LCDs, NCDs, Coverage Articles

Published 06/10/2022

Local Coverage Determinations (LCDs)

Articles

National Coverage Determinations (NCDs)

  • NCDs
  • The link to the Reconsideration Process must be used for any suggested changes to the Centers for Medicare & Medicaid Services (CMS). Only CMS can update NCDs.

The table below provides a current list of all active LCD and MCD articles.

LCD Title

 LCD ID #

Article Title
Article ID #
CPT®/HCPCS Codes
Contract
Advance Care Planning L38970

Billing and Coding:
Advance Care Planning

A58664 G0438, G0439, 99201–99215, 99217–99226, 99231–99236, 99238, 99239, 99241–99245, 99251–99255, 99281–99285, 99291, 99292, 99304–99310, 99315, 99316, 99318, 99324–99328, 99334–99337, 99341–99345, 99347–99350, 99381–99397, 99468, 99469, 99471, 99472, 99475–99480, 99483, 99495, 99496, 99497, 99498 A/B
Ambulance Services
Billing and Coding:
Ambulance Services
A0425, A0426, A0427, A0428, A0429, A0430, A0431, A0432, A0433, A0434, A0435, A0436
A
Blepharoplasty, Eyelid Surgery,
and Brow Lift
Billing and Coding: Blepharoplasty, Eyelid
Surgery, and Brow Lift
15820, 15821, 15822, 15823, 67192, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909, 67911, 67914, 67915, 67916, 67917, 67921, 67922, 67923, 67924
A/B
B-type Natriuretic
Peptide (BNP)
Testing
Billing and Coding: B-Type Natriuretic Peptide (BNP) Testing
83880
A
Cardiac Computed Tomography
& Angiography (CCTA)
Billing and Coding: Cardiac Computed Tomography & Angiography (CCTA)
75571, 75572, 75573, 75574
A/B
Cardiac Radionuclide Imaging
Billing and Coding:
Cardiac Blood Pool
Imaging (Multiple
Gated Acquisition
Scanning — MUGA, Ventriculography)
when Performed in
Conjunction with
Cardiotoxic Chemotherapy
78451, 78452, 78453, 78454, 78472, 78473, 78481, 78483, 78491, 78492, 78494, 78496, A4641, A9500, A9501, A9502, A9505, A9526, A9555
A/B
N/A
 
Billing and Coding:
Cardiac Radionuclide
Imaging
A56476
 
 
Cardiac Resynchron-ization Therapy (CRT) L39080 Billing and Coding:
Cardiac Resynchron-
ization Therapy (CRT)
A58821 33224, 33225 A/B
Cardiac Event Detection
Billing and Coding:
Cardiac Event Detection
93228, 93229, 93241–93248, 93268, 93270, 93271, 93272, 93799
A
Cataract Surgery
Complex Cataract Surgery: Appropriate Use and Documentation
66830, 66840, 66850, 66852, 66982, 66920, 66940, 66982, 66983, 66984
A/B
N/A   Billing and Coding:
Cataract Surgery
A56613 66989, 66991 A/B
Cervical Disc Replacement L38033 Billing and Coding:
Cervical Disc Replacement
A57021 22856, 22858, 22861, 0098T, 0375T, 97010–97039, 97110–97546 A/B
Colon Capsule Endoscopy(CCE) L38755 Billing and Coding: Colon Capsule Endoscopy (CCE) A58321 91113 A/B 
Colonoscopy/
Sigmoidoscopy/
Proctosigmoidoscopy
Billing and Coding:
Incomplete Colonoscopy/
Failed Colonoscopy

G0105, G0121, 44388, 44389, 44390, 44391, 44392, 44394, 44401, 44402, 45300, 45303, 45305, 45307, 45308, 45309, 45315, 45317, 45320, 45321, 45327, 45330, 45331, 45332, 45333, 45334, 45335, 45337, 45338, 45340, 45341, 45342, 45346, 45347, 45349, 45378, 45379, 45380, 45380, 45381, 45381, 45382, 45382, 45384, 45384, 45385, 45385, 45386, 45388, 45389, 45390, 45391, 45392, 45393, 45398

A/B
N/A
 
Billing and Coding:
Screening Colonoscopy Converted to a Diagnostic
and/or Therapeutic Colonoscopy
G2204
A/B
N/A   Billing and Coding:
Colonoscopy/Sigmoid-
oscopy/Proctosigmoid-
oscopy
A56632 G0105, G9998, G9999 A/B
Computed Tomography Cerebral Perfusion Analysis (CTP) L38769 Billing and Coding:
Computed Tomography
Cerebral Perfusion Analysis (CTP)
A58354 0042T A/B

Computerized Axial Tomography (CT), Thorax

L33459

Billing and Coding: Computerized Axial Tomography (CT),
Thorax

71250, 71260, 71270

A/B
Continuous Peripheral Nerve
Blocks (CPNB)
Billing and Coding:
Continuous Peripheral
Nerve Blocks (CPNB)
64416, 64446, 64448, 64449
A/B
Corneal Pachymetry
Billing and Coding: Corneal Pachymetry
76514
A/B
Cosmetic and Reconstructive
Surgery
Oral Maxillofacial Prosthesis
E0485, E0486, 15780, 15781, 15782, 15783, 15830, 15847, 19316, 19325, 19328, 19330, 19340, 19342, 19350, 19355, 19357, 19361, 19364, 19367, 19368, 19369, 19370, 19371, 19380, 19396, 19318, 30400, 30410, 30420, 30430, 30435, 30450, 30460, 30462, 15730, 15733, 21076, 21077, 21079, 21080, 21081, 21082, 21083, 21084, 21086, 21087, 21088, 21089, 21120, 21121, 21122, 21123, 21125, 21127, 21137, 21138, 21139, 21141, 21142, 21143, 21145, 21146, 21147, 21150, 21151, 21154, 21155, 21159, 21160, 21172, 21175, 21179, 21180, 21181, 21182, 21183, 21184, 21188, 21193, 21194, 21195, 21196, 21198, 21199, 21206, 21208, 21209, 21210, 21215, 21230, 21240, 21242, 21243, 21244, 21245, 21246, 21247, 21248, 21249, 21255, 21256, 21260, 21261, 21263, 21267, 21268, 21270, 21275, 21280, 21282, 21295, 21296, 21299
A/B
N/A   Billing and Coding:
Cosmetic and Recon-
structive Surgery
A56658    
CT of the Abdomen
and Pelvis
Billing and Coding:
CT of the Abdomen
and Pelvis
72192, 72193, 72194, 74150, 74160, 74170, 74176, 74177, 74178
A/B
CT of the Head
Billing and Coding:
CT of the Head
G2187, G2188, G2189, G2190, G2191, G2192, G2193, G2194, G2195, 70450, 70460, 70470
A/B
Dental Services
Billing and Coding:
Dental Services
41820, 41821, 41822, 41823, 41828, 41830, 41850, 41870, 41872, 41874, 41899
A
Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza®)  L38792 Billing and Coding: Dexamethasone Intra-canalicular Ophthalmic
Insert (Dextenza®)
A58392 65800, 65810, 65815, 65820, 65850, 65855, 65860, 65865, 65870, 65875, 65880, 66170, 66172, 66180, 66183, 66184, 66185, 66820, 66821, 66825, 66982, 66984, 67005, 67010, 67015, 67025, 67027, 67028, 67030, 67031, 67036, 67039, 67040, 67041, 67042, 67043, 68841 A/B
Echocardiography
Billing and Coding: Echocardiography
91139, 93303, 93304, 93306, 93307, 93308, 93312, 93313, 93314, 93315, 93316, 93317, 93318, 93320, 93321, 93325, 93350, 93351, 93352, 93355, A9700, J0153, J0280, J0461, J1245, J1250
A/B
Echocardiography for Myocardial Perfusion L38786 Billing and Coding: Echocardiography for Myocardial Perfusion A58503 0439T, 93306, 93307, 93308, 93350, 93351, 93352, A9700, Q9950, Q9955, Q9956 A/B

Epidural Steroid
Injections for Pain Management

L38994 Billing and Coding:
Epidural Steroid
Injections for Pain
Management
A58695 62320, 62321, 62322, 62323, 62324, 62325, 62326, 62327, 64479, 64480, 64483, 64484, 78630 A/B
Erythropoiesis Stimulating Agents L39237 Billing and Coding: Erythropoiesis Stimulating Agents A58982 J0881, J0882, J0885, J0887, J0888, J0890, Q4081, Q5105, Q5106 A/B
Extracorporeal
Shock Wave
Therapy (ESWT)
L38775 Billing and Coding: Extracorporeal Shock
Wave Therapy (ESWT)
A58367 0101T, 0102T A/B
Facet Joint Inter-
ventions for Pain Management
L38765 Billing and Coding:
Facet Joint Interventions
for Pain Management
A58350

64490, 64491, 64492, 64493, 64494, 64495, 64633, 64634, 64635, 64636, 0213T, 0214T, 0215T, 0216T, 0217T, 0218T, 0219T, 0220T, 0221T, 0222T

 A/B
Frequency of Hemodialysis
Billing and Coding:
Frequency of Hemodialysis
90999
A/B
Health and Behavior Assessment/
Intervention
Billing and Coding:
Health and Behavior
Assessment/Intervention
G2214, 96150, 96151, 96152, 96153, 96154, 96155
A/B
Homocysteine Level, Serum
Billing and Coding: Homocysteine Level,
Serum
83090
A
Hypoglossal Nerve Stimulation for Obstructive Sleep
Apnea
L38276 Billing and Coding:
Hypoglossal Nerve
Stimulation for
Obstructive Sleep Apnea
A58075 61886, 61888, 64582, 64583, 64584 A/B
Infliximab
Billing and Coding:
Infliximab
J1745, Q5103, Q5104, Q5109, Q5121
A/B
Implantable Con-
tinuous Glucose
Monitors (I-CGM)
L38743 Billing and Coding:
Implantable Continuous
Glucose Monitors (I-CGM)
A58277 0446T, 0447T, 0448T A/B
Infrared Coagulation
(IRC) of
Hemorrhoids
Billing and Coding:
Infrared Coagulation
(IRC) of Hemorrhoids
46930
A
Intraoperative Radiation Therapy L37779
Billing and Coding: Intraoperative Radiation Therapy
19294, 77424, 77425, 77469, 76145, C9726 A/B
Intravenous Immunoglobulin (IVIG)
Billing and Coding:
Intravenous Immuno-
globulin (IVIG)
J1459, J1554, J1556, J1557, J1561, J1566, J1568, J1569, J1572, J1599, J2791, J2792
A/B
Lab: Controlled Substance Monitoring and Drugs of Abuse Testing L35724 Billing and Coding: Lab: Controlled Substance Monitoring and Drugs of Abuse Testing A54799 80305, 80306, 80307, G0480, G0481, G0482, G0483, G0659, 0143U, 0144U, 0145U, 0146U, 0147U, 0148U, 0149U, 0150U, 0227U A/B
Laparoscopic Sleeve Gastrectomy
for Severe Obesity
Billing and Coding:
Laparoscopic Sleeve Gastrectomy for
Severe Obesity
43775
A/B
Lumbar Artificial Disc Replacement L37826 Billing and Coding:
Lumbar Artificial Disc Replacement
A56390 22857, 22862, 0163T, 0165T A/B
Lumbar Spinal Fusion L37848 Billing and Coding:
Lumbar Spinal Fusion
A56396 22533, 22558, 22612, 22630, 22633 A/B
Magnetic Resonance Angiography
Billing and Coding:
Magnetic Resonance Angiography
70544, 70545, 70546, 70547, 70548, 70549, C8900, C8901, C8902, C8909, C8910, C8911, C8912, C8913, C8914, C8918, C8919, C8920, C8934, C8935, C8936
A
Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS)
for Essential Tremor
L37761
Billing and Coding:
Magnetic Resonance
Image Guided High
Intensity Focused
Ultrasound (MRgFUS) for Essential Tremor
0398T A/B
Magnetic Resonance Imaging
of the Orbit, Face,
and/or Neck
Billing and Coding:
Magnetic Resonance
Imaging of the Orbit,
Face, and/or Neck
70540, 70542, 70543
A
Micro-Invasive
Glaucoma Surgery
(MIGS)
L37531

Billing and Coding:
Micro-Invasive Glaucoma Surgery (MIGS)

A56866 66989, 66991, 0449T, 0450T, 0671T A/B
Minimally Invasive Surgical (MIS) Fusion of the Sacroiliac Joint (SIJ) L39025 Billing and Coding: Minimally Invasive Surgical (MIS) Fusion of the Sacroiliac Joint (SIJ) A58739 27279 A/B
Nerve Blocks and Electrostimulation
for Peripheral
Neuropathy
Billing and Coding:
Nerve Blocks and Electrostimulation
for Peripheral Neuropathy
64450, 97032, 97139, G0282, G0283
A/B
Nerve Conduction
Studies and
Electromyography
Billing and Coding: Nerve Conduction Studies and Electromyography
51785, 92265, 95860, 95861, 95863, 95864, 95865, 95866, 95867, 95868, 95869, 95870, 95872, 95885, 95886, 95887, 95905, 95907, 95908, 95909, 95910, 95911, 95912, 95913, 95933, 95937, 95999, G0255
A/B
Non-Invasive
Fractional Flow
Reserve (FFR) for
table Ischemic Heart Disease
L38278 Billing and Coding: Non- Invasive Fractional Flow
Reserve (FFR) for Stable Ischemic Heart Disease
A58406 0501T, 0502T, 0503T, 0504T A/B
Ophthalmic 
Angiography
(Fluorescein and Indocyanine
Green)
Billing and Coding:
Ophthalmic Angio-
graphy (Fluorescein and Indocyanine Green)
92235, 92240, 92242
A/B
Ophthalmology:
Extended
Ophthalmoscopy and Fundus
Photography
Billing and Coding: Ophthalmology:
Extended Ophthalmo-
scopy and Fundus
Photography
92201, 92202, 92227, 92228, 92250
A/B
Outpatient Observation Bed/
Room Services
Billing and Coding:
Outpatient Observation Bed/Room Services
99217, 99218, 99219, 99220, 99234, 99235, 99236, G0378, G0379
A
Outpatient Occupational
Therapy
Billing and Coding:
CPT® Code 97755 — 
Assistive Technology Assessment
29065, 29075, 29085, 29086, 29105, 29125, 29126, 29130, 29131, 29200, 29240, 29260, 29280, 29345, 29365, 29405, 29505, 29515, 29520, 29530, 29540, 29550, 29799, 90901, 90911, 92526, 92548, 92610, 95851, 95852, 96112, 96113, 96125, 97010, 97012, 97016, 97018, 97022, 97024, 97026, 97032, 97033, 97034, 97035, 97036, 97110, 97112, 97113, 97124, 97140, 97150, 97165, 97166, 97167, 97168, 97530, 97533, 97535, 97537, 97542, 97545, 97546, 97597, 97598, 97602, 97605, 97606, 97610, 97750, 97755, 97760, 97761, 97763, 97799, G0281, G0283, G0329, G0515
A
N/A
 
Low frequency, non-
contact, non-thermal
ultrasound (CPT® Code 97610)
 
 
N/A
 
Billing and Coding: Outpatient Occupational Therapy
90912, 90913, 97129, 97130
 
Outpatient Physical Therapy
CPT® Code 97755 —
 Assistive Technology Assessment
29065, 29075, 29085, 29105, 29125, 29126, 29130, 29131, 29200, 29240, 29260, 29280, 29345, 29365, 29405, 29445, 29505, 29515, 29520, 29530, 29540, 29550, 29580, 29799, 90901, 92548, 95851, 95852, 95992, 97010, 97012, 97016, 97018, 97022, 97024, 97026, 97028, 97032, 97033, 97034, 97035, 97036, 97110, 97112, 97113, 97116, 97124, 97140, 97150, 97161, 97162, 97163, 97164, 97530, 97533, 97535, 97537, 97542, 97545, 97546, 97597, 97598, 97602, 97605, 97606, 97610, 97750, 97755, 97760, 97761, 97763, 97799, G0281, G0283, G0329
A
N/A
 
Low frequency, non-
contact, non-thermal
ultrasound (CPT® Code 97610)
 
 
N/A
 
Billing and Coding:
Outpatient Physical Therapy
90912, 90913
 
Outpatient Speech Language
Pathology
Billing and Coding:
Outpatient Speech
Language Pathology
31579, 92507, 92508, 92511, 92512, 92517, 92518, 92519, 92520, 92521, 92522, 92523, 92524, 92526, 92597, 92605, 92606, 92607, 92608, 92609, 92610, 92611, 92612, 92613, 92614, 92615, 92616, 92617, 92618, 92626, 92627, 92630, 92633, 92650, 92651, 92652, 92653, 95857, 96105, 96112, 96113, 96116, 96121, 96125, 97129, 97130, 97150, 97533, 97535
A
Partial Hospitalization Programs
Billing and Coding:
Partial Hospitalization
Programs
90785, 90791, 90792, 90832, 90833, 90834, 90836, 90837, 90838, 90846, 90847, 90875, 90876, 90899, 96116, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, G0129, G0176, G0177, G0410, G0411
A
Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) L38737 Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) A58275 22510, 22511, 22512, 22513, 22514, 22515
 
A/B
Peroral Endoscopic Myotomy (POEM) L38747

Billing and Coding:
Peroral Endoscopic
Myotomy (POEM)

A58287 43497 A/B
Platelet Rich Plasma L38745 Billing and Coding:
Platelet Rich Plasma
A58282 G0465, M0076, P9020, S9055, 0232T A/B
Polysomnography
Accreditation and
Credentialing Require-
ments for Polysomnography
95782, 95783, 95800, 95801, 95803, 95805, 95806, 95807, 95808, 95810, 95811, G0398, G0399, G0400
A/B
    Billing and Coding: Polysomnography A56995    
Removal of Benign and Malignant
Skin Lesions
Billing and Coding
for Removal of Benign
and Malignant Skin
Lesions
11300, 11301, 11302, 11303, 11305, 11306, 11307, 11308, 11310, 11311, 11312, 11313, 11400, 11401, 11402, 11403, 11404, 11406, 11420, 11421, 11422, 11423, 11424, 11426, 11440, 11441, 11442, 11443, 11444, 11446, 11600, 11601, 11602, 11603, 11604, 11606, 11620, 11621, 11622, 11623, 11624, 11626, 11640, 11641, 11642, 17000, 17003, 17004, 17110, 17111, 17260, 17261, 17262, 17263, 17264, 17266, 17270, 17271, 17272, 17273, 17274, 17276, 17280, 17281, 17282, 17283, 17284, 17286
A/B
Respiratory Therapy
(Respiratory Care)
Billing and Coding:
Respiratory Therapy (Respiratory Care)
31500, 31502, 31720, 92950, 94002, 94003, 94004, 94010, 94011, 94012, 94013, 94060, 94070, 94150, 94200, 94375, 94450, 94621, 94640, 94642, 94660, 94662, 94664, 94667, 94668, 94669, 94726, 94727, 94728, 94729, 94772, G0237, G0238, G0239
A
Retroperitoneal Ultrasound
Billing and Coding: Retroperitoneal
Ultrasound
76770, 76775, 76776
A/B
Rituximab
Billing and Coding:
Rituximab
J3590, J9311, J9312, Q5123, Q5115
A/B
Routine Foot Care
Billing and Coding:
Routine Foot Care
11055, 11056, 11057, 11719, 11720, 11721, G0127
A/B
Scanning Computerized Ophthalmic
Diagnostic Imaging (SCODI)
Billing and Coding:
Scanning Computerized Ophthalmic Diagnostic
Imaging (SCODI)
92132, 92133, 92134
A/B
Somatosensory Testing
Billing and Coding: Somatosensory Testing
95925, 95926, 95927
A/B
Spinal Cord Stimulators for
Chronic Pain
Billing and Coding:
Spinal Cord Stimulators
for Chronic Pain
63650, 63655, 63661, 63662, 63663, 63664, 63685, 63688, 95970, 95971, 95972, L8680
A/B
Stretta Procedure
Billing and Coding: Stretta Procedure
43257
A
Supervised Exercise Therapy for the
Treatment of Per-
ipheral Arterial Dis-
ease with Sympto-
matic Lower Ex-
tremity Intermittent Claudication
L37774
Billing and Coding:
Supervised Exercise
Therapy for the Treat-
ment of Peripheral
Arterial Disease with Symptomatic Lower
Extremity Intermittent Claudication
93668 A/B
Topical Oxygen
Therapy
L37873 Billing and Coding:
Topical Oxygen Therapy
A56431 A4575 A/B
Total Joint Arthro-
plasty
Billing and Coding:
Total Joint Arthroplasty
27130, 27132, 27134, 27137, 27138, 27445, 27447, 27486, 27487
A/B
Transanal Endoscopic Surgery (TES) L38551 Billing and Coding:
Transanal Endoscopic
Surgery (TES)
A58000 0184T A/B
Transurethral
Waterjet Ablation
of the Prostate
L38549 Billing and Coding: Transurethral Waterjet
Ablation of the Prostate
A58008 C2596, K1006, K1010, K1011, K1012, 0421T  A/B
Treatment of Males with Low Testosterone L39086 Billing and Coding: Treatment of Males with Low Testosterone A58828

11980, 84410, 96372, J1071, J3121, J3145, J3490

A/B
Treatment of Varicose Veins of the Lower Extremities L39121 Billing and Coding: Treatment of Varicose Veins of the Lower Extremities A58876 36465,36466, 36468, 36470, 36471, 36473, 36474, 36475, 36476, 36478, 36479, 36482, 36483, 37500, 37700, 37718, 37722, 37735, 37760, 37761, 37765, 37766, 37780, 37785 A/B
Upper Gastrointestinal Endoscopy
and Visualization
Billing and Coding:
Upper Gastrointestinal Endoscopy and
Visualization
43191, 43192, 43193, 43194, 43195, 43196, 43197, 43198, 43200, 43201, 43202, 43204, 43205, 43206, 43210, 43211, 43212, 43213, 43214, 43215, 43216, 43217, 43220, 43226, 43227, 43229, 43231, 43232, 43233, 43235, 43236, 43237, 43238, 43239, 43240, 43241, 43242, 43243, 43244, 43245, 43246, 43247, 43248, 43249, 43250, 43251, 43252, 43253, 43254, 43255, 43259, 43260, 43261, 43262, 43263, 43264, 43265, 43266, 43270, 43274, 43275, 43276, 43277, 43278, 43499, 74235, J0585
A/B
Voretigene Neparvovecrzyl (Luxturna®) L37863 Billing and Coding:
Voretigene Neparvovec-
rzyl (Luxturna®)
A56419 J3398, 67036, 67299 A/B
White Cell Colony Stimulating Factors
Billing and Coding: Neulasta®(pegfilgrastim)
96372, 96377, J1442, J1447, J2506, J2820, Q5101, Q5108, Q5110, Q5111
A/B
N/A   Billing and Coding:
White Cell Colony
Stimulating Factors
A56748 Q5120, Q5122 A/B
Wireless Capsule Endoscopy
Billing and Coding:
Wireless Capsule
Endoscopy
91110, 91111
A/B
YAG Capsulotomy
Billing and Coding:
YAG Capsulotomy
66821
A/B
N/A
N/A
Billing and Coding:
Additional Claim Documentation
Requirements for Not Otherwise Classified
(NOC) Drugs and Bio-
logical Products with
Specific FDA Label
Indications
A4641, A9699, J3490, J3590, J9999
A/B
N/A
N/A
Billing and Coding: Chemotherapy A56141

 

A/B
N/A N/A

Billing and Coding:
Complex Drug
Administration Coding

A58527

96365, 96366, 96367, 96368, 96372, 96374, 96375, 96376, 96377, 96379, J0129, J0222, J0248, Jo491, J0485, J0517, J0565, J0638, J0717, J0896, J0897, J1300, J1301, J1442, J1442, J1602, J2182, J2323, J2353, J2354, J2357, J2506, J2786, J2793, J3245, J3358, J3380, J3590, Q5101, Q5101, Q5108, Q5110, Q5110, Q5111, Q5120, Q5122

A/B
N/A
N/A
Billing and Coding:
Frequency and Duration
for Cardiac Rehabilitation
and Intensive Cardiac Rehabilitation
93797, 93798, G0422, G0423
A/B
N/A
N/A
Billing and Coding:
Gender Reassignment Services for Gender
Dysphoria
11950, 11951, 11952, 11954, 15775, 15776, 15820, 15821, 15822, 15823, 15824, 15825, 15826, 15828, 15829, 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15839, 15876, 15877, 15878, 15879, 17380, 19303, 19304, 19316, 19325, 19350, 21120, 21121, 21122, 21123, 21125, 21127, 21208, 21209, 30400, 30410, 30420, 30430, 30435, 30450, 53420, 53425, 53430, 54660, 54125, 54520, 54690, 55175, 55180, 55866, 55970, 55980, 56625, 56800, 56805, 57106, 57110, 57291, 57292, 57295, 57296, 57335, 57426, 58150, 58180, 58260, 58262, 58275, 58290, 58291, 58541, 58542, 58543, 58544, 58550, 58552, 58553, 58554, 58570, 58571, 58572, 58573, 58720
A/B
N/A N/A

Billing and Coding:
Hospital Outpatient
Drugs and Biologicals
Under the Outpatient Prospective Payment
System (OPPS) 

A55913 C9399, J3490, J3590 A
N/A N/A Billing and Coding:
IDTFs and Low Dose
CT Scan for Lung Can-
cer Screening for CPT®
Code 71271
A58641 71271, G0296 A/B
N/A  N/A Billing and Coding: Implantable Automatic Defibrillators A56343 33202, 33203, 33215, 33216, 33217, 33218, 33220, 33223, 33224, 33225, 33230, 33231, 33240, 33241, 33243, 33244, 33249, 33262, 33263, 33264, 33270, 33271, 33272, 33273, G0448 A/B
N/A N/A Billing and Coding: Intravesical Instillation
of Bacillus Calmette-
Guérin (BCG)
A56754   A/B
N/A N/A Billing and Coding: Percutaneous Ventricular Assist Device 33990, 33991, 33992, 33993 33995, 33997 A
N/A N/A
Billing and Coding:
Medicare Preventive
Coverage for Certain
Vaccines
90630, 90653, 90654, 90655, 90656, 90657, 90660, 90661, 90662, 90670, 90671, 90672, 90673, 90674, 90675, 90676, 90677, 90682, 90685, 90686, 90687, 90688, 90689, 90694, 90702, 90714, 90732, 90739, 90740, 90743, 90744, 90746, 90747, 90756, 90759, G0008, G0009, G0010, Q2034, Q2035, Q2036, Q2037, Q2038, Q2039 A/B
N/A N/A Billing and Coding:
Single Chamber and
Dual Chamber Perm-
anent Cardiac Pacemaker
33206, 33207, 33208, 33274, 33275 A/B
N/A N/A Billing and Coding:
Spiracur SNaP® Wound
Care System
A53781 33206, 33207, 33208 A/B
N/A N/A Billing and Coding:
Use of Laterality Modifiers
A56869 15820, 15821, 15822, 15823, 20610, 20611, 66940, 66982, 66983, 66984, 66987, 66988, 66989, 66991, 67027, 67028, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67917, 67921, 67922, 67923,  0449T, 0671T, 0699T A/B
N/A
N/A
Billing and Coding Instructions for Lem-
trada® (alemtuzumab)
When Used in the
Treatment of Relapsing Multiple Sclerosis
J0202
A/B
N/A
N/A
Billing and Coding:
PET Scan Claims to
Identify Bone Meta-
stasis of Cancer
78811, 78812, 78813, 78814, 78815, 78816
A
N/A N/A Billing and Coding for Hospital Outpatient
Drugs and Biologicals
Under the Outpatient Prospective Payment
System (OPPS) 
A55913 C9399, J3490, J3590  A
N/A N/A Billing and Coding:
Use of Laterality
Modifiers
A56869 15820, 15821, 15822, 15823, 20610, 20611, 66940, 66982, 66983, 66984, 67027, 67028, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67917, 67921, 67922, 67923, 0191T, 0449T A/B
N/A
N/A
Once in a Lifetime
Abdominal Aortic
Aneurysm (AAA)
Screening Article
76706
A/B

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