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The following links below take you to the Medicare Coverage Database on the CMS web site
where you can access the most current LCDs, NCDs, and Articles.
| National Coverage Determinations (NCDs) |
Medicare Coverage Database Archive (MCD Archive) |
| NCD Index |
MCD Archive |
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Please see the most updated versions of National Coverage Determinations (NCDs) by clicking on the link below: |
Note: The MCD Archive contains only Local Coverage documents
that have an Ending Date or Revision Ending Date older than two years. |
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National Coverage Determinations |
MCD Archive |
| Local Coverage Determination Updates Index |
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Please see the most updated article by clicking on the link below: |
| Medical Policies Updates
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| Updates | Publication Date |
| HHH LCD Updates – December 2009 | 12/17/2009 |
Retirement of Local Coverage Determinations
The underlying statutory requirement for all Medicare coverage is that it be medically "reasonable and necessary". An LCD defines what is reasonable and necessary more explicitly if needed. It is the preference of our Medical Director to only initiate and retain an LCD if there is a noncoverage or utilization issue. The absence of an LCD in no way precludes claim review based on evidence based medical standards.
The Medical Director decided not to adopt some LCDs from the outgoing contractors into the MAC where there seemed to be appropriate utilization. Therefore, the absence of an LCD hopefully will not change practice patterns.
Note: Although NHIC will be starting the MAC with separate Part A and Part B LCD policies, they will be consolidated into one set of policies for both Parts A and B through the regular CAC process over the coming year.
To look up information by CPT code, use the
CMS search page for all LCDs, NCDs and Articles.
02/18/2010
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