treatment of Obstructive Sleep Apnea (OSA)-Wisconsin Physicians Service Insurance Corporation 01/01/2017
L34536 Treatment of Varicose Veins of the Lower Extremities-Wisconsin Physicians Service Insurance Corporation 01/01/2017
L34544 Hospice - Liver Disease-Palmetto GBA 01/01/2017
L34547 Hospice - Neurological Conditions-Palmetto GBA 01/01/2017
L34548 Hospice Cardiopulmonary Conditions-Palmetto GBA 01/01/2017
L34562 Home Health Skilled Nursing Care-Teaching and Training: Alzheimer's Disease and Behavioral Disturbances-Palmetto GBA 01/01/2017
L34567 Hospice Alzheimer's Disease & Related Disorders-Palmetto GBA 01/01/2017
L34587 Wound Care-Wisconsin Physicians Service Insurance Corporation 01/01/2017
L34616 Psychiatry and Psychology Services-Wisconsin Physicians Service Insurance Corporation 01/01/2017
L34659 Endoscopic Treatment of GERD-Wisconsin Physicians Service Insurance Corporation 01/01/2017
L34698 Cosmetic and Reconstructive Surgery-Wisconsin Physicians Service Insurance Corporation 01/01/2017
L34762 Molecular Diagnostic Testing-Wisconsin Physicians Service Insurance Corporation 01/01/2017
L34821 Transcutaneous Electrical Joint Stimulation Devices (TEJSD)-Noridian Administrative Services 01/01/2017
L34823 Tumor Treatment Field Therapy (TTFT)-Noridian Administrative Services 01/01/2017
L34824 Vacuum Erection Devices (VED)-Noridian Administrative Services 01/01/2017
L34887 Surgical Treatment of Nails-Novitas Solutions, Inc. 01/01/2017
L34924 Treatment of Varicose Veins and Venous Stasis Disease of the Lower Extremities-Novitas Solutions, Inc. 01/01/2017
L35006 Controlled Substance Monitoring and Drugs of Abuse Testing-Novitas Solutions, Inc. 01/01/2017
L35007 Vestibular and Audiologic Function Studies-Novitas Solutions, Inc. 01/01/2017
L35022 Bariatric Surgical Management of Morbid Obesity-Novitas Solutions, Inc. 01/01/2017
L35028 Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency-National Government Services, Inc. 01/01/2017
L35036 Therapy and Rehabilitation Services (PT, OT)-Novitas Solutions, Inc. 01/01/2017
L35074 Heavy Metal Testing-National Government Services, Inc. 01/01/2017
L35084 Non-Coronary Vascular Stents-Novitas Solutions, Inc. 01/01/2017
L35111 Hemophilia Factor Products-Novitas Solutions, Inc. 01/01/2017
L35132 Home Health Plans of Care: Monitoring Glucose Control in the Medicare Home Health Population with Type II Diabetes Mellitus-Palmetto GBA 01/01/2017
L35160 MolDX: Molecular Diagnostic Tests (MDT)-Noridian Healthcare Solutions, LLC 01/01/2017
L35397 Non-Invasive Cerebrovascular Arterial Studies-Novitas Solutions, Inc. 01/01/2017
L35427 Hyaluronan Acid Therapies for Osteoarthritis of the Knee-Novitas Solutions, Inc. 01/01/2017
L35428 Thrombolytic Agents-Novitas Solutions, Inc. 01/01/2017
L35451 Non-Invasive Peripheral Venous Studies-Novitas Solutions, Inc. 01/01/2017
L35494 Mohs Micrographic Surgery-Wisconsin Physicians Service Insurance Corporation 01/01/2017
L35627 Non-Coverage of Extracorporeal Shock Wave Lithotripsy for Musculoskeletal Conditions-Palmetto GBA 01/01/2017
L35891 Intravenous Immune Globulin-CGS Administrators, LLC 01/01/2017
L35937 Lumbar Epidural Injections-National Government Services, Inc. 01/01/2017
L36021 Molecular Diagnostic Tests (MDT)-CGS Administrators, LLC 01/01/2017
L36037 Urine Drug Testing-National Government Services, Inc. 01/01/2017
L36129 MolDX: Biomarkers in Cardiovascular Risk Assessment-Palmetto GBA 01/01/2017
L36180 MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-Noridian Healthcare Solutions, LLC 01/01/2017
L36186 MolDX: Genetic Testing for BCR-ABL Negative Myeloproliferative Disease-Noridian Healthcare Solutions, LLC 01/01/2017
L36256 MolDX: Molecular Diagnostic Tests (MDT)-Noridian Healthcare Solutions, LLC 01/01/2017
L36267 Bowel Management Devices-Noridian Administrative Services 01/01/2017
L36276 Erythropoiesis Stimulating Agents -First Coast Service Options, Inc. 01/01/2017
L36358 MolDX: Biomarkers in Cardiovascular Risk Assessment-Noridian Healthcare Solutions, LLC 01/01/2017
L36362 MolDX: Biomarkers in Cardiovascular Risk Assessment-Noridian Healthcare Solutions, LLC 01/01/2017
L36483 MolDX: Chromosome 1p/19q Deletion Analysis-Palmetto GBA 01/01/2017
L36487 MolDX: Chromosome 1p/19q deletion analysis-CGS Administrators, LLC 01/01/2017
L36542 MolDX: Chromosome 1p/19q Deletion Analysis-Noridian Healthcare Solutions, LLC 01/01/2017
L36557 MolDX: Chromosome 1p/19q Deletion Analysis-Noridian Healthcare Solutions, LLC 01/01/2017
L36690 Wound Application of Cellular and/or Tissue Based Products (CTPs), Lower Extremities-CGS Administrators, LLC 01/01/2017
L36763 MolDX: 4Kscore Assay-Palmetto GBA 01/01/2017
L34565 Home Health-Surface Electrical Stimulation in the Treatment of Dysphagia-Palmetto GBA 12/29/2016
L36143 MolDX-CDD: NSCLC, Comprehensive Genomic Profile Testing-Palmetto GBA 12/22/2016
L36174 MolDX-CDD: NSCLC, Comprehensive Genomic Profile Testing-CGS Administrators, LLC 12/22/2016
L36194 MolDX-CDD: NSCLC, Comprehensive Genomic Profile Testing-Noridian Healthcare Solutions, LLC 12/22/2016
L36198 MolDX- CDD: NSCLC, Comprehensive Genomic Profile Testing-Noridian Healthcare Solutions, LLC 12/22/2016
L36471 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Palmetto GBA 12/22/2016
L35024 MolDX: Genetic Testing for Lynch Syndrome-Palmetto GBA 12/15/2016
L36370 MolDX: Genetic Testing for Lynch Syndrome-Noridian Healthcare Solutions, LLC 12/15/2016
L36374 MolDX: Genetic Testing for Lynch Syndrome-Noridian Healthcare Solutions, LLC 12/15/2016
L36598 White Cell Colony Stimulating Factors-Palmetto GBA 12/15/2016
L35443 MolDX: GeneSight ® Assay for Refractory Depression-CGS Administrators, LLC 12/08/2016
L34648 Bisphosphonate Drug Therapy-Wisconsin Physicians Service Insurance Corporation 12/01/2016
L35080 Endoscopic Treatment of GERD-National Government Services, Inc. 12/01/2016
L36745 Medicine: Home Sleep Testing (HST)-Cahaba Government Benefit Administrators®, LLC 12/01/2016
L33472 Transthoracic Echocardiography (TTE)-Palmetto GBA 11/23/2016
L33768 Transthoracic Echocardiography (TTE)-First Coast Service Options, Inc. 11/21/2016
L34556 Spinal Cord Stimulators for Chronic Pain-Palmetto GBA 11/17/2016
L36314 MolDX: Breast Cancer Index℠ Genetic Assay-Noridian Healthcare Solutions, LLC 11/17/2016
L36316 MolDX: Breast Cancer Index℠ Genetic Assay-Noridian Healthcare Solutions, LLC 11/17/2016
L36323 MolDX: GeneSight® Assay for Refractory Depression-Noridian Healthcare Solutions, LLC 11/17/2016
L36325 MolDX: GeneSight® Assay for Refractory Depression-Noridian Healthcare Solutions, LLC 11/17/2016
L36343 MolDX-CDD: Decipher® Prostate Cancer Classifier Assay-Noridian Healthcare Solutions, LLC 11/17/2016
L36345 MolDX-CDD: Decipher® Prostate Cancer Classifier Assay-Noridian Healthcare Solutions, LLC 11/17/2016
L36348 MolDX-CDD: Prolaris™ Prostate Cancer Genomic Assay-Noridian Healthcare Solutions, LLC 11/17/2016
L36350 MolDX-CDD: Prolaris™ Prostate Cancer Genomic Assay-Noridian Healthcare Solutions, LLC 11/17/2016
L36351 Special Histochemical Stains and Immunohistochemical Stains-Noridian Healthcare Solutions, LLC 11/17/2016
L36353 Special Histochemical Stains and Immunohistochemical Stains-Noridian Healthcare Solutions, LLC 11/17/2016
L33448 Stress Echocardiography-Palmetto GBA 11/10/2016
L34993 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Noridian Healthcare Solutions, LLC 11/02/2016
L34995 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Noridian Healthcare Solutions, LLC 11/02/2016
L33558 Cataract Extraction-National Government Services, Inc. 11/01/2016
L33584 Implantable Miniature Telescope (IMT)-National Government Services, Inc. 11/01/2016
L33616 Osteopathic Manipulative Treatment-National Government Services, Inc. 11/01/2016
L34253 Drugs and Biologicals: Botulinum Toxins-Cahaba Government Benefit Administrators®, LLC 11/01/2016
L34281 Radiology: PET for Myocardial Perfusion Imaging (MPI) and Myocardial Viability (MV)-Cahaba Government Benefit Administrators®, LLC 11/01/2016
L34634 Proton Beam Therapy-Wisconsin Physicians Service Insurance Corporation 11/01/2016
L34699 Human Granulocyte/Macrophage Colony Stimulating Factors-Wisconsin Physicians Service Insurance Corporation 11/01/2016
L36767 Aortography and peripheral angiography-First Coast Service Options, Inc. 10/31/2016
L36775 Prostatic Urethral Lift (PUL)-First Coast Service Options, Inc. 10/31/2016
L33468 Oral Maxillofacial Prosthesis-Palmetto GBA 10/17/2016
L36125 MolDX: Breast Cancer Assay: Prosigna -Palmetto GBA 10/17/2016
L33270 Bisphosphonates (Intravenous [IV]) and Monoclonal Antibodies in the Treatment of Osteoporosis and Their Other Indications-First Coast Service Options, Inc. 10/14/2016
L33464 MRI of a Joint-Palmetto GBA 10/13/2016
L35349 MolDX: Genetic Testing for Lynch Syndrome-CGS Administrators, LLC 10/13/2016
L36237 Amniotic Membrane- Sutureless Placement on the Ocular Surface -First Coast Service Options, Inc. 10/13/2016
L33410 Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)-First Coast Service Options, Inc. 10/11/2016
L33256 3D Interpretation and Reporting of Imaging Studies-First Coast Service Options, Inc. 10/01/2016
L33263 Anorectal Manometry and EMG of the Urinary and Anal Sphincters-First Coast Service Options, Inc. 10/01/2016
L33377 Implantable Miniature Telescope (IMT)-First Coast Service Options, Inc. 10/01/2016
L33381 Low Density Lipoprotein (LDL) Apheresis-First Coast Service Options, Inc. 10/01/2016
L33406 Posterior Tibial Nerve Stimulation (PTNS)-First Coast Service Options, Inc. 10/01/2016
L33411 Surgical Management of Morbid Obesity-First Coast Service Options, Inc. 10/01/2016
L33416 3D Interpretation and Reporting of Imaging Studies-Palmetto GBA 10/01/2016
L33504 Intravitreal Bevacizumab (Avastin®)-First Coast Service Options, Inc. 10/01/2016
L33559 Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)-National Government Services, Inc. 10/01/2016
L33560 Cardiovascular Nuclear Medicine-National Government Services, Inc. 10/01/2016
L33562 Computed Tomographic (CT) Colonography for Diagnostic Uses-National Government Services, Inc. 10/01/2016
L33567 Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)-National Government Services, Inc. 10/01/2016
L33576 Urodynamics-National Government Services, Inc. 10/01/2016
L33578 Transrectal Ultrasound-National Government Services, Inc. 10/01/2016
L33583 Diagnostic and Therapeutic Esophagogastroduodenoscopy-First Coast Service Options, Inc. 10/01/2016
L33585 Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography-National Government Services, Inc. 10/01/2016
L33618 Major Joint Replacement (Hip and Knee)-First Coast Service Options, Inc. 10/01/2016
L33619 Nonvascular Extremity Ultrasound-National Government Services, Inc. 10/01/2016
L33622 Pain Management-National Government Services, Inc. 10/01/2016
L33624 Psychiatric Inpatient Hospitalization-National Government Services, Inc. 10/01/2016
L33628 Panretinal (Scatter) Laser Photocoagulation-National Government Services, Inc. 10/01/2016
L33667 Duplex Scan Of Lower Extremity Arteries-First Coast Service Options, Inc. 10/01/2016
L33669 Electrocardiography-First Coast Service Options, Inc. 10/01/2016
L33671 Diagnostic Colonoscopy-First Coast Service Options, Inc. 10/01/2016
L33674 Duplex Scanning-First Coast Service Options, Inc. 10/01/2016
L33696 Noninvasive Physiologic Studies of Upper or Lower Extremity Arteries-First Coast Service Options, Inc. 10/01/2016
L33705 Ocular Photodynamic Therapy (OPT) with Verteporfin-First Coast Service Options, Inc. 10/01/2016
L33715 Renal Angiography-First Coast Service Options, Inc. 10/01/2016
L33722 Doxorubicin, Liposomal (Doxil/Lipodox)-First Coast Service Options, Inc. 10/01/2016
L33723 Etoposide (Etopophos®, Toposar®, Vepesid®, VP-16)-First Coast Service Options, Inc. 10/01/2016
L33745 Respiratory Therapeutic Services-First Coast Service Options, Inc. 10/01/2016
L33747 Pegfilgrastim (Neulasta®)-First Coast Service Options, Inc. 10/01/2016
L33756 Transesophageal Echocardiogram-First Coast Service Options, Inc. 10/01/2016
L33812 Destruction by neurolytic agent; interdigital nerve of the foot—Morton’s Neuroma-First Coast Service Options, Inc. 10/01/2016
L33816 Duplex scan for erectile dysfunction-First Coast Service Options, Inc. 10/01/2016
L33819 External Ocular Photography-First Coast Service Options, Inc. 10/01/2016
L33902 Comprehensive Motion Analysis Studies-First Coast Service Options, Inc. 10/01/2016
L33908 High Sensitivity C-Reactive Protein (hsCRP)-First Coast Service Options, Inc. 10/01/2016
L33909 Incision and Drainage of Abscess of Skin, Subcutaneous and Accessory Structures-First Coast Service Options, Inc. 10/01/2016
L33912 Injection of Trigger Points-First Coast Service Options, Inc. 10/01/2016
L33917 Laser Trabeculoplasty-First Coast Service Options, Inc. 10/01/2016
L33920 Mastoidectomy Cavity Debridement-First Coast Service Options, Inc. 10/01/2016
L33923 Noninvasive Ear or Pulse Oximetry For Oxygen Saturation-First Coast Service Options, Inc. 10/01/2016
L33926 Oprelvekin (Neumega®)-First Coast Service Options, Inc. 10/01/2016
L33928 Osteogenic Stimulation-First Coast Service Options, Inc. 10/01/2016
L33933 Peripheral Nerve Blocks-First Coast Service Options, Inc. 10/01/2016
L33935 Post-Voiding Residual Ultrasound-First Coast Service Options, Inc. 10/01/2016
L33941 Routine Foot Care-First Coast Service Options, Inc. 10/01/2016
L33947 Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)-CGS Administrators, LLC 10/01/2016
L33954 Cataract Extraction-CGS Administrators, LLC 10/01/2016
L33958 Somatosensory Testing-First Coast Service Options, Inc. 10/01/2016
L33963 Tympanometry-First Coast Service Options, Inc. 10/01/2016
L33967 Vitamin B 12 Injections-First Coast Service Options, Inc. 10/01/2016
L33977 Transcranial Doppler Studies-First Coast Service Options, Inc. 10/01/2016
L33979 Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)-Noridian Healthcare Solutions, LLC 10/01/2016
L33982 Chiropractic Services-CGS Administrators, LLC 10/01/2016
L33989 Docetaxel (Taxotere®)-First Coast Service Options, Inc. 10/01/2016
L33990 Doxorubicin HCl-First Coast Service Options, Inc. 10/01/2016
L33991 Endoscopic and Percutaneous Lysis of Epidural Adhesions-First Coast Service Options, Inc. 10/01/2016
L33999 Corneal Pachymetry-CGS Administrators, LLC 10/01/2016
L34001 Vinorelbine Tartrate (Navelbine®)-First Coast Service Options, Inc. 10/01/2016
L34012 Leucovorin (Wellcovorin®)-First Coast Service Options, Inc. 10/01/2016
L34025 Surgical Decompression for Peripheral Polyneuropathy-First Coast Service Options, Inc. 10/01/2016
L34027 Ultrasound, Soft Tissues of Head and Neck-First Coast Service Options, Inc. 10/01/2016
L34046 Speech-Language Pathology-CGS Administrators, LLC 10/01/2016
L34054 B-type Natriuretic Peptide (BNP) Testing-Noridian Healthcare Solutions, LLC 10/01/2016
L34056 Urodynamics-CGS Administrators, LLC 10/01/2016
L34057 B-type Natriuretic Peptide (BNP) Testing-Noridian Healthcare Solutions, LLC 10/01/2016
L34059 Serum Magnesium-Noridian Healthcare Solutions, LLC 10/01/2016
L34061 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)-CGS Administrators, LLC 10/01/2016
L34064 Panretinal (Scatter) Laser Photocoagulation-CGS Administrators, LLC 10/01/2016
L34074 Immune Globulin Intravenous (IVIg)-Noridian Healthcare Solutions, LLC 10/01/2016
L34084 Transcatheter Infusion Therapy-CGS Administrators, LLC 10/01/2016
L34085 Post-Void Residual Urine and/or Bladder Capacity by Ultrasound-CGS Administrators, LLC 10/01/2016
L34094 Vitamin D Assay Testing-Noridian Healthcare Solutions, LLC 10/01/2016
L34163 Total Hip Arthroplasty-Noridian Healthcare Solutions, LLC 10/01/2016
L34175 Ophthalmic Angiography (Fluorescein and Indocyanine Green)-CGS Administrators, LLC 10/01/2016
L34181 Ophthalmic Biometry for Intraocular Lens Power Calculation-CGS Administrators, LLC 10/01/2016
L34183 Psychiatric Inpatient Hospitalization-CGS Administrators, LLC 10/01/2016
L34196 Psychiatric Partial Hospitalization Programs-CGS Administrators, LLC 10/01/2016
L34233 Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)-Noridian Healthcare Solutions, LLC 10/01/2016
L34252 Drugs and Biologicals: Antiangiogenic Therapy for Ophthalmic Conditions-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34254 Drugs and Biologicals: Colony Stimulating Factors-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34255 Drugs and Biologicals: Erythropoietin Analogues-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34256 Drugs and Biologicals: Immune Globulin Intravenous (IVIg)-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34262 Medicine: Health and Behavior Assessment/Intervention-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34263 Medicine: Hydration Therapy-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34264 Medicine: Long-Term Wearable Electrocardiographic Monitoring (WEM)-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34270 Medicine: Wireless Capsule Imaging-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34274 Pathology and Laboratory: Vitamin D Assay Testing-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34280 Radiology: Nonobstetric Pelvic Ultrasound-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34295 Surgery: Nerve Blocks and Electrostimulation for Peripheral Neuropathy-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34304 Drugs and Biologicals: Gemcitabine Hydrochloride (Gemzar ®)-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34314 Immune Globulin Intravenous (IVIg)-Noridian Healthcare Solutions, LLC 10/01/2016
L34337 Transesophageal Echocardiography (TEE)-CGS Administrators, LLC 10/01/2016
L34353 Outpatient Psychiatry and Psychology Services-CGS Administrators, LLC 10/01/2016
L34380 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)-National Government Services, Inc. 10/01/2016
L34399 Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)-CGS Administrators, LLC 10/01/2016
L34520 Psychological and Neuropsychological Tests-First Coast Service Options, Inc. 10/01/2016
L34535 Polysomnography and Other Sleep Studies-Wisconsin Physicians Service Insurance Corporation 10/01/2016
L34594 Nerve Conduction Studies and Electromyography-Wisconsin Physicians Service Insurance Corporation 10/01/2016
L34623 Intraoperative Neurophysiological Testing-Wisconsin Physicians Service Insurance Corporation 10/01/2016
L34624 Somatosensory Testing-Wisconsin Physicians Service Insurance Corporation 10/01/2016
L34832 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-CGS Administrators, LLC 10/01/2016
L34856 C-Reactive Protein High Sensitivity Testing (hsCRP)-Novitas Solutions, Inc. 10/01/2016
L34859 Nerve Conduction Studies and Electromyography-First Coast Service Options, Inc. 10/01/2016
L34944 Surgery: Routine Foot Care-Cahaba Government Benefit Administrators®, LLC 10/01/2016
L34960 Hydration Therapy-Novitas Solutions, Inc. 10/01/2016
L34974 Facet Joint Injections-Novitas Solutions, Inc. 10/01/2016
L34975 Neurophysiology Evoked Potentials (NEPs)-Novitas Solutions, Inc. 10/01/2016
L34977 Anorectal Manometry, Anal Electromyography, and Biofeedback Training for Perineal Muscles and Anorectal or Urethral Sphincters-Novitas Solutions, Inc. 10/01/2016
L34996 Neuromuscular Junction Testing-Novitas Solutions, Inc. 10/01/2016
L35003 Intraoperative Neurophysiological Testing-Novitas Solutions, Inc. 10/01/2016
L35009 Prostate Mapping Biopsy-Novitas Solutions, Inc. 10/01/2016
L35015 Molecular Diagnostics: Genitourinary Infectious Disease Testing-Novitas Solutions, Inc. 10/01/2016
L35016 Transesophageal Echocardiography (TEE)-Novitas Solutions, Inc. 10/01/2016
L35021 Hyperbaric Oxygen (HBO) Therapy-Novitas Solutions, Inc. 10/01/2016
L35032 Flow Cytometry-Novitas Solutions, Inc. 10/01/2016
L35033 Pain Management-Novitas Solutions, Inc. 10/01/2016
L35035 Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography-Novitas Solutions, Inc. 10/01/2016
L35049 Monitored Anesthesia Care-Novitas Solutions, Inc. 10/01/2016
L35050 Outpatient Sleep Studies-Novitas Solutions, Inc. 10/01/2016
L35064 Vascular Access for Hemodialysis-Novitas Solutions, Inc. 10/01/2016
L35075 Proton Beam Therapy-National Government Services, Inc. 10/01/2016
L35081 Nerve Conduction Studies and Electromyography-Novitas Solutions, Inc. 10/01/2016
L35083 Cardiovascular Nuclear Medicine-Novitas Solutions, Inc. 10/01/2016
L35089 Wireless Capsule Endoscopy-Novitas Solutions, Inc. 10/01/2016
L35098 Nerve Conduction Studies and Electromyography-National Government Services, Inc. 10/01/2016
L35099 Frequency of Laboratory Tests-Novitas Solutions, Inc. 10/01/2016
L35107 Pain Management of Peripheral Nerves by Injection-Novitas Solutions, Inc. 10/01/2016
L35138 Routine Foot Care-Novitas Solutions, Inc. 10/01/2016
L35350 UPPER GASTROINTESTINAL ENDOSCOPY (DIAGNOSTIC AND THERAPEUTIC)-Novitas Solutions, Inc. 10/01/2016
L35360 Pulmonary Function Testing-Novitas Solutions, Inc. 10/01/2016
L35408 3D Interpretation and Reporting of Imaging Studies-Novitas Solutions, Inc. 10/01/2016
L35424 Chiropractic Services-Novitas Solutions, Inc. 10/01/2016
L35433 Barium Swallow Studies, Modified-Novitas Solutions, Inc. 10/01/2016
L35434 Oximetry Services-Novitas Solutions, Inc. 10/01/2016
L35447 Nerve Blockade for Treatment of Chronic Pain and Neuropathy-Noridian Healthcare Solutions, LLC 10/01/2016
L35450 Spinal Cord Stimulation (Dorsal Column Stimulation)-Novitas Solutions, Inc. 10/01/2016
L35458 Nerve Blockade for Treatment of Chronic Pain and Neuropathy-Noridian Healthcare Solutions, LLC 10/01/2016
L36007 Lower Extremity Major Joint Replacement (Hip and Knee)-Novitas Solutions, Inc. 10/01/2016
L36035 Spinal Cord Stimulation for Chronic Pain-First Coast Service Options, Inc. 10/01/2016
L36139 MolDX: Biomarkers in Cardiovascular Risk Assessment-CGS Administrators, LLC 10/01/2016
L36327 MolDX-CDD: ConfirmMDx Epigenetic Molecular Assay-Noridian Healthcare Solutions, LLC 10/01/2016
L36329 MolDX-CDD: ConfirmMDx Epigenetic Molecular Assay-Noridian Healthcare Solutions, LLC 10/01/2016
L36356 Bone Mineral Density Studies-First Coast Service Options, Inc. 10/01/2016
L36404 Foot Care-Wisconsin Physicians Service Insurance Corporation 10/01/2016
L36544 MolDX: HLA-DQB1*06:02 Testing for Narcolepsy-Noridian Healthcare Solutions, LLC 10/01/2016
L36551 MolDX: HLA-DQB1*06:02 Testing for Narcolepsy-Noridian Healthcare Solutions, LLC 10/01/2016
L36573 Total Hip Arthroplasty-Noridian Healthcare Solutions, LLC 10/01/2016
L36575 Total Knee Arthroplasty-Noridian Healthcare Solutions, LLC 10/01/2016
L36577 Total Knee Arthroplasty-Noridian Healthcare Solutions, LLC 10/01/2016
L36601 Prostatic Urethral Lift (PUL)-National Government Services, Inc. 10/01/2016
L36617 Chiropractic Services-First Coast Service Options, Inc. 09/12/2016
L34032 Debridement Services-CGS Administrators, LLC 09/01/2016
L33978 Pemetrexed-First Coast Service Options, Inc. 08/18/2016
L34552 Outpatient Observation Bed/Room Services-Palmetto GBA 08/18/2016
L33975 Psychiatric Inpatient Hospitalization-First Coast Service Options, Inc. 08/15/2016
L36504 Hyperbaric Oxygen (HBO) Therapy -First Coast Service Options, Inc. 08/11/2016
L33810 Computerized Corneal Topography-First Coast Service Options, Inc. 08/08/2016
L33394 Drugs and Biologicals, Coverage of, for Label and Off-Label Uses-National Government Services, Inc. 08/01/2016
L33939 Reduction Mammaplasty-First Coast Service Options, Inc. 07/25/2016
L33436 Mohs Micrographic Surgery (MMS)-Palmetto GBA 07/07/2016
L34002 G-CSF ( Neupogen®, Granix™,Zarxio™ )-First Coast Service Options, Inc. 07/05/2016
L36355 Colorectal Cancer Screening-First Coast Service Options, Inc. 07/05/2016
L34303 Drugs and Biologicals: Bevacizumab (AVASTIN®)-Cahaba Government Benefit Administrators®, LLC 07/03/2016
L34151 Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)-Noridian Healthcare Solutions, LLC 07/01/2016
L34261 Medicine: Chiropractic Services-Cahaba Government Benefit Administrators®, LLC 07/01/2016
L34912 Genetic Testing for Lynch Syndrome-First Coast Service Options, Inc. 06/28/2016
L33274 Botulinum Toxins-First Coast Service Options, Inc. 06/09/2016
L33765 Blepharoplasty, Eyelid Surgery, and Brow Lift-Palmetto GBA 06/09/2016
L34551 One Day Stays for Chest Pain-Palmetto GBA 06/03/2016
L34299 Surgery: Trigger Point Injections-Cahaba Government Benefit Administrators®, LLC 06/01/2016
L34305 Drugs and Biologicals: Oxaliplatin (Eloxatin ®)-Cahaba Government Benefit Administrators®, LLC 06/01/2016
L36011 MolDX: Molecular RBC Phenotyping-CGS Administrators, LLC 05/19/2016
L34258 Drugs and Biologicals: Octreotide Acetate for Injectable Suspension (Sandostatin LAR ® Depot)-Cahaba Government Benefit Administrators®, LLC 05/01/2016
L36499 BRCA1 and BRCA2 Genetic Testing-First Coast Service Options, Inc. 04/11/2016
L36634 In Vitro Chemosensitivity & Chemoresistance Assays -Novitas Solutions, Inc. 04/11/2016
L36423 Strapping-Novitas Solutions, Inc. 04/07/2016
L36434 Microvascular Therapy-Novitas Solutions, Inc. 04/07/2016
L33614 Debridement Services-National Government Services, Inc. 04/01/2016
L34053 Application of Cellular and/or Tissue Based Products (CTPs) for Wounds of Lower Extremities-CGS Administrators, LLC 04/01/2016
L36167 MolDX: Molecular RBC Phenotyping-Noridian Healthcare Solutions, LLC 04/01/2016
L36171 MolDX: Molecular RBC Phenotyping-Noridian Healthcare Solutions, LLC 04/01/2016
L33586 Gene Expression Profiling Panel for use in the Management of Breast Cancer Treatment-First Coast Service Options, Inc. 03/17/2016
L36234 Special Histochemical Stains & Immunohistochemical Stains -First Coast Service Options, Inc. 03/08/2016
L33915 Label and Off-label Coverage of Outpatient Drugs and Biologicals-First Coast Service Options, Inc. 02/10/2016
L36469 Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder-CGS Administrators, LLC 02/08/2016
L36425 MolDX: Breast Cancer Assay: Prosigna -CGS Administrators, LLC 02/01/2016
L36458 MolDX: Breast Cancer Index℠ Genetic Assay-CGS Administrators, LLC 02/01/2016
L36460 Bone Mass Measurement-CGS Administrators, LLC 02/01/2016
L36494 Minimally-Invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint-CGS Administrators, LLC 02/01/2016
L35631 MolDX: Breast Cancer Index℠ Genetic Assay-Palmetto GBA 01/25/2016
L34864 Loss-of-Heterozygosity Based Topographic Genotyping with PathfinderTG ®-Novitas Solutions, Inc. 01/04/2016
L33296 Noncovered Procedures - Endoscopic Treatment of Gastroesophageal Reflux Disease (GERD)-First Coast Service Options, Inc. 01/01/2016
L33617 Erythropoiesis Stimulating Agents (ESA)-National Government Services, Inc. 01/01/2016
L33708 Plerixafor (Mozobil ®)-First Coast Service Options, Inc. 01/01/2016
L33945 Cerumen (Earwax) Removal-CGS Administrators, LLC 01/01/2016
L33966 Vestibular Function Tests-First Coast Service Options, Inc. 01/01/2016
L33969 Diagnostic Aerosol or Vapor Inhalation-First Coast Service Options, Inc. 01/01/2016
L34165 Erythropoietin Stimulating Agents (ESA)-Noridian Healthcare Solutions, LLC 01/01/2016
L34167 Erythropoietin Stimulating Agents (ESA)-Noridian Healthcare Solutions, LLC 01/01/2016
L34297 Surgery: Removal of Benign or Premalignant Skin Lesions-Cahaba Government Benefit Administrators®, LLC 01/01/2016
L34298 Surgery: Transoral Incisionless Fundoplication (TIF)-Cahaba Government Benefit Administrators®, LLC 01/01/2016
L34999 Transoral Incisionless Fundoplication-Novitas Solutions, Inc. 01/01/2016
L35010 Trigger Point Injections-Novitas Solutions, Inc. 01/01/2016
L35112 Implantable Infusion Pump-Novitas Solutions, Inc. 01/01/2016
L35660 Pathology and Laboratory: CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-Cahaba Government Benefit Administrators®, LLC 01/01/2016
L35698 CYP2C19, CYP2D6, CYP2C9, and VKORC1 Genetic Testing-First Coast Service Options, Inc. 01/01/2016
L35920 Pathology and Laboratory: Quantitative Drug Testing-Cahaba Government Benefit Administrators®, LLC 01/01/2016
L34961 Mohs Micrographic Surgery (MMS)-Novitas Solutions, Inc. 12/31/2015
L35984 MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)-CGS Administrators, LLC 12/31/2015
L36089 MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR)-Palmetto GBA 12/31/2015
L34861 Infrared Photocoagulation (IRC) of Hemorrhoids-Novitas Solutions, Inc. 12/30/2015
L35004 Surgery: Blepharoplasty-Novitas Solutions, Inc. 12/30/2015
L35095 Lacrimal Punctum Plugs-Novitas Solutions, Inc. 12/30/2015
L36153 MolDX-CDD: Genomic Health™ Oncotype DX® Prostate Cancer Assay-Palmetto GBA 12/24/2015
L33405 Polysomnography and Sleep Testing-First Coast Service Options, Inc. 12/21/2015
L35679 Pharmacokinetic (PK) Testing for Chemotherapy Dosing-Novitas Solutions, Inc. 12/11/2015
L35391 Multiple Imaging in Oncology-Novitas Solutions, Inc. 12/07/2015
L33556 Vitamin D Assay Testing-National Government Services, Inc. 12/01/2015
L34641 Transcranial Magnetic Stimulation (TMS)-Wisconsin Physicians Service Insurance Corporation 12/01/2015
L36039 Total Joint Arthroplasty-National Government Services, Inc. 12/01/2015
L36086 Radiology: Intra-vascular Optical Coherence Tomography-Cahaba Government Benefit Administrators®, LLC 12/01/2015
L35868 MolDX-CDD: Decipher® Prostate Cancer Classifier Assay-Palmetto GBA 11/27/2015
L36232 Diagnostic Evaluation and Medical Management of Moderate-Severe Dry Eye Disease (DED)-First Coast Service Options, Inc. 11/22/2015
L34092 Immune Globulin Intravenous (IVIg)-Noridian Healthcare Solutions, LLC 11/07/2015
L36409 Immune Globulin Intravenous (IVIg)-Noridian Healthcare Solutions, LLC 11/07/2015
L34276 Radiology: Computed Tomographic Angiography of the Heart and Coronary Vessels-Cahaba Government Benefit Administrators®, LLC 11/01/2015
L36340 MolDX-CDD: Prolaris™ Prostate Cancer Genomic Assay-Noridian Healthcare Solutions, LLC 10/15/2015
L36341 MolDX-CDD: Decipher® Prostate Cancer Classifier Assay-Noridian Healthcare Solutions, LLC 10/15/2015
L36344 MolDX-CDD: Decipher® Prostate Cancer Classifier Assay-Noridian Healthcare Solutions, LLC 10/15/2015
L36346 Special Histochemical Stains and Immunohistochemical Stains-Noridian Healthcare Solutions, LLC 10/15/2015
L36349 MolDX-CDD: Prolaris™ Prostate Cancer Genomic Assay-Noridian Healthcare Solutions, LLC 10/15/2015
L36352 Special Histochemical Stains and Immunohistochemical Stains-Noridian Healthcare Solutions, LLC 10/15/2015
L35974 MolDX: MGMT Promoter Methylation Analysis-Palmetto GBA 10/05/2015
L36002 MolDX-CDD: Prolaris™ Prostate Cancer Genomic Assay-CGS Administrators, LLC 10/05/2015
L36033 MolDX: HLA-B*15:02 Genetic Testing-Palmetto GBA 10/05/2015
L36048 MolDX: HLA-B*15:02 Genetic Testing-CGS Administrators, LLC 10/05/2015
L36113 MolDX: MGMT Promoter Methylation Analysis-CGS Administrators, LLC 10/05/2015
L36206 MolDX-CDD: Genomic Health™ Oncotype DX® Prostate Cancer Assay-CGS Administrators, LLC 10/05/2015
L32553 Allergy Immunotherapy-CGS Administrators, LLC 10/01/2015
L33266 Azacitidine (Vidaza®)-First Coast Service Options, Inc. 10/01/2015
L33271 Biventricular Pacing/ Cardiac Resynchronization Therapy-First Coast Service Options, Inc. 10/01/2015
L33273 Bortezomib (Velcade®)-First Coast Service Options, Inc. 10/01/2015
L33275 Carboplatin (Paraplatin®, Paraplatin-AQ®)-First Coast Service Options, Inc. 10/01/2015
L33280 Collagenase clostridium histolyticum (Xiaflex ®)-First Coast Service Options, Inc. 10/01/2015
L33283 Computed Tomographic Colonography-First Coast Service Options, Inc. 10/01/2015
L33284 Computed Tomography of the Abdomen and Pelvis-First Coast Service Options, Inc. 10/01/2015
L33285 Computed Tomography of the Thorax-First Coast Service Options, Inc. 10/01/2015
L33316 Dialysis (AV fistula and graft) Vascular Access Maintenance-First Coast Service Options, Inc. 10/01/2015
L33396 Posterior Tibial Nerve Stimulation for Voiding Dysfunction-National Government Services, Inc. 10/01/2015
L33398 Transcranial Magnetic Stimulation-National Government Services, Inc. 10/01/2015
L33399 EEG – 24 Hour Monitoring-National Government Services, Inc. 10/01/2015
L33412 Testosterone pellets (Testopel®)-First Coast Service Options, Inc. 10/01/2015
L33566 Wound Debridement Services-First Coast Service Options, Inc. 10/01/2015
L33569 Vertebroplasty and Vertebral Augmentation (Percutaneous)-National Government Services, Inc. 10/01/2015
L33588 Combined Ovarian Cancer Biomarker Tests-National Government Services, Inc. 10/01/2015
L33591 RAST Type Tests-National Government Services, Inc. 10/01/2015
L33596 Qutenza® (capsaicin) 8% patch-First Coast Service Options, Inc. 10/01/2015
L33600 Sinus X-ray(s)-First Coast Service Options, Inc. 10/01/2015
L33621 Ophthalmic Biometry for Intraocular Lens Power Calculation-National Government Services, Inc. 10/01/2015
L33685 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs-First Coast Service Options, Inc. 10/01/2015
L33689 Mohs Micrographic Surgery (MMS)-First Coast Service Options, Inc. 10/01/2015
L33707 Pulmonary Diagnostic Services-First Coast Service Options, Inc. 10/01/2015
L33721 Computed Tomography Scans of the Head or Brain-First Coast Service Options, Inc. 10/01/2015
L33752 Topotecan Hydrochloride (Hycamtin®)-First Coast Service Options, Inc. 10/01/2015
L33763 Vascular Stenting of Lower Extremity Arteries-First Coast Service Options, Inc. 10/01/2015
L33804 Allergen Immunotherapy-First Coast Service Options, Inc. 10/01/2015
L33808 Cataract Extraction-First Coast Service Options, Inc. 10/01/2015
L33811 Corticotropin-First Coast Service Options, Inc. 10/01/2015
L33813 Destruction of Malignant Skin Lesions-First Coast Service Options, Inc. 10/01/2015
L33818 Excision of Malignant Skin Lesions-First Coast Service Options, Inc. 10/01/2015
L33913 Interferon-First Coast Service Options, Inc. 10/01/2015
L33924 Omalizumab (Xolair®)-First Coast Service Options, Inc. 10/01/2015
L33925 Ophthalmological Diagnostic Services-First Coast Service Options, Inc. 10/01/2015
L33943 B-type Natriuretic Peptide (BNP) Testing-CGS Administrators, LLC 10/01/2015
L33944 Blepharoplasty-CGS Administrators, LLC 10/01/2015
L33946 Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy-CGS Administrators, LLC 10/01/2015
L33949 Botulinum Toxins-CGS Administrators, LLC 10/01/2015
L33951 Circulating Tumor Cell Marker Assays-CGS Administrators, LLC 10/01/2015
L33952 Cardiac Event Detection-CGS Administrators, LLC 10/01/2015
L33960 Cardiovascular Nuclear Medicine-CGS Administrators, LLC 10/01/2015
L33961 Therapy Services billed by Physicians/Nonphysician Practitioners -First Coast Service Options, Inc. 10/01/2015
L34000 Ganciclovir and Cidofovir-First Coast Service Options, Inc. 10/01/2015
L34008 Computerized Corneal Topography-CGS Administrators, LLC 10/01/2015
L34013 Lung Volume Reduction Surgery-First Coast Service Options, Inc. 10/01/2015
L34043 Dysphagia/Swallowing Diagnosis and Therapy-First Coast Service Options, Inc. 10/01/2015
L34048 Vertebroplasty and Vertebral Augmentation (Percutaneous)-CGS Administrators, LLC 10/01/2015
L34063 RAST Type Tests-CGS Administrators, LLC 10/01/2015
L34066 Circulating Tumor Cell Marker Assays-Noridian Healthcare Solutions, LLC 10/01/2015
L34086 Polysomnography and Sleep Studies-CGS Administrators, LLC 10/01/2015
L34087 Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based-CGS Administrators, LLC 10/01/2015
L34089 Human Papillomavirus (HPV) Testing-CGS Administrators, LLC 10/01/2015
L34090 Laser Ablation of the Prostate-CGS Administrators, LLC 10/01/2015
L34106 Percutaneous Vertebral Augmentation-Noridian Healthcare Solutions, LLC 10/01/2015
L34107 Erythropoiesis Stimulating Agents (ESAs)-Noridian Healthcare Solutions, LLC 10/01/2015
L34171 Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation-CGS Administrators, LLC 10/01/2015
L34194 Blepharoplasty, Eyelid Surgery, and Brow Lift-Noridian Healthcare Solutions, LLC 10/01/2015
L34202 Erythropoiesis Stimulating Agents (ESAs)-Noridian Healthcare Solutions, LLC 10/01/2015
L34216 Polysomnography and Sleep Studies for Testing Sleep and Respiratory Disorders-Noridian Healthcare Solutions, LLC 10/01/2015
L34224 Stereotactic Body Radiation Therapy-Noridian Healthcare Solutions, LLC 10/01/2015
L34228 Percutaneous Vertebral Augmentation-Noridian Healthcare Solutions, LLC 10/01/2015
L34259 Drugs and Biologicals: Palonosetron HCL Injection (Aloxi)-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34260 Drugs and Biologicals: Zoledronic Acid-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34266 Medicine: Neurophysiology Evoked Potentials (NEPs)-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34269 Medicine: Repetitive Transcranial Magnetic Stimulation (rTMS) for Resistant Depression-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34272 Pathology and Laboratory: C-Reactive Protein; High Sensitivity (hsCRP)-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34282 Radiology: Proton Beam Therapy-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34283 Radiology: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34284 Surgery: Arthrocentesis, Aspiration, and/or Injection; Major Joint or Bursa-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34286 Surgery: Blepharoplasty-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34287 Surgery: Cataract Extraction-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34293 Surgery: Lumbar Facet Blockade-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34294 Surgery: Major Joint Replacement (Hip and Knee)-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34302 Transportation Services: Ambulance-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34313 Allergy Testing-Noridian Healthcare Solutions, LLC 10/01/2015
L34372 Magnetic Resonance Angiography (MRA)-First Coast Service Options, Inc. 10/01/2015
L34374 Magnetic Resonance Imaging of the Brain-First Coast Service Options, Inc. 10/01/2015
L34375 Magnetic Resonance Imaging of the Orbit, Face, and/or Neck-First Coast Service Options, Inc. 10/01/2015
L34376 Magnetic Resonance Imaging of the Spine-First Coast Service Options, Inc. 10/01/2015
L34377 Magnetic Resonance Imaging of Upper Extremity-First Coast Service Options, Inc. 10/01/2015
L34393 Ocular Photography - External-CGS Administrators, LLC 10/01/2015
L34522 Transcranial Magnetic Stimulation for Major Depressive Disorder-First Coast Service Options, Inc. 10/01/2015
L34538 Hospice Determining Terminal Status-CGS Administrators, LLC 10/01/2015
L34539 Psychological Services Coverage under the Incident to Provision for Physicians and Non-physicians-CGS Administrators, LLC 10/01/2015
L34540 Stretta Procedure-CGS Administrators, LLC 10/01/2015
L34541 Transtelephonic Spirometry-CGS Administrators, LLC 10/01/2015
L34578 Surface Electrical Stimulation in the Treatment of Dysphagia-Palmetto GBA 10/01/2015
L34822 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs-Novitas Solutions, Inc. 10/01/2015
L34862 Co-Management of Surgical Procedures-Novitas Solutions, Inc. 10/01/2015
L34863 Coverage of Services and Procedures in Nursing Facilities-Novitas Solutions, Inc. 10/01/2015
L34891 Speech-Language Pathology (SLP) Services: Dysphagia; Includes VitalStim® Therapy-Novitas Solutions, Inc. 10/01/2015
L34943 Pathology and Laboratory: Molecular Pathology Procedures for Human Leukocyte Antigen (HLA) Typing-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L34953 Cardiac Event Detection Monitoring-Novitas Solutions, Inc. 10/01/2015
L34966 Benign Skin Lesions-Novitas Solutions, Inc. 10/01/2015
L34976 Vertebroplasty, Vertebral Augmentation; Percutaneous-First Coast Service Options, Inc. 10/01/2015
L34992 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Noridian Healthcare Solutions, LLC 10/01/2015
L34997 Real-Time, Outpatient Cardiac Telemetry-Novitas Solutions, Inc. 10/01/2015
L35001 Reduction Mammaplasty-National Government Services, Inc. 10/01/2015
L35013 Debridement of Mycotic Nails-Novitas Solutions, Inc. 10/01/2015
L35047 Oral Maxillofacial Prosthesis-Novitas Solutions, Inc. 10/01/2015
L35068 Evaluation and Management Services Provided in a Nursing Facility-Novitas Solutions, Inc. 10/01/2015
L35139 Wound Care-Novitas Solutions, Inc. 10/01/2015
L35177 MRI and CT Scans of the Head, Brain, and Neck-Noridian Healthcare Solutions, LLC 10/01/2015
L35178 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-Noridian Healthcare Solutions, LLC 10/01/2015
L35249 Nerve Blocks for Peripheral Neuropathy-CGS Administrators, LLC 10/01/2015
L35553 Pathology and Laboratory: Genetic Testing for Lynch Syndrome-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L35658 Surgery: Implantable Hormone Pellets-Cahaba Government Benefit Administrators®, LLC 10/01/2015
L35702 Mohs Micrographic Surgery-Noridian Healthcare Solutions, LLC 10/01/2015
L35704 Mohs Micrographic Surgery-Noridian Healthcare Solutions, LLC 10/01/2015
L35710 Circulating Tumor Cell Marker Assays-Noridian Healthcare Solutions, LLC 10/01/2015
L35936 Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy-National Government Services, Inc. 10/01/2015
L36236 Autonomic Function Testing-National Government Services, Inc. 10/01/2015
L36240 Allergen Immunotherapy -Novitas Solutions, Inc. 10/01/2015
L36286 Blepharoplasty, Eyelid Surgery, and Brow Lift-Noridian Healthcare Solutions, LLC 10/01/2015
L36296 Sacral Neuromodulation-First Coast Service Options, Inc. 10/01/2015
L36322 MolDX: GeneSight® Assay for Refractory Depression-Noridian Healthcare Solutions, LLC 10/01/2015
L36324 MolDX: GeneSight® Assay for Refractory Depression-Noridian Healthcare Solutions, LLC 10/01/2015
L36326 MolDX-CDD: ConfirmMDx Epigenetic Molecular Assay-Noridian Healthcare Solutions, LLC 10/01/2015
L36328 MolDX-CDD: ConfirmMDx Epigenetic Molecular Assay-Noridian Healthcare Solutions, LLC 10/01/2015


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