Take a look at these new and revised Medicare local coverage determinations (LCDs) and article updates from Novitas Solutions. Remember, Novitas will reject claims that don’t adhere to LCDs, so be sure to stay abreast of all LCDS — as well as national coverage determinations (NCDs) from Centers for Medicare & Medicaid Services — that affect your practice.
Novitas’ Medical Policy webpage has a search tool whereby you can find LCDs with terms such as keywords, procedure or diagnosis codes.
Note also that some LCDs and NCDs that currently require a specific ICD-9 code will require a specific ICD-10 code starting Oct. 1, 2015. You will need to code under ICD-10 to the specificity indicated for the code to be valid, even under the ICD-10 grace period.
New LCDs now in effect:
- Allergy Testing (L35771),
- Biomarkers Overview (L33638),
- Debridement of Mycotic Nails (L27487),
- Magnetic Resonance Angiography (MRA) (L31399),
- Surgical Treatment of Nails (L27532); read the new article (A47803), and
- Vestibular and Audiologic Function Studies (L32767).
- Allergen Immunotherapy (L35759),
- Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds (L27549); read the revised article (A54115),
- Biomarkers for Oncology (L34796),
- Hemophilia Factor Products (L33658),
- Nerve Conduction Studies and Electromyography (L32723), and
- Services That Are Not Reasonable and Necessary (L31686).
LCDs retired as of Aug.12, 2015:
- Magnetic Resonance Angiography (MRA) (L32611),
- Mycotic Nail Debridement (L32634), and
- Nail Avulsion (L32637).
New LCD effective Oct.1, 2015: Ambulance Services (Ground Ambulance) (L35162); read the new article (A54574), effective Oct. 1.
Read also the revised articles:
As always, visit the TMA Medicare Resource page for news, information, and links.
Published Aug. 27, 2015
TMA Practice E-Tips main page
Last Updated On
May 13, 2016